2/24/21 overview of current situation (2/24/21 1024) …

2/24/21

\\ochca.com\hcashares\AOC\1 REAL EVENTS\COVID -19\3) MHOAC\DAILY POLICY GROUP of 14

OVERVIEW OF CURRENT SITUATION (2/24/21 1024) Source: Johns Hopkins University & Medicine https://coronavirus.jhu.edu/map.html

Cases / Deaths

Worldwide: 112,314,455 / 2,490,087

Nationwide: 28,276,238 / 503,529

California: 3,543,340 / 49,037

Orange Co: 245,135 / 3,848 Source: Orange County COVID-19 Case Counts & Testing Figures *Reporting 2/23/21

ORANGE COUNTY PUBLIC HEALTH (as of 2/23/21 1023)

Orange County COVID-19 Summary* click for full details

Wed

2/17/21

Thu

2/18/21

Fri

2/19/21

Sat

2/20/21

Sun

2/21/21

Mon

2/22/21

Tue

2/23/21

Cases Reported to Date 243,329 243,665 243,989 244,380 244,632 244,885 245,135

Deaths Reported to Date 3,644 3,685 3,726 3,770 3,810 3,848 3,848

Tests Reported Today 8,591 13,950 19,987 17,530 12,110 5,125 12,783

Cumulative Tests to Date 2,899,182 2,913,132 2,933,119 2,950,649 2,962,759 2,967,884 2,980,667

*Data posted is always preliminary & subject to change. More information may become available as

individual case investigations are completed. LOCAL DATA MAY BE DIFFERENT FROM THE

STATE WEBSITE DATA.

SKILLED NURSING/ASSISTED LIVING/RESIDENTIAL CARE FACILITY – TRENDS

*Data Source: California Department of Public Health (CDPH)

Skilled Nursing/Assisted Living/Residential Care Facility PPE / Ventilator Supplies Days on Hand

(70/73 SNFs reported)

Reporting Date: 2/23/2021 0 - 3 days 4 - 7 days 8-14 days 15+ days

N95 Masks 0 2 13 55

Surgical Masks 0 2 11 57

Eye Protection 0 2 11 57

Gowns 0 3 10 57

Gloves 0 3 9 58

Alcohol-Based Hand Sanitizer 0 3 11 56

S a t S un Mon Tue Wed Thu Fri S a t S un Mon Tue Wed Thu Fri S a t S un Mon Tue Wed Thu Fri S a t S un Mon Tue Wed Fri S a t S un Mon

● 5 8 6 3 5 3 4 3 9 4 6 3 4 3 4 3 2 2 5 0 5 1 5 3 5 5 5 2 1 0

■ 4 5 4 2 3 2 4 1 3 3 2 0 4 2 2 3 1 0 2 0 3 1 4 2 3 3 4 2 0 0

▲ 1 3 1 1 2 1 0 0 6 1 4 3 0 1 2 0 1 2 3 0 2 0 1 1 2 2 1 0 1 0

2/1

3

2/2

0

2/2

1

2/2

2

2/2

3

2/1

5

2/1

6

2/1

7

2/1

8

2/1

9

non-911

1/2

5

1/2

6

# calls

911

*Data Source: Orange County Medical Emergency Data System (OC-MEDS) – Updated 2/23/21

Calls to SNFs/Congregate Living with Primary Impressions: Fever/Cough, Influenza-like Illnesses

(Transports to ERCs Only - Last 30 Days)

2/1

2/2

2/3

2/4

2/5

2/6

2/7

2/8

2/1

4

2/9

2/1

0

2/1

1

2/1

2

1/2

9

1/3

0

1/3

1

1/2

7

1/2

8

-2

0

2

4

6

8

10

https://coronavirus.jhu.edu/map.html

https://occovid19.ochealthinfo.com/coronavirus-in-oc

https://occovid19.ochealthinfo.com/coronavirus-in-oc

2/24/21


*Data Source: Orange County Health Care Agency – Public Health – 2/23/21

**NOTE**: Decrease in the COVID + in staff seen on graph is due to data being cleaned and removing duplicates of those

that work in multiple OC facilities or are contract staff and care for residents at multiple facilities. Resident COVID+ ■ Staff COVID+ ▲ Total ●

*Data Source: Orange County Health Care Agency – Public Health

Current Facility Outbreaks (as of 2/23/21 1000)

An “Outbreak” is two (2) or more confirmed cases of COVID-19 in facility occurring within 14 days.

Facility Type by Licensing Category, Count Facility Name Alphabetical

Skilled Nursing Facility 8

Buena Vista Care Center, Flagship Healthcare Center, Garden Park Care Center, Mainplace Post Acute,

Orange Healthcare & Wellness Centre, Llc, Orangegrove Rehabilitation Hospital, Palm Terrace Healthcare & Rehabilitation Center, Park Vista At Morningside (Snf)

Elderly Assisted Living 9

Alliance Senior Living 3, Brookdale Brookhurst, Carmel Village Retirement Community, Irvine Cottage #10,

Irvine Cottage #5, Janna Marie Guest Home, Nora's Place 1, Silverado Senior Living - Newport Mesa,

Westminster Villa

6430

7844

14274

0

2000

4000

6000

8000

10000

12000

14000

16000

4/20/20 5/20/20 6/20/20 7/20/20 8/20/20 9/20/20 10/20/20 11/20/20 12/20/20 1/20/21 2/20/21

COVID+ in Congregate Healthcare*

2/24/21


EMERGENCY MEDICAL SERVICES STATUS

*Data Source: Orange County Medical Emergency Data System (OC-MEDS)

9-1-1 ambulance transport volume is trending slightly lower. Volume is averaging about 10-15% below normal (pre-

COVID) levels (Updated 02/24/21).

Non-emergency ambulance transports have remained steady over the last couple weeks. Transport volume is averaging

about 30-35% below normal (pre-COVID) levels overall (Updated 02/24/21).

Primary Impressions of Cold/Flu/ILI by 9-1-1 EMS providers continue to decline and are now below baseline levels for this

time of year. (Updated 02/24/21).

EMS Provider Impressions - Cold/Flu/ILI/COVID-19 Year Over Year Comparison (2019 ■, 2020 ▲, & 2021

Daily 9-1-1 Ambulance Transport Volume | 30 Day Trend

0

50

100

150

200

250

300

350

400

450

500

1/2

5

1/2

6

1/2

7

1/2

8

1/2

9

1/3

0

1/3

1

2/1

2/2

2/3

2/4

2/5

2/6

2/7

2/8

2/9

2/1

0

2/1

1

2/1

2

2/1

3

2/1

4

2/1

5

2/1

6

2/1

7

2/1

8

2/1

9

2/2

0

2/2

1

2/2

2

2/2

3

Daily Non-Emergency Transport Volume | 30 Day Trend

0

50

100

150

200

250

300

350

400

450

1/2

5

1/2

6

1/2

7

1/2

8

1/2

9

1/3

0

1/3

1

2/1

2/2

2/3

2/4

2/5

2/6

2/7

2/8

2/9

2/1

0

2/1

1

2/1

2

2/1

3

2/1

4

2/1

5

2/1

6

2/1

7

2/1

8

2/1

9

2/2

0

2/2

1

2/2

2

2/2

3

2020 - 2019/2020 Flu Peak

2020 - 2020 | 1st COVID Peak

2020 - 2020 | 2nd COVID Peak

2020 - 2021 | 3rd COVID Peak

2021 - 2021 | 3rd COVID Peak

0

10

20

30

40

50

60

70

80

1-J

an

16-

Jan

31-

Jan

15-

Feb

1-M

ar

16-

Mar

31-

Mar

15-

Ap

r

30-

Ap

r

15-

May

30-

May

14-

Jun

29-

Jun

14-

Jul

29-

Jul

13-

Au

g

28-

Au

g

12-

Sep

27-

Sep

12-

Oct

27-

Oct

11-

No

v

26-

No

v

11-

Dec

26-

Dec

2/24/21


911 EMS SYSTEM MONITORING

*Data Source: Orange County Medical Emergency Data System (OC-MEDS)

303 285

225 228 272

288 291317

350325

371382

170

220

270

320

370

420

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

911 Transports of Patients with Stroke Field Presentation Orange County Logitudinal Trends by Month, 2017 - present

Average 2017 2018 2019 2020 2021

Co

un

t of

Stro

kes

Average calculated from 2017-2019, 300 Strokes per MonthTotals: 2017 (3493), 2018 (3591), 2019 (3675), 2020 (3587)

140

141 140

133

147 148 154 146161 158

245

213

70

120

170

220

270


911 Transports of Patients with Cardiac Arrest Field PresentationOrange County Longitudinal Trends by Month, 2017 - present

Average 2017 2018 2019 2020 2021

Co

un

t of

Car

dia

c

Average calculated from 2017-2019, 144 Cardiac Arrests per MonthTotals: 2017 (1773), 2018 (1760), 2019 (1644), 2020 (1882)

2/24/21


Summary Data Table for Chart, “911 Responses with Field Death Declaration”

Month 2017 2018 2019 2020 2021

Jan 268 267 254 250 516

Feb 224 216 235 254 Mar 248 233 245 265 Apr 206 186 220 265 May 186 210 202 281 Jun 201 190 205 254 Jul 211 233 208 320 Aug 201 218 195 270 Sep 199 233 222 231 Oct 217 213 227 259 Nov 217 211 217 287 Dec 294 242 246 463 Total 2378 2410 2430 3399

254 265 265 281 254320

270231 259

287

463516

100

200

300

400

500

600


911 Responses with Field Death DeclarationOrange County Longitudinal Trends by Month, 2017 - present

Average 2017 2018 2019 2020 2021

Co

un

t of

Fie

ld

Average calculated from 2017-2019, 222 Field Deaths per MonthTotals: 2017 (2672), 2018 (2652), 2019 (2676), 2020 (3399)Includes All Presentations (e.g. Cardiac Arrest, Trauma, etc)

2/24/21


Ambulance Patient Offload Time (APOT) is defined as the time the ambulance arrives at the receiving

destination (wheels stop) to the time that the ambulance crew physically transfers the patient to the ED gurney.

Last 24 hours: Current Average APOT is: 14m05s / Current 90th Percentile APOT is: 28m52s

The chart below displays a daily trend over the last 30 days.

Eight (8) ERCs had APOT times greater than thirty (30) minutes.

Two (2) ERCs had APOT times greater than sixty (60) minutes.

Note: a handful of ERCs were close to the 30 minute threshold, but were not over it.

Emergency Department (ED) Diversion & Computerized Tomography (CT) (ED closed to all ambulance

transport due to no ED capacity or no CT available) for the last 30 days.

NOTE: Suspension of Hospital Diversion was reinstated, 1/4/21, @ 1900.

NOTE: Hospital Diversion was reinstated on 1/25/21 @ 1900.


COVID 19 - APOT 90th percentile | Daily Trend

AP

OT

in

Min

ute

s

3129

26

34

2526

2324

2726

22

2624

23

2627

21

25 25

20

23

28

24

28

2523

1820

34

29

0

5

10

15

20

25

30

35

40

1/2

6

1/2

7

1/2

8

1/2

9

1/3

0

1/3

1

2/1

2/2

2/3

2/4

2/5

2/6

2/7

2/8

2/9

2/1

0

2/1

1

2/1

2

2/1

3

2/1

4

2/1

5

2/1

6

2/1

7

2/1

8

2/1

9

2/2

0

2/2

1

2/2

2

2/2

3

2/2

4

S a t S un Mon Tue Wed Thu Fri S a t S un Mon Tue Wed Thu Fri S a t S un Mon Tue Wed Thu Fri S a t S un Mon Tue Wed S a t S un Mon Tue

CT ● 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0

ED ■ 0 0 0 0 5 0 4 4 0 3 0 2 0 3 7 0 0 0 0 0 3 1 2 2 2 0 0 0 9 2


2/1

1

(25 Hospitals, rounded to nearest hour - Last 30 Days)

2/2

1

2/2

2

2/1

3

2/1

4

2/1

5

2/1

6

2/1

7

2/7

2/8

2/5

2/1

9

2/2

0

2/9

2/1

0

2/6

2/1

2

2/2

3

2/1

8

Hours of Diversion per 24-Hour Period

1/2

5

1/2

6

1/2

7

1/2

8

1/2

9

1/3

0

1/3

1

2/1

2/2

2/3

2/4

-1

1

3

5

7

9

11

https://www.healthdisasteroc.org/civicax/filebank/blobdload.aspx?BlobID=118827


2/24/21


26): Anaheim Regional, Anaheim Global, Chapman Global, CHOC, CHOC at Mission, Foothill, Fountain Valley, Garden Grove, Hoag-Irvine, Hoag-Newport Beach, Huntington Beach, Kaiser-Anaheim, Kaiser-Irvine, La Palma,

Los Alamitos, Mission –Laguna Beach, Mission-Mission Viejo, Orange Coast Memorial, Orange County Global, Placentia Linda, Saddleback Memorial, Saint Jude, South Coast Global, St. Josephs, UCI, West Anaheim

*Data Source: California Department of Public Health (CDPH) – Snowflake server

Current Snowflake Data Dictionary may be found at:

https://www.calhospital.org/sites/main/files/file-attachments/data_dictionary_cha_covid_tracker_4-17-20.pdf

33 HOSPITALS Date Census

All System

Occupancy

% System

COVID+

Hospitalized System

COVID+

Hospitalized ICU Only

(Adult &

Peds)

% COVID+

hospitalized of ICU

Occupied

(Adult & Peds)

ICU

Occupied (Adult &

Peds)**

ICU

Available (Adult &

Peds)***

% ICU

Available (Adult &

Peds)****

ICU by Patient Age Group %

Ventilators Available Adult

Occupied

Adult

Available

Adult %

Available

Pediatric

Occupied

Pediatric

Available

Pediatric

%

Available

2/10 3699 69% 965 298 61% 490 120 20% 469 86 15% 21 34 62% 51%

2/11 3759 70% 908 290 58% 501 130 21% 484 92 16% 17 38 69% 54%

2/12 3336 67% 742 245 52% 467 115 20% 451 76 14% 16 39 71% 56%

2/13 3689 69% 790 257 51% 507 112 18% 491 73 13% 16 39 71% 56%

2/14 3568 67% 777 242 52% 469 127 21% 452 89 16% 17 38 69% 56%

2/15 3511 67% 748 235 49% 477 136 22% 463 95 17% 14 41 75% 56%

2/16 3492 66% 719 235 48% 487 141 22% 475 98 17% 12 43 78% 57%

2/17 3575 67% 663 230 45% 507 128 20% 484 96 17% 23 32 58% 58%

2/18 3620 68% 636 215 42% 512 117 19% 486 88 15% 26 29 53% 59%

2/19 3586 68% 591 196 39% 497 121 20% 470 93 17% 27 28 51% 58%

2/20 3666 69% 577 190 39% 491 122 20% 464 94 17% 27 28 51% 59%

2/21 3560 67% 556 179 38% 476 127 21% 455 93 17% 21 34 62% 59%

2/22 3403 64% 539 152 33% 461 150 25% 445 111 20% 16 39 71% 61%

2/23 3591 68% 515 151 32% 476 144 23% 464 101 18% 12 43 78% 60%

**ICU occupied PREVIOUSLY ICU CDPH OC Occupied – CDPH combines occupied ICU adult beds and occupied ICU pediatric beds as a reporting metric on their COVID-19 Hospital dashboard. ***ICU Available PREVIOUSLY ICU CDPH OC Available – CDPH subtracts the sum of occupied ICU adult beds and occupied ICU pediatric beds, from the sum of ICU total adult beds and ICU total pediatric beds to determine ICU

available beds on their COVID-19 Hospital dashboard. ****%ICU AVAILABLE PREVIOUSLY % ICU CDPH OC Available – The sum of occupied ICU adult beds and occupied ICU pediatric beds, divided by the sum

of ICU total adult beds and ICU total pediatric beds, as a percentage. *****%COVID+ hospitalized of ICU Occupied PREVIOUSLY % ICU Beds System Available – All ICU beds reported as available in Orange County, which includes Adult, PICU, and NICU, and any other ICU bed types.


2/24/21


▲ ICU ▼

♦ ▲

Х NON-ICU ▼

● SYSTEM ▼

▲

ICU SYSTEM CENSUS | (02/23/21)

*includes adult , PICU, NICU & o ther

SYSTEM- 906

VENTILATORS | (02/23/21)

●

▲ AVAILABLE- 271 (29.9%)

02/2

3

515 -24 -4.5%

3 Day | 02-20-21 577 -62 -10.7%

02/1

0

7 Day | 02-16-21 719 -204 -28.4%

14 Day System COVID+ Change

Х

♦

SYSTEM- 1197

AVAILABLE- 724 (60.5%)

OCCUPIED- 473 (39.5%)

●

▲

Х OCCUPIED- 635 (70.1%)

COVID- 170 (35.9%) *0 FROM ED

COVID 19 ORANGE COUNTY HOSPITAL SYSTEM DATA (CA SNOWFLAKE SERVER)

COVID+ CENSUS by BED TYPE | 02/23/2021

364 -23 -5.9%

151 -1 -0.7%

ED OVERFLOW 17 +2 13.3%

0

300

600

900

1200

1500

1800

2100

2400

3/29/2020 5/28/2020 7/27/2020 9/25/2020 11/24/2020 1/23/2021

6.5

%

-4.4

%

-5.9

%

-1.6

%

-3.7

%

-3.9

%

-7.8

%

-4.1

%

-7.1

%

-2.4

%

-3.6

%

-3.1

%

-4.5

%

0

300

600

900

1200

3/29/2020 5/28/2020 7/27/2020 9/25/2020 11/24/2020 1/23/2021

0

300

600

900

1200

3/29/2020 5/28/2020 7/27/2020 9/25/2020 11/24/2020 1/23/2021

2/24/21


● SYSTEM BEDS (INLUDES SURGE)- 6965

♦

▲

● SURGE BED SYSTEM- 1137 (ICU- 145 | NON ICU- 992)

▲ SURGE BED NON ICU PATIENTS- 29 (2.9%)

♦ SURGE BED ICU PATIENTS- 35 (24.1%)

SURGE CENSUS | 02/23/2021

Х SURGE BED PATIENTS SYSTEM- 64 (5.6%)

INPATIENT INCLUDING SURGE- 3655 (52.5%)

NON SURGE INPATIENT BEDS- 5292

NON SURGE INPATIENT- 3591 (67.9%)

SURGE NON ICU INPATIENT- 29

SURGE ICU INPATIENT- 35


7 DAY HISTORY BED OCCUPANCY | 02/23/2021

3492 3575 3620 3586 3666 35603403

359134 40 55 75 40

2628

2956 57 44 48

37 3437

353582 3672 3719 3709 3743

36203468

3655

66%5290

67%5304

68%5311

68%5285

69%5318

67%5291

64%5276

68%5292

51%7011

52%7023

53%6998

53%6989

53%7013

52%6968

50%6943

52%6965

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0K

1K

2K

3K

4K

5K

6K

7K

2/16/2021 2/17/2021 2/18/2021 2/19/2021 2/20/2021 2/21/2021 2/22/2021 2/23/2021

0

300

600

900

1200

1500

1800

3/29/2020 5/28/2020 7/27/2020 9/25/2020 11/24/2020 1/23/2021

2/24/21


● CONFIRMED 437 448 439 426 394 392 384 370 363 365 342 347 335 331 324 310 298 290 245 257 242 235 235 230 215 196 190 179 152 151

Adult 435 446 437 425 392 390 382 368 361 363 340 345 333 329 323 310 297 289 245 257 240 233 234 229 215 194 189 177 152 151

Peds 2 2 2 1 2 2 2 2 2 2 2 2 2 2 1 0 1 1 0 0 2 2 1 1 0 2 1 2 0 0

▲ SUSPECTED 2 6 3 4 7 4 3 1 5 5 4 2 1 4 4 1 3 4 4 7 4 9 5 7 2 3 1 1 0 3

Adult 2 6 3 4 7 4 3 1 5 4 3 1 1 4 4 1 2 3 3 5 4 9 5 7 2 3 1 0 0 2

Peds 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 2 0 0 0 0 0 0 0 1 0 1

X OCCUPIED 556 557 576 514 527 557 550 522 521 555 538 543 547 536 530 516 490 501 467 507 469 477 487 507 512 497 491 476 461 476

Adult 532 535 548 495 501 528 529 501 500 528 517 520 522 511 507 494 469 484 451 491 452 463 475 484 486 470 464 455 445 464

Peds 24 22 28 19 26 29 21 21 21 27 21 23 25 25 23 22 21 17 16 16 17 14 12 23 26 27 27 21 16 12

♦ SYSTEM AVL 89 90 97 117 108 98 120 102 118 98 112 101 103 97 101 114 120 130 115 112 127 136 141 128 117 121 122 127 150 144

Adult 58 57 70 81 79 72 77 68 84 70 78 69 73 67 69 81 86 92 76 73 89 95 98 96 88 93 94 93 111 101

Peds 31 33 27 36 29 26 43 34 34 28 34 32 30 30 32 33 34 38 39 39 38 41 43 32 29 28 28 34 39 43

■ SYSTEM TTL 645 647 673 631 635 655 670 624 639 653 650 644 650 633 631 630 610 631 582 619 596 613 628 635 629 618 613 603 611 620

Adult 590 592 618 576 580 600 606 569 584 598 595 589 595 578 576 575 555 576 527 564 541 558 573 580 574 563 558 548 556 565

Peds 55 55 55 55 55 55 64 55 55 55 55 55 55 55 55 55 55 55 55 55 55 55 55 55 55 55 55 55 55 55

1-2

8-2

1

1-2

9-2

1

1-3

0-2

1

1-3

1-2

1

2-1

-21

1-2

5-2

1

1-2

6-2

1

1-2

7-2

1


NON SURGE ICU BEDS: ADULT & PEDS COMBINED (01/25/21 - 02/23/21) | 33 ACUTE CARE FACILITIES REPORTING

ICU INSIGHTS

01-25-21 thru 02-23-21:

2-2

3-2

1

2-2

2-2

1

2-1

7-2

1

2-1

8-2

1

2-1

9-2

1

2-2

0-2

1

2-2

1-2

1

2-1

2-2

1

2-1

3-2

1

2-1

4-2

1

2-1

5-2

1

2-1

6-2

1

2-7

-21

2-8

-21

2-9

-21

2-1

0-2

1

2-1

1-2

1

2-2

-21

2-3

-21

2-4

-21

2-5

-21

2-6

-21

System ICU decreased

by -3.9%.● ▲ X ♦ ■

Confirmed COVID+ in

ICU decreased by -

65.4%.

Available ICU increased

by 61.8%.

Confirmed suspect in ICU

increased by 50.0%.

Occupied ICU decreased

by -14.4%.

0

100

200

300

400

500

600

700

800

2/24/21


VENTILATOR INSIGHTS

01-25-21 thru 02-23-21:

● CONFIRMED* 477 463 435 430 382 365 365 352 333 316 304 292 235 298 304 302 292 268 249 245 243 242 229 234 214 202 196 182 178 170

X OCCUPIED 714 702 682 658 627 613 594 585 576 573 560 564 504 588 580 574 581 545 515 527 524 522 513 503 495 499 496 488 471 473

♦ SYSTEM AVL 437 454 474 503 546 557 576 593 603 609 630 626 687 601 613 618 613 648 646 667 670 673 682 698 707 697 702 710 726 724

■ SYSTEM TTL 1151 1156 1156 1161 1173 1170 1170 1178 1179 1182 1190 1190 1191 1189 1193 1192 1194 1193 1161 1194 1194 1195 1195 1201 1202 1196 1198 1198 1197 1197

*Confirmed includes ED values

X

2-1

8-2

1

2-1

9-2

1


VENTILATORS (01/25/21 - 02/23/21) | 33 ACUTE CARE FACILITIES REPORTING

2-1

6-2

1

2-1

5-2

1

2-1

7-2

1

Occupied ventilators

decreased by -33.8%. ♦System available ventilators

increased by 65.7%. ■Total system ventilators increased

by 4.0%.

2-6

-21

2-7

-21

2-8

-21

2-9

-21

2-1

0-2

1

2-1

1-2

1

2-1

2-2

1

2-2

3-2

1

1-2

5-2

1

1-2

6-2

1

1-2

7-2

1

1-2

8-2

1

1-2

9-2

1

1-3

0-2

1

1-3

1-2

1

2-1

-21

2-2

-21

2-3

-21

2-4

-21

2-5

-21

2-2

0-2

1

2-2

1-2

1

2-2

2-2

1

2-1

3-2

1

2-1

4-2

1

●Confirmed COVID+ patients on

ventilators decreased by -64.4%.

0

200

400

600

800

1000

1200

1400

2/24/21


*Data Source: California Department of Public Health (CDPH) – Snowflake server

**Current Snowflake Data Dictionary may be found at:


Acute Care Hospital PPE / Ventilator Supplies Days on Hand – (30/33 ACHs reported)

Reporting Date: 2/23/21* 30 days + 15-30 days 7-14 days 4-6 days 0-3 days Not Reported

Ventilator Supplies** 8 6 14 2 0 3

N95 Masks** 20 9 0 0 0 4

Surgical Masks** 22 5 2 0 0 4

Face Shields** 18 4 3 3 1 4

Gloves** 15 4 9 0 1 4

Gowns** 15 6 4 3 1 4

Hospital Criteria for shifting to Crisis Care Strategies LEGEND

CRITERIA

STATUS

Normal Operations Modified

Operations Modified Operations

Assistance Needed

Rate of change in Hospitalized COVID-19 patients

(doubling time over last 7 days)

Never to 4 weeks to

double

4 weeks to 2 weeks to

double

Less than 2 weeks to

double

Absolute COVID-19 Census in the hospitals across

Orange County Less than 750 750-1500 >1500

Hospital census as a percentage of staffed capacity <80% 80% to 90% >90%

Hospital ICU census as a percentage of staffed ICU

capacity <70% 70% to 85% >85%

Hospital Criteria for shifting to Crisis Care Strategies

2/23/21

CRITERIA

STATUS

Normal Operations Modified Operations

Under Control

Modified Operations

Assistance Needed

Rate of change in Hospitalized COVID-19 patients

(doubling time over last 7 days) Declining

Absolute COVID-19 Census in the hospitals across

Orange County 515

Hospital census as a percentage of staffed capacity 68%

Hospital ICU census as a percentage of staffed ICU

capacity 77%


2/24/21


AGENCY OPERATIONS CENTER / LOGISTICS SECTION

The AOC is activated on Wednesdays from 0900-1600 at Level II; Warehouse Ops are M-F - 0900-1600.

• SCARCE Resources: Gloves, Syringes, Needles

Total Activity – Updated 2/17/21 at 1530

INQUIRIES RR RECEIVED RR FILLED

18,177 +120 10,737 +102 8,726 +94

Total Denied Requests: 872 / Total Redacted Requests: 937

Logistics Daily Units Distributed 2/17/21

N95 Mask 64,400

Surgical Mask 55,000

Gown 6,200

Gloves 90,100

Face Shields/Eye Protection 1,450

Hand Sanitizer 448

Other 75,103

Total Units 292,701

Inventory Report 02/18/20 to 02/19//21

Medical Supply/Equipment Total Units Distributed

N95 Mask 5,192,635

Surgical Mask 2,095,005

Gowns 2,811,716

PPE-Suit 17,965

Gloves 6,550,550

Eye Protection 418,434

Hand Sanitizer 314,171

Other Items 2,663,146

Total Units 20,063,622

Resource Requests - Updated 2/17/21 at 1530

Received ■ Filled ●

102

94

0

50

100

150

200

250

300

3/05/20 4/02/20 4/30/20 5/28/20 6/25/20 7/23/20 8/20/20 9/17/20 10/15/20 11/12/20 12/10/20 1/07/21 2/04/21

2/24/21


ALTERNATE CARE SITE (ACS)

Fairview Alternate Care Site (FACS) opened for admissions on TUESDAY, 12/15/20 @ 1800

FACS will be placed into a “warm close” status on MONDAY, 03/15/2021. A “warm close” will allow the State of

California to maintain the ACS in a semi-ready state and will enable the site to reopen within 72 hours if needed.

FACS Admissions Guidelines (updated 12.16.20) may be found on the OCEMS website at:


Fairview (COVID-19 +)

Patient Census (as of 2/24/2021 09:00) CURRENT TOTAL

Orange County 12 134

LA County 4 69

Riverside 2 6

San Bernardino County 0 4

Ventura County 0 1

Total patients CENSUS / TOTAL ACCEPTED 18 214

Patients Discharged TOTAL DISCHARGED 196

Memory Care Unit (MCU) Census (as of 2/24/2021 17:00)

MCU Patient Census 11 49

Patients Discharged from MCU TOTAL

MCU - DISCHARGED 38

MOBILE FIELD HOSPITALS (MFHs)

MFHs are capable of expanding current hospital capacity by adding additional patient beds.

They are large heavy duty canvas tents with hard flooring and temperature controlled units.

They can be configured in a myriad of footprints and sizes (i.e. 25-200 patient bed).

OCEMS has a total of 8 trailers to support at minimum, 200 patient beds.

CDPH is primed and ready to provide hospitals a waiver to allow emergency use of these MFHs.

o Hospitals who have self-identified in receiving a MFH include:

o UCI (50 patient bed) – currently used for patient care activities

o Fountain Valley (25 patient bed) – converting to community vaccination clinic facility

o Los Alamitos (25 patient bed) – currently being demobilized

o Saint Jude (50 patient bed) – approved by CDPH but no patients at this time


2/24/21 overview of current situation (2/24/21 1024) …

Documents