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ELC Enhancing Detection: Oregon Testing Plan
From the Document: "According to the 2019 Annual Oregon Population Report, Oregon's population is 4,236,400. In order to test 2% of our population per month, we must build capacity to test 84,728 people per month. In order to meet this target, the Oregon Health Authority and the Oregon State Public Health Laboratory (OSPHL) have partnered with local public health authorities (LPHAs), healthcare systems, academic institutions, commercial laboratories and retail sites. Through these partnerships, we have created a network of laboratories which can perform up to 140,000 tests per month."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Philadelphia Testing Plan
From the Document: "The Philadelphia Department of Public Health (PDPH) is committed to continued rapid detection and containment of SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2]. There are currently over 50 testing sites in Philadelphia, including sites run by health systems, health centers, pharmacies and urgent cares. Since March 2020, PDPH has been working with healthcare partners throughout Philadelphia to increase testing capacity, accessibility, and speed of reporting. Expanded testing efforts have been planned through June 2020, with components in varying stages of execution, to reach a goal of 150,000 tests performed each month by testing sites across the city. PDPH's short-term testing expansion strategy focuses on maximizing its own laboratory capacity, implementation of rapid testing platforms at testing sites, continuation of testing partnerships with Federally Qualified Health Centers (FQHCs) and long-term care facilities, and development of new community-based testing programs in coordination with partner organizations like urgent care centers and retail pharmacies."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: South Carolina Testing Plan
From the Document: "South Carolina has an approximate population of 5.1 million in 46 counties. To bolster testing capacity and reach the goal of testing at least 2% of the population each month, the South Carolina Department of Health and Environmental Control (DHEC) is utilizing agency resources and fostering public and private partnerships to increase access to testing, particularly for under resourced communities and vulnerable populations."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Palau Testing Plan
From the Document: "Prior to March 2020, Palau relied on a referral system for testing through the Hawaii State Laboratory Division and Guam Public Health Laboratory. The MOH [Ministry of Health] began efforts to establish local diagnostic capacity in February and by April had secured a molecular diagnostic testing platform with 100,000 test kits and worked quickly to train laboratory staff to conduct testing. In March, all commercial flights were suspended, effectively cutting off Palau from access to all reference laboratories for COVID-19 [coronavirus disease 2019] testing. There are currently two full-time laboratory technologists who are trained to perform COVID-19 diagnostic testing using a high-throughput RT-PCR [real-time polymerase chain reaction] testing platform."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Puerto Rico Testing Plan
From the Document: "The volume of tests in the State current testing plan for May 2020 includes 7,700 diagnostic tests and 10,280 for June 2020. The current testing capacity in the Puerto Rico Department of Health is for 1,022 diagnostic tests daily for a total of 30,660/month, which is 48% of the 2% of Puerto Rico's population (64,000). In order to reach 100% of the 2% population, we plan to increase testing capacity by acquiring new testing platforms for the Puerto Rico Public Health Laboratories that are high throughput."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Nebraska Testing Plan
From the Document: "Nebraska Department of Health and Human Services (NDHHS) is utilizing multiple avenues in order to increase and maintain testing capacity to thoroughly provide access to Nebraskans in both the urban population centers and in the rural/frontier areas on a consistent basis. In order to accomplish, the goal of testing at least 2% of the state's population (estimated at 38,700 tests/month or 1,300 tests/day based on 2019 U.S. Census estimates) NDHHS is working with local public health department partners; medical and health care professional associations; public and private laboratories; health care facilities, systems, and providers; large employers such as distributors, manufacturers, and meat processing facilities; pharmacies; academic institutions; as well as many others. The main strategies NDHHS is utilizing include (1) identifying and maximizing testing platforms throughout the state; (2) identifying points-of-care to perform small and large scale testing; (3) identifying areas, industries, and populations that are at an increased risk for infection or severe outcomes; and (4) localized and statewide communication and outreach plans."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: New Hampshire Testing Plan
From the Document: "The State of New Hampshire currently has two sites performing high throughput testing, the New Hampshire State Public Health Laboratories (PHL) and Dartmouth Hitchcock Medical Center (DHMC). PHL: Since early March 2020, the PHL has been veriying RNA [ribonucleic acid] extraction platforms, PCR [polymerase chain reaction] Kits and PCR instruments to increase its testing capacity. Currently, the PHL has one each of MagNA Pure 24, Qiagen EZ1 and King Fisher Flex instrument for RNA extraction and six ABI7500 instruments running CDC [Centers for Disease Control and Prevention] EUA [Emergency Use Authorization] assay with the capacity to test ~500 samples/day. The PHL is expecting to receive and verify a Hologic Pabther Fusion instrument in early August. The Panther Fusion will allow the PHL to perform an additional ~500 tests/day begining [sic] in August 2020."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Montana Testing Plan
From the Document: "The state of Montana has developed a COVID-19 [coronavirus disease 2019] Testing Plan designed to expand current testing capacity beyond symptomatic individuals. Identifying COVID infections as early as possible will allow for public health contact tracing and implementation of interventions to prevent and respond to outbreaks. The expansion of testing in asymptomatic, at-risk populations such as long-term care and clinical settings serving underserved populations, is a component of state and national strategies to better detect and understand transmission of the virus responsible for COVID-19. Sentinel testing may allow us to detect and respond to the transmission of the virus in high-risk settings at an earlier stage and improve containment efforts. In addition to providing useful information in key populations and helping guide response efforts, surveillance testing may help us assess our efforts to protect essential and frontline workers who interface with others in the community who may be at a higher risk for exposure."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Mississippi Testing Plan
From the Document: "The overarching strategy of the Mississippi State Department of Health (MSDH) is to provide a consistent and scalable testing capacity to inform county level incidence, to provide access to testing of vulnerable populations and to provide hotspot or targeted enhanced testing as indicated by the current epidemiology. This will be accomplished through enhancement and assurance of testing capacity in the Mississippi Public Health Laboratory (MPHL), numerous commercial laboratories, hospitals, Federally Qualified Health Centers (FQHC), in Long Term Care Facility (LTCF) settings and other healthcare facilities and clinics. Several testing methodologies are available to providers in Mississippi including RT-PCR [reverse transcription polymerase chain reaction], serology, and antigen through various commercial laboratories, hospital laboratories, and MPHL, and through rapid test platforms in hospital emergency departments and clinics throughout the state. The wide availability of these tests has provided broad reach to testing throughout the state, with some limitations noted in reagents, collection kits and cartridges and other testing supplies. However, in recent weeks, approximately 17,000 -21,000 tests for COVID-19 [coronavirus disease 2019] per week have been conducted in Mississippi consistent with a 2% monthly testing expectation."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Missouri Testing Plan
From the Document: "The State of Missouri has a comprehensive testing strategy with multiple lines of effort, which prioritizes vulnerable populations and acknowledges private demand for diagnostic testing. The state is currently developing a plan for serological testing, but as its utility for individual citizens is still unknown, serological testing will be used for research purposes, until more information is available about potential immunity and timelines. Missouri's statewide testing strategy includes: [1] Messaging to the public, providers, laboratories, and test collection locations; [2] Prioritized testing for healthcare workers and first responders; [3] Box-in Outbreaks at State Facilities (such as those run by the Departments of Mental Health and Corrections); [4] Box-in Outbreaks at Non-State, Public Facilities (such as county jails and shelters); [5] Box-in Outbreaks at Long Term Care Facilities (LTCFs); [6] Box-in Outbreaks at Prioritized Employers (such as meatpacking plants and factories); [7] Community Testing and Prevalence Studies; [8] Sentinel Testing of Vulnerable Populations (such as LTCFs and other congregate care settings); [9] Baseline Operations of the State Public Health Laboratory; [10] Sector Security (including education and employers); [and 11] Individual Diagnostic Testing (including anticipated increased demand during cold and flu season)[.]"
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Nevada Testing Plan
From the Document: "Nevada is currently testing at or above 2% of our population. As of May 29th, Nevada has completed 155,449 PCR [polymerase chain reaction] tests. There have been 8,350 confirmed cases and 410 deaths statewide. Each local jurisdiction is required to maintain at least 2% of population testing for their service areas and increase as needed over time. Nevada's public health laboratories use both a mid-throughput testing and the Hologic Panther high throughput. This testing technology is not only capable of rapid testing at a lab site, but also uses collection kits and is best suited for use with outbreak analyses and testing of large facilities where several tests need to be performed at once such as prisons and skilled nursing facilities. Nevada is currently using our public health laboratories, hospital laboratories and commercial laboratories to perform SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] testing. Plans have been developed to rapidly scale testing to meet increased demand including point-of-care and rapid result testing."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: New Jersey Testing Plan
From the Document: "The goals of New Jersey's testing program revolve around saving lives, ensuring safety, continuing vigilance, and maintaining commitment to readiness as part of The Road Back to re-opening society and the economy. To accomplish these goals, the DOH [Department of Health] is dedicated to creating a robust foundation that supports testing, contact tracing, and safe places for isolation and quarantine."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Kentucky Testing Plan
From the Document: "Kentucky's estimated population is 4.5 million residents. To reach the monthly 2% minimum testing target, 90,000 tests/month (3,000 tests/day) will need to be performed within the commonwealth. Through the Gravity Diagnostics contract, Kentucky has the capacity to perform 125,000 tests/month or 5,000 tests/day (Monday-Saturday), exceeding the monthly minimum. The Division of Laboratory Services (DLS) has recently expanded its testing capacity to approximately 240 specimens/day (Monday-Sunday). In addition to the current capacity, DPH must continue to increase the availability and accessibility of testing. To stop transmission of COVID-19 [coronavirus disease 2019], the primary goals are to identify as close to 100% of infected persons as quickly as possible and isolate cases immediately, as well as identify and quarantine their close contacts and monitor for symptoms"
United States. Department of Health and Human Services
2020-07-09?
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Coronavirus (COVID-19) Testing Plans by State and Jurisdiction [website]
From the Website: "This page contains state testing plans that are part of the government response to the Coronavirus pandemic. These plans set specific targets for COVID-19 testing in each jurisdiction."
United States. Department of Health and Human Services
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ELC Enhancing Detection: CNMI Testing Plan
From the Document: "In 1978, the CNMI [Commonwealth of the Northern Mariana Islands] Department of Public Health was formed under the executive branch of government. Over the next thirty years it came to operate the sole hospital and emergency department, provide 90% of outpatient care to the residents, maintain one of two dialysis centers on island and provide all behavioral, environmental, population health services. Our unique organizational structure allows us to focus on both public health and clinical care for the same target population. a) In response to the Governor's COVID-19 [coronavirus disease 2019] Task Force, the CNMI COVID-19 testing strategy is multiprong. We utilize high throughput machines, DialPlexQ Solgent and ABI 7500 Fast Dx, to support large scale testing in the community at locations such as our drive-thru airport testing. In addition, we utilize GeneXpert for rapid testing of smaller groups as part of our port of entry screening protocol, which is also implemented as a directive from the Governor. Lastly, we utilize the Abbott ID NOW as point of care in the hospital and outpatient settings."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Kansas Testing Plan
From the Document: "Kansas currently has an initial statewide strategy for COVID-19 [coronavirus disease 2019] specimen collection and testing. The goal of this strategy is to facilitate a rapid increase in statewide testing using all testing sites and platforms available. KDHE [Kansas Department of Health and Environment] will work with vendors, laboratories, and local sampling sites to help ensure that testing supplies and platforms are in place or easily mobilized to support communities, Kansas local health departments, and to support the early detection of outbreaks in congregate settings."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: LA County Testing Plan
From the Document: "Los Angeles County (LAC) will meet the goal of testing 2% of the County population, or ~200,000 individuals each month. LAC is currently performing over 350,000 test/month through our clinical providers, public health departments, and community testing sites. Initial efforts during the emergency focused on outbreak investigations and community testing access through drive-through and walk-through sites often located in non-clinical settings (e.g. event venues and malls). In the coming months, we are working with providers countywide to move the majority of community testing into health care settings, while ramping up public health-led surveillance, contact and outbreak operations. This clinically integrated approach will improve the value of testing performed while ensuring close follow-up and family- and community- centered counseling and management post-testing. We are working closely with countywide testing partners to enhance their access to testing capacity and supplies, personnel, personal protective equipment, and training and technical assistance."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: FSM Testing Plan
From the Document: "FSM [Federated States of Micronesia] is fortunate to not have any cases of COVID-19 [coronavirus disease 2019]. Robust travel restrictions have been in place since the FSM President declared a state of Emergency in January 31, 2020. Points of entry screening have been in place since February 2020. FSM is planning to repatriate stranded residents in early June 2020. The current testing strategy is to test all persons under investigation (PUI) according to current defintions [sic]."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Massachusetts Testing Plan
From the Document: "To date, the health care system in Massachusetts has tested more than 500,000 people for COVID-19 [coronavirus disease 2019]. On average, ~10,000 individuals are tested for COVID-19 in Massachusetts each day, comprising 4.4% of Massachusetts' population each month. The Commonwealth continues to work aggressively to expand access to testing to ensure: [1] All symptomatic residents (including those with mild symptoms) have timely access to a diagnostic test; [2] All close contacts (including those that are asymptomatic) have timely access to a diagnostic test; [3] Access to testing for vulnerable and high-risk populations; [4] Capacity to support frequent testing of nursing facility staff, as recommended by CDC [Centers for Disease Control and Prevention] and CMS [Centers for Medicare & Medicaid Services]; [5] Massachusetts can reach its target of a
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Michigan Testing Plan
From the Document: "Michigan is on pace to conduct 465,000 total tests, or over 2 percent of its population, in May 2020 and has plans to expand testing substantially from here. The state has set a near-term goal of reaching 15,000 diagnostic tests per day and a medium-term goal of reaching 30,000 diagnostic tests per day (approximately 900,000 individuals per month or about 9 percent of the state's population). In mid-May 2020, Michigan averaged about 17,000 total tests completed per day and about 14,400 diagnostic tests per day. a) Michigan is maximizing use of testing platforms by partnering with a wide range of laboratories to conduct testing. Over 70 entities in the state have some testing capability, whether as a CLIA [Clinical Laboratory Improvement Amendments] high-complexity laboratory conducting PCR [polymerase chain reaction] tests or as a CLIA waived entity conducting point-of-care tests. Together, these entities report capacity to test 25,000 per day if corresponding supplies were available; however, supply shortages continue to significantly restrict Michigan's testing capability."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Louisiana Testing Plan
From the Document: "The Louisiana Department of Health (the Department) includes the state Office of Public Health and one state lab servicing all nine public health regions. Initial testing for SARS-COV-2 [severe acute respiratory syndrome coronavirus 2] began in Louisiana's state lab on February 29, 2020. Louisiana has gone from a very limited amount of testing that was only available in our state lab to now having commercial labs across the state to complete and report as many tests as possible. Since then, more than 38,500 cases and 2,600 deaths associated with COVID-19 [coronavirus disease 2019] have been identified in Louisiana. As of May 27, 2020, overall positivity in the State is 11.1% since the first case, reflecting 347,647 test results."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Maryland Testing Plan
From the Document: "Expanded testing capacity is one of the four pillars of Governor Hogan's Maryland Strong: Roadmap to Recovery. Maryland is pursuing a four-pronged approach for increasing its state-wide laboratory testing capacity towards the short-term goal of sustaining more than 10,000 reverse transcription polymerase chain reaction ()-based COVID-19 [coronavirus disease 2019] tests a day, and expanding to 20,000 tests a day: 1. Expanding internal state public health lab (SPHL) capacity; 2. Creating partnerships with commercial and academic labs to enhance use of their capacity; 3. Pursuing other strategic opportunities through work with manufacturers of point-of-care testing systems to clarify how to best deploy safe and accurate diagnostic systems, coordination with private hospital laboratories, and pursuing a White House offer to make use of Maryland-based federal laboratories; and 4. Laying the foundation for a statewide serological-test-based survey to estimate the prevalence of prior COVID-19 infection in the state. Maryland's SPHL has a daily capacity of 970 tests. Work is currently in progress to acquire, adapt and/or outfit the following analytical platforms to significantly increase current SPHL capacity."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Minnesota Testing Plan
From the Document: "The COVID-19 [coronavirus disease 2019] pandemic continues to present an unprecedented and rapidly evolving challenge to the state of Minnesota. For a variety of reasons, Minnesota is currently prioritizing COVID-19 testing for those who are symptomatic or are in a high-risk setting or population (congregate settings, staff in high-risk settings, critical utility workers, etc). We are continuing to expand the availability of testing for high-priority groups through a strong public/private partnership between MDH [Minnesota Department of Health], the University of MN, the Mayo Clinic, and health systems and providers throughout the state, so that we can immediately respond to emerging hotspots and areas of concern, as part of our overall goal of ensuring testing is available with as few barriers as possible for anyone who needs it. Funding from the Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) Enhancing Detection effort in Minnesota (MN-ELC) will help increase overall testing for COVID-19 across the state and improve the public health infrastructure that supports an effective response to disease outbreaks."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Maine Testing Plan
From the Document: "It is important to note that the State of Maine has already met and exceeded the stated goal of testing a minimum of 2% of its population, or 26,000 monthly, by implementing several testing strategies. Maine's focus now is on expanding testing even further, focusing on the highest-risk populations, by continuing to implement a number of testing strategies. These include activating multiple testing venues, utilizing varied testing platforms/instruments and PCR [polymerase chain reaction] tests, granting new healthcare entities opportunities to conduct local testing, leasing/purchasing additional testing equipment, and partnering with various private entities to provide additional test kits and resources for expanded testing. As a result of these efforts, Maine CDC's [Centers for Disease Control and Prevention] Health & Environmental Testing Laboratory has removed all testing 'tiers' or prioritzations within the public health laboratory and has recommended testing for all congregate settings after a single confirmed COVID-19 [coronavirus disease 2019] case."
United States. Department of Health and Human Services
2020-07-08?
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Rural Action Plan
From the Executive Summary: "The Rural Action Plan provides a description of the current rural health care and human services landscape, particularly the challenges rural individuals and communities face in accessing and financing health care and human services. The characteristics of rural health and human service disparities include poorer health status, with residents of rural areas more likely than their urban counterparts to die from heart disease, cancer, unintentional injury, chronic lower respiratory disease, and stroke, and to have health care and human service workforce shortages, fragile provider networks, and the limited and varied capabilities of public health and human services departments, among others. In acknowledgment of these rural health disparities, the foundation of the Rural Action Plan is based on the following Four-Point Strategy: 1. 'Build a Sustainable Health and Human Services Model for Rural Communities' by empowering rural providers to transform service delivery on a broad scale. 2. 'Leverage Technology and Innovation' to deliver quality care and services to rural communities more efficiently and cost-effectively. 3. 'Focus on Preventing Disease and Mortality' by developing rural-specific efforts to improve health outcomes. 4. 'Increase Rural Access to Care' by eliminating regulatory burdens that limit the availability of needed clinical professionals."
United States. Department of Health and Human Services
2020-09
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Answers to National Governors Association Questions on Vaccine Distribution and Planning
From the Document: "Since the spring, the Federal government has partnered with state, local, and tribal leaders to develop this whole-of-government plan and we will continue this collaboration. We recognize this process is iterative and welcome governors along with other state, local, and tribal officials' input and best practices. The answers provided below were developed by the U.S. Department of Health & Human Services (HHS) in partnership with our Federal partners including the Centers for Disease Control & Prevention (CDC) and the U.S. Department of Defense (DoD), among others."
United States. Department of Health and Human Services
2020-10-30?
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Reopening Guidance Currently Available by State
This document provides hyperlinks to Reopening Guidance Currently Available by State as of August 11, 2020.
United States. Department of Health and Human Services
2020-08-11
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Vaccines National Strategic Plan: 2021-2025
From the Executive Summary: "Although significant progress against vaccine-preventable diseases has been made in the United States, there remain significant gaps in vaccination coverage that contribute to preventable morbidity and mortality each year. The Vaccines National Strategic Plan 2021-2025 (Vaccine Plan) provides a vision for the U.S. vaccine and immunization enterprise for the next 5 years as the nation seeks to eliminate vaccine-preventable diseases. The Vaccine Plan articulates a comprehensive strategy to promote vaccines and vaccination including research and development, vaccine safety monitoring, increase public knowledge and confidence in vaccines, increase access and use of recommended vaccines across the lifespan, and global cooperation. The Vaccine Plan builds on previous plans to guide vaccine policy to address vaccine confidence and disparities in vaccination coverage."
United States. Department of Health and Human Services
2021
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Bulletin: HIPAA Privacy in Emergency Situations
"In light of the Ebola outbreak and other events, the U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR), is providing this bulletin to ensure that HIPAA [Health Insurance Portability and Accountability Act] covered entities and their business associates are aware of the ways in which patient information may be shared under the HIPAA Privacy Rule in an emergency situation, and to serve as a reminder that the protections of the Privacy Rule are not set aside during an emergency. The HIPAA Privacy Rule protects the privacy of patients' health information (protected health information) but is balanced to ensure that appropriate uses and disclosures of the information still may be made when necessary to treat a patient, to protect the nation's public health, and for other critical purposes."
United States. Department of Health and Human Services; United States. Department of Health and Human Services. Office for Civil Rights
2014-11
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Hurricane Katrina Bulletin No. 2: HIPAA Privacy Rule Compliance Guidance and Enforcement Statement for Activities in Response to Hurricane Katrina
"Hundreds of thousands of evacuees from areas affected by Hurricane Katrina have been relocated to shelters across the country. For many, an important need is to identify and provide prescription medications. However, medical and prescription records of many evacuees either are lost or inaccessible. Health plans and health care providers are working together with other industry segments to gather and provide this information to the appropriate points of care for the evacuees. The information below provides guidance on how the HIPAA [Health Insurance Portability and Accountability Act] Privacy Rule applies to these activities, as well as describes the HHS [U.S. Department of Health & Human Services] Office for Civil Rights' enforcement approach in light of these emergency circumstances. […] The 'Hurricane Katrina Bulletin: HIPAA Privacy and Disclosures in Emergency Situations' (attached), issued by OCR [Office for Civil Rights], emphasizes the broad range of permissible disclosures that covered entities may make to respond to the needs of evacuees in these situations. For example, health plans and health care providers may disclose prescription and other health information to health care providers at shelters to facilitate treatment of the evacuees." This document also includes the attachment titled, "Medical Privacy - National Standards to Protect the Privacy of Personal Health Information."
United States. Department of Health and Human Services; United States. Department of Health and Human Services. Office for Civil Rights
2005-09-09
