Recommendation to El Centro Regional Medical Center and Pioneers Memorial
Healthcare District Boards: Adopt CDPH guidance as such and allow Medical
Executive Committees as well as day-to-day clinical operations to move
forward informed by the guidance but not enforced by policy or procedure.
All hospitals have been directed by the California Department of Public
Health to adopt “Crisis Care Continuum Guidelines” at our
organizations. The state of California is asking that we develop and adopt
our own set of guidelines or adopt the State of California guidelines
also known as California SARS-CoV-2 Pandemic Crisis Care Guidelines by
January 6, 2021.
Both hospitals have collaborated with Imperial County Public Health officials
over the past seven months attempting to develop Crisis Care Guidelines
for Imperial County. San Diego County, in a collaborative discussion with
highest levels of physician leadership at hospitals as well as San Diego
County Public Health, and has recently announced they could not come to
agreement on a unique set of Crisis Care Continuum Guidelines for San
Diego County. They then announced that San Diego County will adopt the
California Crisis Care Continuum Guidelines.
There is no arguing that these are times never seen before in our generation.
The emergency rooms are packed and there is no place to transfer patients
as every hospital in the country is experiencing this surge. Resources
are running short, despite the monumental efforts by EMSA and many others.
Difficult decisions will need to be made by attending physicians at an
increasing rate. These decisions will be guided by the Crisis Care Continuum
Guidelines. Click here to read about the
California SARS-CoV-2 Crisis Care Guidelines