SMALL REMINDERS
Determine upfront what facility type your management will support. Medical experts may want to pursue facilities that best meet CDC guidance which tend to be privately owned, inhabited, modern facilities. Others may favor the use of publicly owned facilities, even if they were less optimal. Midway, we changed our approach and thoroughly explored all potential public facilities before approaching private partners, such as hospitals, hospices, motels, etc.
Facilities siting should be closely linked to work conducted by your surveillance and communicable diseases epidemiologist teams. They will be the entry point for individuals whose homes won't work for I & Q.
CONSIDER MULTIPLE TYPES OF FACILITIES
To meet a variety of needs such as isolation, quarantine, mass patient care, and/or mass acute care, we chose to develop a range of facility options across the continuum:
A single motel-type facility with 75 rooms for a small outbreak requiring isolation and/or quarantine alone.
A secure facility for isolation of noncompliant persons.
A processing facility (no one would spend the night there) at our international airport to meet "sick planes."
We are also exploring the feasibility of using alternate care facilities, in partnership with our hospitals and neighboring counties, to address massive isolation and quarantine and/or massive patient care needs.