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LTSS Pre-Surge Planning Toolkit

The Ohio Department of Developmental Disabilities (DODD), Department of Health, Department of Medicaid, and Department of Aging have collaborated to create a Long-Term Services and Supports (LTSS) Pre-Surge Planning Toolkit that includes concept diagrams and tools related to coronavirus (COVID-19).

This toolkit reflects the importance of Governor Mike DeWine’s aggressive approach to protecting all of Ohio’s citizens during the pandemic and aligns with his direction to prepare to care for the “surge” of people who will contract COVID-19 in the coming weeks.

Updated June 30

Summary of June 2020 revisions to the LTSS Pre-surge planning Toolkit

The title page of the attached document indicates this guidance is for pre-surge and longer-term community supports as well as Nursing Facilities. 

The DODD Companion Guidance remains relevant for clarification as with the previous April 2020 version.

Page 3: Introduction to Key Terms and Concepts

  • Now include guidance on incoming residents with unknown COVID-19 status
  • Different approach to confirmed and probable cases: indications for testing

Page 4: Ohio’s COVID-19 Healthcare Delivery System

  • Added Known Challenges and Resources

Page 5: LTSS PPEE Contingency Planning

  • Indicates Conventional Capacity has returned as a potential PPE status level
  • Indicates the need for personnel to wear face masks at all times
  • Gown recommendations during Crisis Capacity have changed (medical coveralls deleted)

Page 6: Patient/Resident Journey in Nursing Facilities/Congregate Care Settings

  • Now includes direction for post-discharge from hospital and incoming new patients

Page 7: Resident Journey into higher levels of Medical Care

  • Addresses discharge and notes that Test-Based Strategy for return to usual care setting is not the preferred method for discontinuing transmission-base precautions

Page 9: Resident Journey in Community

  • Indicates transfer from quarantine to isolation if COVID dx presumed or tested
  • Indicates need to contact clinician before going to ED in C+ cases exceeds care at home

Page 10: Staff Journey in Community Settings

  • Added the of Use of 10/3/3 criteria for ending isolation

Tool #5 Symptom Screen Tool  

  • Now includes Body Aches and loss of taste or smell

Tool #6 Transfer from Skilled Nursing Protocol

  • Expanded to 2 pages to include significantly more information

Tool #7: Hospital Discharge to NF Checklist

  • Expanded to include more information to be communicated

Tool #8: Tips for Resident Social and Emotional Well-being

  • Includes additional resources.

Tool #11: Contingency Capacity PPE Quick Guide

  •  clarifies no need for shoe and hair coverings

Tool #12: Crisis capacity PPE Quick Guide

  •  clarifies no need for shoe and hair coverings

NEW Tool: Contingency and Crisis Staffing Guidance 

  • Return To Work directions based on symptomology and testing status
  • And Mitigation of Shortages based on Tiers related to exposure, testing and symptomology