FLORIDA’S PLAN AGAINST COVID-19...FLORIDA’S PLAN AGAINST COVID-19 1. Protect the Vulnerable 2....

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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.

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

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