STAY HEALTHY | RETURN SMARTER | RETURN STRONGER THANK YOU STAY - PowerPoint PPT Presentation

STAY HEALTHY | RETURN SMARTER | RETURN STRONGER

THANK YOU STAY HEALTHY | RETURN SMARTER | RETURN STRONGER

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. CALM & STEADY URGENT ACTION 
 TO PROTECT PUBLIC HEALTH APPROACH LATER TIMING AND LIGHTER TOUCH IN PLACING RESTRICTIONS ON THE ECONOMY EMPHASIS ON MAKING 
 DATA-INFORMED DECISIONS

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. WHITE HOUSE PROPOSES STATE OR REGIONAL GATING CRITERIA FLEXIBILITY FOR STATES TO TAILOR APPLICATION OF THESE CRITERIA TO LOCAL CIRCUMSTANCES SYMPTOMS CASES HOSPITALS Downward trajectory of Downward trajectory of Treat all patients without crisis influenza-like illnesses (ILI) documented cases within a 14- care. reported within a 14-day day period period AND OR AND Robust testing program in Downward trajectory of place for at-risk healthcare Downward trajectory of positive tests as a percent of workers, including emerging COVID-like syndromic cases total tests within a 14-day antibody testing reported within a 14-day period period

SYMPTOMS → Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period AND Downward trajectory of COVID-like syndromic cases reported within a 14-day period

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. COVID-LIKE-ILLNESS (CLI) SURVEILLANCE 
 INFLUENZA-LIKE-ILLNESS (ILI) SURVEILLANCE Stay Home, Stay Healthy, Stay Connected Order 3/31/2020 7.4% 7.2% 7% 6.8% 6.75% 6.7% 6.6% 6.4% 6.35% 6.2% 6.15% 6% 5.75% 5.55% 5.3% 5.2% 5.1% 4.95% 4.85% 4.8% 4.65% 4.4% 4.15% 3.55% 3.6% 3.55% 3.4% 2.9% 2.8% 2.7% 2.65% 2.65% 2.6% 2.45% 2.4% 2.35% 2.25% 2.25% 2.25% 1.95% 1.9% 1.55% 1.55% 1.5% Dec 29 Jan 05 Jan 12 Jan 19 Jan 26 Feb 02 Feb 09 Feb 16 Feb 23 Mar 01 Mar 08 Mar 15 Mar 22 Mar 29 Apr 05 Apr 12 Apr 19 Apr 26 May 03 May 10 May 17 CLI Average visits ILI Inpatient Visits

CASES → Downward trajectory of documented cases within a 14-day period OR Downward trajectory of positive tests as a percent of total tests within a 14-day period

Illnesses in the last COVID-19 CASES BY DAY 4-7 days may not be Testing Blitz Public Health Emergency reported Announced Declaration Issued yet. 4/27/2020 3/11/2020 Stay Home, Stay 600 Healthy, Stay Connected Order 3/31/2020 Dine-In at 450 Restaurants Closed First Case 3/19/2020 of 300 COVID-19 Schools 1/26/2020 Closed 3/15/2020 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 / / / / / / / / / / / / / / / / / / / / / / / / / / / / / 2 5 8 1 4 7 0 3 6 9 1 4 7 0 3 6 9 2 5 8 1 4 7 0 3 6 9 2 5 / / / 1 1 1 2 2 2 2 / / / 1 1 1 1 2 2 2 / / / 1 1 1 1 2 2 3 3 3 4 4 4 5 5 5 / / / / / / / / / / / / / / / / / / / / 3 3 3 3 3 3 3 4 4 4 4 4 4 4 5 5 5 5 5 5

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. PERCENTAGE OF POSITIVE TESTS PCR Tests Percent Positivity 50000 37500 25000 12500 12.2% 10.7% 10.2% 9.5% 8.6% 6.9% 6.8% 6.6% 6% 5.3% 5.1% 5.1% 2.8% 0% 0% 0% 9 6 3 1 8 5 2 9 5 2 9 6 3 0 7 4 9 6 3 1 8 5 2 9 5 2 9 6 3 0 7 4 1 2 2 0 0 1 2 2 0 1 1 2 0 1 1 2 1 2 2 0 0 1 2 2 0 1 1 2 0 1 1 2 n n n n b b r r r r r r r r r r r r r r r r r r y y y y y y y y a a a a a p p p p a a a a a p p p p a a a a a a a a a a a a e e M M M M M M M M M M A A A A A A A A M M M M M M M M J J J J F F

HOSPITALS → Treat all patients without crisis care.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. HOSPITAL BEDS 100% 75% 50% 25% 12% 12% 11% 11% 11% 11% 11% 11% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 9% 8% 8% 8% 8% 8% 7% 7% 0% 4 6 8 0 2 4 6 8 0 2 4 6 8 0 2 4 6 8 0 2 4 6 8 0 2 4 6 0 0 0 1 1 1 1 1 2 2 2 2 2 3 1 1 1 1 1 2 2 2 2 y y y y - - a a a a r r r r r r r r r r r r y y y y y y y y y r r p p p p p p p p p p p p p p M M M M a a a a a a a a a A A A A A A A A A A A A A A M M M M M M M M M Inpatient beds available Inpatient beds in use Inpatient beds used for COVID patients (data not reported until 4/10)

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. INTENSIVE CARE UNIT HOSPITAL BEDS 100% 75% 50% 25% 23% 23% 21% 20% 20% 20% 20% 20% 20% 20% 19% 19% 19% 19% 19% 19% 19% 19% 19% 19% 18% 18% 18% 18% 18% 18% 18% 18% 18% 18% 18% 18% 18% 18% 18% 18% 18% 17% 17% 17% 17% 17% 17% 17% 17% 17% 16% 13% 0% 7 9 1 2 4 6 8 0 2 4 6 8 0 2 4 6 8 0 2 4 6 8 0 2 4 6 8 0 2 4 6 2 2 3 1 1 1 1 1 2 2 2 2 2 3 1 1 1 1 1 2 2 2 2 r r r r y y y y p p p p a a a a r r r r r r r r r r r r r r y y y y y y y y y a a a A A A A p p p p p p p p p p p M M M M a a a a a a a a a M M M A A A A A A A A A A A M M M M M M M M M Available ICU beds ICU Beds in Use ICU beds with COVID patients (data not reported until 4/10)

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. VENTILATORS 100% 75% 50% 25% 15% 13% 13% 12% 12% 12% 12% 12% 12% 12% 12% 12% 12% 12% 12% 12% 12% 12% 12% 12% 12% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% 10% 0% 8 0 1 3 5 7 9 1 3 5 7 9 1 3 5 7 9 1 3 5 7 9 1 3 5 7 9 1 3 5 7 2 3 1 1 1 1 1 2 2 2 2 2 1 1 1 1 1 2 2 2 2 r r r r r y y y y y p p p p p a a a a a r r r r r r r r r r r r y y y y y y y y y a a p p p p p p p p p p A A A A A M M M M M a a a a a a a a a M M A A A A A A A A A A M M M M M M M M M Ventilators available Ventilators in use Vent use by COVID patients (data not reported until 4/10)

TESTING → Robust testing program in place for at- risk healthcare workers, including emerging antibody testing and trace contacts of COVID-19 results.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. TESTING BY DAY All labs Diagnostic (PCR) Antibody (Serology) 287,605 202,914 84,691 Testing Blitz Announced 4/27/2020 14000 12,502 11,449 10,318 9,778 9,645 10500 8,799 8,069 8,055 7,828 7,724 7,600 7,489 6,759 6,487 6,481 7000 5,367 5,145 4,686 4,198 3,733 3500 2,308 2,104 1,945 1,436 652 0 6 8 0 2 4 6 8 0 2 4 6 8 0 2 4 6 8 0 2 4 6 1 1 2 2 2 2 2 3 0 0 0 0 1 1 1 1 1 2 2 2 2 r r r r r r r r y y y y y y y y y y y y y p p p p p p p p a a a a a a a a a a a a a A A A A A A A A M M M M M M M M M M M M M

DR. CARA CHRIST ARIZONA DEPARTMENT OF HEALTH SERVICES

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. CONTINUED PRIORITIES AREAS WE CONTINUE TO MONITOR AND ASSIST • Testing residents and staff in all Medicare Certified Skilled Nursing Facilities (SNF). • Testing residents and staff in assisted living facilities. • Serology testing for correctional officers. • Providing Support to the Navajo Nation. • Monitoring increasing numbers in Yuma County.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. ENSURING HOSPITAL CAPACITY ARIZONA SURGE LINE • Over the last few weeks we’ve worked to implement the Arizona Surge Line, which has been identified as a best practice by the Centers for Medicare and Medicaid Services (CMS) • The Surge Line offers free statewide 24/7 call line for hospitals and their providers that optimizes hospital resources by quickly coordinating the transfer, admission, and discharge of patients statewide • Facilitated the transfers of over 400 patients to the appropriate level of care throughout the state

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER. ENSURING HOSPITAL CAPACITY GOVERNOR DUCEY ISSUES NEW EXECUTIVE ORDER • Requires hospitals to utilize statewide centralized bed placement system that facilitates the transfer of suspected or confirmed COVID-19 patients to appropriate levels of care. • Requires hospitals to update bed openings frequently, and requires them to accept patients when clinically appropriate and when their resources allow. • Ensures that patients that are transferred to a hospital/facility by the Arizona Surge Line are considered in-network by their insurance provider, so they do not get charged out of network costs.

MAJOR GENERAL MICHAEL MCGUIRE ARIZONA NATIONAL GUARD ARIZONA DEPARTMENT OF EMERGENCY AND MILITARY AFFAIRS