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LTC Provider Questionnaire on COVID-19 Surge Capacity

Purpose: As the state prepares for a surge of COVID-19 cases in the coming days, the three long-term care associations are working together to find out about long term care providers plans, capacity and current practice.
1.Please have only one person respond from your organization & Systems please fill out a survey for each site:
2.Are you planning to set up a separate multi-person isolation wing or unit within your existing building or campus, with dedicated staffing, for COVID-19 care or recovery?
3.If yes to question #2, please complete to the best of your ability:
4.If no to question #2, please complete to the best of your ability:
5.Are you planning to set up a new separate dedicated facility for COVID-19 recovery? 
6.If yes to question #5, please complete to the best of your ability:
7.If no to question #5, please complete to the best of your ability:
8.Are you taking new admissions from the community at this time?
9.If yes to question #8, please complete to the best of your ability:
10.If no to question #8, please complete to the best of your ability:
11.Are you taking back your residents who will/have been discharged from the hospital?
12.If yes to question #11, please complete to the best of your ability:
13.If no to question #11, please complete to the best of your ability:
14.Please mark below who your organization has contacted:
The associations STRONGLY RECOMMEND that you reach out to the above, below is the information with links to make contact if you have not already. 

County Emergency Management System
http://www.kansastag.gov/KDEM.asp?PageID=200

County Public Health Dept
http://www.kdheks.gov/olrh/download/health_directory.pdf

Regional Health Care Coalition
http://www.kdheks.gov/cphp/download/HCC_map_&_contacts.pdf
Thank you from your long-term care provider associations!
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