SUMMARY OF PUBLIC HEALTH CRITERIA IN REOPENING PLANS

This is analysis of Spring 2020 reopening plans with public health criteria, through June 9, 2020. The analysis does not include state plans or frameworks that solely provide guidance for businesses.

(view/download as spreadsheet)


State
Plan
Reopening Start Date
Gating Criteria
Preparedness Goals
Phases for Reopening
Local Flexibility
Criteria for Reinstating Social Distancing
Participation in Multi-State Regional Approach
Alaska
Reopening Alaska Responsibly

4/24/2020

N/A

1. Tracking disease trends and burden (morbidity and mortality)
2. Monitoring overall testing volume and changes in the percent of positive tests at the community, regional, and statewide levels
3. Monitoring cases and conducting contact investigation for confirmed cases
4. Ensuring hospitals have adequate capacity and supplies to care for COVID-19 patients and other patients needing urgent care

Divided into five phases with movement between phases dependent on the preparedness goals.

N/A

N/A

N/A
California
California’s Roadmap to Modify the Stay-at-Home Order

N/A

1. Stable hospitalization and ICU trends
2. Ability for hospitals to meet demand
3. Sufficient PPE
4. Sufficient testing
5. Contact tracing across the state

1. Monitor and protect through testing, contact tracing, and isolation
2. Prevent infection
3. Ensure hospital surge capacity
4. Develop therapeutics
5. Support social distancing in schools, businesses, and child care facilities
6. Use data to identify early warning signs

Divided into four phases that:

1. Make the essential workforce safe
2. Create opportunities for low risk sectors to reopen
3. Create opportunities for high risk sectors to adapt and reopen
4. Return to expanded workforce in highest risk places (requires therapeutics)

During phase two, counties may relax stricter local orders. Once a statewide surveillance system is made possible through testing, additional regional variations may be supported.

N/A

Participating in Western States Pact*
Colorado
Key Indicators
to Inform Social Distancing Guidance

N/A

N/A

1. Suppress the virus through social distancing measures
2. Increase testing capacity and containment measures (expand contact tracing, increase epidemiology staff, expand isolation support services)
3. Provide additional protections for high-risk populations
4. Expand hospital capacity
5. Create sustainable social distancing policies
6. Monitor and evaluate policies

Three phases include Urgent, Stabilization, and Recovery, and are centered around key elements such as protecting nursing homes, managing health system capacity, and supporting businesses in maintaining physical distancing guidelines.

N/A

N/A

Participating in Western States Pact*
Connecticut
Roadmap for Reopening Connecticut

05/20/20

1. Sustained decline in hospitalizations over a 14-day period
2. Widespread testing
3. Improved capacity for contact tracing and isolation
4. Protections for at risk populations
5. Adequate PPE supply
6. Hospital capacity to treat and provide care for those with and without COVID

1. Monitor transmission and safeguard community health
2. Protect critical workers and at-risk residents
3. Inform better decision making through ongoing reopen strategies and protocols
4. Increase testing and contact tracing capacity

Divided into three phases that rely on state leaders and expert input, consultation with agencies in the state, and the dissemination of tracking and monitoring data (made available to the public). Additional measures will be taken to scale testing and contact tracing, protect vulnerable populations, and maintain hospital network capacity and supplies.

N/A

N/A

Participating in Northeast Multi-State Council to Get People Back to Work and Restore the Economy*
Delaware
Restarting
Delaware's Economy

N/A

1. 14 days of declining symptoms and presumed positive cases
2. Ability to treat COVID-19 patients in hospitals without crisis care
3. Testing programs for health care workers

1. Widespread testing
2. Increased contact tracing, especially in vulnerable populations
3. Adequate supply of PPE
4. Protecting health and safety of workforce
5. Public guidance on social distancing and face coverings
6. Monitoring of situation to mitigate new outbreaks

Divided into three phases for individuals, employers, and businesses

N/A

N/A

Participating in Northeast Multi-State Council to Get People Back to Work and Restore the Economy*
District of Columbia
#ReOpenDC

N/A

1. Decrease in community spread
2. Maintenance of health system capacity
3. Increased testing capacity
4. Improvement in public health system capacity

1. Create initiatives that imporve an effective reopening; one that is inclusive and equitable.
2. Monitor gating criteria
3. Develop safeguards and protocols for individuals, employers, and venues
4. Provide stages of reopening that identify business functions and activities that can resume in each stage and at what level

Divided into four phases, which uses the gating criteria to determine the timing and level of reopening.

N/A

Dependent on gating criteria
Florida
Plan for Florida's Recovery

1. Downward trajectory of COVID like illness and influenza like illness
2. Downward trajectory of documented cases or downward trajectory of positive tests as a percent of total tests
3. Capability to treat without triggering surge capacity and robust testing for front-line workers

1. Protect public health and safety, as well as the health of vulnerable populations
2. Improve health care system readiness
3. Protect civil liberties and individual rights
4. Partner with local communities

Divided into four phases, with requirements for reinstating the phases centered around adequate PPE, sufficient testing as developed by local governments, and contact tracing targeted to geographic areas as leveraged by private sector and university partnerships.

Regional control is available for hospital collaboration with other entities (e.g skilled nursing facilities) and local governments are suggested to coordinate with health care facilities in their jurisdiction on an effective testing strategy. Each community is required to maintain a minimum level of testing.

Dependent on gating criteria
Guam
Chålan Para Hinemlo – Road to Recovery

N/A

1. Before proceeding with the first phase, maintain a downward trend of confirmed cases and of positive tests over a 14-day period. Before going to the second phase, maintain a downward trend of positive tests over a 28-day period
2. Hospitals have the ability to treat all inpatients without alternate standards of care
3. The ability to test all people with symptoms
4. The capacity to perform contact tracing

1. Ability to test all residents
2. Utilize the Department of Public Health and Social Services capacity to perform contact tracing
3. Use medical data (on cases and hospitalizations) to inform the phased reopening

Uses a four phased approach based on medical data, ability to mitigate risk of resurgence, maintenance of healthcare capacity, and readiness capabilities. Most phases contain guidance to businesses, NGO's, government services, and individuals on authorized reopening activities

N/A

N/A
Hawai'iBeyond Recovery: Reopening Hawai'i05/07/20N/A1. Prevention through safe practices
2. Detection through disease surveillance
3. Containment through investigating, isolating and monitoring new cases
4. Treatment through clinical care and symptom management
Using a five phase approach based on participation in community dialogue on ways for businesses to operate safely, monitoring public health metrics to inform decisions, and identifying and accomplishing real-time priorities for the future of the state Decisions on moving through the phases will be made by the Governor and Mayors, and informed by subject matter experts Depending on health, economic, and community-based indicators, the Governor and Mayors may consider stricter response measures
Idaho
Idaho Rebounds:
Out Path To Prosperity

05/01/20

Measured against Syndromic, Epidemiology, and Healthcare Criteria:
1. Downward trend over most recent reported 14-day period, or less than 20 visits/day on average over same 14-day period at EDs
2. At least 50 available (unused) ventilators, 50 ICU beds, and available 10-day supply of PPE
3. Downward trend over most recent reported 14- day period, OR less than 2 healthcare workers reported/day on average over same 14-day period

Criteria will be assessed every two weeks to determine the feasibility of advancing to the next phase.

1. Ability to test symptomatic individuals, screening locations for at-risk populations, and contact tracing for all positive results.
2. Ability to supply PPE, testing for healthcare workers, and surge intensive care capacity
3. Ensure plans and strategies are in place (preparedness plans, crisis standards of care, long-term care facility support)

Plan is divided into four stages for individuals and employers with opening dates (should criteria be met)

N/A

Based on gating criteria, and if the data shows adversely impacted rates/increase in cases or ED visits, stages may be extended or reversed.
Illinois
Restore Illinois

N/A

1. At or under a 20% positivity rate, with no more than 10% points over a 14-day period
2. Ability perform 10,000 tests per day across the state
3. Available surge capacity of at least 14% of ICU beds, medical and surgical beds, and ventilators

1. Improve or maintain hospital surge capacity.
2. Test all patients, health care workers and first responders
3. Maintain contact tracing and monitoring with 24 hours of a diagnosis

Divided into five phases for each region, with guidance to businesses and individuals at each phase. Moving to subsequent phases will require adequate testing, contact tracing, and vaccine development.

The plan is based on regional healthcare availability, giving each the ability to independently move through the phased approach, or conversely, moving back to a previous phase.

1. Sustained increase in COVID-19 positive cases as a percentage of tests conducted.
2. Sustained increase in hospital admissions for COVID-19 like illness.
3. Reduction in hospital capacity threatening surge capabilities.
4. Significant outbreaks in a region.
Indiana
Roadmap to Safely Reopen Indiana

05/04/20

1. Decrease in hospitalization over a 14-day period
2. Ability to retain surge capacity for critical care beds and ventilators
3. Ability to test all symptomatic residents as well as frontline workers
4. Contact tracing in place to contact all individuals who test positive





1. Improve testing capacity
2. Improve contact tracing efforts
3. Protect employees and consumers
4. Protect vulnerable populations

Uses a five phased approach. Additional activities to achieve their goals are:
1. Add more testing locations throughout the state
2. Centralize contact tracing to ensure data and cases are handled in a uniform and timely fashion
3. Work with the Economic Development Marketplace Corporation to provide reliable access to PPE
4. Use data to inform activities that protect vulnerable populations

N/A

Restrictions will be put in place if the state is unable to meet the gating criteria.
Kansas
Ad Astra: A Plan to Reopen Kansas

05/04/20

1. Stable or declining case rates over a 14-day period
2. Stable or declining hospitalization rates (of new cases) over a 14-day period
3. Decrease in number of deaths

1. Improve testing capacity to monitor progress
2. Work with industry to provide PPE for frontline workers
3. Provide the public health infrastructure with resources to track, isolation, and conduct contact tracing
4. Perform analysis and evaluation of the plan and make assessments to reconfigure

Plan is divided into four stages. In each stage the plan and state progress will be evaluated, and as needed new executive orders will be issued.

Local governments must continue to allow the performance of essential functions identified in the Kansas Essential Functions Framework and can decide whether an individual or organization performs an essential function.

Based on gating criteria and progress towards the plans goals
Kentucky
7 Benchmarks to Reopen Commonwealth’s Economy

N/A

14 day period of decreased cases

1. Increased testing capacity and contact tracing
2. Availability of PPE
3. Ability to protect at-risk populations
4. Ability to social distance and follow the CDC's guidelines on large gatherings
5. Preparedness for possible future spike
6. Status of vaccine and treatment

N/A

N/A

N/A
Louisiana
Roadmap to a Resilient Louisiana

N/A

1. Decline in COVID-like illnesses
2. Decline in cases per capita
3. Decline in hospitalizations

1. Increase testing capacity with the goal of 200 thousand tests by the end of May
2. Increase contact tracing capacity. By May 15th have more than 250 individuals that are able to perform contact tracing

N/A

N/A

Based on the plans gating criteria over the next 21 days
Maine
Restarting Maine's Economy

05/01/20

1. Downward trajectory of 1) influenza-like illnesses and COVID-like syndromic cases and 2) documented cases and newly hospitalized patients
2. Capacity of the hospital system to treat all patients without crisis care and the ability of the state to engage in a robust testing program

1. Protect public health
2. Maintain hospital capacity and health care readiness
3. Build testing capacity for all symptomatic people and sentinel disease surveillance
4. Prioritize public-private collaboration

Stage 1 (May): contemplates prohibition on gatherings of more than 10 people and continued 14-day quarantine of all people entering the state
Stage 2 (June): contemplates a continued prohibition of more than 50 people and the 14-day quarantine on people entering the state
Stage 3 (July - August): maintains the prohibition on gatherings of more than 50 people and the 14-day quarantine on people entering the state
Stage 4 (TBD): all businesses are open and operating with appropriate safety modifications

N/A

If the COVID-19 situation worsens in the state for any reason, the state will move quickly to either halt progress or return to an earlier stage
Maryland
Maryland Strong: Roadmap to Recovery Building Blocks

N/A

14-day downward trajectory as determined by:
1. Current hospitalization rate (including ICU bed usage rate)
2. Number of daily deaths (lagging indicator)
3. If testing become more robust, new documented case rates could also be included

1. Expanding testing capacity
2. Increasing hospital surge capacity
3. Ramping up supply of PPE
4. Building a robust contact tracing operation

Stages are divided into: Low Risk, Medium Risk, High Risk

Sub-phases will be announced when the state determines gating benchmarks exist (based on jurisdictional/regional rates)

If criteria has been met, county health officers will be allowed to expand based on parameters set forth by the state

1. Increase in hospitalizations or cases requiring intensive care
2. Indicators that residents are disregarding physical distancing guidelines
3. Significant outbreaks of community transmission (a sustained increase in cases over 5 or more days)
Massachusetts

Reopening Massachusetts

05/18/20

1. Positive test rates
2. Decline in COVID deaths
3. Decline in number of patients with COVID in hospitals
4. Improve healthcare system readiness
5. Sustained contact tracing
6. Sustained testing capacity

1. Increase testing capacity
2. Trace all contacts of people with the virus to ensure safe quarantine and testing for those who need it
3. Minimize transmission by isolating and quarantining
4. Provide support so individuals can safely isolate and quarantine

Based on a four phase approach with each phase lasting 3 weeks or longer. Businesses are required to develop written control plans detailing how they will prevent the spread.

N/A

Public health data trends indicating significant increases in transmission could result in returning to prior phases or closing sectors of the economy
Michigan
MI Safe Start

N/A

The state will monitor data to analyze:

1. The number of new cases, daily trends, and percent positive tests
2. Health system capacity and availability of PPE
3. Testing and contact tracing capacity

1. Expand testing and the ability to isolate those that test positive
2. Use evidence and data to guide the reopening process and movement through each phase of the plan

Uses 6 phases with descriptions of the landscape within each as well as guidance for businesses, organizations and individuals.

N/a

If risk increases and if the community does not adhere to safe practices
Missouri
"Show Me Strong" Recovery Plan

05/04/20

N/A

1. Expand testing capacity and volume, including testing for those who are currently contagious and those who have developed immunity to the virus
2. Expand reserves of PPE
3. Continue to monitor and, if necessary, expand hospital and health care system capacity, including isolation and alternate care facilities for those that cannot self-quarantine at home
4. Improve ability to predict potential outbreaks using state's public health data

N/A

Local health authorities may enforce more restrictive public health requirements for businesses or individuals

N/A
Montana
Guidance for Phased Reopening of Montana: Phase One

04/26/20

N/A

1. Test and contact trace
2. Ensure sentinel sites screen for asymptomatic cases and contact
3. Supply PPE and medical equipment to handle a surge
4. Ability to surge ICU capacity
5. Protect health of those living and working in high-risk facilities
6. Monitor conditions and be prepared to respond

N/A

1. Officials should coordinate regularly to satisfy the gating criteria
2. Local jurisdictions can enact guidelines that are more restrictive than state guidelines

Dependent on the severity of the outbreak
Nevada
Nevada United: Roadmap to Recovery

05/15/20

1. Decline in percentage of people testing positive
2. Decrease in the trend of hospitalizations

1. Maintain robust reporting on data and trends
2. Strengthen healthcare infrastructure
3. Expand testing capacity
4. Improve contact tracing
5. Protect vulnerable populations

Uses four phases each with their own goals, summary of actions, and potential duration before progressing to the next stage.

Oversight is state managed, but locally executed, except for certain industries (gaming and cannabis). Counties can seek assistance and direction on reopening from the Local Empowerment Advisory Council (created under the reopening plan).

Dependent on progress towards goals and gating criteria
New Jersey
The Road Back: Restoring Economic Health Through Public Health

N/A

14-day trend lines that show sustained drop in cases, hospitalizations, and "other metrics"

1. Demonstrate reductions in cases and hospitalizations
2. Expand testing capacity
3. Implement contact tracing
4. Secure places for isolation and quarantine
5. Develop an economic restart plan
6. Ensure resiliency

N/A

N/A

N/A

Participating in Northeast Multi-State Council to Get People Back to Work and Restore the Economy*
New Mexico
Open-Up and Recover Safely

05/01/20

1. Rate of transmission (1.15 or less)
2. Testing capacity (benchmark of 3,000 a day)
3. Contact tracing & isolation capacity (24 hours and 36 hours respectively)
4. Health care system capacity (ability to obtain beds, ventilators and PPE)

N/A

Uses four phases each that outline a potential timeline for reopening, and provide guidance on what opens, how it will do so, and what will remain closed/restricted.

Frequency of decisions to move to the next phase will be assessed every 2 - 3 weeks.

Gating criteria is applied to all five public health regions, and each will not be allowed to move ahead of the state. Certain regions may be delayed if they cannot meet the Gating Criteria at a regional level.

Based on gating criteria
New York
New York Forward

N/A

Regional Criteria:

1. 14 day decline in hospitalization rates
2. Must have at least 30 percent of hospital beds and ICU beds available after elective surgeries resume
3. At least 30 contact tracers for every 100,000 people
4. Decline in deaths over a 14-day period
5. Hospitals must have at least 90 days of PPE stockpiled

1. Increase testing
2. Build health care capacity
3. Increase contact tracing
4. Monitor new infections and continue monitoring after regions reopen

State will reopen in phases based on essential designations

1. Regions must meet gating criteria before reopening is allowed by the state
2. Region must appoint an oversight institution to monitor regional indicators during the phased re-opening, including hospital capacity, rate of infection, PPE burn rate and business precautions
3.Regions must have protections in place for essential workers

Regions will monitor local indicators such as infection rates, hospitalization rates, PPE burn rates, and businesses to reimpose social distancing policies.

Participating in Northeast Multi-State Council to Get People Back to Work and Restore the Economy*
North Carolina

Path Forward for North Carolina

N/A

1. Decline in COVID-like syndromic cases over 14-days.
2. Decline in lab-confirmed cases over 14-days.
3. Decline in positive tests as a percentage of total tests over 14-days.
4. Decline in hospitalizations over 14-days.
5. Number of tests completed per day and ability to conduct contact tracing
6. Supply of PPE

1. Increase testing capacity and ability to isolate and track new cases
2. Increase contact tracing and utilize digital tools
3. Understand trends on population health and supplies of PPE and hospital capacity

Three phases which are centered around key actions for individuals, businesses, community gathering spots, and vulnerable populations. Additional metrics include increase testing to at least 5,000 a day, increase contact tracers from 250 to 500, and adequately supply PPE requests for at least 30 days' worth of resources.

N/A

N/A
North Dakota
ND Smart Restart

N/A

1. Downward trajectory of COVID-like illness in a 14-day period.
2. Downward trajectory of new cases over a 14-day period.
3. Downward trajectory of hospitalized cases over a 14-day period.

1. Rapid testing capacity
2. Contact tracing and infrastructure
3. Targeted, effective quarantine
4. Protections for the state’s most vulnerable populations
5. Sufficient health care capacity, hospital/ICU beds
6. Adequate PPE availability for the health care system and public
7. New standard operating procedures for reopening
8. Plans for dealing with a resurgence or additional waves of COVID-19

Uses health criteria and health indicator measures to move through the phases. Defines a 6 point plan, the 'COVID-19 Hospital Coordination and Vulnerable Population Protection Plan', that guides facilities and certain populations through a tiered system.

The state's 6 point plan relies on regional hospitals to inform communication protocols and Rapid Response Teams to advise Regional Coordinators on certain decisions.

Based on gating criteria
Ohio
Responsible Restart Ohio

05/04/20

N/A

Increase contact tracers to 1,750

Provides sector-specific guidance to businesses as they reopen.

N/A

N/A
Oklahoma
Open-Up and Recover Safely

04/24/20

If hospitalization and incidence rates remain at a manageable level for 14 days. Before going to the next phase, the Secretary of Health and Mental Health will confirm:
1. That hospitalizations and incidents are at a manageable level
2. That hospitals are treating patients without alternate care sites
3. There is sufficient testing material and ability to conduct contact tracing
4. That the state can independently supply PPE and medical equipment

1. Ensure efficient testing for symptomatic individuals
2. Provide guidance to workers in critical industries
3. Advise citizens on protocols for social distancing and face coverings
4. Monitor conditions to prevent outbreaks

Outlines three phases for reopening, with guidance for businesses and individuals in each phase.

N/A

N/A
Oregon
Reopening Oregon

N/A

1. Decline in individuals reporting symptoms (influenza like and COVID) within a 14 day period
2. Decline in documented cases within a 14 day period or decrease in positive cases as a percent of total tests within a 14 day period
3. The ability to treat all patients without crisis care and testing in place for at-risk healthcare workers (plus antibody testing)

1. Screen and test for symptomatic individuals
2. Test influence like illnesses
3. Ensure sentinel surveillance sites are screening for asymptomatic cases
4. Contact tracing
5. Ensure sufficient PPE supply
6. Maintain ICU capacity
7. Protect the health of vulnerable populations, high-risk facilities

N/A

Geographical considerations across a number of factors, such as testing capacity, contact tracing capacity, symptoms/cases

N/A

Participating in Western States Pact*
Pennsylvania
Red-Yellow-Green Phased Reopening Plan

N/A

Having fewer than 50 new confirmed cases per 100,000 population reported in the previous 14 days

1. Enough testing available for individuals with symptoms and target populations such as those at high risk, health care personnel, and first responders.
2. Robust case investigation and contact tracing infrastructure is in place to facilitate early identification of cluster outbreaks and to issue proper isolation and quarantine orders.
3. Identification of area’s high-risk settings and assurance that facilities have adequate safeguards in place such as staff training, employee screening, visitor procedures and screening, and adequate supplies of PPE to support continued operations.

Use a three-phase matrix for work/congregate setting restrictions & social restrictions
1. Red Phase
2. Yellow Phase
3. Green Phase

1. Using the Carnegie Mellon modeling dashboard to determine appropriateness for phased reopening
2. At any point, the Governor, in consultation with PA DOH and PEMA may revise reopening standards

If indicators and criteria point to a spike in cases

Participating in Northeast Multi-State Council to Get People Back to Work and Restore the Economy*
Rhode Island
Reopening RI

N/A

1. Less than 70% of beds filled
2. Consistently 30 or fewer new hospitalizaiton daily
3. R value - 1.1 or lower
4. Hospitalization doubling every 30 days or more

1. Identify community spread (through access to testing and contact tracing)
2. Meet the needs of those in isolation or quarantine
3. Have at least 30% of ICU beds open & sufficient PPE for healthcare workers
4. Develop workplace guidance and regulations
5. Use data to assess trends

Uses a three phase approach across social activities, businesses and public health needs

N/A

1. 85% or more beds filled
2. Consistently 50 or more new hospitalizaitons daily
3. R value = 1.3-1.5 or higher
4. Hospitalizations doubling ever 20 days or more

Participating in Northeast Multi-State Council to Get People Back to Work and Restore the Economy*
South Dakota
South Dakota's Back to Normal Plan

N/A

1. Downward trajectory of 1) influenza-like illnesses reported within the last 14-day period.
2. Downward trajectory of documented cases within a 14-day period in areas with sustained community spread
3. No clusters that pose a risk to the public (those not confined to a single setting or a large event)

1. Treat all patients without crisis care
2. Testing program in place for at-risk health workers, including antibody testing
3. Maintain an adequate supply of PPE

N/A

The Governor and Department of Health may respond to significant clusters with enhanced mitigation on a county-by-county basis

N/A
Tennessee
Tennessee Pledge

05/01/20

Stability or decline in reported cases over 14-day period

1. Monitor disease using syndromic data
2. Increase testing capacity
3. Increase healthcare capacity
Increase availability of PPE

N/A

N/A

N/A
Texas
Texans Helping Texans: The Governor's Report to Open Texas

N/A

N/A

1. Improve testing and tracing capacity
2. Ensure businesses can reopen safely
3. Ensure safety of residents in long-term care facilities

N/A

Rural counties may increase business capacity if the county judge certifies and affirms to the Department of Health that certain standards have been investigated and met

N/A
Utah
Utah Leads Together

05/16/20

1. Growth Rate: Observe decreasing trends for 1 week, and observe a decreasing trend for 5 weeks to reach a normal risk level.
2. Hospital Utilization: Not to exceed 90% of ICU bed utilization
3. Monitoring & Detection: Maintain a target average range of 4,000-6,000 test a week; or 90% of testing capacity
4. Exposure Source: Keep exposure below 15% from sources like travel, and community transmission for 7-14 days

1. Maintain strict social distancing guidelines
2. Increase testing
3. Receive federal economic assistance
4. Support local businesses and employees

Plans for the state's economic reactivation to follow three phases:
1. Urgent (8-12 weeks)
2. Stabilization (10-14 weeks)
3. Recovery (ongoing)
Guidance for industry based on "High Risk, Moderate Risk, Low Risk, New Normal Risk" levels

N/A

Dependent on severity of the outbreak and population affected (e.g. need for hospitalizations, symptom severity)
Vermont
Restart VT

N/A

Hospitalizations and growth rate

1. Use data and modeling to guide changes
2. Maintain healthcare readiness (PPE, testing materials)
3. Increase testing and contact tracing
4. Develop business operation plans
Evaluate plans for opening other sectors (recreation, travel)

N/A

N/A

N/A
Virginia
Forward Virginia

N/A

1. 14-day downward trend of positive tests.
2. 14-day downward trend of hospitalizations.
3. Adequate hospital beds and intensive care capacity.
4. Increasing and sustainable supply of PPE.

1. Ability to test at least 10,000 individuals per day and trace all contacts of confirmed cases.
2. Stable PPE supply chain across all sectors of healthcare, and ensuring that the supply is regularly replenished.
3. Ensure hospital capacity and prepare a surge workforce.

Once the gating criteria has been met, phase one will:
1. Allow some businesses to re-open with strict safety restrictions.
2. Continue social distancing measures.
3. Continue teleworking.
4. Continue wearing face masks in public.

The plan does not include additional phases at this time.

N/A

Any easing of restrictions will be informed by public health experts, members of the Governor's COVID-19 business task force, state and local officials, and other stakeholders.
Washington
A Safe Return to Public Life

05/05/20

Disease burden must be low and decreasing as measured by:
1. Number and trend of cases, hospitalizations and deaths
2. Disease modeling on rates of spread
3. Mobility trends as identified by traffic mobility data.

1. Improve health care system readiness
2. Improve testing capacity and availability
3. Improve case and contact tracing and investigations
4. Protect high-risk population

Details four phases and reports that the state will stay in each phase for a minimum of 3 weeks. Priority goals are dependent on:
1. PPE supply in healthcare settings,
2. Geographic distribution of testing sites to serve the entire population
3. Trained contact tracers and ability to perform case management
4. Respond to outbreaks in vulnerable populations within 24 hours

Counties can apply for exemptions, and follow a detailed submission process, before moving to Phase II ahead of other regions in the state.

Dependent on the state's gating criteria

Participating in Western States Pact*
West Virginia
West Virginia Strong: The Comeback

N/A

Three consecutive days maintaining statewide cumulative percent of positive test results below 3%

1. Increase testing capacity
2. Increase hospital surge capacity
3. Increase PPE supply
4. Increase contact tracing

Reopening guidance is based on weekly monitoring (and projected 6 weeks out)

Community outbreaks (not clusters in nursing homes), increase in positive hospitalizations, surge of positive test results above 3%
Wisconsin
Badger Bounce Back Plan

N/A

Measured against symptoms, cases and hospital data:
1. Downward trajectory of influenza-like symptoms and COVID symptoms within 14-day period
2. Downward trajectory of positive tests within 14-day period
3. Treat patients without crisis care, testing for at-risk healthcare workers with decreasing number of infected workers

1. Increase lab and testing capacity (goal of 85,000 tests per week)
2. Increase contact tracing (hire 1,000 contact tracers), build systems to track cases and spread, and support isolation & quarantine
3. Tracking the spread of COVID-19
4. Increase health care capacity
5. Acquire more PPE
6. Provide employer's & the public guidance on protocols
7. Support long term care facilities
8. Monitor conditions

Outlines three phases for reopening, with guidance for businesses and individuals in each phase.

N/A

Based on gating criteria and if core responsibilities are met

Participating in Midwest Partnership to Reopen Regional Economy*
Wyoming
A Transition Plan for a Healthy Wyoming

N/A

1. Reduction in cases, percent of cases attributed to community spread, and percentage of positive tests
2. Reduction in hospitalizations
3. Availability of hospital and ICU beds

1. Analysis of local and statewide health data
2. Modification of existing health orders
3. Easement of business restrictions
4. Direction from health officials post restriction easement
5. Protections for high-risk/vulnerable populations

N/A

Metrics assessed on a county-by-county basis, counties may be at different stages of transition based on local data.

Based on gating criteria as well as testing capacity, medical supplies, disease situation, new information and other developments
Tennessee
Tennessee Pledge

05/01/20

Improvement in or stability of:
1. COVID-19 cases and symptoms
2. Testing capabilities
3. Healthcare system capacity

1. Monitor disease using syndromic data
2. Increase testing capacity
3. Increase healthcare capacity
4. Increase contact tracing
5. Increase availability of PPE

1. Rapid deployment of large
volume and fast turnaround testing
2. Monitoring of hospital bed usage
3. Leverage partnerships with community and public stakeholders to expand hospital capacity as needed
4. Utilize internal resources
and external contracts to improve contact tracing

N/A

N/A

*Participating in Midwest Partnership to Reopen Regional Economy: IL, IN, KY, MI, MN, OH, WI
*Participating in Western States Pact: CA, CO, NV, OR, WA
*Participating in Northeast Multi-State Council to Get People Back to Work and Restore the Economy: CT, DE, MA, PA, NJ, NY, RI

<- Return to Coronavirus: What You Need to Know

 

Webpage Notification and Waiver of Liability
This page includes memoranda, resources, trackers, and other materials developed by the National Governors Association (NGA) to assist governors and state governments with COVID-19 response efforts. These materials are intended to provide information that is currently in the public domain and is not intended to be used as a source for legal or professional advice. NGA and its governing bodies, officers, and employees assume no responsibility for information contained on this webpage and disclaim all civil or criminal liability in respect of such information. NGA makes no endorsements or recommendations of information provided, and visitors to this website should always seek the advice of an appropriately qualified professional pertaining to specific material references. Information contained in such materials is not exhaustive and may be changed or updated at any time. Specific disclaimers may apply in addition to certain content or parts of this webpage.

 

[/vc_column_text][/vc_column][/vc_row]