Current situation in Spain - Vicent Moncho Mas CIO Marina Salud Denia Spain - HIMSS ...
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Government initiatives • The movement must be carried out individually and will be limited to essential activities or trips to the workplace. • Passenger transport will reduce your offer. • The supply of food and the supply of products necessary for public health will be guaranteed. • Hospitality and catering may exclusively provide home delivery and premises where cultural, artistic, sports and similar activities are carried out must suspend their opening. • Remote work will be prioritized. • The classroom activity will be suspended in favor of online educational activities. • The Minister of Health will have under his direct orders the civil authorities of the Public Administrations throughout the country, in particular the health authorities.
Economical initiatives Support for companies, workers and the self-employed Support for the most vulnerable families due to the virus crisis • All people affected by ERTE will benefit from unemployment benefit, even those who are not entitled to it due to not having enough contribution time. • 600 million euros for social services with special • Unemployment benefits collected during the state of alarm will not count attention to the elderly and dependents. Transfers towards the subsequent unemployment. will be made to the autonomous communities and local entities to finance these essential benefits. • All workers will have the right to reorganize or reduce their working hours, even up to 100%, to care for relatives, the elderly or children, in the face of the closure of schools and social services. • Protection of basic supplies (electricity, water and gas). Telecommunications services will also be • Companies will have to encourage teleworking when circumstances allow. guaranteed. "During the next month the suppliers of energy, natural gas and water will not be able to • For the self-employed, access to the extraordinary benefit for cessation of suspend supplies to those consumers in which the activity is smoothed when they have had to close their establishments or condition of vulnerable consumer or consumer at suspend their services. risk of social exclusion exists." • Relaxation of the spending rule to allow municipalities to spend their savings on social services, dependency-related items, and other social problems related to • Moratorium on the payment of mortgages for the the coronavirus. first home for people who have reduced their income or are unemployed due to the coronavirus. • A line of public guarantee guarantees is created to provide liquidity to companies for an amount of 100,000 million euros. • A line endowed with 2,000 million is created for exporting companies.
Hospital initiatives • Double emergencies: respiratory and non-respiratory • Double ICU: COVID and not COVID • Different levels of action, according to overflow by number of patients • Specific plant COVID and plant suspected cases • All devices to act on level II and III have been available • Specific monitoring in Primary Care of suspected cases • We have not passed level I, although we have been • Provisional external facilities for advanced triage and immediate tests close to expansion in the emergency room and in the ICU • Scheduled activity is suspended except priority 1 • Permanent dialogue with mayors through weekly • Preferential surgery and preferred consultations are maintained videoconferences • Off-site activity • Permanent dialogue with the Ministry, through daily videoconferences • Containment teams for services • Permanent support from partners, with daily monitoring • Separate teams without contact between them, for safety • Backup equipment at home • Reinforcements: 111 professionals, mainly nursing
Hospital strategy PHASE 1 PHASE 2 • Until May 31. • From June 1 to September 30. • Maintenance of the two circuits throughout the sanitary structure. • Maintenance of the two circuits throughout the sanitary structure, • Progressive reinstatement of activity depending on the evolution whenever there is covid pathology. of the situation of confinement and isolation of patients. • Maintenance of the progressive incorporation of the activity, trying to • Incorporation of the programmed follow-up of chronic patients in minimize the impact of the summer period on the reduction of Primary Care. activity. The objective will be to maintain a 3/4 activity in the vacation • Special emphasis on telemedicine. Incorporation of period. teledermatology throughout the Department. • Assessment of the impacts of the epidemic on waiting lists and • Preparation of prioritized patient queues. All patient queues will measures to address it be reviewed until August 1, in order to resolve remotely as much as possible, attend to the preferred (potentially serious) pathology PHASE 3 and prioritize the rest of the healthcare demand. • Analysis in each service of new indications for the definitive • Since the 1st of october. incorporation of telemedicine tools, once the pandemic has • Return to normality, consolidating the new healthcare organization, ended. learned from the changes introduced during the pandemic.
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