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COVID-19 Healthcare System Operations Resources
Topic Collection
September 14, 2020

Topic Collection: COVID-19 Healthcare System Operations Resources

This Topic Collection focuses on adaptations to usual healthcare system operations and strategies to maintain provision of patient care during the COVID-19 pandemic.  

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 healthcare system operations can be placed under the COVID-19 Healthcare System Operations Resources Topic.

Administrative Preparedness


This guide offers steps for hospitals to quickly identify community partners and collaborate with them to address the challenges of COVID-19. The three-step guide also includes a link to the more in-depth document, A Playbook for Fostering Hospital-Community Partnerships.
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This document offers coding best practices for several different scenarios. For each scenario, information is provided based on who is performing the service, applicable CPT codes, COVID-19 focused ICD-10 CM codes, the place of service, and any additional notes.
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American Society for Health Care Engineering. (2020). COVID-19 Resources for Health Care Facilities. (Added 4/29/2020.)
This page includes articles, tools, videos, and guidance to assist healthcare facilities in modifying and maintaining critical operations including air quality, safety and security, and infection prevention during the COVID-19 pandemic.
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American Society of Health-System Pharmacists. (2020). ASHP COVID-19 Pandemic Assessment Tool for Health-System Pharmacy Departments.
This tool allows departments of pharmacy to assess their readiness for COVID-19 by reviewing integration with institutional planning, departmental leadership, public and professional education and training, medications and supplies, staffing, and internal and external public affairs and communications.
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America's Health Insurance Plans. (2020). Health Insurance Providers Respond to Coronavirus (COVID-19).
This resource page lists information on how various health insurance providers are adjusting cost-sharing, co-pays, prior authorization, provider reimbursement, and other policies and programs for the COVID-19 response.
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During a pandemic or other emergency, healthcare facilities face significant challenges to quickly onboard additional healthcare providers when hospital admissions and ICU occupancy increase rapidly. This onboarding checklist can ensure new employees are compliant with administrative requirements, familiar with the mission and culture of the hospital, and understand expectations.
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This issue brief identifies strategies for state and territorial health agency leadership to consider in support of their COVID-19 response and recovery efforts.
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COVID-19 Health Care Resilience Taskforce. (2020). Strategies for Managing a Surge in Healthcare Provider Demand.
This resource highlights strategies that local healthcare workforce decision-makers could adopt to optimize healthcare workforce assets, assess ongoing staffing needs, and identify resources to meet patient surge during the COVID-19 pandemic.
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National Association of Community Health Centers. (2020). COVID-19: CHC Finance Toolkit.
This toolkit offers resources to assist community health centers manage their finances during the COVID-19 pandemic. Topics include proactive communication, cash flow planning, understanding relief options, tax provisions, cybersecurity considerations, and remote work best practices.
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U.S. Department of Health and Human Services. (2020). CARES Act Provider Relief: For Providers. (Added 8/25/2020.)
This page includes various resources to assist healthcare providers in understanding options available through the Provider Relief Fund under the CARES Act.
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Communications Tools and Strategies


American Hospital Association. (2020). COVID-19 Communications Resources. (Added 6/29/2020)
This page includes various communications resources for the COVID-19 pandemic. Included are: a preparedness and response communications checklist; a recovery communications toolkit; hospital examples for internal and external communications, media relations, social media, and hospital recovery and reopening communications; other AHA communications tools and resources; and links to additional resources.
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This field guide includes message maps for frequently asked COVID-19 questions. It also includes appendices with additional resources, including links to communications guides from the Centers for Disease Control and Prevention and the World Health Organization, a master COVID-19 questions list from the Department of Homeland Security, and myth busters.
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This playbook describes the Cleveland Clinic's rapid implementation of telemedicine in response to the COVID-19 pandemic. It includes an ambulatory playbook to convert to telehealth, clinician training on virtual visits, patient facing materials, tips for showing empathy in virtual visits, and types of telehealth visits.
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Orleans Parish Communications District. (2020). COVID ECC Resources *.
This website presents promising practices implemented by the Orleans Parish Communication District in response of COVID-19 to innovate their triage practices and reduce the risk of exposure to first responders in the field. These practices include administrative adjustments, software innovations that enable screening algorithms and computer aided dispatch, collaboration, and training of call-takers and dispatchers. Changes to software, protocols, and operating procedures enable the transfer of non-acute calls for medical service to paramedics stationed at the center, who then place video calls to screen callers for referrals, and perform daily follow-up to track symptoms of callers who are advised to remain at home.
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Patient Provider Communication Forum. (2020). Supporting Communication with Patients Who Have COVID-19. (Added 7/9/2020.)
This page hosts various free resources that healthcare providers can use to support communications with COVID-19 patients, particularly those who are unable to speak due to intubation or other interventions. Resources include pictograms and tools in various languages.
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Sandman, P. and Lanard, J. (2020). COVID-19: The CIDRAP Viewpoint - Part 2: Effective COVID-19 Crisis Communication. Center for Infectious Disease Research and Policy, University of Minnesota.
This report reviews established crisis communications principles in the context of the COVID-19 pandemic.
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This playbook offers communications tips to help healthcare providers respond to questions from patients and their loved ones about COVID-19.
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Continuity of Operations (COOP)


* American Hospital Association and American Medical Association. (2020). Working from Home during COVID-19 Pandemic.
This document provides information to physicians on protecting their computers, mobile devices, home network, and medical devices from cyber threats while working from home.
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CISA developed, in collaboration with other agencies, an “Essential Critical Infrastructure Workforce” advisory list. This list is intended to help jurisdiction officials as they work to protect their communities, while ensuring continuity of functions critical to public health and safety.
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* Healthcare & Public Health Sector Coordinating Councils. (2020). Management Checklist for Teleworking Surge During the COVID-19 Response.
This checklist assists healthcare enterprise managers in implementing a telework strategy that enables an uninterrupted workflow, supports patient care and facility operations, and protects against cyberthreats.
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This resource packet guides health centers implementing telework or reduced staffing of non-clinical services and functions during the COVID-19 pandemic. It offers best practices, decision trees, checklists, and other sample resources.
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National Association of State EMS Officials. (2020). COOP - Planning Outline Guidance.
This template guides the development of a continuity of operations plan during COVID-19 for public safety access points or emergency medical services agencies. A Word version is also available for customization at https://nasemso.org/nasemso-document/coop-plan-outline-for-ems-and-psap/.
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The COVID Staffing Project. (2020). COVIDStaffingProject *.
The COVID Staffing Project unites collaborators from Vanderbilt University Medical Center, Michigan Medicine, the Department of Learning Health Sciences, and the Center for Healthcare Engineering and Patient Safety, and the Procedural Learning and Safety Collaborative. The tools developed support hospitals in projecting frontline workforce needs, redeploying clinical teams, and protecting the health and well-being of providers.
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Cybersecurity


* American Hospital Association and American Medical Association. (2020). Working from Home during COVID-19 Pandemic.
This document provides information to physicians on protecting their computers, mobile devices, home network, and medical devices from cyber threats while working from home.
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Cybersecurity & Infrastructure Security Agency. (2020). Risk Management for Novel Coronavirus (COVID-19). U.S. Department of Homeland Security.
This guide identifies actions to address infrastructure protection, supply chain, and cybersecurity issues during the COVID-19 pandemic.
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Cybersecurity and Infrastructure Security Agency. (2020). COVID-19 Recovery CISA Tabletop Exercise Package (CTEP).
This package of materials assists stakeholders in assessing their recovery and business continuity plans related to organizational recovery from the COVID-19 pandemic.
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Health Sector Cybersecurity Coordination Center. (2020). COVID-19 VTC Exploitation. U.S. Department of Health and Human Services.
This white paper offers mitigation and remediation recommendations to those using video-teleconferencing services during COVID-19, particularly as the use of telehealth increases.
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Healthcare & Public Health Sector Coordinating Councils. (2020). Health Industry Cybersecurity Tactical Crisis Response Guide (HIC-TCR).
This guide offers tactics for the healthcare system to address cyberthreats, focused on education and outreach, enhanced prevention techniques, enhanced detection and response, and taking care of the team.
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* Healthcare & Public Health Sector Coordinating Councils. (2020). Management Checklist for Teleworking Surge During the COVID-19 Response.
This checklist assists healthcare enterprise managers in implementing a telework strategy that enables an uninterrupted workflow, supports patient care and facility operations, and protects against cyberthreats.
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Ethics


This document identifies ethical challenges associated with care of COVID-19 patients, specifies three ethical duties of health care leaders, provides examples of policies and processes for review, and offers guidelines for institutional ethics services.
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Operational Modifications: COVID-19


Agency for Healthcare Research and Quality. (2020). COVID-19 Guidance Collaborative. U.S. Department of Health and Human Services.
This resource page features COVID-19 guidance summary reports on operational and patient care topics of interest to frontline clinicians and leadership.
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American College of Emergency Physicians. (2020). ACEP COVID-19 Field Guide. (Added 4/15/2020.)
This frequently updated online guide compiles resources helpful to emergency physicians in the evaluation and treatment of COVID-19. Topics include personal safety, work safety, emergency medical services, triage, patient presentation, assessment, diagnosis, risk stratification, treatment, special populations, business, regulations and liability, personal well-being and resilience, and impact on education, licensure, and credentialing.
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This frequently updated web page collects resources to assist physicians in their response to COVID-19. It includes background information on coronaviruses; clinical response information (transmission, presentation, diagnosis, treatment, infection control); and links to additional resources, including clinical care resources, telehealth, patient education, coding, ethics, and physician well-being.
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American Society for Health Care Engineering. (2020). COVID-19 Surge Planning: Piped Medical Gas Consumption Evaluation Tool. (Added 7/9/2020.) American Hospital Association.
This downloadable, Excel-based tool allows users to estimate medical air and oxygen capacity while providing six different types of therapies to COVID-19 patients.
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American Society for Health Care Engineering. (2020). Innovative IV Pump Placement.
This page includes a diagram and equipment relocation checklist to aid healthcare facilities in moving IV pumps outside of patient rooms to reduce personal protective equipment requirements during the COVID-19 pandemic.
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American Society for Health Care Engineering. (2020). Negative Pressure Patient Room Options.
This resource page offers considerations related to patient placement in airborne infection isolation rooms. It includes a table of air change clearance rates, unit conversion considerations with examples, and high-efficiency particulate air considerations with diagrams.
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American Society of Anesthesiologists and Anesthesia Patient Safety Foundation. (2020). APSF/ASA Guidance on Repurposing Anesthesia Machines as ICU Ventilators. (Added 4/7/2020.)
These resources jointly developed by the American Society of Anesthesiologists and Anesthesia Patient Safety Foundation guide the safe and effective use of anesthesia machines as intensive care unit (ICU) ventilators should supply be insufficient during the COVID-19 pandemic. Resources include a guidance document on purposing anesthesia machines as ICU ventilators, a quick reference bedside tool on setup and monitoring instructions, guidance on use of volatile anesthetic for sedation of ICU patients, and a procedural checklist for supporting patients during the anesthesia machine power up test.
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This ASPR TRACIE Technical Assistance response is a compilation of early reports and findings from published articles and clinical rounds presentations, webinars, and news articles on COVID-19.
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Speakers from some of the hardest hit hospitals across the U.S. discuss their COVID-19 experiences in this webinar.
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Australian and New Zealand Intensive Care Society. (2020). ANZICS COVID-19 Guidelines.
These guidelines provide critical care recommendations and suggestions for a pandemic setting. They are intended as a living document based on previous experience and are updated as the evidence base for COVID-19 clinical care grows. The document includes three sections: 1) Planning for a Pandemic – An Operational Guide, 2) Providing a Safe Working Environment – Staff Protection and Sustainability, and 3) Identification and Treatment of Patients with COVID-19 Infection – The Basics.
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Beth Israel Lahey Health. (2020). COVID-19 Materials.
This web page includes frequently updated COVID-19 information for healthcare workers. Resources include: testing and patient evaluation algorithms, clinical guidance, operational guidance, personal protective equipment information, resources for patients and their caregivers, symptom screening tools, and sample signage.
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Bhimraj, A., Morgan, R., Shumaker, A., et al. (2020). Infectious Diseases Society of America Guidelines on the Treatment and Management of Patients with COVID-19. (Added 4/15/2020.) Infectious Diseases Society of America.
These online guidelines systematically review the evidence related to seven potential COVID-19 treatment options and grade recommendations as strong, conditional, or a knowledge gap. Complementary recommendations are available on diagnostics and infection prevention.
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These COVID-19 guidelines are based on current available evidence and continually updated based on feedback from practitioners. Included are one-page quick guides and information organized under: non-ICU management, triage, and transfers; respiratory support; therapies and clinical trials; cardiac complications; shock; thrombotic and coagulation manifestations; renal manifestations; and other related issues. A COVID ICU Bundle Checklist is included as an addendum.
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CAESAR Project. (2020). COVID Activated Emergency Scaling of Anesthesiology Responsibilities (CAESAR) ICU. American Society of Anesthesiologists, Anesthesia Patient Safety Foundation, Society of Critical Care Anesthesiologists, and Society of Critical Care Medicine.
This resource page includes written and video educational materials related to managing COVID-19 patients. Resources are categorized under: ICU Ventilation and Pulmonary, ECMO, Gastrointestinal/Nutrition, Ethics, Renal/Fluids, Endocrine/Steroids, Musculoskeletal/Hematomology/Prophylaxis/ICU, Infectious Diseases, Cardiovascular, and Neurology.
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Cayuga Health System. (2020). COVID-19 Clinical Management Guidelines. (Added 5/4/2020.)
This frequently updated page offers resources for clinicians caring for COVID-19 patients. It includes information on transmission, presentation, personal protective equipment, testing, healthcare worker exposures, imaging, clinical course, patient management, and discharge.
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Centers for Disease Control and Prevention. (2020). 10 Ways Healthcare Systems Can Operate Effectively During the COVID-19 Pandemic. U.S. Department of Health and Human Services.
This fact sheet offers 10 steps related to worker safety and support, patient service delivery, data streams for situational awareness, facility practices, and communications for health systems to consider while responding to COVID-19.
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Centers for Disease Control and Prevention. (2020). Healthcare Facilities: Managing Operations During the COVID-19 Pandemic. U.S. Department of Health and Human Services.
This updated guidance is intended to assist healthcare facilities manage their operations during the COVID-19 pandemic.
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* Centers for Medicare & Medicaid Services. (2020). Re-opening Facilities to Provide Non-emergency Non-COVID-19 Healthcare: Phase II. U.S. Department of Health and Human Services.
This document provides recommendations for the provision of non-COVID-19 care in communities with low incidence of COVID-19 and no evidence of a rebound.
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Chopra, V., Toner, E., Waldhorn, R., and Washer, L. (2020). How Should U.S. Hospitals Prepare for Coronavirus 2019 (COVID-19)? Annals of Internal Medicine .
The authors of this article recommend four key actions for health systems preparing for a surge of COVID-19 patients: 1) develop a strategy for patient volume and complexity, 2) protect and support health care workers on the front lines, 3) define a strategy to allocate health care resources, and 4) develop a robust, transparent, and open communication policy.
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Cleveland Clinic. (2020). COVID-19. (Added 5/14/2020.)
This frequently updated page provides resources to assist medical professionals responding to the COVID-19 pandemic. Resources are organized under the following topic areas: overview, detection, personal protective equipment recommendations, protecting against the spread, care considerations, workforce redeployment, caregiver, ambulatory, bioethics, virtual visits, emergency department, intensive care unit, managerial, operating room, and research.
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Columbia University Irving Medical Center. (2020). COVID-19 Information and Resources for Clinical Staff. (Added 4/15/2020.)
This frequently updated web page assists clinicians responding to COVID-19. The page includes information on screening, testing, and caring for patients as well as resources to support staff.
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Connecticut Children’s Medical Center. (2020). COVID-19 Pathways.
This web page features clinical pathways to assist providers in evaluating, diagnosing, and triaging patients possibly infected with COVID-19 while following appropriate infection prevention protocols. Algorithms exist for primary care, ancillary services, subspecialty ambulatory, and emergency department and inpatient settings.
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COVID-19 Healthcare Resilience Task Force. (2020). COVID-19 Hospital Resource Compilation.
This document lists key COVID-19 guidance and resources for hospital administrators, hospital emergency planners, and infection control practitioners in the following topical areas: hospital surge, crisis standards of care, staffing surge and resilience, workforce protection, regulatory relief, equipment supply surge, and telemedicine. Each section contains links to Federal and non-Federal guidance to help hospitals prepare for and respond to a COVID-19 outbreak.
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Emory Healthcare. (2020). COVID-19 for Medical Professionals. (Added 4/30/2020.)
This frequently updated page hosts patient management protocols and resources for medical professionals caring for COVID-19 patients. Topics include care protocols and guidelines (general, venous thromboembolism, renal replacement therapy, radiology and imaging, and ethics, palliative, and end-of-life care), personal protective equipment, and telemedicine (training, policy and implementation guides, and technology support).
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EvergreenHealth. (2020). Lessons Learned: COVID-19. (Added 5/4/2020.)
This document, which is updated as needed, features lessons learned from the hospitalist group that managed some of the first COVID-19 patients in the U.S. Sections focus on facility preparedness, testing, infection control, human resources, clinical management, and discharge. The document also includes links to additional resources.
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Hackensack Meridian Health. (2020). COVID-19 Clinical Protocols and Policies.
This frequently updated page includes information on: 1) screening a suspected COVID-19 case, 2) communicating a suspected COVID-19 case, 3) masking guidelines, 4) personal protective equipment information, 5) respiratory etiquette, 6) ambulatory scheduled video visits, and 7) protocols and policies for a variety of clinical settings and activities.
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These guidelines highlight recent updates and general considerations followed by a table showing treatment considerations and special considerations for various clinical situations. Extensive references are listed for each of the therapeutic options.
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Hanson, K., Caliendo, A., Arias, C., et al. (2020). Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19. (Added 5/12/2020.)
These online guidelines systematically review the evidence related to 15 COVID-19 diagnostic testing options and grade recommendations as strong or conditional. Related guidelines focus on infection prevention and treatment and management.
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HCA Healthcare. (2020). Clinical Resources. (Added 4/30/2020.)
This frequently updated page includes operational support, clinical resources, and thought leadership resources to support clinicians responding to the COVID-19 pandemic. Resources include COVID-19: Interim Adult Treatment Guidance.
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Infectious Diseases Society of America, HIV Medicine Association, and the Society for Healthcare Epidemiology of America. (2020). COVID-19 Initial Lessons Learned: Recommendations to Prepare for a Fall Surge of COVID-19 Cases. (Added 6/22/2020.)
This document offers recommendations on the following issues to prepare for additional waves of COVID-19: personal protective equipment and other medical supplies, testing capacity, physical distancing and wearing masks/face coverings, contact tracing, telehealth, workforce capacity, access to care and treatment, health disparities, antimicrobial resistance, increasing immunization rates, preparing for a COVID-19 vaccine, minimize viral spread during large gatherings, safe elections, comprehensive data collection, protections for frontline workers, and global cooperation.
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This COVID-19 (SARS-CoV-2) diagnostic testing database tool allows users to determine by platform type, sample type, laboratory or test kit requirement, and name of test or company the wide array of diagnostic tests available in the marketplace. Links are included to each test's emergency use authorization for additional information. The database is updated as new tests are authorized.
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Intermountain Healthcare. (2020). Clinical Guidance: Triaging / Testing.
This page provides clinical guidance for physicians and advanced practice providers, surgical operations, frontline receptionists, hospital and clinic caregivers, and home care. Documents include: assessment guidance, care processes, testing guidance and procedures, imaging guidelines, personal protective equipment guidance, decision pathways, scripts, cleaning guidance for rooms and equipment, waste disposal guidance, and frequently asked questions.
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These online guidelines systematically review the evidence related to eight COVID-19 infection prevention practices and grade recommendations as strong, conditional, or a knowledge gap. Related guidelines are available for treatment and management and diagnostics.
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Massachusetts General Hospital. (2020). COVID-19 Treatment Guidance.
This frequently updated page includes both inpatient and outpatient care recommendations as well as fast literature updates. Documents include: treatment and critical care guidance, algorithms, protocols, workflows, figures, frequently asked questions, and supporting literature.
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These guidelines reflect the best information available to guide decision making in the management of COVID-19 patients. Included is information on screening and triage, infection prevention, specimen collection, clinical management, treatment options, telemedicine, emergency medical services, and ethical considerations. It also includes appendices with checklists, supply lists, algorithms, and other tools.
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MedStar Health. (2020). COVID-19 Patient Care and Associate Safety Resources. (Added 6/4/2020.)
This frequently updated page includes operational and patient care information for employees responding to COVID-19. Resources are focused on staff safety and well-being, operations policies and signage, job aids, procedural guidelines, and inpatient and ambulatory care clinical guidelines.
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Michigan Medicine. (2020). COVID-19 (Novel Coronavirus) Information. University of Michigan.
This page includes COVID-19 testing guidance as well as emergency department, inpatient, and outpatient treatment guidelines.
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Mount Sinai. (2020). Clinical Guidelines and Information for Staff. (Added 4/17/2020.)
This frequently updated page includes numerous resources to guide the management of COVID-19 patients including treatment guidelines for adults and pediatric patients, information on personal protective equipment, information on respiratory support, palliative care resources, scripts, and information about the convalescent plasma program.
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Munson Healthcare. (2020). COVID-19 Updates for Providers. (Added 5/4/2020.)
This page - updated frequently - provides protocols and resources for providers during the COVID-19 pandemic. Included are patient care resources (ambulatory triage and workflow, discharge guidelines, worker protections, guidelines and treatments, reopening of services), information for practices (forms, guidance, signage), communications and provider resources, and links to additional information.
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National Institute for Health and Care Excellence. (2020). Coronavirus (COVID-19). (Added 4/23/2020.)
This frequently updated page from the United Kingdom includes rapid guidelines, evidence summaries, and other information based on national and international guidance and policies and the experience of clinicians treating patients during the COVID-19 pandemic. The guidelines are supported by tools and resources, including implementation support, decision aids, algorithms, and practice guides. Topics include critical care in adults, acute myocardial injury, dialysis service delivery, severe asthma, cystic fibrosis, delivery of radiotherapy, managing suspected or confirmed pneumonia in the community, delivery of systemic anticancer treatment, rheumatological disorders, gastrointestinal and liver conditions, stem cell transplantation, and managing symptoms.
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National Institutes of Health. (2020). Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. (Added 4/21/2020.) U.S. Department of Health and Human Services.
A COVID-19 Treatment Guidelines Panel developed these guidelines to assist clinicians caring for patients with COVID-19. Each of the recommendations in the frequently updated guidelines includes ratings of the strength of the recommendation and the quality of evidence supporting the recommendation.
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Nebraska Medicine. (2020). COVID-19 Resources for Providers *.
This frequently updated page includes information on use, donning and doffing, and decontamination of personal protective equipment; protocols and checklists; inpatient, ambulatory, surgical, special patient populations, treatment, and patient transport guidance; and other related resources for healthcare providers.
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Pan American Health Organization and World Health Organization. (2020). Epidemiological Alert: Complications and Sequelae of COVID-19. (Added 8/18/2020.)
This alert summarizes complications and sequelae of COVID-19 identified during the first seven months of the pandemic.
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Queen Alexandria Hospital Portsmouth, Academic Department of Critical Care. (2020). COVID-Specific Critical Care Guidelines. Portsmouth Hospitals NHS Trust.
These guidelines from a hospital in the United Kingdom offer a one-page summary listing necessary equipment and supplies, staffing roles, patient preparation steps, and an airway assessment and intubation plan. Also included are an admission and daily care checklist, critical care escalation plan, extubation procedure, nutrition quick guide, and information on personal protective equipment.
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Safe Airway Society. (2020). COVID-19 Resources.
This resource page includes several editable airway management infographics, a training video on tracheal intubation, and a consensus statement on airway management and tracheal intubation of adult COVID-19 patients.
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This frequently updated page includes information on clinical and administrative policies and protocols. It includes information on personal protective equipment; a dashboard on testing, virtual visits, and hospitalized patients; and testing, inpatient, and emergency department clinical pathways.
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The First Affiliated Hospital, Zhejiang University School of Medicine. (2020). Handbook of COVID-19 Prevention and Treatment. Jack Ma Foundation and Alibaba Foundation.
This guide is based on the experience of clinicians treating patients at The First Affiliated Hospital. It includes sections on prevention and control management, diagnosis and treatment, and nursing. It includes tables, step-by-step lists, infographics, algorithms, and images supporting the descriptive text.
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The Intensive Care Society. (2020). COVID-19: A Synthesis of Clinical Experience in UK Intensive Care Settings. (Added 4/15/2020.)
This document summarizes lessons learned from clinicians with experience caring for COVID-19 patients. Topics covered include: presentation, mechanical ventilation, fluid balance, antibiotics, workforce and infection control, renal support, and oxygen.
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The University of Chicago Medicine. (2020). COVID-19 Clinical Pathways. (Added 5/4/2020.)
This page includes COVID-19 clinical pathways for adults, pediatrics, labor and delivery, and telehealth in various settings.
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The University of Mississippi Medical Center. (2020). COVID-19 Clinical Processes. (Added 5/4/2020.)
This page - updated frequently - offers resources to assist medical professionals managing patients with COVID-19. The page includes protocols, procedures, processes, and checklists for patient treatment; blood product utilization; medication conservation; room, equipment, and transport; and surgical and procedural issues.
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The University of Texas Health Science Center at Houston. (2020). COVID-19 Clinical Management and Guideline Updates.
This web page includes COVID-19 clinical management resources, including intubation guidelines and clinical pearls for proning.
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This frequently updated page of one health system's clinical practice documents includes: an airway management safety diagram, an acute respiratory distress syndrome bedside card, an intubation checklist, a pharmacotherapy flowsheet, a tidal volume per IBW table, intubation precautions, code blue guidance, and intensive care unit care guidelines.
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University of California San Francisco, Department of Hospital Epidemiology and Infection Control. (2020). UCSF Health COVID-19 Clinical Resources*.
These frequently updated guidelines offer: 1) information on personal protective equipment, 2) algorithms, 3) other clinical information and announcements, 4) control plan and testing, 5) signage in multiple languages, 6) forms, 7) staff education materials, 8) provider and staff training resources, 9) patient education, 10) email digests, and 11) external resources.
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University of Iowa Health Care. (2020). COVID-19 Clinical Information. (Added 5/4/2020.)
This frequently updated page includes resources to assist healthcare workers managing patients with COVID-19. Resources include: COVID-19 symptoms, a treatment guide with therapeutic guidance and an azithromycin discontinuation protocol, testing information, clinical guidelines and codes, clinical processes and workflows, telemedicine information, home monitoring resources, and patient education materials.
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University of Kentucky HealthCare. (2020). COVID-19 Guidelines and Documents. (Added 5/15/2020.)
This frequently updated page includes resources to assist providers and staff in managing patients during the COVID-19 pandemic. Resources are in the categories of personal protective equipment and infection control, clinical, signage, handouts in multiple languages, and patient messaging. Included resources are for inpatient and ambulatory settings as well as drive through testing sites and telehealth.
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University of Michigan. (2020). COVID-19 Best Evidence Front Door. (Added 8/18/2020.)
This searchable database includes meta-analyses, literature syntheses, and clinical guidelines from reliable sources related to COVID-19.
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University of North Carolina School of Medicine. (2020). Clinical Documents: COVID-19.
This page includes several clinical procedures for COVID-19 including: a fact sheet for providers, an airway management job aid, a respiratory pathway algorithm, a referral to a respiratory diagnostic center guide and process workflow, and a psychiatric express clinic plan.
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University of Washington Medicine. (2020). UW Medicine COVID-19 Resource Site.
This page includes policies and protocols developed by the University of Washington health system and its partners to address COVID-19. Frequently updated, the page includes: 1) patient care protocols and algorithms, 2) other inpatient clinical guidance, 3) neonatal care protocols, 4) policy statements on personal protective equipment, patient care, post-acute and long term care, operations and facilities, staff, and other (autopsy, information technology, and vendor and delivery driver access).
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Van Ierssel, S., Dauby, N., Bottieau, E., et al.. (2020). Interim Clinical Guidance For Adults with Suspected or Confirmed COVID-19 in Belgium. (Added 4/7/2020.)
This frequently updated document provides guidance to clinicians caring for COVID-19 patients in Belgium.
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This document reflects the guidance of the Surviving Sepsis Campaign COVID-19 panel, composed of 36 experts from 12 countries. The panel issued 54 statements on: 1) infection control, 2) laboratory diagnosis and specimens, 3) hemodynamic support, 4) ventilatory support, and 5) COVID-19 therapy. Of the 54 statements, four are best practices, nine are strong recommendations, 35 are weak recommendations, and six questions have no recommendations. Accompanying infographics depict a summary of recommendations on managing patients with acute respiratory distress syndrome and COVID-19 and a summary of recommendations on the initial management of hypoxic COVID-19 patients.
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This document provides clinicians with information on managing suspected adult, pregnant, and pediatric COVID-19 patients. It provides information on screening and triage, infection control, collection of laboratory specimens, management of various symptoms and levels of illness, therapies, care of at-risk population groups, and clinical research on potential treatments.
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Yale New Haven Health. (2020). COVID-19 Clinical Resources for Employees and Medical Staff. (Added 4/15/2020.)
This frequently updated web page includes clinical resources for staff including: 1) visitor restrictions policy, 2) inpatient clinical resources related to medication, testing, intensive care unit critical care, non-intensive care unit care, ventilators, obstetrics, pediatrics, and personal protective equipment, 3) outpatient clinical resources related to medication and triage and clinical guidelines, 4) communications resources, and 5) the Bioquell Decontamination System.
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Operational Modifications: Usual Care


This statement outlines the conditions under which ambulatory surgery centers should restart deferred healthcare services. It also identifies additional factors to consider related to geographic variations, patient prioritization, procedure types, and availability of COVID-19 testing.
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This statement identifies principles for adoption by health insurance providers, including resuming procedures authorized prior to the COVID-19 pandemic, resuming routine and preventive care, promoting telemedicine use, supporting enhanced health system capacity, advancing evidence-based care and patient safety for new treatments, and streamlining administrative processes.
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American Academy of Family Physicians. (2020). A Checklist for Reopening Your Practice for “Non-Essential” Face-to-Face Visits. (Added 8/31/2020.)
This document offers considerations to physicians determining when to resume nonessential, in-person primary care services in their practices.
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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. (2020). 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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This guidance document details a series of recommendations to assist communities in a phased resumption of certain prioritized activities based on the best available evidence.
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This statement offers recommendations for the safe reengagement of non-urgent radiology care. It also includes a supplementary checklist of questions to guide decision-making.
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American College of Surgeons. (2020). Local Resumption of Elective Surgery Guidance.
This guidance document offers principles for the local resumption of elective surgery. It may be used as a checklist to address 10 priority issues.
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American College of Surgeons. (2020). Post-COVID-19 Readiness Checklist for Resuming Surgery.
This checklist identifies core facility and surgery-specific items that surgeons should assess the presence of in their facilities. The checklist of policies, structures and processes, and outcomes reporting should be modified based on what is appropriate for an individual facility, local resources, prevalence of COVID-19 in the community, and other factors. Surgeons should also consider communicating some of the checklist items to their patients to provide assurance that care can be provided safely.
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American College of Surgeons, American Society of Anesthesiologists, Association of periOperative Registered Nurses, and American Hospital Association. (2020). Joint Statement: Roadmap to Maintaining Essential Surgery during COVID-19 Pandemic. (Added 8/18/2020.)
This joint statement from four professional organizations lists principles and considerations for maintaining essential surgery during the COVID-19 pandemic. Issues discussed include: regional cooperation, supply chain, COVID-19 testing, personal protective equipment, case prioritization and scheduling, the five phases of surgical care, data collection and management, and safety and risk mitigation
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American College of Surgeons, American Society of Anesthesiologists, Association of periOperative Registered Nurses, and American Hospital Association. (2020). Joint Statement: Roadmap to Resuming Elective Surgery after COVID-19 Pandemic.
This statement from four professional organizations identifies eight principles and considerations to guide the resumption of deferred care.
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American Hospital Association, Association of periOperative Registered Nurses, and Advanced Medical Technology Association. (2020). Re-entry Guidance for Health Care Facilities and Medical Device Representatives.
This guidance from three professional organizations offers considerations to inform access policies supporting the safe reentry of medical device representatives to healthcare facilities.
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American Industrial Hygiene Association. (2020). Recovering from COVID-19 Building Closures*.
This document gives building managers guidance on reopening buildings after the COVID-19 pandemic subsides to keep employees safe.
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American Medical Association. (2020). A Physician Practice Guide to Reopening. (Added 5/8/2020.)
This document outlines a list of steps physician practices should take before reopening during the COVID-19 pandemic. It also includes a pre-visit screening script template, frequently asked questions about privacy and confidentiality, and links other resources related to relaxation of stay at home restrictions.
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American Society for Health Care Engineering. (2020). COVID-19 Recovery. American Hospital Association.
This page offers detailed information for healthcare facilities to consider as they recover from COVID-19 and begin restoring usual care. It identifies specific facility management issues; pre-recovery planning activities; immediate, short-term, and long-term needs; and the new normal. It is accompanied by an Excel-based recovery checklist.
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American Society of Clinical Oncology. (2020). 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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This resource highlights interrelated issues for the healthcare system to consider as they address their current status, restore services that have been curbed, maintain readiness for potential future waves of COVID-19 patients over the next two years, and adapt to improve their operations based on lessons learned.
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This document provides a framework for the provision of non-COVID-19 health care by the potential for patient harm and degree of community transmission.
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* Centers for Medicare & Medicaid Services. (2020). Re-opening Facilities to Provide Non-emergency Non-COVID-19 Healthcare: Phase II. U.S. Department of Health and Human Services.
This document provides recommendations for the provision of non-COVID-19 care in communities with low incidence of COVID-19 and no evidence of a rebound.
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This document provides recommendations for the provision of essential non-COVID-19 care in communities with low incidence of COVID-19.
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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.
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Medical Group Management Association. (2020). COVID-19 Medical Practice Reopening Checklist. (Added 5/15/2020.)
This checklist identifies financial, operational, staffing, and procedural issues for medical practices to consider as they prepare to resume operations during the COVID-19 pandemic. A webinar describing these issues is also linked.
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New York City Health + Hospitals. (2020). COVID-19 Resurgence Toolkit. (Added 9/14/2020.)
This toolkit contains various resources to support safe, continued operations during the COVID-19 pandemic. Materials include electronic device and eye protection cleaning and disinfection guidance, personal protective equipment ensemble posters, a log for staff entering COVID-19 patient rooms, and signage on visitor restrictions and infection prevention.
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Toner, E., Waldhorn, R., Veenema, T., et al. (2020). National Action Plan for Expanding and Adapting the Healthcare System for the Duration of the COVID Pandemic. Johns Hopkins Bloomberg School of Public Health Center for Health Security.
This report identifies 10 challenges for the healthcare system to address during the COVID-19 pandemic accompanied by several recommendations for each challenge.
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This framework guides the resumption of usual care for veterans in accordance with federal reopening guidance.
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