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* The on-line Provider/Clinical Facility POCT Result Report Form replaces the requirement for submitting positive cases via the Medical Provider Report Form (see Provider/Clinical Facility Reporting of Point of Care Test Results ).
Long Beach Health and Human Services: Call 562-570-4302. Pasadena Public Health Department: Call 626-744-6089. Fax to 310-605-4274 See the LAC DPH MIS-C webpage for more information about MIS-C.
In addition, if a physician reasonably and in good faith believes that reporting will serve the public interest, he or she may report a patient’s condition even if not required by law. Note that it is only necessary to report patients age 14 years or older and there are exceptions to the reporting requirements.**
Report POCT results: Following required one-time registration, submit all positive results from your clinic via the online Provider/Clinical Facility COVID-19 POCT Result Report Form. Non-positive test results can also be submitted.
Not only is reporting COVID-19 required by law, it helps shape our response as the information is used to detect outbreaks, identify exposures in high risk settings, and inform the allocation of local resources.
Report cases that meet the CDC definition of Multisystem Inflammatory Syndrome in Children (MIS-C) by phone within 1 working day.
Healthcare providers must report all patients with a positive PCR/NAAT or antigen test for COVID-19 within one day.
Not only is reporting COVID-19 required by law, it helps shape our response as the information is used to detect outbreaks, identify exposures in high risk settings, and inform the allocation of local resources. Timely and complete reporting of fatalities is necessary to characterize and communicate who is at highest risk of dying at home and in the hospital.
Cases and deaths must be reported to the jurisdiction where the patient resides.
Providers are required to report deaths in any person:
How to report information on residents of LA County: Report within 7 calendar days. Complete the form for Physicians to Report Lapses of Consciousness Disorders to the LA County Health Officer . Fax the form to the Los Angeles County Department of Public Health at 888-397-3778 or 213-482-5508. For questions, call 888-397-3993.
Report Pasadena or Long Beach residents to their local health officer, not LA County.
This includes some conditions* that affect alertness, sensory motor functions used to operate a motor vehicle, and the ability to perform activities of daily living. Examples are Alzheimer's disease and related disorders, seizure disorders, brain tumors, narcolepsy, sleep apnea, and abnormal metabolic states including hypo- and hyperglycemia associated with diabetes. In addition, if a physician reasonably and in good faith believes that reporting will serve the public interest, he or she may report a patient’s condition even if not required by law. Note that it is only necessary to report patients age 14 years or older and there are exceptions to the reporting requirements.**
Health Professionals. State law requires physicians to report certain patients who are diagnosed as having a disorder characterized by lapses of consciousness. This includes some conditions* that affect alertness, sensory motor functions used to operate a motor vehicle, and the ability to perform activities of daily living.
A physician and surgeon shall not be required to notify the local health officer of a patient with a disorder characterized by lapses of consciousness if: (a) The patient's sensory motor functions are impaired to the extent that the patient is unable to ever operate a motor vehicle, or.
The coordination of LA County’s medical and health response is a collaborative effort between the LA County Department of Health Services (DHS), Department of Public Health (DPH), and Department of Mental Health (DMH) all of whom fall under the Los Angeles County Health Agency. The EMS Agency Director and the Health Officer have the authority under the California Health and Safety Code to jointly act as the Medical and Health Operational Area Coordinator (MHOAC). The Director of LA County EMS Agency has been designated and serves as the MHOAC for LA County. When activated during an incident, all Department Operations Centers (DOC) assist the MHOAC with the coordination of the response. The DOCs are organized according to the Incident Command System (ICS).
Non-profit Community Health Centers and Free Clinics are referred to collectively as “Community Health Centers” and operate primary care sites throughout the County. These clinics represent a mix of public and private entities that provide primary health care, including medical, dental, mental health and other social services and offer specialty pediatrics and women’s health care. Some are equipped with laboratory, radiology, pharmacy, and/or dispensary capabilities. However, due to regulations, they are unable to provide 24 hour patient care and satellite sites that work under a parent’s site license are limited to 20 hours of operations per week. They serve the uninsured, underinsured, working poor, high-risk and vulnerable populations, addressing cultural differences and economic disparities that can impact the health of their patients.
EMS providers are any fire department or private ambulance company that provide medical care in the pre-hospital setting. In LA County there are 36 public providers (fire departments) and more than 35 licensed private ambulance companies who meet this description most of whom operate 24/7. Since new by-laws were passed in 2013 requiring all private ambulance companies to be licensed through LA County, many others are in the process of obtaining licensure; therefore, the number of licensed private ambulance companies is expected to increase by at least 100% in the near future. Some private ambulance companies only do inter-facility transfers whereas others are contracted by a fire department to assist with 9-1-1 transports.
Communication – Communication will be managed in a variety of methods. The DHS DOC collaborates with the DPH DOC/MHOAC and County EOC along with other applicable departments to share incident related information including healthcare sectors. Information may be shared via electronic notification systems such as ReddiNet, Everbridge Incident Notification, Los Angeles (LAHAN) and California Health Alert Network (CAHAN).
In Los Angeles County, there are approximately 23,000 dialysis patients and over 160 dialysis centers. Dialysis centers perform mostly hemodialysis, however some also perform peritoneal dialysis, and both are for people with renal failure, often called End Stage Renal Disease (ESRD). Both hemodialysis and peritoneal dialysis may also be performed at home by the patient and/or trained caregiver. Traditional in-center hemodialysis is performed by trained health care professionals typically three days each week, for three to four hours per treatment, per patient Across the United States under the direction of CMS, there is an ESRD network responsible for different states and territories who, among other things, provide support to ESRD patients and dialysis centers. LA County is under ESRD Network 18.
The purpose of healthcare surge planning is to ensure the optimal care of patients, both current patients and those that result from the incident, in the most appropriate healthcare setting without causing an undue hardship on other sectors in the healthcare system.
When county resources have been exhausted, the next step in response would be to connect with State appointed Mutual Aid Region representative. There are 6 State Mutual Aid Regions within California of which Los Angeles, Orange, Ventura, Santa Barbara and San Luis Obispo counties are designated as Region I. Each region has an appointed Regional Disaster and Medical Health Coordinator (RDMHC), and a Regional Disaster and Medical Health Specialist (RDMHS) Program to coordinate response within their region. The RDMHC serves as the medical and health link throughout the Mutual Aid Region and to the State; ensuring requests for resources unavailable within the OA are processed and filled. They can also obtain information from other regions, communicate policy level decisions for response activities and guidance developed at the State level.
The EMS Report Form should be completed at the scene whenever possible. If unable to complete at scene, additional time should be taken to complete it at the receiving facility. A complete report shall accompany the patient.
The primary care giver is responsible for the correct distribution of all copies of the EMS Report Form.
The EMS Report Form is a medical, legal, and data collection document.
If a change is made after copies have been dispersed, photocopy the change and send it to every receiver, along with a cover letter explaining the change, requesting that the original copy be replaced by the new one.
Enter the date of the incident using eight numbers in the MM/DD/YYYY format.
Precision in documentation reflects quality in care
Documentation should reflect the standard of care in the community and justify the services rendered. The goal is to provide a form that facilitates patient assessment, encourages documentation of treatment, prompts reassessment after intervention, reduces liability, and ultimately improves patient care.