COVID-19 preparedness assessment & scoring tool.

Table 1: COVID-19 preparedness assessment & scoring tool.

Category		Points			Scoring	Max Points
Staffing						10
	Facility leader confidence in staffing levels	10	5	0	10 high; 5 moderate; 0 low
Medical Support						20
	ARNP * or PA ^† on premises ≥ 1 day/wk.	10	-	0	10 yes; 0 no
	Physician on premises ≥ 1 day/wk.	10	-	0	10 yes; 0 no
Infection Control						120
	Level of adherence to CDC guidelines	10	5	0	10 excellent; 5 fair; 0 poor
	Adherence to isolation procedures	10	5	0	10 excellent; 5 fair; 0 poor
	Staff training on PPE ^‡ use	10	5	0	10 excellent; 5 fair; 0 poor
	Appropriate use of disinfectants	10	5	0	10 -excellent; 5 fair; 0 poor
	Gaps in infection control staff education	10	5	0	10 none; 5 few; 0 many
	PPE doffing and donning procedures	10	5	0	10 excellent; 5 fair; 0 poor
	No. days of N-95's on hand	10	5	0	10 ≥ 30; 5 ≥ 15 < 30; 0 < 15
	No. days of gloves on hand	10	5	0	10 ≥ 30; 5 ≥ 15 < 30; 0 < 15
	No. days of gowns on hand	10	5	0	10 ≥ 30; 5 ≥ 15 < 30; 0 < 15
	No. days of surgical masks on hand	10	5	0	10 ≥ 30; 5 ≥ 15 < 30; 0 < 15
	No. days of face shields on hand	10	5	0	10 ≥ 30; 5 ≥ 15 < 30; 0 < 15
	No. days disinfectants on hand	10	5	0	10 ≥ 30; 5 ≥ 15 < 30; 0 < 15
Eng. Controls						40
	At least one negative pressure room	10	-	0	10 yes; 0 no
	At least one negative pressure wing	10	-	0	10 yes; 0 no
	Physical barrier entry to COVID-19 unit(s)	10	-	0	10 yes; 0 no
	Air filtration unit minimizes Inf. spread	10	-	0	10 yes; 0 no
Testing						10
	Satisfactory access to testing	10	-	0	10 yes; 0 no
	Total Possible Points					200

*Advanced registered nurse practitioner

^†Physician assistant

^‡Personal protective equipment