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Referral Team Covid Algorithm PDF

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COVID TRIAGE ALGORITHM for QI/DPH CALL CENTER Los Angeles (updated January 27, 2022) draft New DHS IQ Prioritization Tool for COVID SURGE: effective 1/27/2022 PEH or non-PEH really sickwithCOVID >any hospitalized PEHCOVID positive > PEH or non-PEH COVID positive -not too sick but medically/behaviorally challenged > PEHquarantine =non-PEH quarantine (depends ondegree of comorbidity) Group A: PEH 1. PEHwho are COVID+from congregatesheltersor sober living/LT treatment centerWITH MODERATE TO HIGH COVID-RELATED SYMPTOMS.* 2. PEH who are COVID+from HOSPITALS/ERsand needstep-down caredue to lack of capacity in hospitals/ERS with no appropriate shelter destination. (NOTES: DHS hospitals take precedence over private hospitals. Symptomatic/medically vulnerable individuals take precedent over asymptomatic and less vulnerable individuals.)* 3. PEH who are COVID+OR PUI with high index of suspicion of COVID from any shelter**or encampment AND have one or more of the following:* 1. a. > 65yo b. Havesignificant medical vulnerabilities placing them at riskfor COVIDdeath c. Are unable to 'self-isolate' or adhere to masking guidance dueto behavioral issues 4. PEH who are COVID positive who are in a shelter that does not have a safe isolation space (as indicated by CRT or CFS team) Group B:Community Members 1. Non-PEH COVID+ from Hospital/ERwith MODERATE TO HIGH COVID-RELATED SYMPTOMSwho cannot home-isolate (due to crowded living conditions or lack of caregiving support) and are a. > 65yo b. Havesignificant medical vulnerabilities placing them at risk for COVIDdeath c. Are unable to 'self-isolate' or adhere to masking guidance due to behavioral issues 2. Non-PEH COVID+ OR PUI with high index of suspicion of COVID who have MODERATE COVID-RELATED SYMPTOMS AND have one or more of the following: a. > 65yo b. Havesignificant medical vulnerabilities placing them at risk for COVIDdeath 3. Non-PEH COVID+ from any location with MODERATE TO HIGH COVID-RELATED SYMPTOMS* or PUI with high index of suspicionwho cannot home-isolate (due to crowded living conditions or lack of caregiving support) and have extenuating circumstances such as cognitive/behavioral challenges or other disability. Group C: Quarantine 1. PEH COVID-exposed with high degree of medical vulnerability: unvaccinated take precedence over unvaccinated. 2. PEH COVID-exposedwith behavioral issues from congregate facility and unable to shelter-in-place: unvaccinated take precedence over unvaccinated. 3. Non-PEH COVID-exposedwith behavioral issues and unable to quarantine due to crowded living conditions or lack of caregiving support: unvaccinated take precedence over unvaccinated. *Unvaccinated/un-boosted clients always take precedence over vaccinated New DHS IQ Prioritization Tool for COVID SURGE: effective 1/27/2022 PEH or non-PEHreally sickwithCOVID> any hospitalized PEHCOVIDpositive > PEH or non-PEHCOVIDpositive-not too sick but medically/behaviorally challenged > PEHquarantine=non-PEH quarantine(depends ondegreeof comorbidity) Group A: PEH 1. PEHwho are COVID+fromcongregatesheltersor sober living/LT treatmentcenterWITH MODERATE TO HIGH COVID-RELATED SYMPTOMS.* 2. PEHwho are COVID+from HOSPITALS/ERsand needstep-down caredue to lack of capacity in hospitals/ERS with no appropriate shelter destination. (NOTES: DHS hospitals takeprecedence over private hospitals. Symptomatic/medically vulnerable individuals take precedent over asymptomatic and less vulnerable individuals.)* 3. PEH who are COVID+OR PUIwithhigh index of suspicion of COVID from any shelter**or encampment AND have one or more of thefollowing:* a. > 65 yo b. Havesignificant medical vulnerabilities placing them at riskforCOVIDdeath c. Areunable to 'self-isolate' or adhere to masking guidance duetobehavioral issues 4. PEH who are COVID positive who are in a shelter that does not have a safeisolation space (as indicated by CRT or CFS team) Group B:Community Members 1. Non-PEH COVID+ from Hospital/ERwith MODERATE TO HIGH COVID-RELATED SYMPTOMSwho cannot home-isolate (due to crowded living conditions or lack of caregiving support)and are a. > 65yo b. Havesignificant medical vulnerabilities placing them at risk for COVIDdeath c. Areunable to 'self-isolate' or adhere to masking guidance due to behavioral issues 2. Non-PEH COVID+ OR PUI with high index of suspicion of COVID who have MODERATE COVID-RELATED SYMPTOMS AND have one or more of the following: a. > 65 yo b. Havesignificant medical vulnerabilities placing them at riskforCOVIDdeath 3. Non-PEH COVID+ from any location with MODERATE TO HIGHCOVID-RELATED SYMPTOMS*or PUI with high index of suspicionwhocannot home-isolate (due to crowdedliving conditions or lack of caregiving support)and have extenuating circumstances such as cognitive/behavioral challenges or other disability. Group C: Quarantine 1. PEH COVID-exposed with high degree of medical vulnerability: unvaccinated take precedence over unvaccinated. 2. PEH COVID-exposedwith behavioral issues from congregate facility and unable to shelter-in-place: unvaccinated take precedence over unvaccinated. 3. Non-PEH COVID-exposedwith behavioral issues and unable to quarantine due to crowded living conditions or lack of caregiving support: unvaccinated take precedence over unvaccinated. *Unvaccinated/un-boosted clients always take precedence over vaccinated MASTER QI/DPH LIST AND CONTACT NUMBERS FOR DPH CALL CENTER ONLY CONFIRMED SITES TYPE UNITS REFERRAL PATHWAY SERVICES OFFERED DPH CONTACT Vagabond Non-congregate 71 DPH Call Centerdirectsto Medium-High medical, PEH, 3101 S. Figueroa St. HFH QI Teamwhich then DMH Support DHS/DPH DAILY INTAKE RN: 213-436-6821 LA 90007 triages to Vagabond, Sherman or MLK Sherman Non-congregate 70 DPH Call Centerdirectsto Medium-High medical,PEH, DHS/DPH DAILY INTAKE RN: 213-436-6821 15485 Ventura Blvd, HFH QI Teamas above minimal DMH support Sherman Oaks, CA 91403 MLK Congregate 72 DPH Call Low-Medium medical, PEH DPH liaisons: 1680 E 120th St, Los Centerdirectsto both HFH QI Ruth Sepulveda-909-682-0786 Angeles, CA 90059 Team [email protected] AND to AND Site Maria [email protected] 323-303-6254 Exodus/ Congregate 52 DPH Call Centerdirectsto Site Low-Medium medical, PEH Hilary Aquino: David L. Murphy [email protected] 640Maple Avenue · Exodus: 213-395-7700 Los Angeles, CA 90014 Olive View RCC and Congregate 16 DHS SW to Low-Medium medical, PEH For concerns: Rancho RCC HFH IH Teamvia CHAMP JuatuanMark: 213-317-6034 or (DPH DOES NOT REFER AND andemail interimhousing Yancy Martinez TO EITHER SITE. THESE @dhs.lacounty.gov [email protected] ARE DIRECT REFERRALS Subject: “SAFE ISOLATION THROUGH THE HOSPITAL BED” SOCIAL WORK TEAMS) DHS/HFH CHIEF MEDICAL OFFICER: Dr. Heidi Behforouz QIOperationsLead: EricEspinosa, (626) [email protected] QIMedical/Clinical Lead:[email protected] QI PROVIDER ON CALL 24X7: 213-477-0294 MASTER QI/DPH FLOW AND CONTACT DHS/DPH Liaisons fortrouble shooting intakes: Angi Enriquez (213) 675-5317 and LIST WITH ALL NUMBERS Elna Anderson (213) 675-5518 DPH CALL CENTER (FOR REFERRALS ONLY): 833-596-1009 CONFIRMED SITES TYPE UNITS REFERRAL PATHWAY SERVICES OFFERED CONTACTS (INTAKE, OPS, CLINICAL, DISPO) Vagabond Non-congregate 71 DPH Call Centerdirectsto Medium-High medical, PEH, Operations site lead: HFH QI Teamwhich then DMH Support Christine Merino (562) 262-1459 triages to DHS/DPH DAILY INTAKE RN: 213-436-6821 Vagabond, Sherman or MLK Principal Discharge coordinators: Bianca Martinez (862) 579-9620 Sherman Non-congregate 70 DPH Call Centerdirectsto Medium-High medical,PEH, Operations Lead:Heidi Spencer 615-618-2058 HFH QI Teamas above minimal DMH support 1. Principal clinical contacts, if any: Angi Enriquez, (213) 675-5317 and Elna Anderson (562) 335-5364 2. Principal Discharge Coordinators: John Sutton, (424) 542-2538 and Clinton Lane (323) 712-2887 (FirstToServe) 3. DMH (818) 634-9535 MLK Congregate 72 DPH Call Low-Medium medical, PEH Principal contacts: Centerdirectsto both HFH QI Jerri Santo [email protected] Team 323-251-6207 AND to Shalonda [email protected], Site Shalonda 424-338-2753 or cell 323-210-9697 DPH liaisons: Ruth Sepulveda-909-682-0786 [email protected] Maria [email protected] 323-303-6254 Clinical contacts: Elke Wurzbach, NP 424-338- 2782 [email protected] Janet Bond, RN [email protected] HOSPITALIZED at DHS Facility Moderately Severely Asymptomatic Mildly Symptomatic Symptomatic Symptomatic No Concerning Vulnerable Comorbidities Stay in Hospital Unsheltered or from Sober Living / From Homeless Shelter DPH Call Center to Treatment Center refer to IQ DHS SW refers to Hospital coordinates Campus Recuperative Care via bothCHAMP DPH Call Center for return to facility's If unable to return to AND email placement at Exodus isolation area. shelter,call DHS COVID- at InterimHousing Sobering Center You will NEED address, 19 Support Line: 833- @dhs.lacounty.gov (8pm-8am only) and point of contact at 900-2558 subject heading: "safe facility/shelter. isolation bed" HOSPITALIZED at Private Facility Moderately Severely Mildly Symptomatic Asymptomatic Symptomatic Symptomatic No Concerning Vulnerable Comorbidities Stay in Hospital Unsheltered or from Sober Living / From Homeless Shelter DPH Call Center to Treatment Center refer to IQ Hospital coordinates Call DPH Call Center for return to facility's If unable to return to isolation area. shelter,call:DHS triage to Exodus COVID-19 Support Sobering Center NEED address and point Line:833-900-2558 of contact at shelter/facility. SHELTER OR HIGH- RISK CONGREGATE SETTING Asymptomatic/Mild Symptomatic C19+ or Symptoms C19+ PUIs ** From red zone shelter 1. > 65 yo Shelter-in-place if not No concerning co- or vulnerable/ 2. Med vulnerabilities placing from red-zone shelter morbidities at risk for C19 death behavioral issues** 3. Unable to follow isolation due to behavioral issues DPH Call Center Moderate Symptoms Severe Symptoms triages to Q/I DPH Call Center Hospital/911 triages to QI UNSHELTERED PEH Asymptomatic/Mild Symptomatic C19+ or Symptoms C19+ PUIs No concerning co- Shelter-in-place ** Vulnerable morbidities If unable to "shelter-in- place" safely, DPH Call DPH Call Center triages Moderate Symptoms Severe Symptoms Center triages to Exodus to Q/I Sobering Center DPH Call Center triages Hospital/911 to QI

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Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.