GNYHA is closely monitoring updates from local, State, and Federal agencies on the 2019 novel coronavirus outbreak. Below are updates regarding supply chain considerations.

DOH Dear CEO Letter and GNYHA Form for Requesting Supplies

The New York State Department of Health (DOH) and the New York City Department of Health and Mental Hygiene (DOHMH) are closely monitoring potential supply shortages of personal protective equipment (PPE), particularly N95 respirators. This week, DOH sent hospital chief executive officers a letter reviewing the process to request supplies from DOH. If facilities or health systems identify a PPE shortage, they should use current plans and supplier agreements to obtain additional supplies. The letter outlines the process to make a request once these steps are exhausted.

If all options have been exhausted and a member would like to request supplies, please use the attached GNYHA Supply Shortage Urgent Request Form. Completed forms should be sent to Jenna Mandel-Ricci or Zeynep Sumer King.

N95 Respirator Information

For hospitals requesting N95 respirators from either the DOHMH or DOH stockpile, please be aware that current supplies include 3M-branded respirators, model numbers 1860 and 1860S.

CDC/NIOSH Guidance on Conserving Supplies

The Centers for Disease Control and Prevention (CDC) and the National Institute for Occupational Safety and Health (NIOSH) recently published Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings, which includes strategies to conserve supplies while safeguarding health care workers during a shortage. The recommendations include:

  • Minimizing the number of individuals who need to use respiratory protection through the preferential use of engineering and administrative controls
  • Using alternatives to N95 respirators (e.g., other classes of filtering facepiece respirators, elastomeric half-mask and full facepiece air purifying respirators, powered air purifying respirators) where feasible
  • Implementing practices allowing extended use and/or limited reuse of N95 respirators when acceptable
  • Prioritizing the use of N95 respirators for personnel at highest risk of contracting or experiencing complications of infection

GNYHA is compiling additional strategies for appropriately conserving PPE supplies to prepare for possible shortages, particularly of N95 respirators. Hospitals are encouraged to send their conservation policies and strategies to Jenna Mandel-Ricci. We will compile these strategies and share them with members.

Coronavirus Infection Control Guidance for Environmental Services

The Association for the Health Care Environment’s advisory to environmental services professionals on the 2019 novel coronavirus provides general information on the outbreak, and infection control recommendations, including a listing of hand hygiene and disinfecting products that are effective against the virus.

CDC and DOH Guidance for Health Care Providers

CDC continues to update its 2019 Novel Coronavirus Resources and Guidance for Health Care Professionals. While GNYHA will notify members about important updates, we encourage hospitals to check the CDC website for the most current recommendations.

DOH also released the following resources this week (attached). Please note that the last two items are written for use by local health departments and are being shared with members for informational purposes only.

  • Presentation slides from a recent DOH/DOHMH webinar
  • 2019 Novel Coronavirus Local Health Department Guidance: Isolation and Quarantine
  • DOH Interim Movement and Monitoring Guidance for Asymptomatic Persons with Potential Exposure to the 2019 Novel Coronavirus

GNYHA will continue to update hospitals as we receive information.