{"id":"NC-068","kind":"order","level":"sector-regulator","jurisdiction":"North Carolina","state":"NC","metro":"","industry":"","agency":"","eco":"","issuer":"Secretary of Health and Human Services Mandy Cohen","authority":"Secretary\u0027s direction to licensed hospitals and ambulatory surgery centers (letter; framed as a request)","instrument":"NCDHHS letter to hospital and ambulatory surgery center leaders, March 20, 2020","title":"Request to suspend all elective and non-urgent procedures and surgeries effective March 23, 2020","dateIssued":"2020-03-20","effective":"2020-03-23","end":"reviewed weekly; hospitals resumed elective procedures in late April and May 2020 (end date not verified from a DHHS instrument)","startDate":"2020-03-23","endDate":"2020-06-30","quarters":["2020Q2"],"types":["HC"],"addressees":["all hospitals and ambulatory surgery centers"],"clause":"Effective March 23rd, 2020, as part of a unified response, I request all hospitals and ambulatory surgery centers suspend all elective and non-urgent procedures and surgeries. Elective and non-urgent procedures and surgeries are defined as any procedure or surgery that if not done within the next 4 weeks would not cause harm to the patient. Beginning today, March 20th, hospitals and ambulatory surgery centers should institute an explicit, real-time review of all non-time sensitive procedures and surgeries.","enforcement":"Direction of the licensing Secretary framed as a request; \u0027we are committed to reviewing this recommendation on a weekly basis\u0027","functions":["SX surgery and elective procedures","OC outpatient clinics","PR procedures","CB patients"],"notes":"Also asks ambulatory surgery centers to engage local hospital partners on supply and equipment sharing.","sourceUrl":"https://files.nc.gov/ncdhhs/COVID-19-Elective-Surgeries-Final.pdf","snapshot":"https://web.archive.org/web/20200503103043/https://files.nc.gov/ncdhhs/COVID-19-Elective-Surgeries-Final.pdf","fileExists":true,"fileBytes":247525,"grade":"primary","character":"","description":"","collection":"NC","url":"/library/NC-068","exhibitUrl":"/exhibit/NC-068","citation":"Secretary of Health and Human Services Mandy Cohen, NCDHHS letter to hospital and ambulatory surgery center leaders, March 20, 2020 (Mar. 20, 2020) (Ex. NC-068)","stateName":"North Carolina","related":["NC-067"]}