AMENDMENT 3 TO MIAMI-DADE COUNTY EMERGENCY ORDER 18-20

WHEREAS, section 252.38(3)(a), Florida Statutes, gives political subdivisions the authority to declare and enact a State of Local Emergency for a period of up to seven days, thereby waiving the procedures and formalities otherwise required of the political subdivision by law; and

WHEREAS, on March 1, 2020, the Governor of Florida issued Executive Order Number 20-51, directing the State Health Officer and Surgeon General to declare a Public Health Emergency due to the discovery of coronavirus disease 2019 (COVID-19) in Florida; and

WHEREAS, on March 9, 2020, the Governor of Florida issued Executive Order Number 20-52, declaring a State of Emergency for the State of Florida related to COVID-19; and

WHEREAS, on March 12, 2020, the County Mayor declared a State of Emergency for all of Miami-Dade County; and

WHEREAS, on April 3, 2020, the County Mayor issued Emergency Order 18-20, which required hospitals to report certain data to Miami-Dade County twice daily; and

WHEREAS, amendment no. 1 revised Emergency Order 18-20 to require hospitals to provide information only once daily, as opposed to twice daily in the original order; and

WHEREAS, since June 1, 2020, the data suggests that COVID-19 has begun to spread more rapidly through the community; and

WHEREAS, COVID-19 poses a health risk to Miami-Dade County residents, particularly elderly residents and those who are immunosuppressed or otherwise have high-risk medical conditions; and

WHEREAS, the County needs timely and accurate information to ensure its efforts to combat the virus are effective; and

WHEREAS, the County has hotel capacity in reserve for patients who do not need immediate medical care, but who may wish to quarantine away from their family; and

WHEREAS, such quarantine locations have been effective at slowing the spread of COVID-19 in Asia; and

WHEREAS, this amendment no. 3 to Emergency Order 18-20 requires hospitals to provide certain additional demographic information and information twice daily, as opposed to only once; and also instructs hospitals to inform both COVID-19 patients that do not require hospitalization, and individuals who have been tested for COVID-19 but are awaiting test results, that the County has hotel space available for voluntary quarantine, if desired by such individual,

THEREFORE, as County Mayor of Miami-Dade County, I hereby order:

A. Paragraph 1 of Emergency Order 18-20, as amended by amendment nos. 1 and 2, is amended and restated and paragraph 3 is amended and restated as follows:
1. Commencing June 25, 2020 at 12:01 a.m., each hospital shall report to [email protected] on a twice-daily basis, by 10:15 a.m. and 7:15 p.m., the following information to the County: (1) current staffed inventory of General Acute Care beds (does not include OB, pediatric or specialty/rehab); (2) current staffed inventory of Intensive Care Unit (ICU) beds; (3) total number of unused beds at the hospital which could be converted used to ICU beds; (4) total number of beds that can be converted to General Acute Care beds; (5) total number of ventilators available for immediate deployment; (6) total number of ventilators on standby; (7) total number of respirators and/or anesthesia machines that can be converted to serve as ventilators; (8) total COVID-19 patients admitted; (9) COVID-19 positive patients in ICU beds; (10) COVID-19 positive patients in non-ICU beds; (11) COVID-19 patients currently on a ventilator, (12) new COVID-19 patients admitted since the prior day’s reporting; (13) age, gender, body mass index, and occupation of each COVID-19 positive patient admitted that day who is age 89 or under, >>reported in (12)<<; and (14) COVID-19 patients discharged since the prior days reporting.

3. Each hospital shall advise both COVID-19 patients who do not need hospitalization, and individuals who have been tested for COVID-19 but that are awaiting test results and are otherwise persons under investigation (PUI) as determined by the Florida Department of Health, that placement opportunities in hotels may be available at no cost for persons who wish to quarantine away from household members. Persons interested in such placements shall be directed to [[Irina Gonzalez of the Florida Department of Health at (786) 316-1273]] >>DOH-Miami-Dade Epidemiology 305-470-5660.<<

B. This amendment shall be provided to all appropriate media consistent with the requirements of section 8B-7(2)(n) of the Code of Miami-Dade County.