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COVID-19 At-Risk Individuals Resources
Topic Collection
November 14, 2023

Topic Collection: COVID-19 At-Risk Individuals 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 at-risk individuals vulnerable to COVID-19. Related information can be found on the COVID-19 Behavioral Health Resources Page.  

This Resource Collection was reviewed in Fall 2023. Please refer to CDC’s Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID-19 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 at-risk individuals vulnerable to COVID-19 can be placed under the COVID-19 At-Risk Individuals Resources Topic.

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General Resources

HHS emPOWER Program. (2024). HHS emPOWER Map.
The HHS emPOWER Map provides a monthly, updated de-identified total at the national, state, territory, county, and ZIP Code levels for Medicare beneficiaries currently enrolled in the Centers for Medicare and Medicaid Services (CMS) Medicare Fee-For-Service (Parts A/B) or Medicare Advantage (Part C). The map also provides a monthly updated total for the number of Medicare beneficiaries who have had an administrative claim for one or more types of electricity-dependent durable medical and assistive equipment (DME) and devices, as well as at-risk combinations data for those who rely on a health care service(s) and any electricity-dependent DME and devices.
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National Association of Community Health Centers. (2020). The Impact of COVID-19 on PRAPARE Social Determinants of Health Domains.
This fact sheet outlines how PRAPARE SDOH domains may be associated with individuals’ risk of morbidity and mortality from COVID-19.
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National Resource Center for Refugees, Immigrants, and Migrants (NRC-RIM). (2022). Vaccine Central. University of Minnesota.
This webpage includes various resources for vaccine providers working with refugee, immigrant, and migrant communities to increase COVID-19 vaccination rates.
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New York City Department of Health. (2021). COVID-19: How to Monitor Your Oxygen Level.
This three-page document is a handout for patients, which provides information on how to use a pulse oximeter to monitor oxygen levels at home and a log sheet for tracking 02 levels. Translations in additional languages can be found on the COVID-19 Provider Page (https://www1.nyc.gov/site/doh/covid/covid-19-providers.page) under the “Pulse Oximeter Program” tab.
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Office of the Assistant Secretary for Preparedness and Response. (2020). Federal Resource Toolkit for State and Local Agencies Serving Vulnerable Populations During the COVID-19 Emergency. U.S. Department of Health and Human Services.
This toolkit provides numerous resources specific to Region 3 (DE, DC, MD, PA, VA, WV), for state and local agencies serving vulnerable populations.
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Congregate Settings (e.g., group home facilities, correctional settings)

* ASPR TRACIE. (2020). Resources on Infectious Disease Outbreaks and Incarcerated Populations.
This ASPR TRACIE document highlights resources for healthcare system emergency preparedness planners and correctional facility workers to use while preparing for and responding to infectious disease outbreaks that may occur in prisons or jails. Considerations and lessons learned from these materials are also gathered and provided as points for consideration in this document.
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National Commission on Correctional Health Care. (2020). COVID-19 Coronavirus: What You Need to Know in Corrections. (Added 6/12/2020.)
This webpage includes various resources for correctional health, including answers to frequently asked questions, information on personal protective equipment, downloadable signage, educational videos and webinars, weekly reports on COVID-19 in correctional facilities, and links to additional resources.
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Public Health - Seattle and King County. (2022). Planning Tool for Severe Weather/Emergency Sheltering During COVID-19. (Added 1/12/2022)
This tool informs planning for short-term severe weather/emergency shelters during the COVID-19 pandemic. It includes information on site preparation, developing operational protocols, managing guests with symptoms or who test positive, mitigation measures, environment and safety considerations, and other operational considerations. It also includes a supply checklist, a pre-operational checklist, and a sample bed map with air purifier placement.
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Washington State Department of Health. (2022). COVID-19 Resources and Recommendations.
This web page includes guidance documents for various congregate settings including foster care group home facilities, jails and detention facilities, and juvenile and behavior rehabilitation facilities. Documents provide elements to include in an infection prevention plan; a template for collecting partner contact information; communication tips for staff, residents, and visitors; and symptoms to watch for.
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Occupational Settings

* ASPR TRACIE. (2020). Resources on Infectious Disease Outbreaks and Incarcerated Populations.
This ASPR TRACIE document highlights resources for healthcare system emergency preparedness planners and correctional facility workers to use while preparing for and responding to infectious disease outbreaks that may occur in prisons or jails. Considerations and lessons learned from these materials are also gathered and provided as points for consideration in this document.
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North Carolina Department of Health and Human Services. (2022). Interim Coronavirus 2019 (COVID-19) Guidance for Migrant Farmworkers, Their Employers, and Housing Providers.
This document provides background information on COVID-19 and a checklist to prepare to care for and isolate infected workers, promote healthy habits, and address legal considerations.
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Western Center for Agricultural Health and Safety. (2022). COVID-19 Resources for Agriculture. (Added 5/15/2020.) University of California Davis.
This page includes various resources to protect agricultural worker health during the COVID-19 pandemic. Resources include an agricultural worksite checklist, employer training guide, educational videos, and infographics on worker safety, prevention, symptoms, and hygiene. Most of the resources are available in both English and Spanish.
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Population-Specific Resources: Children

Administration for Strategic Preparedness and Response. (2022). COVID-19 Resources for Pediatric Healthcare Leaders and Clinicians. U.S. Department of Health and Human Services.
Pediatric healthcare providers face stunning array of challenges as they work to protect their patients from COVID-19 and treat children and adolescents who have been infected with the virus. Many children have returned to the classroom across the country, and seasonal influenza may further complicate care for pediatric COVID-19 patients. Healthcare leaders and clinicians can use the resources on this page to stay up-to-date on the latest information about the pandemic and plan to protect pediatric patient health.
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American Academy of Pediatrics. (2020). Guidance on Newborn Screening During COVID-19.
The document provides guidance on following newborn screening recommendations during the COVID-19 pandemic.
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American Academy of Pediatrics. (2022). Clinical Guidance. (Added 12/10/2020.)
This page compiles links to interim and updated guidance developed by the AAP on topics related to clinical care for infants, children, and adolescents during the COVID-19 pandemic.
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American Academy of Pediatrics. (2022). COVID-19 Testing Guidance.
This guidance was developed to help pediatric practices determine when to test for severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) infection.
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American Academy of Pediatrics. (2022). Guidance on Providing Pediatric Well-Care During COVID-19.
This document provides guidance on the health care that should continue to be provided to children during the COVID-19 pandemic.
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ASPR TRACIE. (2020). Child Health and Wellness.
The first webinar in this series focuses on child health and wellness. Panelists discuss resumption of routine care, missed immunizations, lead poisoning screening, sleep issues, and child neglect and abuse.
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ASPR TRACIE. (2020). Developing a Healthcare Coalition Pediatric Surge Annex (Webinar).
This ASPR TRACIE webinar features speakers sharing guidance, resources, and lessons learned to help healthcare coalitions develop a pediatric surge annex.
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ASPR TRACIE. (2020). Hidden Consequences: How the COVID Pandemic is Impacting Children (Speaker Series).
ASPR TRACIE, in collaboration with ASPR’s Pediatric Centers of Excellence, collaborated on a webinar series focused on how the COVID-19 pandemic may affect children. Topics include impacts on child health and wellness, child emotional and social effects, the impact of COVID-19 on children with special healthcare needs, and how secondary/other disasters may affect children during the pandemic.
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ASPR TRACIE. (2021). Pediatric Lessons Learned from COVID-19: Immediate and Future Implications (Speaker Series).
The U.S. Department of Health and Human Services’ (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE), in collaboration with the Western Regional Alliance for Pediatric Emergency Management (WRAP-EM), presents a speaker series focused on pediatric-specific lessons learned during the COVID-19 pandemic.
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Children's Hospital of Philadelphia. (2021). Emergency Department, ICU and Inpatient Clinical Pathway for Evaluation of Possible Multisystem Inflammatory Syndrome (MIS-C). (Added 5/29/2020.)
This algorithm depicts the clinical pathway for assessing children for Multisystem Inflammatory Syndrome.
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Children's Hospital of Philadelphia. (2023). Clinical Pathway for Evaluation and Treatment of Patients with Active COVID-19 Infection. (Added 1/11/2021.)
This algorithm depicts the clinical pathway for assessing children with COVID-19.
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Eastern Great Lakes Pediatric Consortium for Disaster Response. (2020). Pediatric Disaster and Surge Response Virtual Exercise.
This resource page includes materials from a virtual table top exercise on pediatric disaster healthcare surge. Topics covered include educational presentations on regional burn surge and COVID-19, reflections on the COVID-19 pandemic experience, and breakout sessions on a 48 hour shelter in place scenario. Resources available for download include the exercise timeline, virtual exercise plan, and participant handbook.
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Emergency Medical Services for Children Innovation & Improvement Center. (2020). Coronavirus (COVID-19). (Added 5/21/2020.)
This page is a compilation of COVID-19 related resources for hospital-based, pre-hospital, and community-based providers. Resources are categorized under Multisystem Inflammatory Response Syndrome in Children, pre-hospital and hospital preparedness, family readiness, school and childcare, personal protective equipment and essential skills, and mental and behavioral health. The page is updated as new resources become available.
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Godfred-Cato, S., Bryant, B., Leung, J., et al. (2020). COVID-19-Associated Multisystem Inflammatory Syndrome in Children - United States, March-July 2020. Morbidity and Mortality Weekly Report. 69(32):1074-1080.
This report describes 570 suspected cases of multisystem inflammatory syndrome in children (MIS-C) reported to the CDC by state and local health departments as of July 29, 2020. The authors used latent class analysis to divide cases into three classes based on different illness manifestations.
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Hammers Forstag, E. (2022). Supporting Children with Disabilities: Lessons from the Pandemic. National Academies of Sciences, Engineering, and Medicine.
This book, based on a workshop convened by the Board on Children, Youth, and Families, examines which policies and practices implemented during the COVID-19 pandemic could be continued beyond the pandemic to encourage the support of children with disabilities. The authors discuss telehealth, supporting online learning, and home healthcare for children with disabilities. They also cover state and federal policy, public health, and emergency planning.
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Society of Critical Care Medicine. (2022). Preparing Adult Clinicians to Treat Pediatric Patients. (Added 1/12/2022)
This blog post highlights key themes from two webcasts on preparing adult clinicians to treat pediatric patients during the COVID-19 pandemic. Themes included delineation between children and adults, multisystem inflammatory syndrome in children, similarities and differences of care methods, and opportunities for parent support. The blog includes links to recordings of both webcasts as well as SCCM's Pediatric Fundamental Critical Care Support course.
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We Can Do This. (2023). Pediatricians and Family Physicians Toolkit. U.S. Department of Health and Human Services.
This toolkit contains resources to help clinicians boost COVID-19 vaccine confidence and uptake of vaccines. It includes informational content, posters and flyers, social media messaging, and videos to inform patient education efforts.
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Population-Specific Resources: Maternal-Child Health and Gender Issues

American College of Obstetricians and Gynecologists. (2023). COVID-19 FAQs for Obstetrician-Gynecologists, Obstetrics.
This resource provides responses to frequently asked questions as it pertains to optimizing obstetric care in the context during the COVID-19 outbreak.
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Health Resources & Services Administration. (2021). Emergency Preparedness and Response with Focus on Maternal and Child Health Populations. U.S. Department of Health and Human Services.
Speakers in this webinar provided an overview of the Title V Maternal and Child Health Services Block Grant; the Office of the Assistant Secretary of Health's Office on Women's Health; the HHS Maternal-Child Health Emergency Planning Toolkit; the COVID-19 Pandemic as Viewed from the Lens of a County Public Health Nurse; and Addressing Maternal and Child Health Disparities When Planning for Emergencies.
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Population-Specific Resources: Older Adults

Agency for Healthcare Research and Quality. (2022). Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults. (Added 4/29/2020.) U.S. Department of Health and Human Services.
This patient safety primer provides background information on the increased risks to older adults infected by COVID-19. It identifies patient safety problems associated with infection control and prevention, transitions of care, telehealth and telemedicine, and federal guidance and highlights tools and resources for nursing homes.
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HealthinAging.org. (2023). Coronavirus (COVID-19).
This webpage provides information for older adults and their caregivers about COVID-19 and how to ease isolation while practicing social distancing
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HHS At-Risk Individuals. (2022). HHS/ASPR: Addressing the Needs of Older Adults in Disasters Training. U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response.
The HHS ASPR Addressing the Needs of Older Adults in Disasters Web-Based Training is designed to improve public health and emergency medical responders’ capability to address the access and functional needs of community-dwelling older adults in common disaster situations, including infectious disease outbreaks.
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The Gerontological Society of America. (2021). COVID-19 Updates.
This page features numerous COVID-19 resources for older adults, their caregivers, and professionals in the aging field.
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The John A. Hartford Foundation. (2021). Coronavirus Disease (COVID-19) Resources for Older Adults, Family Caregivers and Health Care Providers. (Added 6/23/2020.)
This page includes links to government and private sector COVID-19 resources for older adults, their caregivers, and healthcare providers.
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Population-Specific Resources: People Experiencing Homelessness

Corporation for Supportive Housing. (2022). Triage & Tele-Health Support Plan for Isolation Units. (Added 5/15/2020.)
This plan includes an algorithm for triage, intervention, and management of clients at isolation sites; triage interview questions and immediate intervention steps; and information on the use of telemedicine and telepsychiatry to manage behavioral health and medical needs. The plan applies to supportive housing providers, managed care organizations, health centers, and case management services.
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National Health Care for the Homeless Council. (2020). COVID-19 and the HCH Community: Needed Actions from Public Health and Emergency Response Systems. (Added 4/29/2020.)
This issue brief identifies eight critical actions along with strategies and guidance to accomplish them to mitigate the spread of COVID-19 among those experiencing homelessness.
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National Health Care for the Homeless Council. (2023). COVID-19 and People Experiencing Homelessness: Resources and Guidance.
This web page provides links to multiple resources specifically geared towards individuals experiencing homelessness and COVID-19.
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Public Health – Seattle & King County. (2022). Healthcare for the Homeless Network (HCHN) COVID-19 Resources.
This web page includes resources to support those experiencing homelessness, including guidance for homeless service providers, frequently asked questions, cleaning and disinfection information, planning guidance, hand washing posters, and street outreach guidelines.
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Tobolowsky, F., Gonzales, E., Self, J., et al. (2020). COVID-19 Outbreak Among Three Affiliated Homeless Service Sites - King County, Washington, 2020. Morbidity and Mortality Weekly Report. 69(17):523-526.
This report discusses a COVID-19 outbreak in three affiliated homeless shelters. The authors recommend that homeless shelters with confirmed cases of COVID-19 initiate immediate and repeated testing of all staff and residents to identify additional cases, enhanced surveillance, and isolation of confirmed cases.
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U.S. Department of Housing and Urban Development and U.S. Department of Health and Human Services. (2021). COVID-19 Vaccinations and Testing Toolkit. (Added 6/15/2021.)
This toolkit assists community health centers and U.S. Housing and Urban Development (HUD)-assisted housing and homeless programs interested in partnering to provide public and low-income housing residents and people experiencing homelessness with COVID-19 testing, vaccination, and health care.
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US Interagency Council on Homelessness. (2021). COVID-19.
This webpage includes links to interim guidance and other helpful information for people experiencing homelessness and those who serve them.
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Various Authors. (2020). The Framework for an Equitable COVID-19 Homelessness Response.
This framework identifies strategies and activities related to unsheltered people, shelter, housing, diversion and prevention, and strengthening systems for the future for communities to address through COVID-19 response and recovery funding. Please check here to confirm the most recent version: http://housingequityframework.org/.
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Washington State Department of Health. (2022). Recommendations for Homeless Shelter Facilities during a COVID-19 Outbreak.
This guidance document was developed to assist homeless shelter facilities in response to the COVID-19 outbreak.
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Population-Specific Resources: People with Access and Functional Needs

National Association of the Deaf. (2020). COVID-19: Guidelines for Healthcare Providers – Video-Based Telehealth Accessibility for Deaf and Hard of Hearing Patients. (Added 12/10/2020.)
This document provides best practices and technical requirements for video-based platforms and apps.
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Office of the Assistant Secretary for Preparedness and Response. (2020). Discharge Planning and Care Coordination during the COVID-19 Pandemic. U.S. Department of Health and Human Services.
This tool is designed to support nurses, social workers, case managers, and others conducting effective discharge planning and care coordination for adults with disabilities who received care or treatment for COVID-19 illness in an acute care setting, are no longer COVID-19 positive, and require continuation or reconnection to supports and services.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2020). HHS/ASPR: Access and Functional Needs. U.S. Department of Health and Human Services.
The HHS/ASPR Access and Functional Needs (AFN) web-based training defines the concept and requirements for addressing people with disabilities, and provides tools and resources to help professionals incorporated related concepts into disaster preparedness, response, and recovery activities.
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Population-Specific Resources: People with Chronic Medical Conditions

AIDSinfo. (2022). Guidance for COVID-19 and People with HIV. U.S. Department of Health and Human Services.
This guidance is intended for clinicians and provides special considerations for persons with HIV regarding COVID-19.
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American Society of Clinical Oncology. (2021). A Guide to Cancer Care Delivery During the COVID-19 Pandemic.
This guide offers steps that oncology practices can take to protect staff and patients while continuing to deliver care during the COVID-19 pandemic.
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American Society of Nephrology. (2023). COVID-19 Toolkit for Nephrology Clinicians: Preparing for a Surge. (Best viewed with browser other than Internet Explorer.)
The information and resources contained in this Toolkit, developed by nephrologists and nephrology team members, discuss general considerations across nephrology care settings, outpatient dialysis, dialysis in the acute setting, urgent start peritoneal dialysis, home dialysis, and the care of the transplant patient.
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Centers for Disease Control and Prevention. (2020). Interim Additional Guidance for Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed COVID-19 in Outpatient Hemodialysis Facilities. U.S. Department of Health and Human Services.
This page includes a checklist to assist outpatient dialysis facilities in their COVID-19 preparedness and response. The page also includes infection control guidance for outpatient hemodialysis facilities.
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Davis, C. (2022). How to Manage Residents Who Receive Dialysis When COVID-19 is at the Door. American Association of Post-Acute Care Nursing.
This article offers advice to nursing homes that need to send residents to other facilities for dialysis treatment during the COVID-19 pandemic. The author discusses cohorting dialysis patients, limiting tub use, surveillance frequency, transport protocols, symptom reporting, masking, adherence to care plans, and collaborating with dialysis providers.
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Kidney Community Emergency Response. (2020). End Stage Renal Disease Community Covid-19 After-Action Report and Improvement Plan: November 3, 2020. (Added 12/15/2020.)
This document analyzes the recent actions of the End Stage Renal Disease Community during the COVID-19 pandemic, around four key capabilities - situational assessment, operational communication, operational coordination, and logistics and supply chain management – and proposes corrective actions.
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Population-Specific Resources: Rural Areas

ASPR TRACIE. (2020). Rural Health and COVID-19.
This ASPR TRACIE resource lists challenges faced by rural areas specific to COVID-19. The challenges are grouped into two main categories: those specific to healthcare facilities, and those related to at-risk populations who reside in rural areas.
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ASPR TRACIE. (2020). Rural Health and COVID-19: Quick Sheet.
This quick sheet lists strategies for overcoming challenges faced by rural areas specific to COVID-19. The challenges are grouped into two main categories: those specific to healthcare facilities, and those related to at-risk populations who reside in rural areas.
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ASPR TRACIE. (2021). Home Care and Hospice during COVID-19: A Rural Perspective.
In rural areas, home care and hospice often go hand in hand. Sue Heitkamp, RN, BSN, President, and Joelle Goldade, RN, BSN, CHPN, COS-C, HCS-D, Director of Clinical Operations (both of CHI Health at Home), shared how they carried out these important services during the COVID-19 pandemic.
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Federal COVID-19 Healthcare Resilience Working Group. (2023). Rural Healthcare Surge Readiness.
The Rural Surge Readiness Team/Federal COVID-19 Healthcare Resilience Working Group created this web portal to provide the current and key resources for rural healthcare systems preparing for and responding to a COVID-19 surge. The page includes links to resources by audience and topic.
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Agencies and Organizations

Administration for Community Living. Coronavirus Disease 2019 (COVID-19). U.S. Department of Health and Human Services.
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American Academy of Pediatrics. Critical Updates on COVID-19.
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American Diabetes Association. COVID-19 and Diabetes.
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American Heart Association. COVID-19 Content: An AHA Compendium.
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American Society of Nephrology. COVID-19 Information.
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American Society of Transplantation. COVID-19 Resources for the Transplant Community.
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Kidney Community Emergency Response. COVID-19.
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National Association of Area Agencies on Aging. COVID-19 Resources.
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National Perinatal Association. COVID-19.
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Northwest Portland Area Indian Health Board. COVID-19 Main Page.
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The American College of Obstetricians and Gynecologists. COVID-19.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary of Preparedness and Response. HHS emPOWER Program.
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U.S. Department of Housing and Urban Development. COVID-19 Response and Homelessness: An Action and Resource Guide.
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