COVID-19 Outbreak Management Plan TemplateFor priority settings in Tasmania

Delete this page when your plan is completed.

COVID-19 Outbreak Management Plan For [organisation name]

Version

Status Date Revised by Comments

☐ Draft ☐ Endorsed

[Name, job title] List main changes since previous version

How to use this templateDelete this section when your plan is completed.

This template is designed to help businesses and organisations in Tasmania plan for and respond to cases and outbreaks of COVID-19 within their facilities or settings, as part of a coordinated response led by the Department of Health. The template was designed for ‘COVID-19 priority settings’ and is also relevant for other settings. Priority settings are places where, due to the nature of the setting, COVID-19 may spread more rapidly, or management of outbreaks may be more complex. To check if your setting is a COVID-19 priority setting, visit https://www.health.tas.gov.au/publichealth/communicable_diseases_prevention_unit/infectious_diseases/coronavirus/covid-19_case_and_outbreak_management It is important to use this template alongside: 1. The COVID-19 Case and Outbreak Management Framework for Tasmanian

Settings

2. The COVID-19 Safe Workplaces Framework and your organisation’s COVID-19 Safety Plan.

Your Outbreak Management Plan is different to your COVID-19 Safety Plan. Your COVID-19 Safety Plan documents how your organisation complies with the

minimum standards for managing the risks of COVID-19, to keep staff and other people within the setting safe.

Your Outbreak Management Plan (this plan) documents your organisation’s roles and responsibilities in preparing for and responding to a confirmed case(s) of COVID-19 within or associated with your setting (or, for remote communities, the overall strategy for managing outbreaks).

Some of the activities listed in your COVID-19 Safety Plan will be vital for managing outbreaks, so the two plans are linked.

Before you start writing your Outbreak Management Plan, read the COVID-19 Case and Outbreak Management Framework for Tasmanian Settings. This will help you know the roles and responsibilities of those involved in managing outbreaks and what may be expected of your organisation in a coordinated response.Also consider the needs and perspectives of diverse groups within your setting. Do you have people in your setting who are at higher risk of severe illness from COVID-19 or who have additional communication needs, eg whose main language is not English? This Outbreak Management Plan template is a guide only. Please modify this template according to the needs and context of your organisation and adjust the

If there is a case/s of COVID-19 linked to your setting, your organisation will have an important role in preventing the spread of illness. Public Health Services will work closely with you to identify what you need to do to protect other people and resume

style according to your organisation’s style guide. If you have already developed an Outbreak Management Plan, use this template to check that it is complete.This template includes guidance/instructional text that looks like this (red italic font) and example text that looks like this (red font). Delete instructional text as you complete each section of your plan. Change, add to or delete example content as appropriate for your setting. Remember to keep your Outbreak Management Plan current. Review the plan and test arrangements as the situation evolves. We recommend using a version control system and ensuring outdated versions of your plan are removed from circulation.

ContentsHow to use this template 3Context 2

Document Authorisation 2Aim of COVID-19 Case and Outbreak Management 2Objectives of Outbreak Management Plans 2Scope 2Governance 3Related resources 3Key Stakeholders 4Communications 5

Stage 1 – Prevent and Prepare 7Stage 2 – Respond 8Stage 3 – Stand-down 9

Appendices 10Appendix 1: Internal Outbreak Response Team 11Appendix 2: Key Contacts 12Appendix 3: Cleaning and Disinfection Following a Confirmed Case 13Appendix 4: Checklist for Case and Outbreak Preparedness 14Appendix 5: Checklist for Response to a Confirmed Case 16

Suggested Acknowledgement of Country:

We acknowledge Tasmanian Aboriginal people as the traditional owners and ongoing custodians of the land on which we work and live, and pay respect to Elders past and present. For around 40 000 years, Aboriginal people have lived on lutruwita/Tasmania, within strong and resilient communities. We acknowledge and learn from that as we work to strengthen resilience against COVID-19 across Tasmania.

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ContextDocument AuthorisationThis document and subsequent versions are draft until endorsed by [insert title authorising officer within the organisation].

Aim of COVID-19 Case and Outbreak ManagementThe aim of COVID-19 case and outbreak management is to: prevent the spread of COVID-19 within a facility or setting and into the

Tasmanian community minimise the impact of COVID-19 on staff, others within the setting, key

stakeholders and the business/organisation.Objectives of Outbreak Management PlansThe objective of outbreak management planning is to document the activities that an organisation will undertake in preparing for and responding to a single or multiple cases of COVID-19 within that organisation’s setting. Public Health Services will scale the response measures according to the level of risk, effectiveness of response measures and availability of resources, in close collaboration with stakeholders including the business/organisation responsible for the setting. ScopeOutline what is in and out of scope for this document (especially for healthcare settings). For example: some organisations may have multiple sites included within the scope of

this plan outbreak prevention is partly within scope of this plan but should be mostly

covered by your organisation’s COVID-19 Safety Plan a hospital may play a vital role in the clinical management of a confirmed

case, but clinical management of cases is not an outbreak management activity and is out of scope.

In scope of this Plan Out of scope of this PlanManagement of COVID-19 outbreaks at any of the following facilities: [name of facility]

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Governance Outline the governance arrangements for your organisation in responding to COVID-19 outbreaks. Note this should align with other governance and/or emergency management structures/arrangements in place for your organisation, where possible.

Consider: who will be the main contact point for Public Health Services? who will lead the organisation’s response and be the ultimate decision-

maker within the organisation? who will coordinate the organisation’s response? what committees/forums are in place to support the organisation’s

response? who will participate on an internal outbreak response team, to undertake

activities ‘on the ground’ in the setting to help contain the virus? who will represent the organisation on the outbreak management

coordination team likely to be established by Public Health Services?

Related resourcesList legislation, emergency plans and documents that are specific to this setting/sector/organisation and relate to this Plan.

COVID-19 Safety Plan for [your organisation]

Other related documents listed in the COVID-19 Outbreak Management Framework for Tasmanian Settings.

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Key StakeholdersKey stakeholders include those that attend the facility/setting (routinely or occasionally), those who will need to know what is happening and those that have a role in outbreak management in your setting.

List the key stakeholders for your facility/setting and their outbreak management role relevant to your Outbreak Management Plan (if any). Change or add groups and details in the table below as needed.

Key stakeholder Role for outbreak managementStaff (includes employees, consultants, students and volunteers)

Residents

Families and friends

Visitors

Contractors and delivery personnel (eg cleaners, electricians)

Public Health Services Notifies our organisation when a confirmed case is associated with the facility.

Leads the COVID-19 outbreak management response. Advises our organisation on actions we need to take to protect others and

stop the spread of illness, including infection prevention and control measures.

Leads contact tracing (identifying persons in close contact with the confirmed case during their infectious period).

Activates and leads the outbreak management coordination team. Determines when the outbreak is over.

Worksafe Tasmania Advises safe work practices, including the potential need to close the facility from a workplace safety perspective.

GPs/allied health practitioners providing services to people within the setting

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CommunicationsFor consistency and accuracy of messages, and as part of the coordinated response, communications activities will be coordinated through Public Health Services in close liaison with the outbreak management coordination team. List the key stakeholders that you will communicate with as part of your response to COVID-19 infections. Change or add groups and details in the table below as needed or refer to a more detailed communication plan (as an appendix or separate document). Include what information you will provide, and how, and the contact information – or where to find contact information – for each stakeholder.

Key stakeholder What they need to know How we’ll communicate

Contact information

Staff (includes employees, consultants, students and volunteers)

Level of risk, number and location of cases linked to an outbreak

The importance of hand hygiene, respiratory etiquette and physical distancing measures

Changes to policies and procedures; outbreak control measures being implemented, including changed arrangements for accessing the setting

Membership of the internal outbreak response team Arrangements for accessing leave for quarantine and

isolation Expectations about not attending work if sick Changes to staffing/rostering arrangements Arrangements to support staff health and wellbeing

Meetings Staff newsletter Text messages Staff Intranet Signage

ResidentsFamilies and friendsVisitorsContractors and

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delivery personnel (e.g. cleaners, electricians)Public Health Services

Outbreak management risks specific to the setting. Names and contact details of potential contacts of the

confirmed case.

Email Telephone Meetings

Worksafe Tasmania

Cases in staff where incident notification is required under Work Health and Safety Regulations 2012 – Reg 699

Phone Incident notification to 1300 366 322

GPs/allied health practitioners providing services to people within the setting

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Stage 1 – Prevent and PrepareIn the table below, list the prevention and preparedness activities that are relevant to your sector/organisation. An example is provided. For guidance on activities to include see:

COVID-19 Case and Outbreak Management Framework in Tasmanian settings Appendix 4 Outbreak Management Preparedness Checklist COVID-19 Case and Outbreak Management – Key Activities for Settings.

Larger settings/organisations may prefer to remove the table and list headings instead. If you need/want to include more detail for any activity, consider moving that activity to an appendix.

If all the prevention and preparedness activities your organisation needs to undertake are detailed in your COVID-19 Safety Plan, it is acceptable to refer to that plan rather than duplicating the content.

What do you need to do?

How will you do this? Who will do it?

When will it happen?

What supplies or resources are needed?

Other considerations

Record and collate data for contact tracing purposes

Record: Resident’s room number on site plan Resident’s attendance at communal

activities Visitor attendance and a contact

phone number in visitor logbook Staff location (from roster and

meeting invites) Staff movement (from electronic

access system).Keep all records for at least 30 days. Collate all records and ensure all members of the Outbreak Response

<Name or job title> to coordinate.

01/09/20 for resident’s room number. At all times for other records.Records to be collated and checked for accuracy on a fortnightly basis.

Administrative support to collate information.

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What do you need to do?

How will you do this? Who will do it?

When will it happen?

What supplies or resources are needed?

Other considerations

Team can access the information.

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Stage 2 – RespondThe response stage is triggered by the identification of one or more cases of COVID-19 within or linked to the setting. The goal is to contain the virus as quickly as possible while providing appropriate care and support to confirmed cases. In the table below, list the response activities that are relevant to your sector/organisation. An example is provided. For guidance on activities to include see:

COVID-19 Case and Outbreak Management Framework in Tasmanian settings Appendix 5 Response to a Confirmed Case – Checklist COVID-19 Case and Outbreak Management – Key Activities for Settings.

Consider activities and consequences that are specific to your sector/organisation and actions needed if outside normal hours or where many or key staff are absent.

Larger settings/organisations may prefer to remove the table and list headings instead. If you need/want to include more detail for any activity, consider moving that activity to an appendix.

Remember, Public Health Services and the outbreak management coordination team will help guide your response. For example, for consistency and accuracy of messages, and as part of the coordinated response, communications activities will be coordinated through Public Health Services or the outbreak management coordination team.

What do you need to do?

How will you do this? Who will do it?

When will it happen?

What supplies or resources are needed?

Other considerations

Activate the outbreak response team

By email and phone <Name or job title>

Immediately on becoming aware of a confirmed case

None If afterhours, contact all team members by mobile phone

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What do you need to do?

How will you do this? Who will do it?

When will it happen?

What supplies or resources are needed?

Other considerations

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Stage 3 – Stand-downThe stand-down stage is triggered when Public Health Services confirms the outbreak is over, usually 14 days after isolation of the last case. After standing down, Stage I activities will resume for prevention and preparedness of further outbreaks.An important activity during the stand-down phase is to evaluate the response and update this plan.In the table below, list the stand-down activities that are relevant to your sector/organisation. An example is provided. For guidance on activities to include see:

COVID-19 Case and Outbreak Management Framework in Tasmanian settings COVID-19 Case and Outbreak Management – Key Activities for Settings.

What do you need to do?

How will you do this? Who will do it?

When will it happen?

What supplies or resources are needed?

Other considerations

Evaluate the response

By a formal debrief, with reference to key progress reports developed during the response

Outbreak response team

Within one month of the end of the outbreak

Funding for a facilitator, if deemed necessary

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Appendices The following templates are included in the appendices:1. Internal outbreak response team2. Key contacts3. Procedure for cleaning following a confirmed case4. Outbreak preparedness checklist5. Response to a confirmed case – checklist.Add other appendices to support your organisation in outbreak management, for example:

template letter to stakeholders (eg to families of residents, GPs) to inform them of the outbreak or closure of facility.

procedures or checklists of actions for likely scenarios.

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Appendix 1: Internal Outbreak Response TeamCustomise the table below to suit your organisation and facility/site. Some roles may be performed by the same person; some roles may need two or more people, especially if your organisation provides 24/7 services. All roles/functions should be undertaken by people within your own organisation, with expertise and guidance sought from external stakeholders as needed.

Role/function

Person Responsibilities

Case/Outbreak response coordination

Generally undertaken by a person with authority to coordinate the response within the setting.

Lead the Internal Outbreak Response Team. Coordinate activities required within the

setting to contain the outbreak. Join the multi-agency Outbreak Management

Coordination Team. Liaise with key stakeholders. Identify risks specific to the outbreak.

Infection prevention and control coordination

Liaise with the Outbreak Management Coordination Team about infection prevention and control measures.

Ensure adequate supplies of PPE and cleaning products.

Ensure staff are trained in infection prevention and control precautions.

Ensure cleaning staff are kept informed about enhanced cleaning and infection prevention and control measures.

Oversee cleaning activities; hire additional cleaners as required.

Identify places to isolate or quarantine cases/contacts while they are onsite.

Information management

Collect and collate data to help control the outbreak (eg number of people in the setting, number of symptomatic people, test results).

Provide daily reports for the Outbreak Management Coordination Team and other key stakeholders as requested.

Communications

Liaise closely with Public Health Services/the Outbreak Management Coordination Team about: internal communications stakeholder communications media and public communications.

IT support Set up and organise equipment (eg computers, mobile devices, network access).

Resolve information technology issues.

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Administration support

Organise Internal Outbreak Response Team meetings.

Record and distribute minutes of meetings. Monitor and maintain resources, eg hand

sanitiser, disposable tissues and stationery. Display outbreak signage.

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Appendix 2: Key ContactsUse this table to list the organisation’s key stakeholders to communicate with during an outbreak.

Organisation Name and Position

Contact phone

Contact email

Public Health Services

1800 671 738

WorkSafe Tasmania

1300 366 322

Unions

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Appendix 3: Cleaning and Disinfection Following a Confirmed Case BackgroundCOVID-19 is spread through respiratory droplets produced when an infected person coughs or sneezes. A person can acquire COVID-19 inhaling these droplets or, less commonly, by touching a surface or object that has the virus on it and then touching their own mouth, nose or eyes. Following a confirmed case of COVID-19, thorough cleaning and disinfection of contaminated areas is needed as per our COVID-19 Safety Plan to remove the virus from environmental surfacesThere is no automatic need to close the entire facility/setting while cleaning and disinfection is underway, particularly if the confirmed case only visited parts of the facility/setting. Suspension of normal operations will depend on factors such as the size of the facility, nature of the work, number of people and potential areas of contamination. Public Health Services and WorkSafe Tasmania will provide advice about cleaning and disinfection following a confirmed case of COVID-19. Cleaning and disinfection for health and residential care settings (delete this section if not relevant to your organisation)

For instructions for terminal cleaning in health and residential care settings, refer to Environmental cleaning and disinfection principles for COVID-19 (Australian Government Department of Health). Cleaning and disinfection for other settings (delete this section if not relevant to your organisation)

For instructions for cleaning and disinfection generally, refer to COVID-19 Information for workplaces – cleaning (Safe Work Australia) and Information about routine environmental cleaning and disinfection in the community (Australian Government Department of Health). Cleaning and disinfection for non-health care settings follows the same principles as routine cleaning and disinfection, except: cleaning staff should wear disposable gloves, a long-sleeved gown and a

surgical mask plus eye protection or a face shield while cleaning and disinfecting

cleaners should be trained in putting on and removing personal protective equipment (PPE)

areas may need to be prepared to ensure proper cleaning and disinfection (eg removing personal effects)

soft or porous surfaces may need attention (eg steam-cleaning or laundering of fabrics).

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ProcedureDetail the key steps in arranging, or conducting, terminal cleaning for your facility/setting.

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Appendix 4: Checklist for Case and Outbreak Preparedness

Planning

☐ Develop an Outbreak Management Plan (the Plan).

☐ Ensure all staff are aware of the Plan, including their roles and responsibilities.

☐ Name in the Plan an outbreak coordinator and/or outline the composition of the internal outbreak response team.

☐ Develop a system to ensure this Plan remains up to date, including version control and removing old versions from circulation.

Education and training

☐ Train staff in infection prevention and control, according to their likely roles and responsibilities during an outbreak affecting your setting.

☐ Train staff in tasks to help maintain essential services during an outbreak.

☐ (For residential facilities) Provide residents and their families with information about COVID-19 prevention and what to expect if an outbreak occurs.

Surveillance

☐ Review systems to ensure you can rapidly identify possible COVID-19 infections in staff, residents, and visitors (eg entry screening).

☐ Ensure staff know who to inform of possible COVID-19 infections within the facility.

Information and records

☐ Identify records that can be used to support rapid contact tracing (eg rosters, electronic access systems, visitor log) or establish new records as needed.

☐ Have a site plan and other facility information (eg size, layout, staff and resident numbers) ready to provide to Public Health Services to support their risk assessment early in the response.

Case and contact management

☐ Develop a plan to isolate confirmed cases if they are onsite (eg residents). Include how you will support the person during their isolation (eg facilitate access to healthcare and testing, provide food, cleaning and laundry services, maintain connectivity with family and

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friends).

☐ Develop a plan to quarantine close contacts of a confirmed case if they are onsite (eg residents). Include how you will support the person during their quarantine (eg facilitate access to healthcare and testing, provide food, cleaning and laundry services, maintain connectivity with family and friends).

Infection prevention and control

☐ Implement your COVID-19 Safety Plan.

☐ Plan how you will clean areas that the confirmed case used (eg desk, common areas) and how you will restrict access to those areas until cleaning is complete.

☐ Plan how you will increase monitoring for respiratory illness and facilitate access to testing in the event of a COVID-19 outbreak.

☐ Plan how you will limit the number of people onsite during an outbreak to reduce the risk of transmission within the facility and externally.

☐ Plan how you will limit movement of people within the facility during an outbreak (eg restrict movement across different areas, limit communal activities).

☐ Check you have adequate stock of PPE, hand hygiene and cleaning supplies, and outbreak signage, or a plan for rapidly accessing those supplies.

Staffing

☐ Develop a staffing contingency plan in case staff become sick or are identified as close contacts with a confirmed case and need to quarantine for 14 days. Use your own estimate of absenteeism or use 20-30%.

Communication

☐ Maintain a contact list for key stakeholders.

☐ Regularly update contact information for staff, residents, visitors, families and other key stakeholders.

☐ Develop a plan detailing the communication activities to undertake in the event of an outbreak. Remember it is important to coordinate communications activities with Public Health Services and the outbreak management coordination team.

☐ Plan how you will manage a high volume of enquiries from stakeholders and the media in the event of an outbreak.

☐ Develop templates for key communications (eg letters to families of

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residents, telephone scripts).

Business continuity

☐ Ensure business continuity planning to support continuation of essential services/priority activities during an outbreak.

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Appendix 5: Checklist for Response to a Confirmed CasePlease take these steps, in order, when informed of a case of COVID-19 within your setting.

☐ If the confirmed case is a resident, immediately isolate them from others, if safe to do so.

☐ If the confirmed case is not a resident (eg staff), they should leave the facility immediately and isolate at home.

☐ Determine who is the outbreak coordinator to lead your response and be the key liaison with Public Health Services (PHS).

☐ Provide to PHS a list of potential contacts and their contact information.

☐ Provide information to PHS, including: facility description (location, business activities, number of

staff/residents) site plan a copy of your COVID-19 Safety Plan and Outbreak Management Plan

(‘the Plan’).

☐ Convene your internal outbreak response team as outlined in the Plan and arrange to meet regularly.

☐ In consultation with PHS, implement enhanced infection control activities outlined in the Plan (e.g. cleaning, restricted access and movement, monitoring for respiratory illness).

☐ If the confirmed case is a resident, provide support and essential supplies as required. This includes arranging for urgent medical attention if needed.

☐ In consultation with PHS, release an initial communication to inform staff, residents, families and other key stakeholders of the situation. Be mindful of your privacy obligations.

☐ Implement measures to continue to provide essential services (eg residency, healthcare).

☐ If a resident is identified as close contact of the case, quarantine them and provide support as needed, referring to your Plan.

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☐ Join the multi-agency outbreak management coordination team.

Public Health Services and the outbreak management coordination team may advise of extra activities required to control the outbreak/spread of the virus.

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