Post on 04-Aug-2020
Washington State COVID-19 Health System Response Management
Vice Admiral (ret.) Raquel Bono, MD
May 4, 2020
Health System Response Management: Priorities
1. Protect our frontline healthcare workers
2. Optimize all of Washington’s health resources
3. Keep our Washingtonians safe
Health System Response Management: Team
COVID-19 Confirmed Cases by County
Source: Washington State DOH
Current as of
May 2. 2020 11:59 p.m.
This Week’s Topics
• Non-Urgent Surgeries: Interpretive Statement
• PPE: Supply Chain and Conservation
• WA HEALTH Update
• Long-Term Care Update
• Fall Planning: Seasonal Flu and COVID-19
• Phased Recovery
Non-Urgent Surgeries: Interpretive Statement
• Proclamation 20-24 still in effect
• New interpretive guidelines• Created in partnership with WSHA and labor unions
• Further clarification to come• E.g. “Maintain 20% surge capacity” is better language
PPE: Supply Chain and Conservation
Current as of May 3, 2020Source: DES
Source: Washington State Department of Health
PPE
Medical Center
Medical Center
Hospital
Healthcare
Medical Center
Medical Center
Hospital
Hospital
General
GOOD - The hospital has all the PPE and supplies that it needs.
FAIR - The hospital has some PPE and supplies, but not enough. Staff has a concern about being without PPE
and supplies very soon.
NOT ADEQUATE - Staff is currently without necessary PPE and supplies much of the time.
WA HEALTH PPE Supply Details
NOTE: Example only. Data not current
WA HEALTH Update
WA HEALTH Update
• Next technical update May 11. Includes:• Further refined questions to meet federal reporting requirements
• Ability to export data into Excel spreadsheets
oHospitals retain reporting responsibility but this will help reduce burden
• Official Smartsheets retirement date – to be announced soon
WA HEALTH Update (continued)• Aggregated answers from WA HEALTH will help meet federal reporting
requirements. Example:
• WA HEALTH team will provide a crosswalk to show the relationship between WA HEALTH questions and federal reporting
• 3 nursing homes to open COVID-19 units for recovering patients
• 135 beds will be available at:• Avamere Transitional Care of Puget Sound (Tacoma)
• Richmond Beach Rehab (Shoreline)
• Avamere Bellingham Health Care (Bellingham)
• All owned by Avamere Family of Companies, Oregon
• DSHS also expects to open new LTC facility in Seattle in early June• Will house up to 165 patients from local hospitals who test negative
Long-Term Care Update
Fall Planning: Seasonal Flu and COVID-19
• CDC estimates for October 2019 – April 4, 2020
oMore than 410,000 people were hospitalized with the flu
o 24,000 people died
• As of May 2
o The U.S. has reported more than 1.142 million coronavirus cases
o +66,000 deaths
• Experts predict two simultaneous respiratory outbreaks in the falloCOVID-19 resurgence could be more intense than current outbreakoAn “unimaginable” strain on the nation’s health care system is possibleoMore/stronger lockdowns may occur
Fall Planning: Seasonal Flu and COVID-19
Washington Flu Season: 2016-19So
urce: W
ashin
gton
State D
epartm
ent o
f Hea
lth
Fall Planning: Seasonal Flu and COVID-19
• Testing and contact tracing resources remain inadequate
• We are being urged to consider other public health measureso Flu immunization
o Increased hospital staff and bed capacity
o Physical distancing
oMasks in public settings
o Longer stay-at-home for vulnerable populations
o Further postponement of concerts and sporting events
Source: State of Washington
State Online Resources
• COVID-19 Response web site
• Conservation Strategies for PPE
• Extended and Reuse of PPE by Health Care Personnel
• Risk Assessment Dashboard
• Department of Health COVID-19 Dashboard
Contact
Vice Admiral (ret.) Raquel Bono, MDDirectorWashington State COVID-19 Health System Response Managementraquel.bono@gov.wa.gov564-999-1869
Clark HalvorsonAssistant SecretaryWashington State Department of Healthclark.halvorson@doh.wa.gov360-742-8275
Thank you