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COVID-19 Regional Support Resources
Topic Collection
August 30, 2021

Topic Collection: COVID-19 Regional Support 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 regional support.

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 regional support can be placed under the COVID-19 Regional Support Resources Topic.

General Resources


Arizona Department of Health Services. (2021). Arizona Surge Line. (Added 1/14/2021.)
This webpage shares information on the Arizona Surge Line, a 24/7 call line that facilitates the interfacility transfer of patients during a healthcare surge. Included is a link to an operating manual describing the planning, execution, and outcomes of the Arizona Surge Line during the response to COVID-19 and its applicability to future emergencies. Other resources include webinars introducing the service; process flow maps; protocols and other resources for participating hospitals, post-acute care facilities, and volunteer critical care and palliative care physicians; the executive order establishing the service; and news articles describing the Arizona Surge Line.
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This webinar features speakers describing Medical Operations Coordination Cells (MOCCs), lessons learned from past experiences, and how MOCCs are being used during the COVID-19 pandemic.
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This ASPR TRACIE technical assistance response includes sample questions provided by an ASPR TRACIE subject matter expert that can be tailored for a MOCC survey to pose to healthcare entities, along with resources that can be used to form example questions. It also includes general considerations related to assessing resources for a MOCC, and materials that provide data on hospitals collected at state and federal levels which may be useful for a MOCC (e.g., supply levels, bed capacity, medical facilities within a region).
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COVID-19 Healthcare Resilience Working Group. (2020). Patient Surge Management Resources.
The speakers provide an overview of the "Surge Roadmap" and related COVID-19 patient management strategies.
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Healthcare Resilience Working Group. (2020). EMS Supplement for the Medical Operations Coordination Cells (MOCC) Tool Kit. National Highway Traffic Safety Administration, Office of EMS.
This supplement to the Medical Operations Coordination Cells (MOCC) Toolkit (https://files.asprtracie.hhs.gov/documents/fema-mocc-toolkit.pdf) provides information on emergency medical services (EMS) and transportation issues. It includes information on coordination and planning with partners before, during, and after transport; medical oversight; standard operating procedures; personnel; infection control; ambulance preparation and configuration; and patient preparation.
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Lamb, A. (2020). Southeast Michigan 2020 COVID-19, Region 2-South/2-North Response: "Michigan Ground Zero". (Added 2/10/2021.) Michigan Region 2 South Trauma Network.
This document describes the role of two Michigan trauma regions during the first months of the COVID-19 pandemic.
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This document outlines a process states can use to gather hospital data needed to identify where ventilators are needed and deliver them directly to receiving hospitals. Access the accompanying Excel spreadsheet here: https://files.asprtracie.hhs.gov/documents/covid-state-ventilator-planning-template.xlsx.
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This expert panel report by the Task Force for Mass Critical Care and the American College of Chest Physicians offers a framework to equitably meet the clinical needs of the greatest number of COVID-19 patients when resources are scarce.
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Northwest Healthcare Response Network. (2020). Regional COVID-19 Coordination Center Overview.
This presentation introduces a regional COVID-19 coordination center concept. The center would provide a framework to coordinate across the region’s healthcare and public health system using all available resources to mitigate the pandemic and manage it consistently. A key feature is a regional crisis standards of care triage team to help determine appropriate placement of patients.
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NRCC Healthcare Resilience Task Force. (2020). Medical Operations Coordination Cells Toolkit (First Edition).
This toolkit offers flexible and modifiable guidance, developed by the U.S. government, aimed to assist regional, state, local, tribal and territorial governments to ensure load-balancing across healthcare facilities and systems so that the highest possible level of care can be provided to each patient during the COVID-19 pandemic.
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Oklahoma Hospital Association. (2020). Oklahoma Hospital Surge Planning Toolkit for COVID-19.
This document outlines the statewide hospital plan for a surge of COVID-19 patients. The regionally-based plan defines four tiers of operations based on the amount of surge.
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RAND Corporation. (2020). A Mechanism to Reduce Medical Supply Shortfalls During Pandemics. (Added 5/20/2020.)
This report proposes incentivizing regions with low numbers of cases during a pandemic not to hold or acquire unused medical supplies that are needed in regions with high case counts by guaranteeing they will be prioritized to receive supplies when they are needed to managing increasing numbers of cases. A centralized pool of dedicated resources would be available to draw upon as a backstop.
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Steward, R., Bulger, E., Epley, E., and Mitchell, S. (2020). How to Set Up a Regional Medical Operations Center to Manage the COVID-19 Pandemic. (Added 5/15/2020.) American College of Surgeons.
This article discusses the regional medical operations center concept and provides an overview of how to set up such a system for communication and coordination among multiple response partners within a region.
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