Health Order Modification Triggers

Wednesday, June 3, 2020

Triggers for Modifying Health Officers Order

Health officers order will be modified when any one of the following three criteria are met:

Or one or more of the remaining criteria in at least 2 of the 3 columns are met.

1.	Case Count: (County Metric) Increase new case counts of at least 10% for five consecutive days above a stable baseline without substantial increase in testing.
2.	Community Outbreaks: (County Metric) No more than seven new outbreaks in community settings in a 7-day period*.
3.	COVID-Syndromic: (Reverse Attestation Metric) Upward trajectory of COVID-like syndromic cases reported within a 14-day period.
4.	ILI: (Reverse Attestation Metric) Upward trajectory of influenza-like illnesses (ILI) reported within a 14-day period.

5.	Hospital Capacity: (Reverse Attestation Metric) Approach 80% capacity for all hospital beds in the county.
6.	Increasing Hospitalizations: (New State Metric) Average change >1% in number of confirmed COVID+ patients currently hospitalized, measured as a 3-day rolling average and compared to the prior 3-day average.
7.	Limited Intensive Care Unit (ICU) Capacity: (New State Metric) <20% availability of ICU beds*.
8.	Limited Ventilator Capacity: (New State Metric) <25% availability of ventilators.
9.	PPE Supply: (Reverse Attestation Metric) Only50% of hospitals have at least a 15-day supply of PPE over a rolling 3-day period*.

10.	Cases: (Reverse Attestation Metric) Greater than 8% of positive tests as a percent of total tests within a 14-day period.
11.	Case Investigation: (County Metric) Only 70% of investigations initiated within 24 hours of notification over a 7-day period.
12.	Contact Tracing: (County Metric) Make first contact attempt for only 70% of close contacts of new positive cases within 24 hours of identification.
13.	Homeless Population: (Reverse Attestation Metric) Temporary shelter not available for less than 15% of homeless population (e.g., space constraints, medically vulnerable household members, or otherwise).

These triggers will be continuously reassessed as new information becomes available.