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Deadline approaching: Executive Order 2020-48 Enhanced Surveillance Advisory, Slowing the Spread of COVID-19

In response to Governor Ducey’s Executive Order (EO) 2020-48, Enhanced Surveillance Advisory, Slowing the Spread of COVID-19 last week, the Arizona Department of Health Services has shared key provisions within the EO. Hospitals must ensure EMResource is updated daily by 1200 MST. This is a critical surveillance tool for the current response and accurate numbers are crucial for federal assistance and statewide situational awareness. To view the EMResource toolkit, click here.

The EO includes the following key provisions related to the July 17, 2020 deadline:

  • Pursuant to the Enhanced Surveillance Advisory and A.R.S. §§ 36-782(B)(l) and (4), 36-783(A), (D) and (F), and 36-787(A), all licensed hospitals as defined in Arizona Administrative Code ("A.A. C. ") R9-10-101, excluding Special Hospitals only providing psychiatric services, shall report through EMResource or alternative form to the Arizona Department of Health Services every twenty-four hours: 
    • A line list of all COVID-19 confirmed and suspect patients containing name, date of birth, gender, race/ethnicity, hospital admission date
    • If they are operating in conventional, contingency, or crisis care
    • The number of non-essential surgeries performed per day
  • All licensed hospitals as defined in A.A.C. R9-10-101, excluding Special Hospitals only providing psychiatric services, shall update their plans to ensure capability to increase their intensive care unit and medical surgical bed capacity by 50% as required by Executive Order 2020-16 by July 17, 2020 consistent with the following:
    • AC. R9-10-203(C)(5)
    • AC. R9-10-204(B)(l)(e)
    • AC. R9-10-214(C)(4)
    • AC. R9-10-232
  • All licensed hospitals as defined in A.A.C. R9-10-101, shall develop and implement plans to ensure sufficient staffing levels to staff every licensed and proposed surge intensive care unit and medical surgical bed by July 17, 2020. Licensed hospitals shall attest to the Arizona Department of Health Services through an approved method that they meet the requirements of this section.
  • A licensed hospital as defined in AC. R9-10-101, excluding Special Hospitals only providing psychiatric services, shall report through EMResource or some other approved method the following to the Arizona Department of Health Services within one week of this Executive Order:
    • Number of current licensed med-surg beds
    • Number of current licensed ICU beds
    • Number of additional identified ICU beds pursuant to Executive Order 2020-16
    • Number of additional identified med surg beds pursuant to Executive Order 2020-16
    • Number of additional med-surg beds pursuant to this order
    • Number of additional ICU beds pursuant to this order
  • A licensed hospital as defined in A.A.C. R9-10-101 shall identify and report the name and contact information of an assigned liaison to ADHS to facilitate Quality Check(s) of EMResource data to ensure reporting that is accurate and in line with the intent of previous Executive Orders by July 13, 2020. Requests for quality checks must be accommodated with the ADHS within 72 hours of the original request. Facilities shall also allow representatives of the Arizona Department of Health Services onsite to validate reported data.

Note: The second-to-last bullet point is found in a new event within EMResource titled Executive Order 2020-48 Compliance and is a one-time ask of hospitals. This event is at the top, right-hand side of EMResource in neon yellow. 

For EMResource assistance, please email: HEOCLogistics@azdhs.gov