Operationalizing Scarce Resource Allocation: A Lived Experience

ABSTRACT

This article describes the implementation of scarce resource allocation at the largest health system in Oklahoma. Although our state did not declare crisis standards of care, we felt it prudent, as a trial, to completely operationalize the scarce resource allocation process. This allowed our executive, clinical, and ethical leaders to address gaps, barriers, and challenges associated with scarce resource allocation, and develop a robust process that is ready for implementation should the need arise. This article reviews Scarce Resource Allocation Team (SRAT) selection and training, organizational support for the SRATs, challenges and solutions to the scarce resource allocation framework, data and documentation recommendations, collaboration with state and regional hospitals as well as the state government, and addressing moral distress in clinicians. With COVID-19 ongoing for the foreseeable future, as well as the threat of future pandemics, I will argue that it is the ethical responsibility of healthcare organizations and nursing leaders to have an allocation process in place.