CMS issues guidance for elective surgery; PPE conservation strategies

The Centers for Medicare & Medicaid Services yesterday issued guidance to help hospitals and health systems evaluate whether to provide elective surgeries during community spread of COVID-19. The agency proposes a tiered framework based on the urgency of the procedure, health of the patient and surgical setting that facilities can use to determine whether to perform or postpone surgery. 

In a statement AHA said, “America’s hospitals and health systems are intensely focused on the challenge of dealing with COVID-19 as they continue to provide medical care for patients and work to protect their communities. We simply could not manage this crisis without the hard-working and dedicated physicians, nurses and other front line staff who care for patients and maintain our facilities and equipment. 

“As we make additional preparations, it’s important to recognize that the cancellation of elective procedures – which the medical community needs to be prepared to implement – should be determined at the local, community level in consultation with hospitals and the clinical recommendations of physicians and nurses. It is important to recognize the definition of ‘elective’ procedures includes important life saving measures that will continue to be necessary. In issuing this framework, CMS took an appropriate step that provides a balanced approach to address this matter.” 

The Centers for Disease Control and Prevention also has proposed strategies for optimizing personal protective equipment supplies, including eye protection, isolation gowns, facemasks and N95 respirators.

Read AHA’s advisory on these policies.