Update on Oregon Health Authority's Behavioral Health COVID-19 Response

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Stay informed with the latest updates from the Oregon Health Authority's Behavioral Health COVID-19 Response and Recovery Unit. Learn about their accessibility promise, surge status, COVID-19 infections data, staffing contracts, and important health alerts regarding testing and admissions protocols.

  • Oregon
  • Health Authority
  • COVID-19
  • Response
  • Behavioral Health

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  1. OHA Omicron Surge Update OHA Behavioral Health COVID-19 Response & Recovery Unit 1/20/22 1

  2. 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

  3. Agenda Overview of surge status Updates: BH omicron response team Reminders: CLIA certif of waiver & stay tuned for next wk, HAN re: tests Staff contingency and crisis strategies 3 3 3 3

  4. Oregons COVID-19 Infections Currently ~62% of COVID-19 cases are among unvaccinated 5,892 Deaths 4 4 4 4 4 4

  5. Omicron Surge* 5 5 5 5 5

  6. COVID-19 Hospitalizations to Date Forecast: 1650 1/28/22 6 6 6 6 6

  7. Temporary Emergency Staffing Contract traveling staff: in person Funding: FEMA through 3/31/22 Serv-OR BH licensed volunteers: telehealth Through State-declared public health emergency (6/30/22) Watch for communication regarding interest to partner with licensed SERV-OR volunteers for telehealth care Priority programs: BH residential, Adult Foster Homes (AFHs), Opiate Treatment Programs (OTPs), Enhanced Care SNFs (ECFs) Link for staff request form: Behavioral Health Staffing Requests 7 7 7 7

  8. Updates: Antigen Tests CLIA certificate of waiver: https://www.oregon.gov/oha/PH/LABORATORYSERVICES/CLINICALLABORATORYREGULATION/Pages/waived.aspx Health Alert re: OHA supply shortage of antigen tests Okay to use expired BinaxNow test kits Prioritize: Individuals at high risk for severe COVID-19 who meet eligibility criteria for COVID-19 therapeutics Individuals with moderate to severe symptoms and require medical care Do not recommend requesting negative COVID-19 test prior to admission ODHS/OHA Best Practices for Admissions and Discontinuing Transmission- Based Precautions 8 8 8 8

  9. Staffing Strategies Staffing Strategy Level Definition Conventional Level Standard practices Impending threat to clinical or essential operations Threat would lead to substandard clinical care within 48 to 72 hours Contingency Level Immediate threat to clinical or essential operations Threat is expected to lead to loss of life due to insufficient clinical care Despite implementation of contingency strategies Crisis Level Examples of actions taken at each level can be found in CDC's Strategies to Mitigate Healthcare Personnel Staffing CDC's Strategies to Mitigate Healthcare Personnel Staffing Shortage Shortage Guidance Guidance 9 9 9 9

  10. Staffing Strategies A decision to implement crisis-level strategies should be communicated to state and local public health authorities to inquire whether state-level resources have been exhausted. 10 10 10 10

  11. When there is a case of COVID-19 If a client, staff, visitor, or volunteer tests positive for COVID-19 call the local public health authority (LPHA) within 24 hours and follow the steps in the reporting checklist Behavioral Health Residential Facility COVID-19 Reporting Checklist Contact information for LPHAs is included in the checklist 11 11 11 11

  12. If a resident or staff is exposed to COVID-19 Quarantine recommendations for congregate settings: Residents and staff are recommended to complete a 10-day quarantine During periods of critical staffing shortages, facilities may consider shortening the quarantine period for staff Decisions to shorten quarantine in these settings should be made in consultation with the local public health authority (LPHA) or Oregon Health Authority (OHA) 12 12 12 12

  13. If a resident or staff is infected with COVID-19 Isolation recommendations for congregate settings: Due to the high risk of secondary transmission and difficulties in cohorting individuals, a 10-day isolation period is recommended for residents and staff During periods of critical staffing shortages, facilities may consider shortening the isolation period for staff Decisions to shorten isolation should be made in consultation with the local public health authority (LPHA) or Oregon Health Authority (OHA) 13 13 13 13

  14. Staffing strategies when there is COVID-19 infection or exposure 14 14 14 14

  15. Staffing Strategies Resources Interim Guidance for Managing Healthcare Personnel with SARS CoV-2 Infection or Exposure CDC's Strategies to Mitigate Healthcare Personnel Staffing Shortage Guidance 15 15 15 15

  16. Example: Deschutes CMHP Contingency Staffing Planning Document 16 16 16 16

  17. Thank you HEALTH POLICY AND ANALYTICS DIVISION 17

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