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ELC Enhancing Detection: Indiana Testing Plan
From the Document: "Indiana is projected to test 150,000 Hoosiers in May 2020 (2.2% of the population). Compared to April, this represents a 60,000 test-per-month increase. The State of Indiana has the goal of increasing specimen collection, testing, and reporting to 900,000 per month by the end of December 2020. Here is our plan to achieve these numbers. Indiana will use a three-pronged approach to maximize COVID-19 [coronavirus disease 2019] testing. First, help clinical laboratories scale operations based on the needs of their local communities. Second, continue to establish high-throughput, centralized mechanisms to test what local community resources cannot cover. [...] Finally, continue to distribute near-point-of-care (near-POC) instruments to test vulnerable populations, including rural or underserved populations and correctional facilities."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Idaho Testing Plan
From the Document: "In April, the Governor of Idaho established a Testing Taskforce to determine the current testing capacity in the state and to set goals for testing over the next several months. The Taskforce documented significant gaps in testing capacity in the state and noted specific areas of the state with little testing. The Taskforce also noted that a key to the success of reopening Idaho's economy is increasing testing significantly. This will include a distributed network of local clinical testing laboratories to supplement the testing provided by reference laboratories. Local accurate and timely testing using only FDA Emergency Use Authorization methods in the appropriate setting is necessary to provide rapid SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] testing for symptomatic persons in the community, healthcare workers, hospitalized patients, long-term care residents and staff, and other high priority populations."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Houston Testing Plan
From the Document: "The current literature and guidance suggest that we provide testing to both symptomatic and asymptomatic persons, since a large percentage of infected persons are asymptomatic. We plan to increase testing capacity substantially to support geographic areas of the city with low testing saturation. To identify areas of need, Houston Health Department (HHD) has used a data-driven strategy to identify and prioritize geographic areas for testing. Access and equity were the core philosophies undergirding the HHD testing strategy. Testing penetration was geographically overlaid with areas with vulnerable populations under the Federal Poverty Level (FPL) that are most likely to have the poorest outcomes from a COVID [coronavirus disease 2019] [sic]. We plan to achieve: a) Testing at a level of 2% of our population size (minimum 46,000 tests/month); b) Decline in positivity rates - Less than 10% of all tested are positive."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Illinois Testing Plan
From the Document: "The Illinois Department of Public Health (IDPH) is involved in all aspects of testing expansion, in partnership with local governments, agencies, hospitals, and private labs. The State's goal of expanding testing significantly by the end of September 2020 will be achieved by: [1] Maintaining more than 20,000 tests per day; [...] [2] Adding 10,000-20,000 tests per day increase from hospitals partners who already possess testing equipment that has not been able to be used yet; [...] [3] Adding 5,000 tests per day increase through new public/private collection with local government partners including the City of Chicago; [4] Maximizing additional lab capacity (50,000+ tests a day)."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Florida Testing Plan
From the Document: "Florida, with a population of 21 million residents, has been asked to ensure testing of a minimum of 420,000 residents each month to meet the ELC [Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Disease] Enhancing Detection Goals. Florida Department of Health (Department) is an integrated public health agency with county health departments (CHDs) in each of the state's 67 counties. The CHDs work closely with county governments and health care stakeholders in each local community. The Department has three public health laboratories located in Jacksonville, Miami and Tampa. Florida's emergency management services (EMS) are also coordinated through the Department and EMS personnel have been actively engaged statewide in this response."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Hawaii Testing Plan
From the Document: "The Hawaii Department of Health (HDOH) is engaging a number of partners in long-term care facilities, correctional facilities, homeless programs, universities, etc. to establish active surveillance programs to regularly screen persons for symptoms and recommend COVID [coronavirus disease 2019] testing at a low threshold (e.g., only one of the following present: subjective fever, chills, cough, or sore throat; or for certain populations such as elderly, altered mentation or acute change in activities of daily living). Specimens from such persons would be directed to SLD [State Laboratories Division] for both COVID-19 and respiratory pathogen panel (RPP) testing to allow monitoring of all potential respiratory pathogens and gain an understanding of their activity and trends in relation to each other."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Guam Testing Plan
From the Document: "Enhancing detection will require both the assessment of how widespread COVID-19 [coronavirus disease 2019] infections are in the community (prevalence) through serologic testing, as well as on-going PCR [polymerase chain reaction] testing to determine active infectious cases (incidence)."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Washington DC Testing Plan
From the Document: "As of May 29th, approximately 37,881 residents of the District of Columbia have been tested for COVID-19 [coronavirus disease 2019]. In addition to close contacts of all new positives, priority groups for testing include the following: [1] Hospitalized patients and healthcare facility workers with COVID-19 symptoms of fever, cough, and shortness of breath. Many of the patients in this group are currently receiving testing within hospitals and through their health systems' occupational health programs. [2] Patients in long-term care facilities with symptoms; patients over the age of 65 with symptoms; patients with underlying conditions such as diabetes, heart disease, lung disease who also have symptoms; and first responders with symptoms. [3] Critical infrastructure workers with symptoms; individuals who do not meet any of the above categories but have symptoms; healthcare facility workers and first responders; and individuals in detention centers and individuals experiencing homelessness with symptoms. DC Health in collaboration with the DC Public Health Laboratory is supporting COVID-19 testing in a myriad of ways. In addition to testing within hospitals, efforts have been directed toward standing up drive-thru testing sites, a mobile truck laboratory for skilled nursing facilities and group homes, and community mass screenings targeting the populations such as the homeless."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Rhode Island Testing Plan
From the Document: "The broad goals of the Rhode Island State Testing Plan are as follows: 1) Implement efficient and timely testing for symptomatic individuals with suspected COVID-19 [coronavirus disease 2019]; 2) Perform screening of asymptomatic individuals at high-risk of COVID-19 and from underserved populations; 3) Perform sentinel surveillance of populations with a focus on high-risk and underserved populations; 4) Ensure isolation and timely contact tracing of SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] positive cases with quarantining of close contacts. Rhode Island is currently performing >60,000 tests/month. This represents 5.7% of the state's population."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Pennsylvania Testing Plan
From the Document: "The Wolf Administration has developed an enhanced testing strategy with a focus on three pillars: ensuring testing is accessible for all Pennsylvanians with symptoms of COVID-19 [coronavirus disease 2019]; available by increasing supply and building community capacity; and adaptable to the evolving landscape of the virus and data. Through this enhanced strategy, the Administration has set a goal for 90 percent of people in Pennsylvania to live within 45 miles from a specimen collection site in addition to the goal of 2 percent of the population in every region throughout the commonwealth to be tested per month. The number of cases in communities will continue to be closely monitored to ensure that specimen collection sites are situated appropriately in areas with the greatest need."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Ohio Testing Plan
From the Document: "Through the leadership of Governor Mike DeWine, the Ohio Department of Health (ODH) and the work of the State of Ohio Testing Strike Force, Ohio has worked to maximize the use of testing platforms by establishing a statewide network of laboratories, linking state and private laborites under a single effort. Recognizing the value of our local partners and science experts the state utilized the existing infrastructure of sophisticated hospital and academic medical center laboratories throughout the state, as well as the existing Ohio Department of Health lab."
United States. Department of Health and Human Services
2020
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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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Flu Season: U.S. Public Health Preparedness and Response, Statement of Robert Kadlec, MD, MTM&H, MS, Assistant Secretary for Preparedness and Response, Written Testimony, House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations
From the Introduction: "Chairwoman DeGette, Ranking Member Guthrie, and distinguished Members of the Subcommittee, thank you for the opportunity to testify on our efforts to develop appropriate and effective medical countermeasures to mitigate a future pandemic influenza event. I am Dr. Bob Kadlec, the Assistant Secretary for Preparedness and Response (ASPR) at the Department of Health and Human Services (HHS). Today, I will provide background about how ASPR [Assistant Secretary for Preparedness and Response] is partnering with the private sector to develop influenza vaccines, antivirals, and diagnostics to ensure we are as prepared for both seasonal as well as pandemic influenza. I will also provide an overview of the current challenges we face in preparedness due to dependence on active pharmaceutical ingredients (API) and other raw materials manufactured in other countries."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-12-04
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Hospital (and Transplant Program) Requirements: CMS Emergency Preparedness Final Rule
From the Document: "The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule to establish consistent emergency preparedness requirements for healthcare providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and human-caused disasters. The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) worked closely with CMS in the development of the rule. This document combines excerpts from the Final Rule, the Interpretive Guidelines and revisions (New 3.6.19) from CMS to provide a consolidated overview document for the Hospital and Transplant Program Requirements."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-11-29
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Long Term Care Requirements: CMS Emergency Preparedness Final Rule
From the Document: "The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule to establish consistent emergency preparedness requirements for healthcare providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and human-caused disasters. The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) worked closely with CMS in the development of the rule. This document combines excerpts from the Final Rule, the Interpretive Guidelines, and revisions (New 3.6.19) from CMS to provide a consolidated overview document for the Long Term Care (LTC) Requirements."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-11-29
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Clinics, Rehabilitation Agencies, and Public Health Agency Requirements: CMS Emergency Preparedness Final Rule
From the Document: "The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule to establish consistent emergency preparedness requirements for healthcare providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and human-caused disasters. The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) worked closely with CMS in the development of the rule. This document combines excerpts from the Final Rule, the Interpretive Guidelines, and revisions (New 3.6.19) from CMS to provide a consolidated overview document for the Clinics, Rehabilitation Agencies, and Public Health Agencies as providers of Outpatient Physical Therapy and Speech-Language Pathology Services Requirements."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-11-29
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Ambulatory Surgical Center Requirements: CMS Emergency Preparedness Final Rule
From the Document: "The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule to establish consistent emergency preparedness requirements for healthcare providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and human-caused disasters. The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) worked closely with CMS in the development of the rule. This document combines excerpts from the Final Rule, the Interpretive Guidelines, and revisions (New 3.6.19) from CMS to provide a consolidated overview document for the Ambulatory Surgical Center (ASC) Requirements."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-11-29
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Beyond the Response: Addressing Compassion Fatigue and Behavioral Health Needs for Healthcare Providers [presentation]
This presentation provides an overview of efforts and measures taken by the Assistant Secretary for Preparedness and Response (ASPR) to address cognitive fatigue and behavioral health needs for healthcare workers. The presentation outlines the ASPR goals, risk factors, and resources that professionals can use to improve the health and resilience of healthcare providers.
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
Brannman, Shayne; Naturale, April
2019-11-05
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California Should Improve Its Oversight of Selected Nursing Homes' Compliance with Federal Requirements for Life Safety and Emergency Preparedness
From the Document: "In 2016, the Centers for Medicare & Medicaid Services (CMS) updated its life safety and emergency preparedness regulations to improve protections for all Medicare and Medicaid beneficiaries, including those residing in long-term-care facilities (commonly known as nursing homes). The updates included requirements that nursing homes have expanded sprinkler systems and smoke detector coverage; an emergency plan that is reviewed, trained on, tested, and updated at least annually; and provisions for sheltering in place and for evacuation. Our objective was to determine whether California ensured that selected nursing homes in the State that participated in the Medicare or Medicaid programs complied with CMS requirements for life safety and emergency preparedness."
United States. Department of Health and Human Services. Office of Inspector General
2019-11
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Continuous Demands, Multiple Disasters, Mounting Stress: How Emergency Responders Can Protect Against Burnout, Compassion Fatigue, and PTSD
From the Webpage: "As any emergency responder knows, EMS [Emergency Medical Services] providers, healthcare professionals and other emergency responders work in fast-paced, demanding, challenging environments. Although this work can be incredibly rewarding, the accumulation of daily stressors coupled with the intense pressures associated with a disaster - such as taking on unfamiliar duties, witnessing horrific events, comforting traumatized people, working back-to-back shifts, eating poorly, and sleeping rarely - can have serious repercussions for responder behavioral health. According to research by the Substance and Mental Health Services Administration, about one in three emergency responders suffers from post-traumatic stress disorder or depression. In addition, responders and staff in emergency response agencies are at an increased risk over the long term for experiencing compassion fatigue and burnout. At an individual level, behavioral health problems can be hard to recognize and address. At an organizational level, they can seriously hinder your emergency management organization or healthcare facility's ability to respond effectively. So how can you recognize when someone needs help and what can you do to help them? Start by learning some core concepts, warning signs, and ways to help."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
Kaul, Rachel
2019-09-13
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Unaccompanied Alien Children Care Provider Facilities Generally Conducted Required Background Checks but Faced Challenges in Hiring, Screening, and Retaining Employees
From the Document: "The Office of Refugee Resettlement (ORR), a Program Office of the Administration for Children and Families (ACF) within the Department of Health and Human Services (HHS), manages the Unaccompanied Alien Children (UAC) Program. The Program serves children who arrive in the United States unaccompanied, as well as children who are separated from their parents or legal guardians by immigration authorities. To ensure the health and safety of children in the ORR UAC Program, OIG [Office of Inspector General] is conducting reviews of efforts by ORR facilities to protect all children in their care. Our objectives were to determine whether selected facilities (1) conducted required background checks for staff who had access to children, (2) employed case managers and mental health clinicians who met the minimum education requirements, and (3) faced any staffing challenges related to hiring and retention."
United States. Department of Health and Human Services. Office of Inspector General
2019-09
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ASPR TRACIE Disaster Behavioral Health Self Care for Healthcare Workers Modules
From the Background: "The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) has helped develop resources and participated in ASPR At-Risk Individuals, Behavioral Health & Community Resilience (ABC) interagency/ external partner working groups in every disaster recovery operation for the last four years, to assist with issues related to disaster behavioral health (DBH), provider self-care, suicide prevention, and compassion fatigue. One continuous knowledge gap identified during this time has been the need for information for front-line healthcare and social services workers to use prior to a disaster to recognize and reduce their stress levels and maintain resilience during recovery. This gap was validated via communication with the Substance Abuse and Mental Health Services Administration (SAMHSA), the National Center for Child Traumatic Stress, and various ASPR TRACIE disaster behavioral health (DBH) subject matter experts (SMEs) in addition to ASPR staff. These modules are designed for healthcare workers in all settings, but primarily hospital-based providers."
United States. Technical Resources, Assistance Center and Information Exchange; United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-09
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Care Provider Facilities Described Challenges Addressing Mental Health Needs of Children in HHS Custody
From the Document: "By law, ORR [Office of Refugee Resettlement], which is within the Department of Health and Human Services, has custody of and must provide care for each unaccompanied child, including addressing their mental health needs. ORR-funded care provider facilities are required to provide counseling to children and arrange for more specialized mental health services, as needed. We conducted our fieldwork during a time when ORR was experiencing an influx of children. Our findings could inform the Unaccompanied Alien Children Program's preparation for future surges."
United States. Department of Health and Human Services. Office of Inspector General
2019-09
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Role of Districts in Developing High-Quality School Emergency Operations Plans: A Companion to the 'School Guide'
From the Background: "From the time of the horrific February 14, 2018 shooting at Marjory Stoneman Douglas High School through the present, the Trump Administration has committed considerable time and resources to determine the best practices and policies to prevent future tragedies and keep our students safe. Consisting of the Secretaries of Education, Health and Human Services, Homeland Security and the Attorney General, the Federal Commission on School Safety presented its final report of best practices and policies to President Trump in December 2018. The report acknowledges that the problem of school violence is longstanding and complex, that each state is different, and that there are certain limits to what the federal government can do. Indeed, the report recognizes there is 'no universal school safety plan that will work for every school across the country' and that '[s]uch a prescriptive approach by the federal government would be inappropriate, imprudent, and ineffective.'"
United States. Department of Education; United States. Department of Justice; United States. Department of Health and Human Services . . .
2019-09
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ASPR TRACIE Self-Care Modules [videos]
From the Playlist Description: "For over four years, ASPR TRACIE [Office of the Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange] has developed resources and participated in ASPR ABC [At-Risk Individuals, Behavioral Health & Community Resilience] interagency/ external partner working groups in every disaster recovery operation to assist with issues related to disaster behavioral health (DBH), provider self-care, suicide prevention, and compassion fatigue. One continuous knowledge gap identified during this time has been the need for information for front-line healthcare and social services workers to use prior to a disaster to recognize and reduce their stress levels and maintain resilience during recovery. [...] These modules are designed for healthcare workers in all settings, but primarily hospital-based providers." There are seven videos included in this playlist: [1] "Who, Me? How Do I Know if I Have Compassion Fatigue and Secondary Traumatic Stress?"; [2] "Compassion Fatigue and Secondary Traumatic Stress Identification for Healthcare Providers"; [3] "Preview: Organizational Wellness From the Top: Stress Mitigation and Work Satisfaction for Staff"; [4] "Organizational Wellness From the Top: Stress Mitigation and Work Satisfaction for Staff"; [5] "Preview: Cognitive Tools for Mitigating Compassion Fatigue and Secondary Traumatic Stress"; [6] "Cognitive Tools for Mitigating Compassion Fatigue and Secondary Traumatic Stress"; and [7] "Preparing for the Worst, Responding at Your Best, and Continuing On."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-08-19
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Southwest Key Programs Did Not Always Comply with Health and Safety Requirements for the Unaccompanied Alien Children Program
From the Document: "The Office of Refugee Resettlement (ORR) within the Department of Health and Human Services (HHS), Administration for Children and Families (ACF), manages the Unaccompanied Alien Children (UAC) Program. We initiated a series of reviews of UAC Program grantees because, beginning in fiscal year (FY) 2012, there were significant increases in both the number of children served by the UAC Program and program funding, as well as multiple changes to ORR policies beginning in FY 2014. We selected Southwest Key Programs (Southwest Key), a UAC Program grantee, for review because it is one of the largest providers of services to UAC in the United States. We conducted this audit in conjunction with our review of Southwest Key's financial management of Federal funds received to operate the UAC Program (A-06-17-07004). Our objective was to determine whether Southwest Key met applicable safety standards for the care and release of children in its custody."
United States. Department of Health and Human Services. Office of Inspector General
2019-08
