FLORIDAS PLAN AGAINST COVID -19 1. Protect the Vulnerable 2. - PowerPoint PPT Presentation

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

Source: https://www.whitehouse.gov/openingamerica/

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.

853 908 1,035 1,271 1,285 1,150 762 1,163 1,009 1,046 1,034 45-Day New Cases, Statewide 1,089 1,068 814 923 593 902 1,201 1,087 743 713 749 860 706 1,218 739 798 521 757 343 516 980 713 634 772 577 584 630 346 771 692 389 615 807 799

11.7% 10.5% 11.6% 9.5% 11.4% 9.0% 45-Day New Case Positivity Rate, Statewide 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%

7,273 8,639 8,950 13,434 11,311 12,816 7,404 11,667 12,203 6,764 14,839 10,064 45-Day Total Tests, Statewide 11,891 9,261 9,394 6,829 10,258 16,375 13,490 9,665 9,941 11,187 13,189 11,775 19,721 14,389 18,104 9,479 12,696 7,530 10,318 19,344 17,548 13,228 16,570 22,508 15,958 14,929 18,892 17,682 14,607 19,034 22,464 15,391 16,782

COVID-Like Illness Visits, Statewide 11,334 9,126 8,762 6,586 6,562 Number of Visits 4,926 3,923 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 Week

Influenza-Like Illness Visits, Statewide 15,666 15,474 12,678 8,921 Number of Visits 5,778 3,801 2,771 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 Week

Cough-Associated Admissions, Statewide 1.8% 1.6% 1.4% 1.2% 1.0% 0.8% 0.6% 0.4% 0.2% 0.0% 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 16% 14% 12% 10% 8% 6% 4% 2% 0% 3/1 3/8 3/15 3/22 3/29 4/5 4/12 4/19 4/26 5/3 5/10 Shortness of Breath % Fever % Cough %

COVID-19 Deaths by Day, Statewide 56 55 52 52 50 50 50 49 4949 47 46 434445 45 4343 43 42 42 4141 41 41 40 39 39 38 36 36 35 33 33 31 32 30 28 24 2323 22 20 20 19 18 17 14 13 12 10 7 4 5 3 2 1 0 1 2 2 0 0 0 1 1 0 0 0 1 0 0 0 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

ICU Hospitalizations: Statewide COVID Positive Hospitalizations on May 4 vs. May 14 600 610 590 21% 570 550 530 510 490 472 470 450 May 4 May 14 Hospitalization data as reported by facilities to AHCA Emergency Status System (ESS).

Ventilator Use: Statewide COVID Positive Ventilators on May 4 vs. May 14 360 340 340 32% 320 300 280 260 232 240 220 May 4 May 14 Hospitalization data as reported by facilities to AHCA Emergency Status System (ESS).

COVID Fatalities May 14, 2020 Fatalities per 100,000 160 140.3 140 120 109.5 100 87.7 77.1 80 60 47.2 40 32.4 29.9 20 8.8 0 New York New Jersey Connecticut Massachusetts Michigan Pennsylvania Illinois Florida 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