OHA Behavioral Health COVID-19 Response & Recovery Unit
Accessibility promise by Oregon Health Authority (OHA) to provide free help and support for individuals needing assistance with language, formats, and communication for programs and services. Includes updates on surge status, epidemiology, infection trends, hospital forecasts, and impact assessments.
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Presentation Transcript
OHA Omicron Surge Update OHA Behavioral Health COVID-19 Response & Recovery Unit 2/17/22 1
Our Accessibility Promise Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are: Sign language and spoken language interpreters Written materials in other languages Braille Large print Audio and other formats If you need help or have questions, please contact CCU at 1-971-673-2411, 711 TTY or COVID19.LanguageAccess@dhsoha.state.or.us at least 48 hours before the meeting. 2
Agenda Feedback poll Surge status and response update Surge staff transition planning 3 3 3 3 3
Epidemiology Update 4 4 4 4 4
Oregon: COVID-19 Infection Trend 6 6 6 6 6
Hospital Forecast Below are dates when hospital COVID + census is expected to reach certain levels. Census 1000 900 800 700 600 500 400 300 200 100 Date 2/18/2022 2/25/2022 3/4/2022 3/10/2022 3/16/2022 3/23/2022 3/30/2022 4/7/2022 4/19/2022 5/11/2022 7 OHSU COVID Forecast Model * while the actual recovery period for Omicron is shorter than 14, this is needed to remain constant with original virus in order to implement the effects of behavioral changes
Hospitalization by region, adjusted for population 8 8 8 8 8
Hospital Forecast: Incidental COVID This chart shows the share of patients that are expected to be incidental. Incidental refers to patients that are not there due to COVID but are in hospital with COVID infection. 9 OHSU COVID Forecast Model
Hospital Forecast: impact of community masking The primary scenario No Lift is compared to the other scenarios mapped out on the behavior effect chart. 10 OHSU COVID Forecast Model * while the actual recovery period for Omicron is shorter than 14, this is needed to remain constant with original virus in order to implement the effects of behavioral changes
Guidance Updates 11 11 11 11 11
Update: Quarantine Guidance Quarantine for exposed, asymptomatic residents reduced to: 10d or 7d + negative test within 48hrs If critical logistical issues and standard options are unfeasible (e.g., due to staff, space, PPE constraints), consult with infection control experts and LPHA regarding quarantine flexibilities for residents/patients who are up to date on vaccination or who have recovered from COVID-19 within past 90d. 12 12 12 12 12
Isolation No change If individual tests positive on admission, they should isolate: 10d from start of symptoms, if symptomatic; or 10d from positive test Testing not recommended for people who have recovered from COVID within past 90d. If with symptoms, should isolate until 24hrs without fever and with symptom reduction. 13 13 13 13 13
For comparison: OHA Best Practices for Admission from Hospitals to LTCF Best practices for COVID-19 related admissions from hospitals to long-term care facilities (Updated 2/11/22) Not required prior to hospital discharge: negative COVID19 test discontinuation of Transmission-Based Precautions, as long as accepting program has met infection prevention and control criteria for the care of COVID-19 patients 14 14 14 14 14
BH Omicron Response: Transition Planning Vaccination and boosters Maintain current behavioral health and enhanced care SNF capacity PPE and Test procurement Reduce administrative burdens Surge staff and Serv-OR Create new capacity Overdose prevention 15 15 15 15 15
Encourage vaccination and boosters COVIDvaccine.Oregon.gov Therapeutics
Maintain current behavioral health capacity Administrative Relief Memo 1/30/22 AFH Incentive Payment Reach out directly to Acute Care Hospital Discharge Planners Expires March 31, 2022 Temporary Closures or Pauses on Admissions Notify HSD Compliance Specialist 17 17 17 17 17
BH AFH and Residential Program Supplies OHA COVID-19 Healthcare Partner Resources Procurement: PPE Tests 18 18 18 18 18
Surge Staffing & Surge Capacity Temporary surge staff: BH residential, Adult Foster Homes (AFHs), Opiate Treatment Programs (OTPs), Enhanced Care SNFs (ECFs) Serv-OR volunteers: community mental health, telehealth and in person 1 SERV-OR volunteer mission assigned and 4 pending assignment Additional request in-process Medford: 4 bed temporary BH crisis respite in process 19 19 19 19 19
Contract Surge Staff BH Staff Type Current Total MH Tech 100 RN 26 CMT Psych 14 LPN 11 CNA 8 20 20 20 20 20
Overdose Prevention Continued work to ensure timely access to Suboxone in regions impacted by pharmacy closures 21 21 21 21 21
Surge Staff Transition Planning FEMA funding for contract surge staff ends 3/31/22 Completed staffing requests for coverage thru March 31st? Transition plan for staffing/hiring once the temporary contracts end? Considerations of options for extending contracts, e.g. cost-sharing 22 22 22 22 22
Thank You 23
Quarantine and Isolation Guidance Guidance OHA Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure (12/30/21) OHA Clinical Care and Healthcare Infection Prevention and Control for COVID- 19 (8/10/21) CDC Interim Infection Prevention and Control Recommendations for Healthcare Personnel (2/2/22) 24 24 24 24 24
