Topic Collection Cover Page

COVID-19 Alternate Care Site Resources
Topic Collection
October 9, 2020

Topic Collection: COVID-19 Alternate Care Site Resources

This Topic Collection focuses on plans, tools, templates, and other immediately implementable resources to help with COVID-19 preparedness, response, recovery, and mitigation efforts, focusing on the establishment and operation of Alternate Care Sites.

ASPR's Federal Healthcare Resilience Task Force Alternate Care (ACS) Toolkit can help state, local, tribal, and territorial entities establish and ACS.

Please refer to CDC’s Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID19 outbreak management.

If you have COVID-19 best or promising practices, plans, tools, or templates to share with your peers, please visit the ASPR TRACIE Information Exchange COVID-19 Information Sharing Page (registration required)and place your resources under the relevant topic area. Resources specific to Alternate Care Sites can be placed under the COVID-19 Alternate Care Site Resources Topic.

Must Reads


This tip sheet summarizes the funding available through various sources to establish and operationalize alternate care sites.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Speakers discuss funding options for establishing ACSs, the operation and ongoing administration of ACS, and for direct patient care costs.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
The COVID-19 pandemic and the associated community mitigation efforts enacted have altered the delivery of and access to healthcare across the U.S. Healthcare providers are looking for new and innovative ways to deliver patient care to accommodate social distancing and community mitigation measures. The use of telemedicine has grown significantly in recent months. In addition to being used by outpatient providers, telemedicine plays an integral role in Alternate Care Sites (ACS). ACS are one of many alternate care strategies intended to provide additional hospital surge capacity and capability. HHS ASPR and ASPR TRACIE hosted this webinar where speakers will discussed operations, management, and lessons learned from using telemedicine in these settings.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Federal Healthcare Resilience Task Force. (2020). Alternate Care Site (ACS) Toolkit: Third Edition.
This Toolkit was developed to help state, local, tribal and territorial (SLTT) entities to address potential shortages in medical facilities during the 2020 COVID-19 pandemic. It is intended to provide technical assistance to SLTT entities in establishing and operationalizing Alternate Care Sites (ACS).
Rate:
Favorite:
2
You must Login to add a comment
  • Bridget Kanawati Thank you for your additional comments and we have sent them to the ACS Task Force.
    4/13/2020 4:23:51 PM
  • Matthew Tybor Considerations for the law enforcement section: If the ACS site is planning to accept patients from the respective Department of Corrections.
    4/13/2020 3:37:19 PM
  • Bridget Kanawati Thank you for your feedback on the Toolkit. We have passed your suggestions on to the ACS Task Force for consideration.
    4/11/2020 10:31:18 AM
  • Matthew Tybor This document was helpful. For communicating at a higher level accomplishments and problems with site development I would consider breaking it down into four categories of Building the Site, Staffing the Site, Supplying the Site, and Sustaining the Site (BS3). I have found that using the BS3 during the planning process helps with collaboration with all applicable stakeholders.
    4/10/2020 2:18:47 PM

Plans, Tools, and Templates


American Institute of Architects. (2020). Alternative Care Sites Preparedness.
This page includes a downloadable ACS Assessment Brief, Frontline Perspective whitepaper and Preparedness Assessment Tool. The assessment tool, which is also available in French, Spanish and Vietnamese, is expected to help identify appropriate adaptive reuse sites for occupancy during the pandemic. A project database and survey contain additional project information and encourage information sharing for the development of best practices for responding to pandemics.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
American Society for Health Care Engineering. (2020). Converting Alternate Care Sites to Patient Space Options. (Added 4/29/2020.)
This page includes resources on how to increase patient space through alternate care sites. It includes links to federal guidance, videos, diagrams, and additional design considerations.
Rate:
Favorite:
2
You must Login to add a comment
  • This item doesn't have any comments
American Society of Health-System Pharmacists. (2020). Patient Surge Management During a Pandemic: Toolkit for Hospital and Health System Pharmacy. (Added 6/12/2020.)
This toolkit highlights lessons learned related to executive emergency orders, drug utilization, pharmacy workforce management, facility surge, and pharmacy service lines along with resources created in response to COVID-19.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
AMI Health (in support of ACS San Diego). (2020). Sample ACS Provider Intake Assessment and Clinical Progress Notes.
This form can be used by ACS staff to document patients at intake and throughout clinical progression.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
This tip sheet summarizes the funding available through various sources to establish and operationalize alternate care sites.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
District of Columbia Department of Health, Heath Emergency Preparedness and Response Administration. (2010). Alternate Care Site Pandemic Surge Optimization Plan. Braintree Solution Consulting, Inc.
This template was developed to help the D.C. Department of Health develop a comprehensive and prescriptive response plan. It includes guidance for site selection, operations, staffing, low acuity care CONOPS, community-focused ambulatory care clinic CONOPS, and primary triage point CONOPS. Appendices include sample emergency legislative orders, alternate care site admission orders, and site selection matrix.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
This plan contains documents that fully detail the St. Louis Area Regional Response System (STARRS) approach to Alternate Care Sites (ACS). It highlights how ACS can be used to alleviate the burden caused by a surge of patients entering the healthcare system.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Federal Healthcare Resilience Task Force. (2020). Alternate Care Site (ACS) Toolkit: Third Edition.
This Toolkit was developed to help state, local, tribal and territorial (SLTT) entities to address potential shortages in medical facilities during the 2020 COVID-19 pandemic. It is intended to provide technical assistance to SLTT entities in establishing and operationalizing Alternate Care Sites (ACS).
Rate:
Favorite:
2
You must Login to add a comment
  • Bridget Kanawati Thank you for your additional comments and we have sent them to the ACS Task Force.
    4/13/2020 4:23:51 PM
  • Matthew Tybor Considerations for the law enforcement section: If the ACS site is planning to accept patients from the respective Department of Corrections.
    4/13/2020 3:37:19 PM
  • Bridget Kanawati Thank you for your feedback on the Toolkit. We have passed your suggestions on to the ACS Task Force for consideration.
    4/11/2020 10:31:18 AM
  • Matthew Tybor This document was helpful. For communicating at a higher level accomplishments and problems with site development I would consider breaking it down into four categories of Building the Site, Staffing the Site, Supplying the Site, and Sustaining the Site (BS3). I have found that using the BS3 during the planning process helps with collaboration with all applicable stakeholders.
    4/10/2020 2:18:47 PM
Florida Department of Health. (n.d.). Alternate Care Site Local Plan Development Guide. (Accessed 3/31/2020.)
This guide provides information to local communities developing alternate care site plans. It is complementary to other alternate care site resources developed by the state of Florida.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Florida Department of Health. (n.d.). Alternate Care Site Operations Guide. (Accessed 4/15/2020.)
Designed as a planning and operational resource, this guide includes information on the purpose of alternate care sites and describes activation triggers, establishment steps, site organization, operations, logistics, and finance and administration considerations. Also included is an Alternate Care Site Quick Start Guide that includes checklists, role-based task lists, and other operational resources.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Florida Department of Health, Bureau of Preparedness and Response. (2013). Alternate Care Site Standard Operating Procedure.
Broken into six sections (e.g., concept of operations, authorities and references, and attachments), this state-specific standard operating procedure can be tailored by other states involved in designating and planning for Alternate Care Sites. Specific logistics and staffing recommendations are made with comprehensive supply lists.
Rate:
Favorite:
1
You must Login to add a comment
  • This item doesn't have any comments
Hassol, A. and Zane, R.. (2006). Reopening Shuttered Hospitals to Expand Surge Capacity: Surge Tool Kit and Facility Checklist. Agency for Healthcare Research and Quality.
This toolkit addresses the management, legal, facilities, staffing, security, equipment and supplies, and patient transport issues to consider when planning to reopen a closed hospital within three to seven days, operations, and re-closure.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Inyo County Health and Human Services - Health Division. (2011). Government Authorized Alternate Care Site (GAACS) Plan.
This plan guides a county's activation and management of a government authorized alternate care site to decompress its local healthcare system. The plan includes numerous appendices with organizational charts, process flows charts, job action sheets, forms, checklists, sample layouts, supply lists, and standing orders. It also includes detailed information on oxygen delivery alternatives and fatality management.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
U.S. Army Corps of Engineers. (n.d.). Alternate Care Sites. (Accessed 3/23/2020.)
This page includes operational templates to assist state and local governments in assessing and developing alternate care sites.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
This guide assists local governments in planning to establish care locations for persons with COVID-19 who do not need to be hospitalized or have been released from the hospital while they recover and those who have been exposed and need a place to be quarantined away from others.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments

Select Resources


This checklist identifies issues to consider when planning to establish an alternate care site or field hospital.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
This ASPR TRACIE TA Response includes several plans for key recommendations for Alternate Care Site staffing (and typical skilled nursing facility staffing for comparison).
Rate:
Favorite:
You must Login to add a comment
  • Audrey Mazurek Thank you Ms. Mitchell for your comment. ASPR TRACIE recently responded to a technical assistance request related to ACS sources of additional staff and we included your comment below in that response: https://files.asprtracie.hhs.gov/documents/aspr-tracie-ta---covid-19-acs-sources-of-additional-staff.pdf.
    4/2/2020 5:11:07 PM
  • Megan Mitchell I don't understand how large groups of available practitioners are being left out of these plans. The physical therapist is qualified to mobilize patient, deep suction, teach and train in breathing strategies, strength train and most importantly get patient functional enough to return home. We are not going to have enough of any one discipline to cover both hospital systems let alone additional off-site locations. We need to include everyone who has useful skills.
    3/31/2020 9:03:03 AM
This ASPR TRACIE TA response document includes comments from ASPR TRACIE Subject Matter Expert Cadre members and resources related to potential sources for additional staffing for an ACS.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Throughout the spring of 2020, COVID-19 ravaged the City of New York. State and city authorities worked with the Jacob K. Javits Convention Center to create an alternate care site where healthcare providers could solely treat COVID-19 patients. ASPR TRACIE met with several members of the federal medical teams deployed to the Javits Center to learn more about their experience.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
The speaker in this short webinar describes an alternate care site and a federal medical station, and explains resources and steps for standing up these resources.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Speakers discuss funding options for establishing ACSs, the operation and ongoing administration of ACS, and for direct patient care costs.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
The COVID-19 pandemic and the associated community mitigation efforts enacted have altered the delivery of and access to healthcare across the U.S. Healthcare providers are looking for new and innovative ways to deliver patient care to accommodate social distancing and community mitigation measures. The use of telemedicine has grown significantly in recent months. In addition to being used by outpatient providers, telemedicine plays an integral role in Alternate Care Sites (ACS). ACS are one of many alternate care strategies intended to provide additional hospital surge capacity and capability. HHS ASPR and ASPR TRACIE hosted this webinar where speakers will discussed operations, management, and lessons learned from using telemedicine in these settings.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
This document includes a comprehensive definition of the term “alternate care site” (ACS) and the guidance it contains can help staff develop ACS planning teams, plan for specific threats (a supply list and pandemic-specific considerations for medication storage are used as an example; job action sheets are included, too), and adequately care for patients on site.
Rate:
Favorite:
2
You must Login to add a comment
  • This item doesn't have any comments
Centers for Disease Control and Prevention. (2020). Alternate Care Sites: Infection Prevention and Control Considerations for Alternate Care Sites. U.S. Department of Health and Human Services.
This guidance offers infection control considerations for alternate care sites. It provides planning considerations and further details to address the physical infrastructure, provided services, and patient care.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Federal Emergency Management Agency. (2020). Coronavirus (COVID-19) Pandemic: Alternate Care Site (ACS) "Warm Sites". (Added 5/13/2020.) U.S. Department of Homeland Security.
This fact sheet provides information on maintaining alternate care sites at minimal operational readiness for a potential medical surge.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
This fact sheet explains the differences between alternate care sites (ACS) and Federal Medical Stations (FMS), identifies planning resources and federal support for establishing an ACS, and includes a quick reference chart comparing an ACS to and FMS.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Healthcare Financial Management Association and America's Health Insurance Plans. (2020). Voluntary Joint Billing Guidance: Care Provided in Alternate Sites During the COVID-19 Pandemic. (Added 5/8/2020.)
This voluntary guidance from America's Health Insurance Plans and the Healthcare Financial Management Association provides advice on coding, billing, and seeking payment for services rendered in alternate care locations under various scenarios.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
International Association for Healthcare Security and Safety. (2020). IAHSS Security Design Guidance for Alternate Care Sites - Medical Surge Capacity.
This guidance can help healthcare security practitioners, design teams, clinicians and building owner representatives ensure physical security of alternate care sites.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Knickerbocker, D.. (2014). Federal Medical Station (FMS). (Please request document from ASPR TRACIE: askasprtracie@hhs.gov.)U.S. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response.
This document provides an overview of the Federal Medical Station (FMS), including what is included in the FMS cache and examples of how they have been deployed during events. Also included are a fact sheet and staffing model for the 50-bed FMS, a FMS Wrap Around Checklist, and FMS Site Survey Checklist. Please note that the descriptions provided in this resource are specific to federal FMS operations only.
Rate:
Favorite:
1
You must Login to add a comment
  • This item doesn't have any comments
National Health Care for the Homeless Council. (2020). Medical Respite Care and Alternate Care Sites. (Added 5/15/2020.)
This issue brief outlines considerations for communities providing respite care to people experiencing homelessness to promote infection prevention or offer a safe place while waiting for COVID-19 test results or recovering from illness. The document includes links to guides, protocols, and handbooks used in some communities.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
Nelsen, G., Pigott, H., Hopkinson, C., and Formea, C.. (2020). Considerations for Development of Pharmacy Support Models for COVID-19 Alternate Care Sites. American Journal of Health-System Pharmacy.
This article describes the planning considerations of one health system’s pharmacy department to support pharmacy operations at an alternate care site (ACS). Building upon the Federal Healthcare Resilience Task Force ACS Toolkit, U.S. Army Corps of Engineers ACS guidance web page, and crisis standards of care concepts, the pharmacy team developed resource lists to meet the needs of their expected patient population. Included in appendices and tables are: key assumptions and issues in medication list planning for an ACS, key medication-related and staffing questions to consider in alternate site care planning, and considerations and options for IV infusion pump use, staffing, and transitions of care at an ACS.
Rate:
Favorite:
You must Login to add a comment
  • This item doesn't have any comments
footer

Enter your email address to receive important announcements and updates through the ASPR TRACIE Listserv.