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Research ArticleORIGINAL ARTICLE

Simulation of “North Carolina Protocol for Allocating Scarce Inpatient Critical Care Resources in a Pandemic” in a Multi-hospital Health Care System

Deborah J. Love, Lawrence R. Nycum, Tanya Stewart Blackmon, A.J. Patefield, Paula Bird, Shelli E. Stoker, R. Andrew Piersol, Adam N. Koontz and Amy L. Collard
North Carolina Medical Journal January 2021, 82 (1) 21-28; DOI: https://doi.org/10.18043/ncm.82.1.21
Deborah J. Love
corporate bioethics consultant, Novant Health, Winston-Salem, North Carolina; adjunct assistant professor, Department of Social Medicine, UNC-Chapel Hill School of Medicine, Chapel Hill, North Carolina.
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  • For correspondence: Deborah_love@med.unc.edu
Lawrence R. Nycum
senior vice president and chief clinical officer, Greater Winston-Salem Market, Novant Health, Winston-Salem, North Carolina.
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Tanya Stewart Blackmon
chief diversity, inclusion and equity officer, Novant Health, Winston-Salem, North Carolina.
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A.J. Patefield
senior vice president and chief medical information officer, Novant Health, Winston-Salem, North Carolina.
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Paula Bird
vice president, Behavioral Health, Novant Health, Winston-Salem, North Carolina.
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Shelli E. Stoker
vice president and assistant general counsel, Novant Health, Winston-Salem, North Carolina.
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R. Andrew Piersol
vice president, Operational Design and Improvement, Novant Health, Winston-Salem, North Carolina.
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Adam N. Koontz
director of bioethics and Choices and Champions, Novant Health, Winston-Salem, North Carolina.
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Amy L. Collard
shared decision making consultant, Novant Health Greater Charlotte Market, Winston-Salem, North Carolina.
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References

  1. 1.↵
    1. Rosoff PM.
    Rationing Is Not a Four-Letter Word: Setting Limits on Healthcare. Cambridge, MA: Massachusetts Institute of Technology Press; 2014
  2. 2.↵
    1. Altevogt BM,
    2. Stroud C,
    3. Hanson SL,
    4. Hanfling D,
    5. Gostin LO.
    Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report. Washington, DC: The National Academies Press; 2009.
  3. 3.↵
    1. North Carolina Institute of Medicine
    . North Carolina Protocol for Allocating Scarce Inpatient Critical Care Resources in a Pandemic. Morrisville, NC: NCIOM; 2020. http://nciom.org/wp-content/uploads/2020/04/North-Carolina-Protocol-for-Allocating-Scarce-Inpatient-Critical-Care-Resources-in-a-Pandemic_FINAL-4-6-2020_rev.pdf. Published April 6, 2020. Accessed June 10, 2020.
  4. 4.↵
    1. White DB,
    2. Lo B.
    A framework for rationing ventilators and critical care beds during the COVID-19 pandemic. JAMA. 2020;323(18):1773-1774. doi: 10.1001/jama.2020.5046
    OpenUrlCrossRefPubMed
  5. 5.↵
    1. Knowlton-Marcus V,
    2. Grafstein L,
    3. Taylor-Parker RL, et al.
    Re: Complaint of Disability Rights North Carolina concerning the North Carolina Protocol for Allocating Scarce Inpatient Critical Care Resources in a Pandemic. Raleigh, NC: Disability Rights North Carolina; 2020. https://disabilityrightsnc.org/wp-content/uploads/2020/05/OCR-Complaint-5.5.20.pdf. Published May 5, 2020. Accessed June 10, 2020.
  6. 6.↵
    1. University of Pittsburgh Department of Critical Care Medicine
    . Allocation of Scarce Critical Care Resources During a Public Health Emergency. Pittsburgh, PA: University of Pittsburgh; 2020. https://ccm.pitt.edu/sites/default/files/UnivPittsburgh_ModelHospitalResourcePolicy_2020_04_15.pdf. Published April 15, 2020. Accessed June 10, 2020.
  7. 7.↵
    1. Manchanda EC,
    2. Couillard C,
    3. Sivashanker K
    , Inequity in Crisis Standards of Care. NEJM. May 13, 2020 DOI: 10.1056/NEJMp2011359
    OpenUrlCrossRef
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North Carolina Medical Journal: 82 (1)
North Carolina Medical Journal
Vol. 82, Issue 1
January/February 2021
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Simulation of “North Carolina Protocol for Allocating Scarce Inpatient Critical Care Resources in a Pandemic” in a Multi-hospital Health Care System
Deborah J. Love, Lawrence R. Nycum, Tanya Stewart Blackmon, A.J. Patefield, Paula Bird, Shelli E. Stoker, R. Andrew Piersol, Adam N. Koontz, Amy L. Collard
North Carolina Medical Journal Jan 2021, 82 (1) 21-28; DOI: 10.18043/ncm.82.1.21

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Simulation of “North Carolina Protocol for Allocating Scarce Inpatient Critical Care Resources in a Pandemic” in a Multi-hospital Health Care System
Deborah J. Love, Lawrence R. Nycum, Tanya Stewart Blackmon, A.J. Patefield, Paula Bird, Shelli E. Stoker, R. Andrew Piersol, Adam N. Koontz, Amy L. Collard
North Carolina Medical Journal Jan 2021, 82 (1) 21-28; DOI: 10.18043/ncm.82.1.21
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