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Challenges

- Transferring outcomes created with tools to rural Missouri settings.
- Getting buy-in from non-public health State partners on tools.
- Lack of public awareness regarding the limitations of the health care system.
- Pediatric issues.
Speaker Notes:
The ventilator protocol that our committee has created will work well in urban areas of our State but will be impractical in rural Missouri. Because of this we are taking the initial work done by the committee and attempting to create a model protocol for rural Missouri.
While many States are using the sequential organ failure assessment tool as the basis of their ventilator-allocation model, the tool has not been approved for use with pediatric patients.
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