Addendum No. 1 to the COVID-19 Public Health Emergency Order (Crisis Standards of Care)

The record

Jurisdiction

Alaska

Level

State

Authority

HB 76 secs. 4 and 13, ch. 2, SLA 2021; CMS 1135 blanket waivers

Issued

2021-09-21 Sept. 21, 2021

Effective

2021-09-21

End

Open-ended (in force Sept. 30, 2021) (read as 2021-09-30)

In force

Sept. 21, 2021 to Sept. 30, 2021

Quarters

2021 Q3

2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3

Limitation types

Emergency declarationHealth care ordersSupply chain

Addressees

• hospitals, psychiatric hospitals, critical access hospitals, long-term care hospitals, skilled nursing facilities
• DHSS

Functions reached

• SX surgery and elective procedures (postponement directed)
• IP inpatient and surge capacity
• ED emergency department (EMTALA off-site screening)
• HR staffing ratios
• CB patients
• SC

Collection

Alaska AK

Operative words

Statewide hospital capacity has been limited and has moved into the high-alert level... Hospitals within Anchorage have been on EMS divert >90 percent of the time for the last seven days.... NOW, THEREFORE, I, Adam Crum, as the Commissioner of DHSS, based on the limited authorities provided in Chapter No. 2, SLA 2021, do hereby issue this ADDENDUM No. 1 to the April 30 2021 PUBLIC HEALTH EMERGENCY ORDER... I. Scope Of Practice Guidelines For Hospitals... 1. Consistent with the Centers for Medicare and Medicaid Services' (CMS) 1135 Blanket Waivers... implement all flexibilities... including... The use of alternate care sites... 2. In addition to the above flexibilities, evaluate and take necessary action as conditions warrant to: a. Postpone or reschedule medical and surgical procedures at hospitals; b. Address staffing limitations by increasing patient-to-staffing ratios, team nursing models, utilizing nurse extenders... c. Expand clinical care within the hospital campus to maximize the use of all available beds

Enforcement

Notes