COVID-19 Update Call April 16, 2020 1 Agenda Agenda I. Overview - - PDF document

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COVID-19 Update Call April 16, 2020 1 Agenda Agenda I. Overview - - PDF document

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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

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COVID‐19 Call with Hospital Leaders April 16, 2020 Florida Hospital Association 1

COVID-19 Update Call

April 16, 2020

Agenda

I. Overview of COVID-19 Statistics

  • II. Federal Update
  • III. State Update
  • IV. Question and Answer

Agenda

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COVID‐19 Call with Hospital Leaders April 16, 2020 Florida Hospital Association 2

As of April 16, 2020

  • 2,181 COVID+ patients
  • Average rate 15.1%
  • 51% of patients in Broward

and Dade counties

  • 791 in ICU (36% of total)
  • 564 on ventilators (71%

ICU)

  • 8,651 ventilators available
  • 3,375 anesthesia machines

convertible to ventilators

500 1,000 1,500 2,000 2,500

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

Patients COVID Patients COVID Pts in ICU COVID Pts on Vents

COVID-19 Impact on Hospitals

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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

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COVID‐19 Call with Hospital Leaders April 16, 2020 Florida Hospital Association 3

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

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HOSPITAL COVID‐19 IMPACT SURVEY TO BE DISTRIBUTED WEEK OF APRIL 20th HOSPITAL COVID‐19 IMPACT SURVEY TO BE DISTRIBUTED WEEK OF APRIL 20th

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

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COVID‐19 Call with Hospital Leaders April 16, 2020 Florida Hospital Association 4

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

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State Update: Florida Department of Health Issues Emergency Rule No. 64DER20-26

Per April 13th Department of Health emergency rule, all COVID-19 lab results (positive and negative) should be reported immediately via electronic laboratory reporting, including screening tests

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COVID‐19 Call with Hospital Leaders April 16, 2020 Florida Hospital Association 5

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.

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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

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COVID‐19 Call with Hospital Leaders April 16, 2020 Florida Hospital Association 6

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Q & A

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

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COVID‐19 Call with Hospital Leaders April 16, 2020 Florida Hospital Association 7 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

FHA Resources and Contacts

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COVID-19 Update Call

April 16, 2020 13 14