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Trump administration gives hospitals guidelines for resuming elective procedures

A month after announcing that...

Posted: Apr 20, 2020 3:33 PM

A month after announcing that all nonessential health care should be delayed amid the coronavirus pandemic, the Trump administration released recommendations on restarting elective surgeries and procedures.

Resuming these surgeries on an outpatient basis is part of the administration's phase one plan to reopen the country and get Americans back to work. But before phase one can start, a state or region would have to have a downward trajectory of documented and potential coronavirus cases for two weeks and hospitals would have to have a robust testing program in place.

The postponement of elective surgeries has delayed many patients' ability to get needed care and has wreaked havoc on hospital finances, forcing some to furlough employees and cut pay and hours -- even for emergency room doctors in areas without many cases.

Congress set aside $100 billion for hospitals and health care providers to make up for lost revenue and cover additional expenses to combat the outbreak as part of its $2 trillion relief package. Lawmakers are looking at funneling billions more to the sector in their next bill.

Restarting elective procedures will be determined on a state and local basis, and hospitals must meet certain criteria, said Seema Verma, administrator of the Centers for Medicare and Medicaid Services.

Facilities must evaluate and prioritize what care should be given, screen staff and patients for symptoms, including temperature checks, and have sufficient personal protective equipment and other supplies on hand. Social distancing and sanitizing protocols should be in place.

Also, when adequate testing capability is established, patients should be tested before care and staff should be regularly screened by lab tests.

And conditions should be continuously evaluated since these procedures may have to halt if a surge in coronavirus cases takes place.

The recommendations are generally in line with a road map released last week by four medical industry groups, including the American Hospital Association. It also stressed the importance of having a sustained reduction in cases, an adequate supply of staff, supplies and beds, availability of testing and the prioritization of cases, including cancer and transplants.

The governors of several states, including Texas, Alaska, Oklahoma and West Virginia, have recently announced the loosening of restrictions on elective surgeries as part of the effort to reopen their states.

Oregon Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 8931

Reported Deaths: 208
CountyConfirmedDeaths
Multnomah223969
Marion153947
Washington137920
Clackamas75124
Umatilla5334
Union3421
Lincoln3242
Deschutes1830
Lane1653
Linn1519
Polk14912
Yamhill1268
Malheur1241
Klamath1230
Jefferson1180
Jackson1170
Hood River880
Benton845
Wasco731
Morrow641
Clatsop490
Douglas420
Coos410
Josephine331
Columbia300
Lake190
Tillamook110
Crook100
Wallowa100
Curry70
Baker40
Grant10
Harney10
Sherman10
Gilliam00
Unassigned00
Wheeler00

California Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 238681

Reported Deaths: 6169
CountyConfirmedDeaths
Los Angeles1056653405
Riverside18041463
San Diego14623370
Orange14413345
San Bernardino12746258
Imperial652397
Alameda6156136
Fresno528975
Kern476876
Santa Clara4572158
Tulare4323128
San Joaquin391454
San Francisco364850
Sacramento339768
San Mateo3311108
Contra Costa324877
Ventura309646
Santa Barbara289629
Kings250434
Marin239419
Stanislaus231044
Monterey169115
Solano140225
Sonoma11857
Merced113111
Placer72411
San Luis Obispo6422
Yolo55524
Madera5415
Santa Cruz3993
Napa3334
San Benito2392
Lassen2330
El Dorado1980
Sutter1973
Butte1892
Humboldt1334
Shasta1294
Nevada1171
Glenn1150
Yuba941
Mendocino850
Tehama821
Lake790
Colusa590
Del Norte511
Mono421
Calaveras400
Inyo321
Siskiyou310
Tuolumne300
Mariposa271
Amador240
Plumas100
Alpine20
Trinity20
Sierra10
Unassigned00
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