COVID ‐ 19 Call with Hospital Leaders April 16, 2020 COVID-19 Update Call April 16, 2020 1 Agenda Agenda I. Overview of COVID-19 Statistics II. Federal Update III. State Update IV. Question and Answer 2 2 Florida Hospital Association 1
COVID ‐ 19 Call with Hospital Leaders April 16, 2020 COVID-19 Impact on Hospitals As of April 16, 2020 2,500 COVID Patients 2,181 COVID+ patients COVID Pts in ICU Average rate 15.1% 2,000 COVID Pts on 51% of patients in Broward Vents 1,500 and Dade counties 791 in ICU (36% of total) 1,000 564 on ventilators (71% ICU) 500 Patients 8,651 ventilators available 0 3/26 3/27 3/28 3/29 3/30 3/31 4/1 4/2 4/3 4/4 4/5 4/6 4/7 4/8 4/9 4/10 4/11 4/12 4/13 4/14 4/15 3,375 anesthesia machines convertible to ventilators 3 3 Federal Update Initial $30 billion of the $100 billion in relief funding distributed last week Based on 2019 Medicare FFS data Imbalanced distribution in Florida due to high Medicare Advantage enrollment Florida Congressional delegation has sent two letters to CMS Looking Ahead: Opportunity to smooth out inequities 4 4 Florida Hospital Association 2
COVID ‐ 19 Call with Hospital Leaders April 16, 2020 Collecting COVID-19 Impact Data Capturing the Financial Impacts of COVID-19 Loss in Revenue Increased/Additional Expenses (Supplies) Workforce Capitol/Construction Payor mix of COVID-19 patients Upcoming call with Finance Executives HOSPITAL COVID ‐ 19 IMPACT HOSPITAL COVID ‐ 19 IMPACT SURVEY TO BE DISTRIBUTED SURVEY TO BE DISTRIBUTED WEEK OF APRIL 20 th WEEK OF APRIL 20 th 5 5 Assistant Secretary for Preparedness and Response (ASPR) Grant CARES Act included $50 million for state hospital associations to support hospital COVID-19 preparedness and response efforts FHA secured $2.8 million grant to support hospital emergency preparedness work Distribution of funds to start later this week All acute care hospitals with an emergency department will receive base distribution of $7,500; remaining funds distributed based on number of licensed beds 6 6 Florida Hospital Association 3
COVID ‐ 19 Call with Hospital Leaders April 16, 2020 State Update: Crisis Standards of Care After careful deliberations with FHA's Quality and Patient Safety and Workforce Committees, the FHA Board voted to support the Florida Bioethics Network’s Ethics Guidelines for Crisis Standards of Care Board also approved advocating for executive order to provide limited immunity to health care providers in connection with their response to the COVID-19 crisis FHA to host clinical webinar on Tuesday, April 21 at 10 a.m. ET 7 7 State Update: Florida Department of Health Issues Emergency Rule No. 64DER20-26 Per April 13 th Department of Health emergency rule, all COVID-19 lab results (positive and negative) should be reported immediately via electronic laboratory reporting, including screening tests 8 8 Florida Hospital Association 4
COVID ‐ 19 Call with Hospital Leaders April 16, 2020 State Update: AHCA Data Reporting • In March, Vice President Pence sent a request asking hospitals to report multiple data points. – Hospital laboratory testing capability reported daily to FEMA – Hospital bed capacity reported daily to the CDC’s National Healthcare Safety Network • On April 15, AHCA submitted a request to FEMA to seeking authority to submit required COVID-19 laboratory and hospital capacity data through the Emergency Status System (ESS) on behalf of Florida’s hospitals. • This change follows FHA’s advocacy for streamlining state and federal COVID-19 reporting requirements for providers. 9 9 Florida Department of Education - Child Care for First Responders and Health Care Workers • Prioritize childcare for first responders and health care workers • All income eligibility requirements have been waived • Provided through DOE Early Learning Coalitions • More details available through Office of Early Learning 10 10 Florida Hospital Association 5
COVID ‐ 19 Call with Hospital Leaders April 16, 2020 Q & A 11 11 Upcoming Calls • Statewide Hospital Calls Monday and Friday , 10-10:30 a.m., ET • AHA Health Care Leaders Call Thursdays, 2:30 p.m. ET • FHA Call with Hospital Leaders Thursdays, 4 p.m. ET • CMS Lessons from the Front Lines Fridays, 12:30-2 p.m. ET 12 12 Florida Hospital Association 6
COVID ‐ 19 Call with Hospital Leaders April 16, 2020 FHA Resources and Contacts FHA COVID-19 Webpage: www.fha.org/covid FHA Emergency Preparedness Contacts John Wilgis Crystal Stickle (850) 524-2037 (850) 445-4544 john@fha.org crystals@fha.org FHA Incident Command Team covidresponse@fha.org 13 13 COVID-19 Update Call April 16, 2020 14 Florida Hospital Association 7
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