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Getting Real: The Maryland Healthcare Ethics Committee Network's COVID-19 Working Group Debriefs Lessons Learned.
Elson, Norton; Gwon, Howard; Hoffmann, Diane E; Kelmenson, Adam M; Khan, Ahmed; Kraus, Joanne F; Onyegwara, Casmir C; Povar, Gail; Sheikh, Fatima; Tarzian, Anita J.
  • Elson N; Adventist HealthCare, Gaithersburg, MD, USA.
  • Gwon H; Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
  • Hoffmann DE; University of Maryland Carey School of Law, Baltimore, MD, USA.
  • Kelmenson AM; Faculty of Medicine, Department of Bioethics, The Chinese University of Hong Kong, Shatin, New Territories, HKSAR, China.
  • Khan A; University of Maryland Medical Center, Baltimore, MD, USA.
  • Kraus JF; Johns Hopkins University School of Medicine (Retired), Baltimore, MD, USA.
  • Onyegwara CC; Holy Cross Hospital, Silver Spring, MD, USA.
  • Povar G; GWU School of Medicine and Health Sciences, Washington, DC, USA.
  • Sheikh F; Johns Hopkins University, School of Medicine, Baltimore, MD, USA.
  • Tarzian AJ; Maryland Healthcare Ethics Committee Network, University of Maryland Carey School of Law, Baltimore, MD, USA. atarzian@law.umaryland.edu.
HEC Forum ; 33(1-2): 91-107, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1081475
ABSTRACT
Responding to a major pandemic and planning for allocation of scarce resources (ASR) under crisis standards of care requires coordination and cooperation across federal, state and local governments in tandem with the larger societal infrastructure. Maryland remains one of the few states with no state-endorsed ASR plan, despite having a plan published in 2017 that was informed by public forums across the state. In this article, we review strengths and weaknesses of Maryland's response to COVID-19 and the role of the Maryland Healthcare Ethics Committee Network (MHECN) in bridging gaps in the state's response to prepare health care facilities for potential implementation of ASR plans. Identified "lessons learned" include Deliberative Democracy Provided a Strong Foundation for Maryland's ASR Framework; Community Consensus is Informative, Not Normative; Hearing Community Voices Has Inherent Value; Lack of Transparency & Political Leadership Gaps Generate a Fragmented Response; Pandemic Politics Requires Diplomacy & Persistence; Strong Leadership is Needed to Avoid Implementing ASR … And to Plan for ASR; An Effective Pandemic Response Requires Coordination and Information-Sharing Beyond the Acute Care Hospital; and The Ability to Correct Course is Crucial Reconsidering No-visitor Policies.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ethics Committees / Delivery of Health Care / Resource Allocation / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: HEC Forum Journal subject: Ethics / Hospitals / Jurisprudence Year: 2021 Document Type: Article Affiliation country: S10730-021-09442-y

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ethics Committees / Delivery of Health Care / Resource Allocation / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: HEC Forum Journal subject: Ethics / Hospitals / Jurisprudence Year: 2021 Document Type: Article Affiliation country: S10730-021-09442-y