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Reporting LAHAN Alerts

Coronavirus Disease 2019

Provider and Laboratory Reporting
Guidelines for COVID-19


Reporting Guidelines

Healthcare provider reporting is an essential part of the public health response to COVID-19. Not only is reporting COVID-19 cases and deaths required by law, it helps shape our response as the information is used to detect outbreaks, identify exposures in high risk settings, and inform the allocation of local resources. Timely and complete reporting of fatalities is necessary to characterize and communicate who is at highest risk of dying at home and in the hospital.

We sincerely appreciate your assistance.

Reporting Summary

If the patient’s residence is outside Los Angeles County, please do not send a report to LAC DPH. Please see Other Health Jurisdictions reporting information below

PROVIDER REPORTING

Healthcare providers must report all laboratory confirmed COVID-19 cases and COVID-19 associated deaths.

Note that LAC DPH accepts reports of COVID-19, as well as many other diseases, by secure email (see list of conditions reportable by providers 4-02-20.

Reporting COVID-19 Associated Deaths

Healthcare providers are asked to report all fatalities related to COVID-19, including out of hospital deaths of presumed cases.

Providers are required to report deaths in any person:

  1. Who tested positive for COVID-19 within 90 days prior to death; OR
  2. Clinically suspected of having died from COVID-19 (either directly attributable to COVID-19 or a secondary complication of COVID-19) regardless of prior testing results; OR
  3. Who was a resident of a congregate living facility with an ongoing COVID-19 outbreak, regardless of testing*

* Suspected cases are not counted towards a facility’s COVID-19 death count until investigated and determined to be a COVID-19 associated death.

COVID-19 associated deaths must be reported by healthcare providers within 24 hours by:

If COVID-19 testing was performed, please send the laboratory result slip along with the death report form.

When completing the COVID-19 Death Report Form, please make sure to complete all the sections including if the next of kin has been notified of the person's death and COVID status. It becomes the provider’s responsibility to ensure that the next of kin knows that the deceased patient had COVID-19 and that they should advise the patient's close contacts follow LAC DPH’s instructions on home quarantine. Please refer to the LAHAN dated on April 7, Notification of Close Contacts; Importance of COVID-19 Death and Case Reporting.

Note that If COVID-19 played a role in a patient’s death, it is important to report it accurately on the death certificate per CDPH Guidance (3-6-20).

Reporting Laboratory Confirmed COVID-19 Cases
Medical Provider LAC DPH COVID-19 Report form

All laboratory confirmed COVID-19 cases (non-deaths) must be reported by healthcare providers within one day.

Complete all sections of the Medical Provider COVID-19 Report form and submit by:

Update: On 9-5-20 the Medical Provider COVID-19 Report Form was updated. Major changes to the form include the addition of sexual orientation/gender identity, the type of COVID-19 test performed, and influenza testing questions. In addition, the form was simplified.

*The mandated daily reporting of hospitalized inpatient COVID-19 positive cases replaces the requirement for submitting the Medical Provider Report Form. (see Hospital Reporting).

Notifying next of kin

Note: providers are responsible for instructing COVID-19 positive patients to notify close contacts of their positive status at the time of diagnosis. However, if a patient is unable to do this notification (e.g. the patient is severely ill/intubated) it becomes the provider’s responsibility to notify the next of kin of the COVID-19 status to ensure close contacts follow LAC DPH’s instructions on home quarantine. See section When The Presumed Or Confirmed Case Cannot Inform Their Close Contacts, LAC DPH Isolation and Quarantine Guidance.

Multisystem Inflammatory Syndrome in Children (MIS-C)

Report cases that meet the CDC definition of Multisystem Inflammatory Syndrome in Children (MIS-C) by phone within 1 working day. 

  • Los Angeles County DPH Acute Communicable Disease Control: Call 888-397-3993 or 213-240-7821
  • Long Beach Health and Human Services: Call 562-570-4302.
  • Pasadena Public Health Department: Call 626-744-6089. Fax to 310-605-4274
See the LAC DPH MIS-C webpage for more information about MIS-C.
Hospital Inpatient Daily Reporting

All acute care hospitals, including general and long-term acute care hospitals, in Los Angeles County are required to provide a daily line list of COVID-19 positive hospitalized patients. No Emergency Department, Observation, or Outpatients should be included in this daily file.

This daily line list of hospitalized COVID-19 inpatients replaces the requirement of submitting a COVID-19 Medical Provider Report Form for each inpatient.

See Daily Reporting of Hospitalized COVID-19 Positive Inpatients: Updated Data Submission Requirements and Guide for Acute Care Facilities in LA County (9-14-20) for an overview of requirements plus detailed instructions regarding report/file preparation and design, submission, and FAQs.

LABORATORY REPORTING

The list of reportable conditions that laboratories must report was revised on 5-11-20. All Coronavirus 2019 (SARS-CoV-2) NAAT and antigen test results (positive and negative) must be reported electronically within one working day.

Laboratories should report only the results from serologic tests that have an FDA Emergency Use Authorization (EUA).

Laboratories that test LAC residents (regardless of the physical location of the laboratory) must register with the California Department of Public health (CDPH) for electronic laboratory reporting (ELR). Information about how to establish an electronic connection with CDPH to route positive and negative COVID results to LACDPH can be found at the CDPH Health Information Exchange Gateway.

Until labs are set up with ELR, for each person tested, laboratories are required to do the following daily:

  • Fax positive lab result forms to (888) 397-3778. Once faxed reports are verified, negative and indeterminate test results can be batched and emailed to COVID19@ph.lacounty.gov using encryption and password-protection.
  • The lab results must include key reporting data elements which are outlined in the California Code of Regulations, Title 17, Section 2505, plus race/ethnicity.”
OTHER HEALTH JURISDICTIONS

Cases and deaths must be reported to the jurisdiction where the patient resides.

Long Beach Health and Human Services: Pasadena Public Health Department:
  • To report a case of COVID-19, fill out the Pasadena COVID-19 Report Form and fax to 626-744-6115, and call 626-744-6089 weekdays 8am-5pm, or after hours call 626-744-6043.

For other health jurisdictions not listed here:

  • For contact information for other jurisdictions, please view the Health Care Providers/Labs reporting contact list maintained by the California Public Health Department (CPDH).


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