The document, which envisages four different scenarios depending on the transmission, revolves around the organization of health facilities, beds and hospital access. Monitoring for RSA is foreseen
Possible scenarios – The document lists four different possible scenarios for the ongoing epidemic, from a “Situation of localized transmission (outbreaks) substantially unchanged compared to today”, to a “Situation of sustained and widespread transmissibility but manageable by the health system, to a “Situation of sustained and widespread transmissibility with the risk of maintaining the health system, up to an” Situation of uncontrolled transmissibility with criticality in the health system, with regional Rt values systematically and significantly higher than 1.5 in its lower confidence interval for long periods (at least 1 month).
The “checklist” for the regions – For each scenario, different actions are envisaged, which for example for the most pessimistic one can lead to “interregional transfer of patients” and “adaptation for hospitalization of structures that are not normally used for such use”. The plan also contains a ‘checklist’ for the regions, “to assess the level of preparedness of the health systems in the Regions / PPAA in order to be able to optimally face any increase in the number of new infections”.
Monitoring for RSA – The required requirements concern all aspects of health care, from the hospital network, which for example should have dedicated paths in the emergency room for suspected cases, to territorial medicine, with indications for example for RSA, which should have a ” established and operational epidemiological and clinical surveillance and monitoring that allows the early identification of suspected cases of COVID-19 among residents and operators within each structure and timely transfer to hospitals or hotels intended for positive subjects “.
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