Increase in capacity needs. That increase was not only an increase in terms of place, meaning identifying the opportunity to provide conditions where we can find physical assets for individual space, but also the appropriate number of people to help support individuals and needs and of course the up procrit number of personal protective equipment that is foundational and essential to safely providing that care. As we move forward on march 19 of this year, we with intention began a process a new to identify those foundational components so we can meet the needs of those that need to access hospital care and receive high quality care in the state of california. Also to look to utilize our existing hospital footprint, the capacity that exists within a hospital setting and within the larger hospital campus setting to build capacity. In addition to that, of course, we look to identify alternative care sites all throughout the state of california. You may recall a few months back we talked about fms which are pedicle medical stations which we are able to get from the federal government and we identified locations throughout the state of california to prepetition the fms sites that provide capacity of up to 250 capacity to provide medical needs to decompress the Hospital System and provide alternative care sites to meet the needs of patients that either were presymptomatic, asymptomatic or in some instances were not in need of acute care, but were in need of intense medical care that might have been exposed to go covid 19. We identified additional sites throughout the state including old mothball hospitals in seton being an example. Also in some instances we had identified early on st. Vincent down in l. A. County. We procured sites that are still under contract in fairview and porterville. Different parts of the state and up here in sacramento, the old sleep train arena where now the Sacramento Kings used to play but now those sites and many of those sites Still Available to us in what we call warm status. All part and parcel of a larger portfolio to meet the needs as we see an increase in the spread and transmission of covid19. Speaking of spread, the slide gives you a sense of what our existing hospital footprint looks like in the state of california. We have 416 hospitals in this state. One thing you will see from this slide is they are not equally distributed in various parts of the state. Let me give you a specific example. You have roughly plus or minus a few thousand roughly 21,000 plus licensed hospital beds in l. A. As an example. In Sutter County you have just 14. Depending on where you live, the assets that are available to you are quite distinctive. You can imagine where you have an increase of just a few patients in your icus in Sutter County can represent a huge percentage of your total capacity. So often i make this point in presentation like this where i give you information in the aggregate but remind you none of us live in the aggregate. We live in cities and counties throughout the state of california populated with different density in terms of total number of people and also different density of assets. Over the course of the last number of months we look to procure strategies in a very strategic and mindful way of where those deserts and support were from testing to tracing and tracking to addressing acute care needs as well as meeting the needs more broadly of communities throughout this remarkably diverse and the nations largest and most populous state. We had a plan when we started in march that had a Surge Capacity within our Hospital System of roughly 20 of the current capacity that we often identify. I will give you those numbers in a minute but they are around the 75,000 capacity number that so often i promoted as baseline of existing capacity. Its a little less today. We will get to that in a moment. We had no established alternative care sites, meaning we didnt have the fms identified. We did not have alternative leases and sites already procured and established. We were just in the process in march of identifying if seton would be interested in engaging in a contract and working to procure resources beyond just emergency resources to establish a longerterm framework of support. We did not have prepositioned medical assets of any type including ppe, which i will get to in a subsequent slide. Today, in july, fastforward and we now have capacity to treat 50,000 covid19 patients, well beyond the Surge Capacity as i said build out these alternative care sites. The physical sites we have secured hospitals like seton and repositioned a lot of these medical assets like fms sites throughout the state of california in areas that were vulnerable to surges and spikes and covid19. We also focus not just on the physical. As i said its place, space, and people. This slide represents people. We started something called California Health core and it exceeded all expectations. We quite literally had no expectation of more than a few thousand people may avail themselves without a license and provide information about the professional capacity to meet needs based upon a matching criteria and protocol that began to take shape in terms of needs for lvns and rns in respiratory specialists and the like over the course of the last number of months. We have been rescrubbing the site, over 96,000 people went to that site and filled out initial applications. About 35,000 of those applications have valid licenses for professional needs. It is important to note and we have not updated this in some time, but we have been able to identify all these folks and we did find the need for 741 professionals that helped us with our Skilled Nursing facilities and our adult day care facilities. They are actually helping us currently with our corrections facilities and providing staffing and expertise. As well providing alternative care facility personnel support. That system, the development of this site, California Health core site which by the way if you are a professional and you may have retired recently or maybe interested in being supportive as we seen the numbers increase, i encourage you to go to the website to fill out an application as well. Again, we dont want everyone concentrating on filling out applications in one part of the state. Its about matching needs in different parts of the state based on different professions within the healthcare system. You may have a unique experience or unique perspective or unique license and part of the state that is significantly underserved and you are the exact person that we encourage to go to the site to fill out an application and provider license information. We will make sure over the course of the next number of days and weeks to get back in contact with you. That staffing capacity was one part of it. Again procuring sites and places and beds to put people, staff those beds is important, but inventory was important. Ppe is something we are all familiar with. It needs to do more to get surgical masks and procedural masks and gloves and face shields and coveralls and many different areas of need within ppe. The most important being those masks that we need. And just lookthe slidand you will in marcof this year when e nefortunate, and i eet acknowledged this on multiple occasions i want to do it again that governor schwarzenegger had years prior procured a large amount of n95 masks and many had expired but we worked with the fda and cdc to be able to utilize a lot of those masks. We were fortunate to have 21 million n95 masks and i dont anothers know another state that benefited from that kind of supply. As we quickly learned, 20 1 Million Masks may sound like a lot, but it turned out to be a very modest number as eqnce,we had ge baand needto go bold and go big in terms of procurement. Thats exactly what we did. Its what we said we were going to do and we were able to deliver. Just one contract we were able to bring down 189 million new procedure masks, 72 million n95 masks just from one contract that got a lot of attention and i dont think enough attention got to the fact that we were able to deliver on the commitments we made over a two month period to draw down those masks. As a consequence of that, you see on the slide we have been able to with that contract and others we were putting together distribute 200 million additional procedure masks beyond what we had in inventory. Thats 211 million procedure masks we have distributed in the last seven months and 79 million n95 masks we have distributed. Today rather than being in a position where we were with 1 million procedure masks and just 21 million n95 masks, today we have in inventory as of this morning 232 million additional procedure masks beyond what we have already distributed in the center slide there, and 46 million n95 masks. We are still in the process of procuring more masks, but we have never been better position. So much so, full disclosure, we have been able to distribute masks to four other states to help with their needs. That is something in partnership with fema who has been extraordinary in helping us with this procurement. It is something that we designed with our original contracts that we would have the kind of agreement once we hit certain threshold and were able to make the distributions we have made that we can help support other states that are reimbursing us 100 on those costs. We only distribute those when we can meet the needs within the state and we recognize we have a lot more work to do beyond just the n95 masks and procedure masks. None of us are naive about that and we are sending out millions of masks every single week. I recognize there are still parts of the state that are deserving and in need of additional ppe. We recognize the urgency in terms of the distribution of the same. But i am very pleased with the urgency that has been demonstrable in the development of our protocols and procedures and plans with our partnership we have created with California Hospital Association in particular. We have had incredible support from the california nurses and other labor organizations like seiu and i want to complement them on their heroic efforts and maintaining their status as our frontline heroes in this pandemic. Let us not forget the nurses and others on the front lines every single day. I am putting up numbers and they are the human face of this pandemic, doing everything they can to meet the needs of those that are coming into the hospitals now at record numbers and meeting the needs of patients that are coming in with symptoms and even some presymptomatic and asymptomatic that have to have their needs met. But the Hospital System had a lot of work to do. That work was led by outstanding leader who is here, the head of the California Hospital Association to talk about exactly what the system Surge Capacity looks like and how we have been able to develop in essence a mutual aid system of sorts which will explain some of what you have been perhaps reading about. White folks in Imperial County where we had to decompress their system by over 500 patients, why we have protocols and processes of where to send those patients when we moved them out of county and we know we have agreements in for example, in San Diego County and l. A. County and here in Northern California where a few patients went up to ucsf in San Francisco and other parts of the state. Its a remarkably dynamic system. No person better able to explain that system then the head of that system who is here and im very grateful for her partnership, her seriousness and purpose, her leadership, and i cant thank her enough more publicly than i have in the past, but i need to repeat it yet again because we are all put to the test, particularly the Hospital System at this moment. I want to give her the privilege of this opportunity to engage with all of you and explain a little bit more comprehensively what that surge plan looks like and why they feel some confidence in the immediate term inhoitaltem. Thank you very much, governor, and that is a pleasure to join you today to talk about our Surge Capacity and our readiness here in the state of california. Californias hospitals have been and continue to be ready to deal with the covid crisis that we have all been working with for the last four months. We continue to be ready to care for all californians, and that is for good reason. The governor has been briefing everybody on a daily basis about the numbers. We do have an increase in the number of covid positive individuals in the state of california. For us in the Healthcare Delivery system, that translates into more people in need of hospital care and more people in need of intensive care as well. We have seen about a 49 increase in the number of people needing hospital care in just the last two weeks which is a 38 increase in those in need of icu care. So californias hospitals are doing three things right now. Its all about planning, preparing and partnering. First of all on the planning, hospitals have on anongo atand teamanof the 460 hospital being ready and prepared for any kind of emergency. We have learned quite a bit in the last four months, so we are adjusting those plans to take into account how we have prepared, how we have to prepared differently as we are seeing numbers begin to climb again. In terms of preparing and being ready logistically, the governor has just talked about a number of things. Hospitals are being prepared and logistically prepared as well. We are building up. Whether that is a personal protective equipment, masks and downs and others in attempting to build up our capabilities and our inventory of testing supplies. We are working to be prepared to make certain we are who carva rgt, how can we train them up in case we need them in an intensive care unit it . Many things going on right now in terms of being prepared including looking at every nook and cranny within californias hospitals to see if there is more space we can dedicate to caring for covid positive individuals. And finally, partnering. The governor just mentioned the important partners we have in our nurses and in our doctors. We cannot do it without those frontline caregivers, that partnership has to be solid and we continue to work to make that happen. Hospitals are also partnering together so that we can balance the load of covid positive patients as we are doing right now in Imperial County. Also in the bay area as we are dealing with outbreaks there in the prison system. Hospitals work as teams that we can move patients and ensure they are transported to the right place where we have the additional capacity and we can work as a team. We are partnering with our counties and local Health Officials because we have to be able to do that regionally as well. And of course our partnership with the state, and that is in terms of the stockpiles of masks and other kinds of equipment out there and available and needed as we take a look at being ready for even higher numbers. So we are preparing to surge. We are going to surge differently this time. We have learned a lot in the last four months. We know that we have different tools available to care for covid positive patients. We have therapeutics like remdesivir and others that are shortening the stay of those patients. We are putting fewer of those patients on ventilators. Our doctors and nurses have learned quite a bit in the last four months about how to care for covid positive patients. All of that working as a team and going in the same direction means we can do that even more efficiently and create even more capacity in the system to care for more covid positive patients. So the surge is about finding a balance between caring for covid positive patients and continuing to care for everyone in the state of california. And so the last point and its the point you have been hearing but i want to thank each and everyone of you. The best way that we can expand and have as much capacity as we need to treat covid positive and patients with covid19 disease is to make certain we are stopping the spread of the infection in the first place. And that is all about masks and social distancing and hand hygiene. Every time you do that in your home, in your neighborhood, and in your community, you are helping a nurse, you are helping a doctor, you are helping a hospital and you are saving a life. So thank you for yocos on tices help us expand the capacity that we have to care for those in need. Thank you. Thank you, and as you can see we have an outstanding partner in a credible partnerships at a regional level, local level and statewide. The partnership is dynamic and it is demonstrable not only in terms of the planning documents but the actualization of our efforts that have been tested in certain parts of the state over the course of the last number of weeks. I want to just note in addition to what we have as it relates to our hospital capacity, i mentioned alternative care sites. We were fortunate and i had a conversation with the Vice President a few days ago to be able to draw down even more support than we had in the past for these field medical teams. Were going to get 190 individuals coming from hhs, from our federal partners to come in and help relieve some of the stress for some of our caregivers. And not just nurses but also doctors. I want to acknowledge the california medical association. They sent doctors and a team of folks to new york during the peak of the pandemic and the challenges they were experiencing and not only to provide support and assistance, but they also got valuable experience that they were able to take back from their time in the state and share that information with other caregivers and providers. All of these are reasons in addition to what you just heard as it relates to therapeutics like remdesivir and the fact we received our first inventory of remdesivir and one of the more promising therapeutics. We are beginning distributing that to our local providers. All of these again are additional points that allow us more confidence in our capacity to meet need and to address our surge. So 1929 warm beds and only a handful of those beds are currently being utilized in alternative care sites. Those are distributed throughout the state of california. We will continue to keep those within a 72 hour prism to remain operational which is a guideline for what its work that we have established to allow us to move if indeed we see some additional stresses outside of our surge plans and capacity that we have built within our Hospital System. Again, we are doing this because we see hospitalization rates grow. Its because people are not wearing their masks and people are not for many reasons and many different circumstances practicing physical distancing that they should and they must in order to mitigate the spread of this virus. We are seeing increased mixing within households. He said that on many different occasions. You see that at the local level and you hear that across the country, governors and other states making the same point and so often is the case with members of your extended family and neighbors outside your household when we take our guard down a little bit. We are seeing based upon the feedback were getting from our county health experts, that is one dominant area of concern. Obviously a consistent area of concern from day one outside Skilled Nursing facilities and veterans facilities and our comic homeless facilities is around our jail system and our state system. So prisons and jails, we are monitoring. Good news is monitoring. Good news is we saw a modest 400 less identified covid positive patients in our state federal system than we had even on monday. There are parts of the system like san quentin subsequently and others like chino that we are monitoring up in lassen intetband y ing wherewe eing at is some of the hospitalization rates in those communities and around those communities. As always, and i neglected this, but i had a wonderful question asked of me on monday about why we are seeing an increase and hospitalizations and i talked about the young and invincible. You are seeing this across the united states. Younger people that just feel like they are invincible and they are not even if they get covid19 the symptoms will be so modest that it wont typically impact them. We are seeing in hospitalization rates, we see younger patients and we are also mindful that its not just the young and invincible, not just those increasingly mixing outside of household and those not practicing physical distancing as they should and Wearing Masks as they must, but we also see our essential work force. I want to acknowledge that. There is a little bit of mythology about reopening the economy. Its important to note 60 plus of the economy never shut down in california. We talk about the stayathome order on march 19, 60 of the economy was still fully operational. It was operationalized in a modified sense so it was moving forward and a lot of essential workers put their lives and their health quite literally on the line. You have been watching governor newsoms coronavirus update a more coverage now on cbsn bay area. The governor gave a Progress Report and where the state stands in the pandemic fight and s reiness. California sees a spike in cases on the governor said the state has worked to establish a healthcare capacity to handle patients. Right now california has the capability to treat 50,000 of them. Meanwhile the state supply inventory is grown including billions of masks and hospitals are working to build up testing supplies and training underway to beef up staffing. Health Officials SayEveryone Needs to chip in as we see the uptick in cases by social distancing and washing hands and Wearing Masks. Our coverage of the governor continues now screening on cbsn bay area. That does it for kpix 5 news at noon. Our next newscast is at 5 00. Have a great day. Well many people have such a misunderstanding as to how a reverse mortgage works. People think that the bank takes your home, but that is not true. Thats absolutely 100 wrong. The home is ours. We can sell it if we want to at any time. I like the flexibility of not having a payment, but i can make the payment if i want to. Youre responsible for keeping up your property taxes and youre responsible for paying your insurance on the property. For us, it was a security blanket. The value of our house, was to fund our longterm health care. For years, reverse Mortgage Funding has been helping customers like these use the equity from their homes to finance their lives. 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