Crisis Standards of Care: A Toolkit for Indicators and Triggers


Report at a Glance

  • Editable Blank Table to Be Completed by Organizations, Agencies, and Jurisdictions (DOC)
  • Report Brief (PDF, HTML)
  • Toolkit Components: Behavioral Health (PDF)
  • Toolkit Components: Emergency Management (PDF)
  • Toolkit Components: Emergency Medical Services (PDF)
  • Toolkit Components: Hospital and Acute Care (PDF)
  • Toolkit Components: Out-of-Hospital (PDF)
  • Toolkit Components: Public Health (PDF)

Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies, and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis.

The IOM’s reports on crisis standards of care contain key concepts, guidance, and practical resources to help actors across the emergency response system develop plans for crisis standards of care and response to a catastrophic disaster. The resources in report may be used by federal, state, and local governments; public health agencies; emergency medical services; emergency management and public safety agencies; hospitals; and out-of-hospital health care organizations and agencies. This report examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities.

For convenience, toolkit components targeted at specific actors in the emergency response system can be downloaded on this page. For background information, key concepts, and to view the entire toolkit, please see the complete report.

See all of the IOM’s Crisis Standards of Care Work >>