FLORIDA’S PLAN AGAINST COVID-19...FLORIDA’S PLAN AGAINST COVID-19 1. Protect the Vulnerable 2....
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Transcript of FLORIDA’S PLAN AGAINST COVID-19...FLORIDA’S PLAN AGAINST COVID-19 1. Protect the Vulnerable 2....
FLORIDA’S PLAN AGAINST COVID-19
1. Protect the Vulnerable
2. Increase Testing
3. Promote Social Distancing
4. Support Hospitals and Protect Health Care Workers
5. Prevent Introduction from Outside of the State
ACTIONS TO PROTECT THE VULNERABLE
Required comprehensive visitor, staff and vendor screening
▪ Provided long-term care facilities guidance on restricting and screening
visitors in early March.
▪ Issued an Emergency Order on March 11, requiring comprehensive
screenings of both staff and visitors at long-term care facilities –
formalized many precautions AHCA already asked residential providers to
take.
PROTECT THE VULNERABLE (continued)
▪ Mandated face masks be worn by all staff and visitors in facilities on
March 18.
▪ Imposed statewide visitor restriction at all long-term care facilities –
issued Emergency Order on March 15.
▪ Prohibited hospitals from discharging COVID-positive residents back to a
long-term care facility.
▪ Established COVID-dedicated nursing homes.
PROTECT THE VULNERABLE (continued)
Long-Term Care (LTC) Facility Monitoring & On-Site Visits
▪ RAPID EMERGENCY SUPPORT TEAMS (REST):
Deployed to over 200 LTC facilities to assist with infection prevention and control
▪ VETERAN ADMINISTRATION (VA) TEAMS:
Assisted at 37 long-term care facilities serving more than 4,200 patients
▪ AHCA INSPECTIONS:
More than 1,400 onsite visits and nearly 14,500 calls to residential providers
▪ AMBULATORY ASSESSMENT TEAMS:
Visited over 3,800 facilities to complete needs assessments
PROTECT THE VULNERABLE (continued)
Personal Protective Equipment Distribution
▪ Sent PPE to all 698 nursing homes and 3,101 assisted living facilities
▪ To date, DEM has delivered:
▪ 10 million masks
▪ 1 million gloves
▪ 500,000 face shields
▪ 160,000 gowns
PROACTIVE TESTING IN LONG-TERM CARE FACILITIES
THE FLORIDA NATIONAL GUARD AND FLORIDA DEPARTMENT OF HEALTH
TEAMS:
▪ Tested more than 32,000 residents and staff in 238 facilities
MOBILE TESTING LAB:
▪ First-of-its-kind
▪ Further assist the state’s proactive testing efforts in long-term care facilities
▪ Can support up to 500 tests per day with a 45-minute turnaround
EMS SENTINEL SURVEILLANCE OF LONG-TERM CARE FACILITIES
INITIAL PHASE 1:▪ Elective surgeries may resume if a facility has adequate PPE, hospital bed
surge capacity, and works with the local community to prevent and/or
contain outbreaks in long-term care facilities.
▪ Restaurants may open with indoor seating at 25% capacity and full outdoor
seating while maintaining six feet between tables.
▪ Sale and retail businesses may operate at 25% indoor capacity.
▪ Students continue with distance learning.
▪ Barber shops, hair salons, and nail salons may operate while adhering to
safety protocols effective May 11.
INITIAL PHASE 1:
▪ Visitation in long-term facilities prohibited.
▪ Bars and gyms closed.
▪ Hospitals required to test all individuals discharged to long-term care
facilities for COVID-19.
▪ Long-term care facilities required to transfer COVID-19 positive residents if
the facility is not equipped for appropriate care.
45-Day New Cases, Statewide8
53 9
08
1,0
35
1,2
71
1,2
85
1,1
50
76
2
1,1
63
1,0
09
1,0
46
1,0
34 1,0
89
1,0
68
81
4
92
3
59
3
90
2
1,2
01
1,0
87
74
3
71
3 74
9
86
0
70
6
1,2
18
73
9 79
8
52
1
75
7
34
3
51
6
98
0
71
3
63
4
77
2
57
7
58
4 63
0
34
6
77
1
69
2
38
9
61
5
80
7
79
9
45-Day New Case Positivity Rate, Statewide1
1.7
%
10
.5% 11
.6%
9.5
%
11
.4%
9.0
%
10
.3%
10
.0%
8.3
%
15
.4%
7.0
%
10
.8%
9.0
%
8.8
%
9.8
%
8.7
%
8.8
%
7.3
% 8.1
%
7.7
%
7.2
%
6.7
%
6.5
%
6.0
%
6.2
%
5.1
%
4.4
% 5.5
%
6.0
%
4.6
%
5.0
%
5.1
%
4.1
% 4.8
%
4.7
%
2.6
% 3.7
% 4.2
%
1.8
%
4.4
%
4.7
%
2.0
% 2.7
%
5.2
%
4.8
%
45-Day Total Tests, Statewide7
,27
3 8,6
39
8,9
50
13
,43
4
11
,31
1
12
,81
6
7,4
04
11
,66
7
12
,20
3
6,7
64
14
,83
9
10
,06
4 11
,89
1
9,2
61
9,3
94
6,8
29
10
,25
8
16
,37
5
13
,49
0
9,6
65
9,9
41
11
,18
7 13
,18
9
11
,77
5
19
,72
1
14
,38
9
18
,10
4
9,4
79
12
,69
6
7,5
30
10
,31
8
19
,34
4
17
,54
8
13
,22
8
16
,57
0
22
,50
8
15
,95
8
14
,92
9
18
,89
2
17
,68
2
14
,60
7
19
,03
4
22
,46
4
15
,39
1
16
,78
2
COVID-Like Illness Visits, Statewide
6,562
9,126
11,334
8,762
6,586
4,9263,923
3,202 2,850 2,412
3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3
Nu
mb
er o
f V
isit
s
Week
Influenza-Like Illness Visits, Statewide
12,678
15,666 15,474
8,921
5,778
3,8012,771 2,099 1,808 1,574
3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3
Nu
mb
er o
f V
isit
s
Week
Cough-Associated Admissions, Statewide
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
1.4%
1.6%
1.8%
3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10
Cough, Fever, Shortness of Breath Visits, Statewide
0%
2%
4%
6%
8%
10%
12%
14%
16%
3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10
Cough % Fever % Shortness of Breath %
COVID-19 Deaths by Day, Statewide
0 0 0 1 1 0 0 0 1 0 0 02 1 0
31 2 2
7
4 5
14
20
13
18
12
19
22
31 32
36
30
36
43 44 45
42
38
41 41
35
45
49
43 43
56
39
49 4947
43
52
3941
50
41
50
42
5250
28
40
55
33
46
33
24
20
23 23
17
10
3/2 3/5 3/8 3/11 3/14 3/17 3/20 3/23 3/26 3/29 4/1 4/4 4/7 4/10 4/13 4/16 4/19 4/22 4/25 4/28 5/1 5/4 5/7 5/10 5/13
600
472
450
470
490
510
530
550
570
590
610
ICU Hospitalizations: StatewideCOVID Positive Hospitalizations on May 4 vs. May 14
21%
May 4 May 14
Hospitalization data as reported by facilities to AHCA Emergency Status System (ESS).
340
232
220
240
260
280
300
320
340
360
Ventilator Use: Statewide COVID Positive Ventilators on May 4 vs. May 14
May 4 May 14
Hospitalization data as reported by facilities to AHCA Emergency Status System (ESS).
32%
140.3
109.5
87.7
77.1
47.2
32.4 29.9
8.8
0
20
40
60
80
100
120
140
160
New York New Jersey Connecticut Massachusetts Michigan Pennsylvania Illinois Florida
COVID FatalitiesMay 14, 2020
Fatalities per 100,000
Florida fatality data from FL DOH, other state fatality data from worldometers.com, population data from U.S. Census Bureau
FULL PHASE 1
FLORIDA’S LONG-TERM CARE TESTING STRATEGY
OBJECTIVE: Provide testing to all staff in Florida’s long-term
care facilities for COVID-19 by using a multi-pronged
approach for expanded testing capacity.
▪ Identify long-term care facilities capable of self-testing and
provide supplies and laboratory capacity.
▪ Expand mobile testing team through the Department of
Health and Florida National Guard.
FLORIDA’S LONG-TERM CARE TESTING STRATEGY
▪ Dedicated testing lanes at strategic drive-thru testing sites.
▪ Partner with hospital systems that can conduct testing
within their communities for long-term care facilities.
▪ Leverage our integrated public health system through
testing by local county health departments.
ELECTIVE SURGERIES
▪ Remain prepared for surge capacity situations
▪ Maintain adequate personal protective equipment (PPE)
▪ Do not seek government assistance regarding PPE supplies
since resuming elective procedures
▪ Work with the local community to prevent and/or contain
outbreaks in long-term care facilities
RESTAURANTS &
FOOD ESTABLISHMENTS
▪ May operate up to 50% capacity indoors
▪ Maintain social distancing
RETAIL
▪ May operate up to 50% of indoor capacity
▪ Abide by CDC and OSHA safety guidelines
MUSEUMS & LIBRARIES
▪ May operate up to 50% capacity if permitted by
local governments
GYMS & FITNESS CENTERS
▪ May operate up to 50% capacity
▪ Implement social distancing
▪ Individuals self-sanitize machines and surfaces after
use
PROFESSIONAL SPORTS VENUES
▪ Professional sports teams are welcome in Florida
▪ Professional sports venues may open and operate for
games, events, competitions and training
AMUSEMENT PARKS
▪ May submit re-opening plan to the State
▪ Must include endorsement letter from the County
Mayor (or City Mayor and County Administrator if
no County Mayor)
T H A N K Y O U
