The FDA granted an EUA on May 1 allowing remdesivir to be administered by healthcare providers to treat suspected or laboratory-confirmed COVID-19 in adults and children hospitalized with severe disease. The US Department of Health and Human Services (HHS) is allocating remdesivir to state health departments to distribute. The California Department of Public Health (CDPH) is allocating doses proportionately to counties based on the number of hospitalized patients The CDPH current remdesivir allocations and related information can be found on the CDPH COVID-19 Guidance Documents webpage (search “Remdesivir” to find the section).

• CDPH Guidance for Hospitals Regarding Allocation of Scarce Medications for COVID-19 (5-11-20) Guidance
• Remdesivir information for Patients and Parents/Caregivers (6/5/20) FAQs [for other languages see CDPH Remdesivir section on webpage].
• CDPH Remdesivir Distribution Fact Sheet (6-30-20) Fact Sheet
• HHS announces shipments of donated remdesivir for hospitalized patients with COVID-19 (5-9-20) Press Release

• Interfacility Transfer and Home Discharge Rules (8-1-20) Rules Patient transfer criteria from hospitals to LTCF/SNFs, group settings (including psychiatric and mental health facilities), and home. Also includes guidance on LTCF/SNF transfers to other LTCF/SNFs or Group Settings.
• Dedicated COVID-19 Facilities: Listing
• Return-to-Facility & Home Discharge Rules for patients in the Emergency Department (5-8-20) Rules
• Isolation and Quarantine Housing is available for patients who have or who were exposed to COVID-19. The patient must be able to perform Activities of Daily Living (ADLs) independently. The Quarantine and Isolation Intake Call Center is open 7 days a week from 8am-8pm: 833-596-1009 Due to the health screening required to assess eligibility, the healthcare provider must make this referral for the patient. Self-referrals are not accepted..

Guidance and Resources

LAC DPH

• Preventing and Managing COVID-19 in SNFs: Guidance (8-4-20) FAQs (8-5-20)
• Health Officer Order-Prevention of COVID-19 Transmission in Licensed Congregate Health Care Facilities: Order (4-24-20), FAQ (5-20-20)
• SNFs with Specific Units, Floors, or Buildings Dedicated to COVID-19 Patients: Baseline Requirements (5-28-20), Listing of SNFs (Updated Often)

CDC

• Responding to COVID-19 in Nursing Homes: CDC Guidelines
• Testing for COVID-19 in Nursing Homes: CDC Considerations

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Transfer and Discharge Rules

Interfacility Transfer & Home Discharge Rules: (8-1-20) Rules Page Patient transfer criteria from hospitals to LTCF/SNFs, group settings (including psychiatric and mental health facilities), and home. Also includes guidance on LTCF/SNF transfers to other LTCF/SNFs or group settings.

Emergency Departments Return-to-Facility & Home Discharge Rules (5-8-20) Rules PDF

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Data

NHSN COVID-19 Nursing Home Data for LA County: includes data reported by nursing homes to the CDC’s National Healthcare Safety Network (NHSN) system COVID-19 Long Term Care Facility Module, including Resident & Staff case and death counts and Supplies & Personal Protective Equipment inventory. SNF Dashboard

• Monitoring Healthcare Personnel DPH Guidance (Rev. 7-24-20) : Includes recommendations for universal source control, continued daily monitoring of all healthcare personnel (HCP), management of high risk exposures, and testing of HCP.

All COVID-19 associated deaths must be reported immediately by healthcare providers. All other COVID-19 cases must be reported by healthcare providers within a day. All SARS-CoV-2 test results must also be reported by laboratories within a day. View Provider Reporting for more information.

• Los Angeles County Decedent Management Guidelines (4-7-20) LAC Guidance for hospitals: Regarding decedent care for positive and presumptive COVID-19 cases. From Los Angeles County's Department of Medical Examiner-Coroner, Department of Public Health, and Emergency Medical Services Agency.
• Certifying COVID-19 Related Deaths in California (3-6-20) CDPH Guidance: When COVID-19 has played a role in a patient’s death, it is important to report it accurately on the death certificate.
• Reporting Deaths in Los Angeles County: COVID-19 associated deaths must be reported by healthcare providers immediately by phone or email. View Reporting Deaths for more information

Surge Planning

• Decompression Planning Letter to Hospitals: (6-26-20) Health Officer Letter
• Guidance for Surge Capacity: California Department of Public Health (CDPH) is encouraging facilities to consider increasing surge capacity for the evaluation of patients for suspected COVID-19 illness. See CDPH All Facilities Letters (AFL): Guidance for Healthcare Facilities on Preparing for Coronavirus and Increased Patient Accommodations Including Medical Surge Tent Use.
• Adult Elective Surgery and Procedures During COVID-19: Recommendations to limit non-essential procedures including a tiered chart of procedures to cancel from Centers for Medicare & Medicaid Services (CMS) (4-7-20).
• Non-Emergent, Elective Medical Services, and Treatment During COVID-19: Recommendations from CMS (4-7-20)

Recovery Planning

• Resuming California’s Deferred and Preventive Health Care (CDPH) Guidance (4-27-20)
• Resuming Deferred and Preventive Dental Care (CDPH) Guidance (5-7-20)
• Resuming Deferred and Preventive Health Care in Los Angeles County (LAC DPH) Recommendations and FAQs (5-8-20)
• Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic (CDC) Guidance (5-12-20) New!
• OPENING UP AMERICA AGAIN - Recommendations for Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare (CMS) Phase I Guidance (4-19-20)
• Best Practices for Reopening a Medical Practice (California Medical Association) Best Practices (4-28-20)
• Healthcare Facilities: Managing Operations During the COVID-19 Pandemic (CDC) Guidance

• COVID-19 PPE Poster: Includes information on proper donning and doffing. English Spanish (updated 3-12-20)
• LTCF poster – restricting visitors: explains that visitors are not permitted in long term care facilities except for compassionate care. Lists rules for the visitors that are allowed. English
• Facility poster - symptomatic visitors: instructs visitors with respiratory symptoms to postpone their visit. English Spanish
• Facility poster - symptomatic visitors and patients: instructs visitors with respiratory symptoms to postpone their visit and patients with symptoms to wear a mask. English Spanish (for other languages visit the print materials page)
• Facility entrance poster - symptomatic patients: instructs patients with fever and respiratory symptoms to tell staff and request a mask. English  Spanish (updated 4-8-20) (for other languages visit the print materials page)