Table 2.
Potential for patient harm with care deferral | No to minimal community transmission | Minimal to moderate community transmission | Substantial community transmission |
---|---|---|---|
Highly likely | Provide care without delay while resuming regular care practices. | Provide care without delay; consider if your facility can provide the patient's care, rather than transferring them to a facility less affected by COVID-19. | Provide care without delay; consider if feasible to shift care to facilities less heavily affected by COVID-19. |
Less likely | Resume regular care practices while continuing to utilize telehealth if appropriate. | If care cannot be delivered remotely, work towards expanding in-person care to all patients in this category. Utilize telehealth if appropriate. | If care cannot be delivered remotely, arrange for in-person care as soon as feasible with priority for at-riska populations. Utilize telehealth if appropriate. |
Unlikely | Resume regular care practices while continuing to utilize telehealth if appropriate. | If care cannot be delivered remotely, work towards expanding in-person care as needed with priority for at- riska populations and those whose care, if continually deferred, would more likely result in patient harm. Utilize telehealth if appropriate. |
If care cannot be delivered remotely, consider deferring until community transmission decreases. Utilize telehealth if appropriate. |
Those with serious underlying health conditions, those most at-risk for complications from delayed care, and those without access to telehealth services.