wsha covid-19 member call with state leaders · washington state covid-19 health system response...
TRANSCRIPT
WSHA COVID-19 Member Call with State Leaders
April 20, 2020
Agenda
▪ Admiral Bono: Update and current focus
▪ State Health Officer Dr. Kathy Lofy: Testing
▪ Reed Schuler: PPE acquisition and distribution
▪ WSHA issues: ▪ Long-term care▪ Request for modification of non-urgent procedures order▪ PPE purchase – how to access
Washington State COVID-19 Health System Response Management
Vice Admiral (ret.) Raquel Bono, MD
April 20, 2020
Health System Response Management: Priorities
1. Protect our frontline healthcare workers
2. Optimize all of Washington’s health resources
3. Keep our Washingtonians safe
Health System Response Management: Team
Today’s Topics
• WA Health Dashboard
• PPE Update
• Long Term Care
• Elective Surgeries
• Fall Surge Planning
COVID-19 Confirmed Cases by County
Source: Washington State DOH
From March 16-to-date as of 4.17.2020 9pm
Inventory
Category
Total
PPE Items
on Purchase Order
Total
$ Price
of Purchase Orders
Purchased but
Awaiting Delivery
to DES
Received
Procurement Received SNS
Received
Donation
Total Received
(procured +
donation + SNS)
Total Pending
Distribution
Total
Distributed
Inventory in
warehouse
BioHazard Waste Bags 29,950 14,383$ 4,800 25,150 - - 25,150 13,700 10,550 900
Cleaning Spray 916 11,200$ 916 - - 898 898 - 898 -
Comfort Strips - -$ - - - - - - - -
Coveralls 113,189 1,332,329$ 39,427 73,762 60 1,000 74,822 11,625 16,003 47,194
Face Shield 2,093,640 5,960,833$ 1,956,950 136,690 94,464 - 231,154 11,284 217,788 2,082
Gloves 106,856,900 5,787,437$ 101,597,850 5,259,050 517,990 78,948 5,855,988 943,300 4,038,390 874,298
Goggles 155,125 698,955$ 145,292 9,833 - 63,376 73,209 4,335 51,505 17,369
Gowns 13,809,780 62,852,431$ 13,582,745 227,035 84,102 20,750 331,887 39,469 286,738 5,680
Hand Sanitizer 196,811 3,147,470$ 169,085 27,726 - 2,166 29,892 7,006 17,814 5,072
Hand Soap 400 6,032$ - 403 - - 403 - 403 -
Hospital Beds - -$ - 277 - - 277 183 - 94
Medical Caps - -$ - - - 750 750 26 724 -
PAPR 250 804,158$ 250 - - - - - - -
Polymershapes 48 5,475$ 11 37 - - 37 - 3 34
Pro Suit - -$ - - 126 - 126 1 125 -
Protection Glasses - -$ - - - 12,900 12,900 400 2,000 10,500
Respirator Masks (N95 or KN95) 69,621,910 180,971,578$ 68,895,870 726,040 798,700 278,087 1,802,827 249,841 1,428,873 124,113
Sanitizing Wipes 6,040 10,950$ 13 6,027 - 3,144 9,171 348 8,817 6
Stethoscope 5,000 26,520$ 10 4,990 - - 4,990 - 4,986 4
Surgical Masks 65,319,550 41,509,581$ 62,703,870 2,615,680 579,950 268,620 3,464,250 1,314,750 2,123,030 26,470
Thermomoters 20,000 626,294$ 8,000 12,000 - 118 12,118 - 718 11,400
Ventilators 752 17,360,629$ 752 - 500 - 500 - 500 * -
Total 258,230,261 321,126,254$ 249,105,841 9,124,700 2,075,892 730,757 11,931,349 2,596,268 8,209,865 1,125,216
1,020,720
Notes
* 400 of the distributed Ventilators from SNS are being recollected to be returned to SNS
* From March 16th-to-date to 4.17.2020 9pm
* item quantities are by piece
Acquisitions Distributions
Inventory
Category
Total
PPE Items
on Purchase Order
Total
$ Price
of Purchase Orders
Purchased but
Awaiting Delivery to
DES
Received
Procurment Received SNS
Received
Donation
Total Received
(procured +
donation + SNS)
Total Pending
Distribution
Total
Distributed
Inventory in
warehouse
Other PPE 2,622,121 30,005,227$ 2,325,506 296,895 95,150 84,352 476,397 48,908 332,834 94,655
Respirator Masks (N95 or
KN95)69,621,910 180,971,578$ 68,895,870 726,040 798,700 278,087 1,802,827 249,841 1,428,873 124,113
Gloves 106,856,900 5,787,437$ 101,597,850 5,259,050 517,990 78,948 5,855,988 943,300 4,038,390 874,298
Gowns 13,809,780 62,852,431$ 13,582,745 227,035 84,102 20,750 331,887 39,469 286,738 5,680
Surgical Masks 65,319,550 41,509,581$ 62,703,870 2,615,680 579,950 268,620 3,464,250 1,314,750 2,123,030 26,470
total 258,230,261 321,126,254$ 249,105,841 9,124,700 2,075,892 730,757 11,931,349 2,596,268 8,209,865 1,125,216
* 400 of the distributed Ventilators from SNS are being recollected to be returned to SNS
* From March 16th-to-date to 4.17.2020 9pm
* item quantities are by piece
Acquisitions Distributions
• Strike teams assessment over next two weeks
• Assessment is statewide, focusing on nursing homes where COVID-19 has been detected
• Department of Social and Health Services is coordinating
• Dashboard and reporting system to come
• Some COVID-positive only facilities may be identified
Long Term Care Strategy
Elective Surgeries
Draft interpretive guidelines about Governor’s proclamation restricting non-urgent procedures will be circulated to hospital CMOs and CNOs tomorrow (Tuesday)
Fall Surge Planning
Thank you!
Contact
Vice Admiral (ret.) Raquel Bono, MDDirectorWashington State COVID-19 Health System Response [email protected]
Clark HalvorsonAssistant SecretaryWashington State Department of [email protected]
WSHA Issues
Long-Term Care joint letter to Adm. Bono:
• Prioritize PPE for long term care facilities
• Prioritize testing for long term care facilities
• Improve data collection
• Provide clear and uniform guidance about how to care for COVID
patients (alternative care sites, specialized capacity, cohorting)
Significant legislative interest in this topic
Request for Modification of Non-Urgent Procedures Order
• Patient impacts growing
• Financial impacts growing
• Requests to state:
o Interpretive guidance on current order
o Elective surgery triage suggestions based
on evolving COVID-19 and other pandemic
threat levels
• Legislative/Congressional support
I hereby prohibit all hospitals, ambulatory surgical facilities, dental, orthodontic and endodontic offices in Washington State from providing health care services, procedures, and surgeries that, if delayed, are not anticipated to cause harm to the patient within the next three months, with exceptions and as provided below.
This does not include outpatient visits delivered in hospital based clinics.
Recommendation: Ensure clear understanding of the order
Reminder: Current Order
PPE is Essential
• WSHA importing FDA level 2 simple face masks
• Distributing at cost (no sales tax)
• Prioritizing lowest supply first
• Selling at cost with LTC, prisons, homeless
agencies, mental health, SUD providers, bus
drivers, police agencies
• Boeing amateur pilots flying some deliveries
• Want to buy? Ed Phippen [email protected]
• 300,000 out the door
• Satisfied customers
• We have received 700,000 more
• Loaned warehouse space – we need to move
• Want to buy? Ed Phippen [email protected]
WSHA PPE: Next Steps
Cassie Sauer
Taya Briley
Darcy Jaffe
Thank you
Questions?
Chelene Whiteaker
Jacqueline Barton True
Jonathan [email protected]
Beth [email protected]