COVID-19 Update Call April 16, 2020 1 Agenda Agenda I. Overview - PDF document

COVID ‐ 19 Call with Hospital Leaders April 16, 2020 COVID-19 Update Call April 16, 2020 1 Agenda Agenda I. Overview of COVID-19 Statistics II. Federal Update III. State Update IV. Question and Answer 2 2 Florida Hospital Association 1

COVID ‐ 19 Call with Hospital Leaders April 16, 2020 COVID-19 Impact on Hospitals As of April 16, 2020 2,500 COVID Patients  2,181 COVID+ patients COVID Pts in ICU  Average rate 15.1% 2,000 COVID Pts on  51% of patients in Broward Vents 1,500 and Dade counties  791 in ICU (36% of total) 1,000  564 on ventilators (71% ICU) 500 Patients  8,651 ventilators available 0 3/26 3/27 3/28 3/29 3/30 3/31 4/1 4/2 4/3 4/4 4/5 4/6 4/7 4/8 4/9 4/10 4/11 4/12 4/13 4/14 4/15  3,375 anesthesia machines convertible to ventilators 3 3 Federal Update  Initial $30 billion of the $100 billion in relief funding distributed last week  Based on 2019 Medicare FFS data Imbalanced distribution in Florida  due to high Medicare Advantage enrollment  Florida Congressional delegation has sent two letters to CMS  Looking Ahead: Opportunity to smooth out inequities 4 4 Florida Hospital Association 2

COVID ‐ 19 Call with Hospital Leaders April 16, 2020 Collecting COVID-19 Impact Data  Capturing the Financial Impacts of COVID-19  Loss in Revenue  Increased/Additional Expenses (Supplies)  Workforce  Capitol/Construction  Payor mix of COVID-19 patients  Upcoming call with Finance Executives HOSPITAL COVID ‐ 19 IMPACT HOSPITAL COVID ‐ 19 IMPACT SURVEY TO BE DISTRIBUTED SURVEY TO BE DISTRIBUTED WEEK OF APRIL 20 th WEEK OF APRIL 20 th 5 5 Assistant Secretary for Preparedness and Response (ASPR) Grant  CARES Act included $50 million for state hospital associations to support hospital COVID-19 preparedness and response efforts  FHA secured $2.8 million grant to support hospital emergency preparedness work  Distribution of funds to start later this week  All acute care hospitals with an emergency department will receive base distribution of $7,500; remaining funds distributed based on number of licensed beds 6 6 Florida Hospital Association 3

COVID ‐ 19 Call with Hospital Leaders April 16, 2020 State Update: Crisis Standards of Care  After careful deliberations with FHA's Quality and Patient Safety and Workforce Committees, the FHA Board voted to support the Florida Bioethics Network’s Ethics Guidelines for Crisis Standards of Care  Board also approved advocating for executive order to provide limited immunity to health care providers in connection with their response to the COVID-19 crisis  FHA to host clinical webinar on Tuesday, April 21 at 10 a.m. ET 7 7 State Update: Florida Department of Health Issues Emergency Rule No. 64DER20-26 Per April 13 th Department of Health emergency rule, all COVID-19 lab results (positive and negative) should be reported immediately via electronic laboratory reporting, including screening tests 8 8 Florida Hospital Association 4

COVID ‐ 19 Call with Hospital Leaders April 16, 2020 State Update: AHCA Data Reporting • In March, Vice President Pence sent a request asking hospitals to report multiple data points. – Hospital laboratory testing capability reported daily to FEMA – Hospital bed capacity reported daily to the CDC’s National Healthcare Safety Network • On April 15, AHCA submitted a request to FEMA to seeking authority to submit required COVID-19 laboratory and hospital capacity data through the Emergency Status System (ESS) on behalf of Florida’s hospitals. • This change follows FHA’s advocacy for streamlining state and federal COVID-19 reporting requirements for providers. 9 9 Florida Department of Education - Child Care for First Responders and Health Care Workers • Prioritize childcare for first responders and health care workers • All income eligibility requirements have been waived • Provided through DOE Early Learning Coalitions • More details available through Office of Early Learning 10 10 Florida Hospital Association 5

COVID ‐ 19 Call with Hospital Leaders April 16, 2020 Q & A 11 11 Upcoming Calls • Statewide Hospital Calls Monday and Friday , 10-10:30 a.m., ET • AHA Health Care Leaders Call Thursdays, 2:30 p.m. ET • FHA Call with Hospital Leaders Thursdays, 4 p.m. ET • CMS Lessons from the Front Lines Fridays, 12:30-2 p.m. ET 12 12 Florida Hospital Association 6

COVID ‐ 19 Call with Hospital Leaders April 16, 2020 FHA Resources and Contacts FHA COVID-19 Webpage: www.fha.org/covid FHA Emergency Preparedness Contacts John Wilgis Crystal Stickle (850) 524-2037 (850) 445-4544 john@fha.org crystals@fha.org FHA Incident Command Team covidresponse@fha.org 13 13 COVID-19 Update Call April 16, 2020 14 Florida Hospital Association 7