Johnson County COVID-19 Recovery Planning Task Force April 21, 2020 1
Goals for the Task Force (with reference materials for review) Determine the phasing of business reopening • – https://www.centerforhealthsecurity.org/our- work/pubs_archive/pubs-pdfs/2020/reopening-guidance- governors.pdf Adopt guidelines for the phased opening of the Johnson • County – https://www.whitehouse.gov/openingamerica/ – https://www.uschamber.com/coronavirus/implementing- national-return-to-work-plan 2
Recovery Planning Guidelines Federal Guidance: Opening Up America Again • Approach: – • Based on up to date data and readiness Mitigates the risk of resurgence • Protects the most vulnerable • These guidelines are consistent with planning and • actions of Johnson County Health Department 3
Criteria and Systems: Required before phased opening Gating Criteria Symptoms Cases Hospitals Preparedness Responsibilities Testing and Contact Healthcare System Plans Tracing Capacity 4
Gating Criteria SYMPTOMS CASES HOSPITALS Downward trajectory of Downward trajectory of influenza-like illnesses documented cases within Treat all patients without (ILI) reported within a a 14-day period crisis care 14-day period OR AND AND Downward trajectory of Robust testing program in AND AND Downward trajectory of positive tests as a place for at-risk covid-like syndromic percent of total tests healthcare workers, cases reported within a within a 14-day period including emerging 14-day period (flat or increasing volume antibody testing of tests) 5
Preparedness Responsibilities Testing and Healthcare System Plans Contact Tracing Capacity Protect workers in critical Ability to test industries Syndromic/ILI- Ability to quickly & Protect those living and working indicated person for in high-risk facilities independently supply Ability to quickly set up COVID Protect employees and users of sufficient PPE and mass transit safe/efficient critical medical Sentinel Surveillance Advise residents regarding screening & testing equipment to handle Sites; sites at locations protocols for social distancing sites for symptomatic and face covering dramatic surge in need serving most at-risk individuals Monitor conditions and Ability to surge ICU Contact Tracing for all immediately take steps to limit and mitigate rebound or capacity COVID+ results outbreaks by restarting a phase or returning to an earlier phase, depending on severity 6
Business Reopening Phases Assessing Risk for Organizations and Specific Settings • Provides high-level risk assessments for 7 categories – “Nonessential Businesses” • Schools and Childcare Facilities • Outdoor Spaces • Community Gathering Spaces • • Transportation Mass Gatherings • • Interpersonal Gatherings 7
Business Reopening Phases Assessing Risk for Organizations and Specific Settings • Each category assessed along 3 dimensions – Contact Intensity • Number of Contacts • Modifiable Activities • 8
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