Sections:

• Ambulatory COVID-19 Monitoring Program
• Additional Resources, DOH Advisories
• Clinical/Workflow Algorithms
• COVID-19 Advance Care Planning
• COVID-19 PRN Bulletins
• COVID-19 Therapeutics
• Innovation
• PPE Cleaning and Conservation
• PPE Donning and Doffing
• PPE Guidelines
• Provider Well-being
• Telehealth
• Webinars

Updated: November 25

Provider & Patient Help & Information Lines

*Subject to change based on demand

Updated Sept 11

HHP COVID-19 Virtual Monitoring Program
(808) 462-5430 [Press 5]

Hours of Operation: Monday to Friday, 8:00AM-3:30PM* | Weekends, 9:00AM-12:00PM*

The Hawaii Health Partners COVID-19 Virtual Monitoring Program and Patient Registry Management Program are part of the the COVID-19 Population Health Virtual Care Team; their purpose is to assist providers in caring for COVID-19 positive patients. 

• COVID-19 Virtual Monitoring Program: A 14-day program, which supports providers in monitoring the health of confirmed COVID-19 positive patients, and works with providers to facilitate patient care. Click here for the workflow algorithm. 
• COVID-19 Patient Registry Management Program: This service is automatically applied to all patients that are tested for COVID-19 at any HPH site, including drive-up specimen collection site. Click here for the workflow algorithm. The purpose of the test registry management program is to ensure that all patients receive their test results in a timely manner so they can take immediate steps to care for themselves and help protect others in their home and community.  

How to refer a patient:

1. Call (808) 462-5430 (press 5)
2. Submit an EPIC referral to HHP Complex Care
   • Type "COVID-19" as your "Reason for Referral"

HHP Central Support
(808) 462-5104

Hours of Operation: Monday to Friday | 8:00AM-4:00PM*
For Providers: Expanded services to include answering provider questions regarding COVID-19. Click here for more information about Hawaii Health Partners Central Support services.

How to request support:

1. Call (808) 462-5104
2. Clinical Support Request via EPIC
   Submit via EPIC, select "Network Access" as your "Reason for Referral"
   • Type out question(s)

HPH COVID-19 Virtual Clinic: Video and Phone Visits | (808) 462-5430

Hours of Operation: Daily | 10:00AM-6:00PM*

• For Kauai (press 3)
• For Providers - COVID-19 Test Status Update (press 1)
• For Providers - if you would like to refer a patient with a positive COVID-19 test result (press 5)
• For Patients - general information (press 2)
• For Patients - if you are patient with a positive COVID-19 test result (press 5)
• For a Respiratory Evaluation Clinic (press 4)

The Hawaii Pacific Health (HPH) COVID-19 Virtual Clinic for video and phone visits is open for our patients and the public. The purpose of the Virtual Clinic is to address patients with signs and symptoms of COVID-19 who are well enough to be seen without coming to the office and others who have concerns about COVID-19 exposure.

Patients will initially speak to a Registered Nurse, and if appropriate, the clinic will offer video and phone visits with a provider. The virtual team will recommend and facilitate pathways for care and order COVID-19 tests when clinically appropriate. HPH physicians, advance practice providers and registered nurses will staff the clinic. 

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COVID-19 PRN Bulletins

[August 4] HHP COVID-19 PRN Bulletin 

Topics:

• COVID-19 Population Health Virtual Care Team Management

[March 26] HHP COVID-19 PRN Bulletin 

Topics:

• COVID-19 Algorithms
• COVID-19 Provider Help Lines
• COVID-19 Specimen Collection Information Line
• New @ PMMC: Respiratory Evaluation C

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Clinical/Workflow Algorithms

Updated Oct 20

• COVID-19 Master Schema [Sept 14]
• COVID-19 Exposure [May 15]
• Initial Evaluation: Ambulatory Workflow [May 26] 
• COVID-19 Testing Algorithm (ED/Hospital) [June 22]
• COVID-19 Testing Algorithm (Ambulatory) [August 17] 
• COVID-19 Pre-Op, Pre-Procedure Patient Testing [Oct 3]
  • Recommendations for Elective Surgery Process for Pts with Positive Test Results [August 28]
• Surveillance Registry [Sept 11] 
• COVID-19 New Diagnosis Ambulatory Management [Oct 23]
• Results Mgmt Mild/Moderate Sx (Ambulatory) [Sept 14] 
  • COVID-19 Patient Monitoring [Sept 11]
• Results Mgmt Severe Sx (ED/Hospital) [May 15] 
• Respiratory Distress Management [April 24]
• Return to Work Protocol [Oct 20]
• COVID-19 Treatment Protocol [August 5]

For Kapi‘olani Medical Center for Women & Children

• Guidelines – Management of Infant Born to Mother with Confirmed or Suspected COVID-19 [Oct 17]
• Algorithm – Management of Infant Born to COVID(+) Mother [Oct 17]

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Specimen Collection

Updated Oct 16

• HPH Drive-up COVID-19 Specimen Collection Process for Patients [August 11]
• COVID-19 Drive-up Collection Site Information [Oct 1]
• Anterior Nasal Swabbing Instructions [July 10]
• (Video) NEJM - How to Collect a NP Swab 
• KMC Respiratory Evaluation Clinic Flyer [April 18]
• SMC King Street Respiratory Evaluation Clinic Flyer [Oct 16]
• Virtual Clinic Flyer for Video and Phone Visits [July 14] 

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Ambulatory COVID Monitoring Program

Updated Oct 26

• CVMP Virtual Monitoring Program
• PCP Referral to REC Workflow
• Positive Patient Tiers
• COVID Videos for Patients:
  • Chuukese
  • Tagalog
  • English (for keiki)
• COVID Hub
• CVMP Patient Education
  • Care Package Intro Letter
  • Care Package Info for COVID-19 Positive Patients
  • Care Package Coping with COVID-19
• DOH Short Form
• Outpatient Dexamethasone Memo
• Home Oxygen Therapy Guideline

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PPE Guidelines

Updated Sept 23

• Mask on Everyone: Guidance for All Healthcare Setting
• Minimum PPE for Direct Patient Care [July 7]
• PPE for Ambulatory Clinic [May 27]
• PPE for Anterior Nasal Swabbing with Swabbing Instructions [July 10]
• PPE for Direct Patient Caregivers for Hospitalized Patients [Sept 23]
• PPE for Direct Caregivers Surgical and Sedation Procedures [May 27]
• PPE for Labor and Delivery [Sept 14]
• PPE for Patients and Visitors [August 10]
• Donning and Doffing of PPE Headgear (Brief) [April 23]

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 PPE Donning and Doffing

Updated Sept 29

• How to Don/Doff/Clean Head Gear for Extended Use [April 22]
• PPE Extended-Use Headgear Posters
  • Donning Sequence - Extended-Use Headgear Version (17x11)
  • Donning Sequence - Extended-Use Headgear Version (11x8.5)
  • Doffing Sequence - Extended-Use Headgear Version (17x11)
  • Doffing Sequence - Extended-Use Headgear Version (11x8.5)
• N95 Donning & Doffing [May 5]
  • Donning Sequence - N95 Version
  • Doffing Sequence - N95 Version
• CAPR Donning & Doffing [May 5]
  • Donning Sequence  - CAPR Version
  • Doffing Sequence - CAPR Version
• CAPR Donning & Doffing Videos [March 26]
  • Supplies Required
  • Getting CAPR Ready
  • Donning Sequence
  • Doffing Sequence
• Donning & Doffing - with Booties [May 4]
  
  • N95 Donning & Doffing - with Booties
    • Donning Sequence - N95 and Booties Version
    • Doffing Sequence - N95 and Booties Version
  • CAPR Donning & Doffing - with Booties
    • Donning Sequence - CAPR and Booties Version
    • Doffing Sequence - CAPR and Booties Version

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PPE Cleaning and Conservation

Updated April 23

• N-95 and Surgical Mask Process [April 23]
• Faceshield Laminate Replacement Instruction [April 2]

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COVID-19 Therapeutics

Updated November 17

• COVID-19 Convalescent Plasma (CCP)
  • FDA EUA Fact Sheet for Health Care Providers of CCP [August 23]
  • FDA EUA Fact Sheet for Patients and Parent Caregivers of CCP [August 23]
  • COVID Convalescent Plasma (CCP) General Information [August 10]
• Nursing
  
  • Bamlanivimab Infographic [Nov 19]
  • Remdesivir Infographic for Adults [Nov 17]
  • Remdesivir Infographic for Peds [Nov 17]
• Bamlanivimab
  • FDA Fact Sheet for Health Care Providers EUA of Bamlanivimab Nov 2020
  • FDA Fact Sheet Patients and Parent Caregivers EUA of Bamlanivimab Nov 2020
  • HPH Summary - FDA EUA of Bamlanivimab [Nov 11]
• Remdesivir 
  • FDA Fact Sheet for Health Care Providers EUA of Remdesivir
  • FDA Fact Sheet for Patients and Parent Caregivers EUA of Remdesivir
  • Veklury (Remdesivir) Prescribing Information Highlights 
  • HPH Summary - FDA EUA of Veklury (Remdesivir)
• COVID-19 Treatment Protocol [Oct 28 ]

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COVID-19 Advance Care Planning

Updated April 6

• Healthier patients: COVID-19 ACP conversation example [April 6]
• High-risk, At-risk patients: COVID-19 ACP conversation example [April 6]

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Additional Resources (HHP/State/National/CDC)

Updated Sept 4

• HHP Resources
  
  • PPE for purchase
• State Resources
  
  • Tracking COVID-19 in Hawaii
  • State of Hawaii - Hawaii Emergency Management Agency
  • Hawaii State Department of Health: COVID-19 Site
  • Hawaii State Department of Health for Healthcare Providers
  • Hawaii COVID-19 Dashboard
• National Resources
  • U.S. State Department Travel Website for Travel Restrictions and Advisories
  • UCSF Health COVID-19 Clinical Resources | UCSF Health Hospital Epidemiology and Infection Prevention
  • Coronavirus Aid, Relief, and Economic Security (CARES) Act
• Hawai‘i State Department of Health
  
  • Medical Advisories
    • NEW Update#17 - Coronavirus Disease 2019 (COVID-19)
    • Update #16 - Coronavirus Disease 2019 (COVID-19)
    • Update #15 - Coronavirus Disease 2019 (COVID-19)
    • Update#13 - Coronavirus Disease 2019 (COVID-19)
    • Update #11 - Coronavirus Disease 2019 (COVID-19)
    • Update #10 - Coronavirus Disease 2019 (COVID-19)
    • Update #9 - Coronavirus Disease 2019 (COVID-19)
    • Update #8 - Coronavirus Disease 2019 (COVID-19)
    • Update #7 - Coronavirus Disease 2019 (COVID-19)
    • Update #6 - Coronavirus Disease 2019 (COVID-19)
    • Update #5 - Coronavirus Disease 2019 (COVID-19)
    • Update #4 - Coronavirus Disease 2019 (COVID-19)
• Communications
  • CDC Communication Resources
    • Guidance Documents (e.g. errands and going out, handlers of service and therapy animals/veterinary clinics, youth and summer camps...etc.)
    • Print Resources (e.g. posters, handouts...etc.)
      • For limited-english-proficient populations
    • Videos
    • PSAs
  • CALMER Goals of Care - A Discussion Guide
  • COVID-19 Clinician Communication Skills
• Centers for Disease Control (CDC)
  • COVID-19: What to do if you are sick
  • Coronavirus Disease 2019
    • COVID-19 Microsite
  • Information for Travel
  • Traveler's Health Webpage
  • Manage Anxiety & Stress
• Literature
  • Nebraska Med UV N-95 Decontamination Process
  • Nebraska Med COVID-19 Extended Reuse of PPE and N-95s
  • Stanford PPE EBM Study
  • Xenex Using UV to Disinfect N-95 Respirators
  • Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19)
• World Health Organization (WHO)

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Provider Well-being

Updated April 9

• Resources for Healthcare Professionals Coping with the COVID-19 Pandemic
• Coping with COVID-19: Practical Mindfulness Strategies
• COVID-19: Tips for Mindfulness & Coping with Anxiety

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Innovation

Updated April 28

• COVID-19:  PPE Remediation
  • Micah Ewing, HPH Director, IT Technical Architecture & Innovation
• Split-Ventilation Technique
  • Dr. Donald Gaucher, Straub Medical Center, Anesthesiologist
• Telehealth at Pali Momi Medical Center: Personal Experience
  • Dr. Maria "Marel" Ver, Pali Momi Medical Center, Trauma Medical Director

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