@article {1399096,
	title = {Optimizing Scarce Resource Allocation During COVID-19: Rapid Creation of a Regional Health-Care Coalition and Triage Teams in San Diego County, California},
	journal = {Disaster Medicine and Public Health Preparedness},
	year = {2020},
	abstract = {<p style="margin-bottom:.0001pt">
	<span style="line-height:normal">Successful management of an event where healthcare needs exceed regional healthcare capacity requires coordinated strategies for scarce resource allocation. Publications for rapid development, training, and coordination of regional hospital triage teams manage the allocation of scarce resources during COVID-19 are lacking. Over a period of 3 weeks, over 100 clinicians, ethicists, leaders, and public health authorities convened virtually to achieve consensus on how best to save the most lives possible and share resources. This is referred to as population-based crisis management. The rapid regionalization of 22 acute care hospitals across 4500 square miles in the midst of a pandemic with a shifting regulatory landscape was challenging, but overcome by mutual trust, transparency, and confidence in the public health authority. Because many cities are facing COVID-19 surges, we share a process for successful rapid formation of healthcare care coalitions, Crisis Standard of Care, and training of Triage Teams. Incorporation of continuous process improvement and methods for communication is essential for successful implementation. Utilization of our regional healthcare coalition communications, incident command system, and the crisis care committee helped mitigate crisis care in the San Diego and Imperial County region as COVID-19 cases surged and scarce resource collaborative decisions were required.</span>
</p>
},
	url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7684024/},
	author = {Asha Devereaux and Holly Yang and Gilbert Seda and Viji Sankar and Ryan C. Maves and Navaz Karanjia and John Scott Parrish and Christy Rosenberg and Paula Goodman-Crews and Lynette Cederquist and Frederick M. Burkle Jr. and Jennifer Tuteur and Chiara Leroy and Kristi L. Koenig}
}
