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3. Hospitals and Health Care Activities
Coordination Regulatory ActivitiesCompleted In Progress Not Started
3.1 Determine coordination mechanisms, scope, and likely authorities between coalition
hospitals and health care systems including information sharing, resource monitoring/assistance,
and policy coordination. This should include the role of the coalition to engage with vendors of
PPE, pharmaceuticals, and other medical supplies that may be in shortage. Conduct a
coordination conference call with healthcare facilities to ensure awareness and consistency.
3.2 Determine mechanism to engage outpatient settings (homecare, ambulatory care) in
information sharing and policy/response coordination.
3.3 Determine mechanisms to engage skilled nursing facilities in information sharing and policy/
3.4 Determine actions that the state of emergency management or public health agency is likely
to take that affect health care including:
• Suspension or modification of requirements for hospitals or clinics
• Specific emergency orders or actions that may limit liability or expand scope of
operations (for facilities and providers, including volunteers)
• Requests for 1135 waivers from the Centers for Medicare & Medicaid Services (CMS)
• Crisis standards of care activation
• Issuance of clinical guidelines for care and resource allocation
• 'Taking powers' of the state relative to medical materials and staff (i.e., does the state
have ability to commandeer resources under their emergency powers and does this
include medical materials?)
• Promulgation or enforcement of legal obligations of medical staff to provide care
3.5 Evaluate available indicators that may be needed for planning or by other partners and how
to track them, e.g., number ED visits available beds, available ventilators, number of potential
COVID-19 cases, staff illness/absenteeism.
3.6 Evaluate indicators that have effects on hospitals and coordinate access through the health
care coalitions (e.g., status of EMS agencies, alternate care sites, epidemiologic information/
forecasting, availability of supplies).
3.7 Determine a process for expedited credentialing of supplemental staff and for the orientation/
mentoring of supplemental or shared staff.
3.8 Determine threshold for use and priority list for supplemental staff (e.g., first shared health
care system staff, then similarity credentialed and licensed staff, then Medical Reserve Corps, etc.)
3.9 Determine indicators and potential triggers for implementation of alternate care systems in
conjunction with public health.
3.10 Develop public messages that emphasize using emergency departments only for life-
threatening emergencies and coordinate with the joint information system. Be prepared to
manage the expectations of the public relative to scarce resources (what is the shortage, what is
being done, who are the priority groups, etc.).
3.11 Determine common visitor policies for coalition hospitals.
3.12 Develop just-in-time education for health care personnel relative to COVID-19 transmission,
clinical course, at-risk populations, complications, treatment prevention and control, self-care,
transmission and family protection, and normal stress responses.