Street Homeless Outreach Response COVID-19 As of 3/27/20 Hospitals/ED for discharge information please refer to: DHS COVID-19 Hospital Protocol For Isolation and Discharge to Shelter for Homeless Clients Ask all clients at beginning of engagement: Proceed with regular outreach No Are you experiencing fever, cough, shortness of breath, sore throat or flu-like symptoms Is Client stable? No For Clients in immediate distress: Employee calls 911, requests client be transported to nearest H+H hospital, and calls receiving ER to let them know a suspected COVID-19 DHS client is being transported Yes No Do you have a medical provider? Medical Provider assesses for COVID-19 and other health issues Yes For Clients that are symptomatic but stable use one of the following assessment tools: l NYC COVID-19 Hot-Line (9AM-9PM) 1-844-692-4692 Press ?0? for COVID hotline. OR AmWell Hot-Line (9PM-9AM) 1-844-SEE-DOCS (1-844-733-3627) When you are asked for the service key, use NYCHH Provider on the phone will determine if patient can stay in shelter, needs isolation, or needs emergent care. Client has COVID like illness (CLI) Determined no risk Patient is taken to appropriate DHS isolation facility Proceed with Outreach Client is taken to hospital Client has mild COVID-like illness (CLI) and per your clinical judgement, does not need ED, call SIU for isolation Client has COVID-19 complications (e.g. moderate shortness of breath), needs to go to ER for evaluation Medical provider calls 911, requests client be transported to nearest H+H hospital, and calls receiving ER to let them know a suspected COVID-19 DHS client is being transported Yes Medical provider determines patient does not need isolation because of absence of cough, shortness of breath, sore throat, fever Proceed with Outreach assessed for need for hospitalization or isolation Client is taken to hospital Patient is taken to appropriate DHS isolation facility Patient is admitted to Hospital if exhibiting serious illness Patient is determined to need isolation End of isolation Patient is taken to appropriate DHS isolation facility Contact outreach team End of isolation Contact medical provider and outreach team Patient is admitted to Hospital if exhibiting serious illness