Healthcare facilities and state public health officials must inform emergency responders of potential exposure to the novel coronavirus (SARS-CoV-2) after transporting or treating a patient with COVID-19.

Specifically, the task force wants hospitals to report COVID-19 testing data to the Department of Health and Human Services, and provide daily reports on bed capacity and supplies to the Centers for Disease Control and Prevention National Healthcare Safety Network COVID-19 Patient Impact and Hospital Capacity Module.

The reuse of N95 masks is typically prohibited because of potential infection risk, but the global shortage and difficulty in manufacturing them has changed rules and spurred innovation. This method of mask decontamination was developed a few years ago by a different organization, but until COVID-19, it was considered unnecessary.

The emergency provision allows the Centers for Medicare & Medicaid Services to waive some requirements in Medicare, Medicaid, and CHIP that give state Medicaid agencies flexibility and remove red tape that can hamper access to needed services.

On February 29, the Centers for Disease Control and Prevention issued interim guidance for healthcare facilities that included a recommendation for hospitals to reschedule elective surgery during the pandemic. On March 18, the Centers for Medicare & Medicaid Services announced that all elective surgeries should be delayed during the pandemic.

As the nation grapples with the 2019 novel coronavirus that leads to COVID-19, clinicians and others in facilities—many in areas becoming overwhelmed by the number of patients with COVID-19 experiencing extreme problems breathing—have discussed whether to implement blanket “Do Not Resuscitate” orders for COVID patients, according to news reports.

The swine flu pandemic hit the United States in 2009 and 2010, with about 12,500 deaths and an estimated 60.8 million cases, according to the Centers for Disease Control and Prevention. During the 2014–2016 Ebola outbreak, 11 people were treated for the viral disease in the United States, with two deaths.

Almost overnight, telehealth providers reported an upswing in demand as key barriers to widespread telehealth usage vanished, including consumer awareness and physician and consumer acceptance. To quell the spread of disease and direct patients to the most appropriate setting, the CMS changed access requirements and reimbursement restrictions, and many other payers have followed suit.

Nearly all hospitals would lose an average of $2,800 per COVID-19 patient case if reimbursement rates aren’t raised, according to Strata, with some losing between $8,000 to $10,000 per case.
The study concluded that without a 35% reimbursement rate hike, many hospitals will exhaust cash flows within 60 to 90 days.

To address the anticipated shortage of ICU staff during the COVID-19 pandemic, SCCM is proposing that U.S. hospitals adopt a tiered staffing model that integrates experience ICU personnel with reassigned hospital staff members. The integrated ICU personnel would be used to staff non-traditional ICUs created in repurposed hospital spaces such as post-anesthesia care units.