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Coronavirus Disease 2019

Information for
Health Facilities

California Remdesivir Allocation, Distribution and Guidance Documents

Remdesivir (Veklury) was approved by the FDA to treat COVID-19 in hospitalized patients aged 12 years and older who weigh at least 40 kg. It is the first treatment to be FDA-approved for COVID-19. Previously, the drug was available under an emergency use authorization.

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 (see “Other” to find the section that contains Remdesivir resources).

  • 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
  • Interfacility Transfer and Home Discharge Rules (9-18-20) Rules Patient transfer criteria from hospitals to SNFs, congregate residential/care facilities (including psychiatric and mental health facilities), and home. Also includes guidance on SNF transfers to other SNFs or congregate facilities.
  • Dedicated COVID-19 Facilities: Listing
  • 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.
Healthcare Personnel Monitoring
  • 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.
COVID-19 Deaths
  • 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: View Reporting Deaths for more information
Requirement to report COVID-19 to Emergency Responders and Funeral Employees
Key points
  • If an emergency response employee (ERE) has been exposed, the medical facility must provide the name of the infectious disease and the date on which the victim of the emergency was transported by the ERE to the facility.
  • If a patient with COVID-19 dies, the medical facility must notify the funeral director prior to the release of the deceased.
  • These notifications do not violate HIPPA

The National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention have recently added COVID-19, the disease caused by the virus SARS-CoV-2 to the list of infectious diseases and circumstances relevant to notification of Emergency Response Employees (Implementation of Section 2695 (42 U.S.C. 300ff-131) Public Law 111-87: Infectious Diseases and Circumstances Relevant to Notification Requirements). Please note that under Section 2695, if an emergency response employee (ERE) has been exposed, the medical facility must provide the name of the infectious disease and the date on which the victim of the emergency was transported by the ERE to the facility. This does not violate the Health Insurance Portability and Accountability Act (HIPPA).

Emergency response employees (ERE) are defined as: firefighters, law enforcement officers, paramedics, emergency medical technicians, funeral service practitioners and other individuals (including employees of legally organized and recognized volunteer organizations, without regard to whether such employees receive nominal compensation) who, in the course of professional duties, respond to emergencies in the geographic area involved.

The full guidance document can be found here.

In addition, health facilities are reminded that if a patient with COVID-19 dies, they must notify the funeral director PRIOR to the release of the deceased.
California Code, Health and Safety Code - HSC § 1797.188
(h) In the event of the demise of the person afflicted with the reportable communicable disease or condition, the health facility or county health officer shall notify the funeral director, charged with removing the decedent from the health facility, of the reportable communicable disease or condition prior to the release of the decedent from the health facility to the funeral director.

Hemodialysis Centers
  • LAC DPH Hemodialysis Guidelines (4-27-20) Guidelines
  • CDC Interim Additional Guidance for Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed COVID-19 in Outpatient Hemodialysis Facilities. Guidance
  • CDC Screening dialysis patients for COVID-19 Guidance
Surge and Recovery Planning
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)
  • 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
DPH Webinars
Page Updated 5-20-2020

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