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  • Joint Information Center on COVID19 Update 03/19/2020

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    March 19, 2020
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    FOR IMMEDIATE RELEASE March 19, 2020
    Contact: Joint Information Center on COVID-19 for the State of Florida (850) 815-4940ESF14@em.myflorida.com
     
    The State of Florida Issues COVID-19 Updates
     
    TALLAHASSEE, Fla. - The State of Florida is responding to COVID-19. In an effort to keep Florida residents and visitors safe and aware regarding the status of the virus, the Florida Department of Health will issue this update every day, seven days per week. 
     
    Governor Ron DeSantis is in constant communication with Florida Division of Emergency Management Director Jared Moskowitz and State Surgeon General Dr. Scott Rivkees as the State of Florida continues to monitor and respond to the threat of COVID-19.
     
    Today, in a briefing at the drive-through testing site in Broward County, Governor DeSantis announced the following:
    • The drive-through testing site at CB Smith Park is opening Friday morning through a partnership with the Broward Memorial Healthcare System.
    • The state has 5,000 collection kits with swabs for COVID-19 testing. 4,000 of those will be sent to the Broward County drive-through testing site and 1,000 will be reserved for other facilities in need.
    More Information on COVID-19
    To find the most up-to-date information and guidance on COVID-19, please visit the Department of Health’s dedicated COVID-19 webpage. For information and advisories from the Centers for Disease Control (CDC), please visit the CDC COVID-19 website. For more information about current travel advisories issued by the U.S. Department of State, please visit the travel advisory website.
    For any other questions related to COVID-19 in Florida, please contact the Department’s dedicated COVID-19 Call Center by calling (866) 779-6121. The Call Center is available 24 hours per day. Inquiries may also be emailed to COVID-19@flhealth.gov.
    What you Should Know
     
    COVID-19 can spread from person to person through small droplets from the nose or mouth, including when an individual coughs or sneezes. These droplets may land on objects and surfaces. Other people may contract COVID-19 by touching these objects or surfaces, then touching their eyes, nose or mouth.
     
    Symptoms of COVID-19 are fever, cough and shortness of breath. Symptoms may appear in as few as two days or as many as 14 days following exposure. Most people recover from COVID-19 without needing special treatment. The elderly and those with underlying medical problems like high blood pressure, heart problems and diabetes are more likely to develop serious illness.
     
    There is currently no vaccine to prevent COVID-19. The best way to prevent illness is to avoid being exposed to the virus. The Department recommends everyday preventive actions to help stop the spread of respiratory diseases, including:
    • Avoiding close contact with people who are sick;
    • Staying home when you are sick and avoiding contact with persons in poor health;
    • Avoiding touching your eyes, nose and mouth with unwashed hands;
    • Covering your cough or sneezing into a tissue, then disposing of the tissue;
    • Washing your hands often with soap and water for at least 20 seconds, especially after going to the bathroom, before eating, after blowing your nose, coughing or sneezing;
    • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty; and
    • Cleaning and disinfecting frequently touched objects and surfaces using a regular household cleaning spray or wipe.
    The CDC does not recommend that asymptomatic, healthy people wear a facemask to protect themselves from respiratory diseases, including COVID-19. Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).
    A person that experiences a fever and symptoms of respiratory illness, such as fever, cough or shortness of breath, within 14 days after travel from any other destination with community transmission should call ahead to their health care provider and local CHD and mention their recent travel or close contact.
     
    If a person has had close contact with someone showing these symptoms who has recently traveled from this area or been in contact with a person with laboratory-confirmed COVID-19, he or she should call ahead to a health care professional and the CHD. The health care provider will work with the Department to determine if the person should be tested for COVID-19.
     
    Actions the state has taken to prepare for and respond to COVID-19:
    DEPARTMENT OF HEALTH
    • At the direction of Governor DeSantis, State Surgeon General Dr. Scott Rivkees declared a Public Health Emergency for COVID-19 in Florida.
    • Governor DeSantis announced that the State ordered an additional 2,500 test kits to supplement the adequate resources already available to test for COVID-19. These additional test kits will enable the Department of Health, working with Florida health care providers, to test up to an additional 625,000 individuals. The Governor also suspended non-essential in state and all out-of-state travel for state employees for 30 days.
    • Established an Incident Management Team to coordinate response operations.
    • Defined a high-level phased response strategy for COVID-19.
    • Activated a dedicated incident command post for on-site response activities.
    • Conducted three public health and health care stakeholder conference calls to provide statewide updates on the current outbreak situation, response actions and guidance for pandemic planning. Over five hundred participants joined the calls.
    • Established a public call center for questions regarding COVID-19. The call center launched Monday, March 2.
    • Developed and distributed COVID-19 presentation materials to County Health Departments (CHD) for use at community meetings.
    • Activated the Joint Information Center in coordination with the Division of Emergency Management.
    • Developed and implemented protocols for investigation, surveillance and monitoring for COVID-19 to rapidly detect and contain cases.  
    • Established mechanisms for monitoring and coordination with the Centers for Disease Control and Prevention (CDC) regarding epidemiological activities.
    • Distributed CDC Interim Guidance for public health personnel evaluating Persons Under Investigation (PUI) and asymptomatic close contacts of confirmed cases at their home or non-home residential settings to CHDs.
    • Approved and disseminated an updated Clinician Screening Tool for identifying COVID-19 PUIs.
    • Distributed a health care provider letter regarding enhanced surveillance and preparedness for COVID-19 to associations, licensed providers, Health Care Coalitions and CHDs.
    • Implemented testing at all three State Public Health Laboratories.
    • Distributed updated CDC guidance for schools to CHDs and the Department of Education.
    • Distributed updated laboratory guidance regarding implementation of testing at State Public Health Laboratories.
    • Developing a laboratory surge plan.
    • Developing a clinician-level briefing for medical audiences.
    • Identifying and monitoring close contacts of presumptive cases. Any close contacts with symptoms will be tested.
    • Implemented private lab testing.
    • Developed and disseminated pandemic planning guidance. 
    • Advised CHDs and HCCs to retain expired personal protective equipment until further until further notice.
    • Continued development of public information resources.
    • Developing infographics for first responders (fire, law enforcement and EMS) regarding infection control and personal protection for COVID-19. 
    • At the Governor’s direction, a public-private partnership has been put in place between Memorial Healthcare in Broward and the National Guard to set up a mobile testing unit.
    • At the direction of Governor DeSantis hiring additional epidemiologists from university health programs to help with workload.
    • Governor DeSantis directed the Agency for Health Care Administration (AHCA) to extend all existing nursing home and assisted living facility licenses for 90 days to remove distraction from patient care.
    THE DIVISION OF EMERGENCY MANAGEMENT
    • To support communities responding to COVID-19, Governor DeSantis has directed FDEM Director Jared Moskowitz to expedite the delivery of more than $170 million in Hurricane Irma reimbursements to cities, counties and hospital districts that have now reached the 50-percent auditing threshold to receive funds.
    • After conducting a thorough assessment of needs, Director Moskowitz has requested the following supplies through Direct Federal Assistance. Supplies are being delivered on a rolling basis, and inventory is being distributed throughout the state 24 hours a day.
      • 5 mobile intensive care units
      • 5,000 ventilators
      • 5,000 hospital beds
      • 50,000 two oz. bottles of hand sanitizer
      • 250,000 coveralls
      • 500,000 gloves
      • 500,000 gowns
      • 500,000 collection kits
      • 100,000 16 oz. bottles of hand sanitizers
      • 150,000 Personal Protective Equipment kits, including coveralls, gowns, and goggles   
      • 2 million N95 face masks
    AGENCY FOR HEALTH CARE ADMINISTRATION
    • AHCA distributed telemedicine guidance to health care providers for behavior analysis services.
    • AHCA distributed an overview to iBudget providers of the revised payment methodology that will be used over the next few months to help support providers of adult day training, residential habilitation, life skills development level 1-companion and in-home personal supports. Retention payments will be made to give necessary financial support to providers who would otherwise not receive payment due to current public distancing requirements.
    • Secretary Mayhew is working directly with hospitals and large health systems to identify potential vacant wings or buildings to provide additional hospital inpatient capacity should it become necessary.
    • On March 16, Florida became the first state to receive CMS approval of its 1135 Medicaid Waiver giving AHCA more flexibility for its COVID-19 response efforts. This federal action lifts Medicaid prior authorization requirements for critical health care services and allows for expedited provider enrollment.
    • AHCA distributed a provider alert to licensed health care providers regarding the Division of Emergency Management’s new Emergency Order tightening visitation restrictions at residential and long-term care facilities.
    • AHCA, in coordination with the DEM and the Department, is hosting ongoing statewide calls for nursing homes, assisted living facilities, intermediate care facilities, the Agency for Persons with Disabilities, group homes, and adult family care homes in conjunction with the Florida Health Care Association. Secretary Mayhew and Surgeon General Rivkees are continuing to address critical issues impacting these providers such as restricting visitors and providing updates.
    • AHCA, in coordination with DEM and the Department, is hosting ongoing statewide calls for hospitals in conjunction with the Florida Hospital Association. Secretary Mayhew and Surgeon General Rivkees to provide the most up-to-date information to hospital partners and residential facilitates caring for aging and vulnerable populations.
    • After previously opening an event on the Emergency Status System (ESS) for hospitals to enter census information, emergency room status updates and isolation beds, AHCA expanded the ESS event to track nursing homes and assisted living facility bed capacity, effective March 15.
    • The Agency for Health Care Administration (AHCA) will be granting a 90-day extension to all licenses for health care providers and regulated facilities.
    • AHCA is distributing information regarding regulatory flexibilities created by waivers from the Centers for Medicare and Medicaid Services (CMS) related to skilled nursing facilities, critical access hospitals, home health agencies, durable medical equipment, provider enrollment, etc. 
    • AHCA participated in a collaborative call with the Florida Health Care Association, Florida Hospital Association and LeadingAge Florida to discuss patient transfer arrangements between health care facilities such as nursing homes and hospitals. 
    • The Florida Medicaid Program announced coverage of commercial testing for COVID-19 for dates of service back to February 4. 
    FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
    • DBPR shared information with all agency staff statewide pertaining to the declaration of a state public health emergency, state response protocols as ordered in EO 20-51, and FDOH information and resources available on the dedicated FDOH COVID-19 webpage.  DBPR communication with staff has emphasized the best practices and preventive steps recommended by FDOH for impeding the spread of respiratory illnesses.
    • DBPR’s Emergency Coordinating Officer and State Mass Care Coordinator is supporting the initiation of FDOH’s joint information center and providing assistance as requested of State Emergency Support Function 6.
    • DBPR added a web banner with information on COVID-19 and link to the Florida Department of Health’s dedicated COVID-19 webpage athttp://www.floridahealth.gov/COVID-19.
    • DBPR is incorporating informational comments on all on-site inspection reports issued to public lodging, public food service, and alcohol and tobacco license holders that will promote situational awareness of the current public health emergency and will direct parties to the FDOH COVID-19 webpage for guidance and resources related to prevention best practices.  Copies of informational flyers from the FDOH COVID-19 toolkit will also be available for inspectors to distribute when interacting with managers of these premises.
    • DBPR has suspended all official business visits, including inspections, that involve licenses located at a facility covered under the visitation restrictions implemented pursuant to FDEM Emergency Order 20-002.  
    • DBPR hosted a senior management meeting with all program directors on Monday, 03.16.2020, to discuss the latest departmental actions and preparations associated with COVID-19 in Florida. 
    • DBPR is providing guidance to appointed professional licensing boards related to procedural considerations and available technology options for remote, web-based or telephonic board meetings.
    • DBPR issued an emergency order, EO 2020-01 to extend license renewal deadlines and renewal requirements for a period of 30 days for licenses with an existing renewal deadline occurring in the months of March or April, 2020.
    • DBPR has distributed the Governor’s Executive Order (EO-20-68) regarding bars, nightclubs, beaches, and restaurants to all known e-mail addresses of record for alcoholic beverage, public food service, and public lodging license holders.  DBPR will continue to push information and guidance relating to the directives of EO 20-68 to impacted parties through the DBPR Emergency Information Page, social media channels, and outreach to industry and public sector partners.
    • DBPR has launched a dedicated emergency information page (http://www.myfloridalicense.com/dbpr/emergency/) with direct links to the FDOH COVID-19 webpage as well as information on agency emergency orders, schedule and meeting changes for divisions and boards, and other important departmental information during this emergency.
    • DBPR has distributed a document titled Frequently Asked Questions Related to Restaurant, Bars and Nightclubs pursuant to Executive Order (EO-20-68). This document helps to clarify the agency’s role in the enforcement of the Executive Order as well as guidelines for restaurants per the Governor’s directive.
    • DBPR has implemented the DMS restrictions on public access at DMS-managed facilities and has adopted the same approach for all DBPR offices in privately-leased facilities.  DBPR will continue to provide customer service and licensing support by phone and other electronic means to enable continuity of operations during these facility restrictions. 
    DEPARTMENT OF CHILDREN AND FAMILIES
    • The Department of Children and Families’ (DCF) Office of Child Welfare is sending regular communication about COVID-19 specifically to licensed child care providers, directing them to follow the CDC’s Interim Guidance for Administrators of US Childcare Programs and K-12 Schools to Plan, Prepare, and Respond to Coronavirus Disease 2019 (COVID-19). An FAQ document for providers was also posted prominently on DCF’s Child Care webpage. 
    • DCF’s Office of Child Welfare is disseminating a survey to licensed child care providers to assess closures throughout the state. Currently, the decision to close is at the discretion of each individual facility. 
    • DCF Secretary Chad Poppell continues to send regular communication to all DCF staff, contracted partners, and licensed facilities (including child care providers) about COVID-19, including precautionary measures (as outlined by the CDC) and temporary policy updates.
    • DCF is working with DOH to develop precautionary protocols for child welfare professionals and adult protective investigators who may have to make in-person visits to ensure the safety of those vulnerable populations.
    • DCF is leading status update calls with both internal leadership and leadership from external contracted partners. For the time being, these calls will take place twice weekly, every Tuesday and Friday. 
    • DCF established strategies for COVID-19 prevention at all three state mental health treatment facilities, as well as the South Florida mental health facilities run by Wellpath Recovery Solutions, a contracted partner. They are reporting daily updates to ensure compliance with virus prevention and monitor potential outbreaks.
    • DCF restricted visitation at all state-owned and contracted mental health treatment facilities through April 15. Meanwhile, all staff and new patients are being screened according to CDC/DOH guidelines prior to entry.
    • DCF’s Office of Economic Self-Sufficiency is communicating with DEO regarding work requirements and CareerSource operations and availability.
    • DCF temporarily closed all economic self-sufficiency storefronts to the public. Customers of Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Need Families (TANF), and Medicaid programs are encouraged to utilize the online Self-Service Portal. They can also make phone calls or submit information through secure drop boxes that have been placed outside at existing storefront locations. 
    • DCF General Services staff throughout the state are working with lessors and janitorial contractors to increase sanitizing measures in office buildings, especially restrooms and common areas. They also began taking inventory of sanitizing supplies (disinfecting wipes, Lysol spray, hand-sanitizer, etc.) and are ordering more as needed.
    FLORIDA DEPARTMENT OF CORRECTIONS
    • Florida Department of Corrections (FDC) has no known or suspected cases of COVID-19 within its correctional institutions at this time.
    • FDC Community Corrections officers are working with offenders on supervision to adjust reporting schedules to minimize congregating at probation offices and prevent the spread of COVID-19.
    • FDC’s Office of Health Services coordinates with the Department for guidance on any type of outbreak and is closely monitoring new information as it is disseminated from the Department and the CDC.
    • FDC has suspended visitation at all correctional institutions statewide through April 5, 2020. The decision to reinstate the normal visitation schedule will be evaluated in consultation with the Department.
      • Inmates will continue to have access to mail, email, phone calls and video visitation.
      • Legal visits will not be impacted.
      • FDC has partnered with vendors to provide some complimentary phone and video visitation services.
    • Volunteer activities within correctional institutions statewide have been suspended.
    • Anyone entering a correctional institution will be screened, and entrance will be restricted if they:
      • Have traveled internationally or on a cruise within the last 14 days.Have signs or symptoms of a respiratory infection such as fever, cough or shortness of breath.
      • Have had contact with someone who has been or is under investigation for COVID-19.
    • All non-critical inmate transfers have been suspended.
    • New commitments and intakes have been restricted.
    • Outside inmate work squads have been restricted.
    • FDC has a plan in place and dedicated staff members trained in the prevention and containment of infectious diseases.
    • FDC initiated its Incident Command System in response to COVID-19.
    • Education has been provided to staff, inmates and visitors to prevent the spread of any infectious disease, including COVID-19.
    • Precautions are in place at facilities to protect inmates and staff from exposure to flu, COVID-19 or any other respiratory illness; preventative measures are being followed per CDC recommendations.
    DEPARTMENT OF ECONOMIC OPPORTUNITY
    • Governor DeSantis’ request to the federal U.S. Small Business Administration to make the Economic Injury Disaster Loan program available for Florida’s small businesses impacted by COVID-19 has been granted. Small businesses are eligible to apply for the SBA Economic Injury Disaster Loans that offer up to $2 million in economic assistance to help small businesses overcome the temporary loss of revenue resulting from COVID-19.  
    • The Florida Department of Economic Opportunity (DEO) has created a Frequently Asked Questions document for individuals whose employment has been negatively impacted  by mitigation efforts to stop the spread of COVID-19. 
    • Governor Ron DeSantis activated the Florida Small Business Emergency Bridge Loan Program to support small businesses impacted by COVID-19. The bridge loan program, managed by DEO, provides short-term, interest-free loans to small businesses that experienced economic injury from COVID-19. The application period is open and runs through May 8, 2020. Interested businesses should visitFloridaDisasterLoan.org for more information. 
    • The Business Damage Assessment survey is activated to assess the impact of COVID-19 on Florida’s local business operations. The
    Contact:
    Chanda Ryan, Executive Director
    Chanda.Ryan@navarrechamber.com, (850) 939-3267