Common use of Optional Questions Clause in Contracts

Optional Questions. (A-O)‌ The questions in this section are optional for hospital associations. They are exploratory questions to assist ASPR to understand the challenges faced and leading practices utilized by recipients and sub- recipients in the implementation of this cooperative agreement. The responses will be used to inform future program design, development of guidance, delivery of technical assistance, and support contextual understanding for reporting to national stakeholders. Collection Timeframe: (collected at middle of project year and end of project year) A. Tactics successfully used by hospital associations to execute subawards What strategies have you used to successfully and quickly execute subawards? Hospital association N/A B. Communications methods used by hospital associations What strategies have you used to share and push communications and information out to sub- recipients? Select as many as apply: • Email • Webinars and calls • Social media • Individual outreach and communication • Other (free response) Hospital association N/A ▇. ▇▇▇▇▇▇▇▇▇ observed/achieved that resulted from sub-recipients updating preparedness plans For sub-recipients who updated their preparedness plans, were there any successes or positive outcomes you can highlight? Hospital association N/A D. Challenges sub-recipients faced in updating preparedness plans What specific challenges have you heard most often from sub- recipients regarding implementing preparedness and response plans to address COVID- 19 medical surge? Select as many as apply: • Limitations in clinical knowledge • Limitations in funding to implement plan • Limitations in needed staff • Limitations in needed equipment and/or supplies • Limitations in physical space • Other (free response) Hospital association N/A E. Challenges in implementing infection What specific challenges have you most often heard from sub- recipients regarding their ability to train staff on effective infection control practices? Select as many as apply: • Staff availability for training • Limitations in trainer clinical knowledge • Curriculum development • Material limitations to implementation (space, materials, etc.) • Availability of training resources, including space and materials • Other (free response) Hospital association N/A F. Challenges in implementing triage What specific challenges have you heard most often from sub- recipients regarding their ability to train staff on COVID-19 triage? Select as many as apply: • Staff availability for training Hospital association N/A control Program Performance Measure Data Point Data Entity Calculation • Limitations in trainer clinical knowledge • Curriculum development • Material limitations to implementation (space, materials, etc.) • Availability of training resources, including space and materials • Other (free response) G. Challenges in procuring needed supplies and equipment What specific challenges have you heard most often from sub- recipients regarding their ability to procure needed supplies and equipment? Select as many as apply: • Budget constraints or limited funding • Low or limited market supply • High cost and/or price gouging • Finding and vetting non- traditional suppliers • Securing quality supplies/products • Competing priorities regarding supplies to obtain • Lack of inventory or demand data • Other (free response) Hospital association N/A H. Successes and associated tactics in procuring needed supplies and equipment What success stories have you heard from sub-recipients regarding procurement of needed supplies and equipment, and what tactics were employed to achieve that result? Hospital association N/A I. Challenges in expanding telemedicine and telehealth capabilities and coverage What specific challenges have sub-recipients experienced regarding their ability to expand telemedicine and telehealth capabilities and coverage? Select as many as apply: • Medicare payment • Medicaid payment • Private insurance payment Hospital association N/A Program Performance Measure Data Point Data Entity Calculation • Bandwidth (patient location) • Bandwidth (provider location) • Provider acceptance • Patient acceptance • Hardware capability and interoperability • Software capability and reliability • Network security • Coordination with existing electronic health records (EHR) • Internal management of telemedicine platform and workflows • State licensing of providers • Medicolegal concerns • Use for speakers of languages other than English • Use by patients with disabilities • Lack of training • Other (free response) J. Successes and associated tactics in expanding telemedicine and telehealth capabilities and coverage What success stories have sub- recipients experienced regarding expanded telemedicine and telehealth coverage, and what tactics were employed to achieve that result? Hospital association N/A K. Challenges in retrofitting or adding additional screening/treatment space for COVID-19 What specific challenges have sub-recipients experienced regarding their ability to retrofit spaces for COVID-19 screening and treatment? Select as many as apply: • Budget constraints or limited funding • Limitations in clinical knowledge • Disagreement on leading practice or priorities • Material limitations (space, materials, etc.) • Other (free response) Hospital association N/A L. Successes and associated tactics in retrofitting or adding additional screening/treatment spaces for COVID-19 What success stories have sub- recipients experienced regarding retrofitting areas for COVID-19 screening and treatment, and what tactics were employed to achieve that result? Hospital association N/A M. Challenges in increasing patient care beds What specific challenges have sub-recipients experienced in increasing the number of available patient care beds? Select as many as apply: • Budget constraints or limited funding • Determining leading practice and priorities • Material limitations (space, materials, etc.) • Staffing • Physical space constraints • Ability to discharge patients • Other (free response) Hospital association N/A N. Successes in increasing patient care beds What success stories have sub- recipients experienced regarding increasing the number of available patient care beds through cooperative agreement funding? In these cases, what tactics were used? Hospital association N/A O. Novel uses of funding For those recipients approved by NHPP to use funding in novel ways, please provide comments on your use of funding and its impact. Hospital Association N/A Annex A: Acronyms and Glossary of Terms‌ ASPR cooperative agreement funding Any funding awarded to a recipient or awarded to a sub-recipient. An activity is considered supported by ASPR cooperative agreement funding if it is: 1) fully funded by the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement; 2) partially funded by this cooperative agreement and by the facility or other entity; or 3) supported by allowable staff positions fully- or partially-funded by cooperative agreement funding ASPR-funded An activity is considered ASPR-funded if it is: 1) fully funded by the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement; 2) partially funded by this cooperative agreement and by the facility or other health care entity; or 3) supported by allowable staff positions fully- or partially-funded by this cooperative agreement funding Data Entity The source organization reporting a particular Data Point Data Point Individual data element reported by a Hospital Association or its sub-recipient used to calculate or assess the Program Performance Measure Facility/ Organization This term applies to the functional organization of a sub-recipient that receives a sub-award from a Hospital Association through the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement that provides care services to patients, regardless of sub-recipient type. These include acute care hospitals, specialty care centers, outpatient/ambulatory care (includes primary care clinics, urgent care centers, dialysis, community health centers, etc.), home and residential care (includes long-term care, home health agencies, skilled nursing facilities, etc.), EMS/Pre-Hospital (also includes 911/Public Safety Answering Points (PSAP)), support services (pharmacies, blood banks, medical supply chain), hospital systems, and other health care entities on the front lines of the COVID-19 pandemic Health Care Worker A health care worker is any worker who provides clinical health care services (i.e., doctors, nurses, laboratory technicians, x-ray technicians, EMS, etc.) HPP The Hospital Preparedness Program Infection Control Infection control prevents or limits the spread of infection in health care settings and includes a range of activities such as: • training for health care worker safety when caring for a COVID-19 patient (e.g., Personal Protective Equipment (PPE) donning/▇▇▇▇▇▇▇, safe treatment protocols), • assessing and updating physical infrastructure (e.g., minor retrofitting and alteration of inpatient care areas for enhanced infection control donning/▇▇▇▇▇▇▇ rooms), • reconfiguring patient flow in emergency departments to provide isolation capacity for Persons Under Investigation (PUIs) for COVID-19 and other potentially infectious patients, expansion of telemedicine and telehealth for the purposes of infection control, • purchase of or preservation strategies for PPE optimization in accordance with CDC guidelines, and/or other activities in accordance with CDC guidelines for Transmission-based Precautions8 PPE Personal Protective Equipment PSAP Public Safety Answering Point PUI Persons Under Investigation Program Performance Measure The national-level performance measure used by ASPR to monitor and evaluate the performance of the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement. Result is typically calculated by ASPR based on Data Points reported by Hospital Associations sub-recipients Recipient For this cooperative agreement, recipients are state/jurisdictional Hospital Associations who receive awards from ASPR’s Hospital Preparedness Program through the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement. Formal definitions of recipients can be found in the Code of Federal Regulations (2 CFR—Part 200)9 Sub-recipient Acute care hospitals, specialty care centers, outpatient/ambulatory care, home and residential care, EMS/Pre-Hospital, support services, and other health care entities that receive a sub-award from a Hospital Association through the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement. Formal definitions of sub-recipients can be found in the Code of Federal Regulations (2 CFR—Part 200)2 Support Services Worker Workers who provide support services that allow those in the health care sector to function, including environmental health workers, food preparation workers, maintenance workers, etc.

Optional Questions. (A-O)‌ The questions in this section are optional for hospital associations. They are exploratory questions to assist ASPR to understand the challenges faced and leading practices utilized by recipients and sub- recipients in the implementation of this cooperative agreement. The responses will be used to inform future program design, development of guidance, delivery of technical assistance, and support contextual understanding for reporting to national stakeholders. Collection Timeframe: (collected at middle of project year and end of project year)O) Program Performance Measure Data Point Data Entity Calculation A. Tactics successfully used by hospital associations to execute subawards What strategies have you used to successfully and quickly execute subawards? Hospital association N/A B. Communications methods used by hospital associations What strategies have you used to Hospital N/A by hospital associations share and push communications association and information out to sub- recipients? Select as many as apply: • Email • Webinars and calls • Social media • Individual outreach and communication Program Performance Data Point Data Entity Calculation • Other (free response) Hospital association N/A) ▇. ▇▇▇▇▇▇▇▇▇ observed/achieved that resulted from sub-recipients updating preparedness plans For sub-recipients who updated their preparedness plans, were there any successes or positive outcomes you can highlight? Hospital association N/A D. Challenges sub-recipients faced in updating preparedness plans What specific challenges have you heard most often from sub- recipients regarding implementing preparedness and response plans to address COVID- 19 medical surge? Select as many as apply: • Limitations in clinical knowledge • Limitations in funding to implement plan • Limitations in needed staff • Limitations in needed equipment and/or supplies • Limitations in physical space • Other (free response) Hospital association N/A E. Challenges in implementing infection What specific challenges have you most often heard from sub- recipients regarding their ability to train staff on effective infection control practices? Select as many as apply: • Staff availability for training • Limitations in trainer clinical knowledge • Curriculum development • Material limitations to implementation (space, materials, etc.) • Availability of training resources, including space and materials • Other (free response) Hospital association N/A F. Challenges in implementing triage What specific challenges have you heard most often from sub- recipients regarding their ability to train staff on COVID-19 triage? Select as many as apply: • Staff availability for training Hospital association N/A control Program Performance Measure Data Point Data Entity Calculation • Limitations in trainer clinical knowledge • Curriculum development • Material limitations to implementation (space, materials, etc.) • Availability of training resources, including space and materials • Other (free response) G. Challenges in procuring needed supplies and equipment What specific challenges have you heard most often from sub- recipients regarding their ability to procure needed supplies and equipment? Select as many as apply: • Budget constraints or limited funding • Low or limited market supply • High cost and/or price gouging • Finding and vetting non- traditional suppliers • Securing quality supplies/products • Competing priorities regarding supplies to obtain • Lack of inventory or demand data • Other (free response) Hospital association N/A H. Successes and associated tactics in procuring needed supplies and equipment What success stories have you heard from sub-recipients regarding procurement of needed supplies and equipment, and what tactics were employed to achieve that result? Hospital association N/A I. Challenges in expanding telemedicine and telehealth capabilities and coverage What specific challenges have sub-recipients experienced regarding their ability to expand telemedicine and telehealth capabilities and coverage? Select as many as apply: • Medicare payment • Medicaid payment • Private insurance payment • Bandwidth (patient location) Hospital association N/A Program Performance Measure Data Point Data Entity Calculation • Bandwidth (patient location) • Bandwidth (provider location) • Provider acceptance • Patient acceptance • Hardware capability and interoperability • Software capability and reliability • Network security • Coordination with existing electronic health records (EHR) • Internal management of telemedicine platform and workflows • State licensing of providers • Medicolegal concerns • Use for speakers of languages other than English • Use by patients with disabilities • Lack of training • Other (free response) J. Successes and associated tactics in expanding telemedicine and telehealth capabilities and coverage What success stories have sub- recipients experienced regarding expanded telemedicine and telehealth coverage, and what tactics were employed to achieve that result? Hospital association N/A K. Challenges in retrofitting or adding additional screening/treatment space for COVID-19 What specific challenges have sub-recipients experienced regarding their ability to retrofit spaces for COVID-19 screening and treatment? Select as many as apply: • Budget constraints or limited funding • Limitations in clinical knowledge • Disagreement on leading practice promising practices or priorities • Material limitations (space, materials, etc.) • Other (free response) Hospital association N/A L. Successes and associated tactics in retrofitting or adding additional screening/treatment spaces for COVID-19 What success stories have sub- recipients experienced regarding retrofitting areas for COVID-19 screening and treatment, and what tactics were employed to achieve that result? Hospital association N/A M. Challenges in increasing patient care beds What specific challenges have sub-recipients experienced in increasing the number of available patient care beds? Select as many as apply: • Budget constraints or limited funding • Determining leading practice promising practices and priorities • Material limitations (space, materials, etc.) • Staffing • Physical space constraints • Ability to discharge patients • Other (free response) Hospital association N/A N. Successes in increasing patient care beds What success stories have sub- recipients experienced regarding increasing the number of available patient care beds through cooperative agreement funding? In these cases, what tactics were used? Hospital association N/A O. Novel uses of funding For those recipients approved by NHPP to use funding in novel ways, please provide comments on your use of funding and its impact. Hospital Association N/A Annex A: Acronyms and Glossary of Terms‌ ASPR Administration for Strategic Preparedness and Response ASPR cooperative agreement funding Any funding awarded to a recipient or awarded to a sub-recipient. An activity is considered supported by ASPR cooperative agreement funding if it is: 1) fully funded by the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement; 2) partially funded by this cooperative agreement and by the facility or other entity; or 3) supported by allowable staff positions fully- or partially-funded by cooperative agreement funding ASPR-funded An activity is considered ASPR-funded if it is: 1) fully funded by the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement; 2) partially funded by this cooperative agreement and by the facility or other health care entity; or 3) supported by allowable staff positions fully- or partially-funded by this cooperative agreement funding Data Entity The source organization reporting a particular Data Point Data Point Individual data element reported by a Hospital Association or its sub-recipient used to calculate or assess the Program Performance Measure Facility/ Organization This term applies to the functional organization of a sub-recipient that receives a sub-award from a Hospital Association through the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement that provides care services to patients, regardless of sub-recipient type. These include acute care hospitals, specialty care centers, outpatient/ambulatory care (includes primary care clinics, urgent care centers, dialysis, community health centers, etc.), home and residential care (includes long-term care, home health agencies, skilled nursing facilities, etc.), EMS/Pre-Hospital (also includes 911/Public Safety Answering Points (PSAP)), support services (pharmacies, blood banks, medical supply chain), hospital systems, and other health care entities on the front lines of the COVID-19 pandemic Health Care Worker A health care worker is any worker who provides clinical health care services (i.e., doctors, nurses, laboratory technicians, x-ray technicians, EMS, etc.) HPP The Hospital Preparedness Program Infection Control Infection control prevents or limits the spread of infection in health care settings and includes a range of activities such as: • training for health care worker safety when caring for a COVID-19 patient (e.g., Personal Protective Equipment (PPE) donning/▇▇▇▇▇▇▇, safe treatment protocols), • assessing and updating physical infrastructure (e.g., minor retrofitting and alteration of inpatient care areas for enhanced enhance infection control donning/▇▇▇▇▇▇▇ rooms), Term Definition • reconfiguring patient flow in emergency departments to provide isolation capacity for Persons Under Investigation (PUIs) for COVID-19 and other potentially infectious patients, expansion of telemedicine and telehealth for the purposes of infection control, • purchase purchasing of or preservation strategies for PPE optimization in accordance with CDC guidelines, and/or other activities in accordance with CDC guidelines for Transmission-based Precautions8 Precautions9 PPE Personal Protective Equipment PSAP Public Safety Answering Point PUI Persons Under Investigation Program Performance Measure The national-level performance measure used by ASPR to monitor and evaluate the performance of the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement. Result is typically calculated by ASPR based on Data Points reported by Hospital Associations sub-recipients Recipient For this cooperative agreement, recipients are state/jurisdictional Hospital Associations who receive awards from ASPR’s Hospital Preparedness Program through the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement. Formal definitions of recipients can be found in the Code of Federal Regulations (2 CFR—Part 200)9 200)10 Sub-recipient Acute care hospitals, specialty care centers, outpatient/ambulatory care, home and residential care, EMS/Pre-Hospital, support services, and other health care entities that receive a sub-award from a Hospital Association through the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement. Formal definitions of sub-recipients can be found in the Code of Federal Regulations (2 CFR—Part 200)2 200)11 Support Services Worker Workers who provide support services that allow those in the health care sector to function, including environmental health workers, food preparation workers, maintenance workers, etc.. Triage The sorting out and classification of patients or casualties to determine priority of need and proper place of treatment. During infectious disease outbreaks, triage is particularly important to separate patients likely to be infected with the pathogen of concern.12 For the purposes of these measures, activities may include rapid identification and isolation of a patient, approaches for the assessment, transport, and treatment of persons suspected or confirmed to have COVID-19, alternative or innovative models to reconfigure patient flow or transition to inpatient care, identify alternate care sites (on facility grounds or within close proximity) and

Optional Questions. (A-O)‌ The questions in this section are optional for hospital associations. They are exploratory questions to assist ASPR to understand the challenges faced and leading promising practices utilized by recipients and sub- recipients in the implementation of this cooperative agreement. The responses will be used to inform future program design, development of guidance, delivery of technical assistance, and support contextual understanding for reporting to national stakeholders. Collection Timeframe: (collected at middle of project year and end of project year) A. Tactics successfully used by hospital associations to execute subawards What strategies have you used to successfully and quickly execute subawards? Hospital association N/A B. Communications methods used by hospital associations What strategies have you used to share and push communications and information out to sub- recipients? Select as many as apply: • Email • Webinars and calls • Social media • Individual outreach and communication Hospital association N/A Program Performance Data Point Data Entity Calculation • Other (free response) Hospital association N/A) ▇. ▇▇▇▇▇▇▇▇▇ observed/achieved that resulted from sub-recipients updating preparedness plans For sub-recipients who updated their preparedness plans, were there any successes or positive outcomes you can highlight? Hospital association N/A D. Challenges sub-recipients faced in updating preparedness plans What specific challenges have you heard most often from sub- recipients regarding implementing preparedness and response plans to address COVID- 19 medical surge? Select as many as apply: • Limitations in clinical knowledge • Limitations in funding to implement plan • Limitations in needed staff • Limitations in needed equipment and/or supplies • Limitations in physical space • Other (free response) Hospital association N/A E. Challenges in implementing infection What specific challenges have you most often heard from sub- recipients regarding their ability to train staff on effective infection control practices? Select as many as apply: • Staff availability for training • Limitations in trainer clinical knowledge • Curriculum development • Material limitations to implementation (space, materials, etc.) • Availability of training resources, including space and materials • Other (free response) Hospital association N/A F. Challenges in implementing triage What specific challenges have you heard most often from sub- recipients regarding their ability to train staff on COVID-19 triage? Select as many as apply: • Staff availability for training Hospital association N/A control Program Performance Measure Data Point Data Entity Calculation • Limitations in trainer clinical knowledge • Curriculum development • Material limitations to implementation (space, materials, etc.) • Availability of training resources, including space and materials • Other (free response) G. Challenges in procuring needed supplies and equipment What specific challenges have you heard most often from sub- recipients regarding their ability to procure needed supplies and equipment? Select as many as apply: • Budget constraints or limited funding • Low or limited market supply • High cost and/or price gouging • Finding and vetting non- traditional suppliers • Securing quality supplies/products • Competing priorities regarding supplies to obtain • Lack of inventory or demand data • Other (free response) Hospital association N/A H. Successes and associated tactics in procuring needed supplies and equipment What success stories have you heard from sub-recipients regarding procurement of needed supplies and equipment, and what tactics were employed to achieve that result? Hospital association N/A I. Challenges in expanding telemedicine and telehealth capabilities and coverage What specific challenges have sub-recipients experienced regarding their ability to expand telemedicine and telehealth capabilities and coverage? Select as many as apply: • Medicare payment • Medicaid payment • Private insurance payment • Bandwidth (patient location) Hospital association N/A Program Performance Measure Data Point Data Entity Calculation • Bandwidth (patient location) • Bandwidth (provider location) • Provider acceptance • Patient acceptance • Hardware capability and interoperability • Software capability and reliability • Network security • Coordination with existing electronic health records (EHR) • Internal management of telemedicine platform and workflows • State licensing of providers • Medicolegal concerns • Use for speakers of languages other than English • Use by patients with disabilities • Lack of training • Other (free response) J. Successes and associated tactics in expanding telemedicine and telehealth capabilities and coverage What success stories have sub- recipients experienced regarding expanded telemedicine and telehealth coverage, and what tactics were employed to achieve that result? Hospital association N/A K. Challenges in retrofitting or adding additional screening/treatment space for COVID-19 What specific challenges have sub-recipients experienced regarding their ability to retrofit spaces for COVID-19 screening and treatment? Select as many as apply: • Budget constraints or limited funding • Limitations in clinical knowledge • Disagreement on leading practice promising practices or priorities • Material limitations (space, materials, etc.) • Other (free response) Hospital association N/A L. Successes and associated tactics in retrofitting or adding additional screening/treatment spaces for COVID-19 What success stories have sub- recipients experienced regarding retrofitting areas for COVID-19 screening and treatment, and what tactics were employed to achieve that result? Hospital association N/A M. Challenges in increasing patient care beds What specific challenges have sub-recipients experienced in increasing the number of available patient care beds? Select as many as apply: • Budget constraints or limited funding • Determining leading practice promising practices and priorities • Material limitations (space, materials, etc.) • Staffing • Physical space constraints • Ability to discharge patients • Other (free response) Hospital association N/A N. Successes in increasing patient care beds What success stories have sub- recipients experienced regarding increasing the number of available patient care beds through cooperative agreement funding? In these cases, what tactics were used? Hospital association N/A O. Novel uses of funding For those recipients approved by NHPP to use funding in novel ways, please provide comments on your use of funding and its impact. Hospital Association N/A Annex A: Acronyms and Glossary of Terms‌ ASPR The Assistant Secretary for Preparedness and Response ASPR cooperative agreement funding Any funding awarded to a recipient or awarded to a sub-recipient. An activity is considered supported by ASPR cooperative agreement funding if it is: 1) fully funded by the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement; 2) partially funded by this cooperative agreement and by the facility or other entity; or 3) supported by allowable staff positions fully- or partially-funded by cooperative agreement funding ASPR-funded An activity is considered ASPR-funded if it is: 1) fully funded by the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement; 2) partially funded by this cooperative agreement and by the facility or other health care entity; or 3) supported by allowable staff positions fully- or partially-funded by this cooperative agreement funding Data Entity The source organization reporting a particular Data Point Data Point Individual data element reported by a Hospital Association or its sub-recipient used to calculate or assess the Program Performance Measure Facility/ Organization This term applies to the functional organization of a sub-recipient that receives a sub-award from a Hospital Association through the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement that provides care services to patients, regardless of sub-recipient type. These include acute care hospitals, specialty care centers, outpatient/ambulatory care (includes primary care clinics, urgent care centers, dialysis, community health centers, etc.), home and residential care (includes long-term care, home health agencies, skilled nursing facilities, etc.), EMS/Pre-Hospital (also includes 911/Public Safety Answering Points (PSAP)), support services (pharmacies, blood banks, medical supply chain), hospital systems, and other health care entities on the front lines of the COVID-19 pandemic Health Care Worker A health care worker is any worker who provides clinical health care services (i.e., doctors, nurses, laboratory technicians, x-ray technicians, EMS, etc.) HPP The Hospital Preparedness Program Infection Control Infection control prevents or limits the spread of infection in health care settings and includes a range of activities such as: • training for health care worker safety when caring for a COVID-19 patient (e.g., Personal Protective Equipment (PPE) donning/▇▇▇▇▇▇▇, safe treatment protocols), • assessing and updating physical infrastructure (e.g., minor retrofitting and alteration of inpatient care areas for enhanced enhance infection control donning/▇▇▇▇▇▇▇ rooms), Term Definition • reconfiguring patient flow in emergency departments to provide isolation capacity for Persons Under Investigation (PUIs) for COVID-19 and other potentially infectious patients, expansion of telemedicine and telehealth for the purposes of infection control, • purchase purchasing of or preservation strategies for PPE optimization in accordance with CDC guidelines, and/or other activities in accordance with CDC guidelines for Transmission-based Precautions8 Precautions9 PPE Personal Protective Equipment PSAP Public Safety Answering Point PUI Persons Under Investigation Program Performance Measure The national-level performance measure used by ASPR to monitor and evaluate the performance of the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement. Result is typically calculated by ASPR based on Data Points reported by Hospital Associations sub-recipients Recipient For this cooperative agreement, recipients are state/jurisdictional Hospital Associations who receive awards from ASPR’s Hospital Preparedness Program through the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement. Formal definitions of recipients can be found in the Code of Federal Regulations (2 CFR—Part 200)9 200)10 Sub-recipient Acute care hospitals, specialty care centers, outpatient/ambulatory care, home and residential care, EMS/Pre-Hospital, support services, and other health care entities that receive a sub-award from a Hospital Association through the Hospital Association COVID-19 Preparedness and Response Activities Cooperative Agreement. Formal definitions of sub-recipients can be found in the Code of Federal Regulations (2 CFR—Part 200)2 200)11 Support Services Worker Workers who provide support services that allow those in the health care sector to function, including environmental health workers, food preparation workers, maintenance workers, etc.. Triage The sorting out and classification of patients or casualties to determine priority of need and proper place of treatment. During infectious disease outbreaks, triage is particularly important to separate patients likely to be infected with the pathogen of concern.12 For the purposes of these measures, activities may include rapid identification and isolation of a patient, approaches for the assessment, transport, and treatment of persons suspected or confirmed to have COVID-19, alternative or innovative models to reconfigure patient flow or transition to inpatient care, identify alternate care sites (on facility grounds or within close proximity) and