CBH's Response to the Covid-19 Outbreak Survey

Request for Continuity of Operations Plan

As part of Philadelphia's response to the COVID-19 outbreak, Community Behavioral Health is coordinating efforts aimed at maintaining access to services for our members and supporting the dedicated staff who are serving them. Given the rapidly evolving nature of the situation, CBH is requesting that this survey be completed by 5:00 pm, March 23, 2020. Please Note: If you have already closed your programs, CBH would still be requiring you to complete this survey.

1.Does your organization have a Continuity of Operations Plan for member care?(Required.)

Yes, please share key components including: Emergency Contacts (including cell phone numbers); Service or Work Continuation Plan; Communication Plan for members; and staffing plan.

No, please update your current policy on Infectious Disease or Universal Precautions to include COVID-19 and share those key components including: Emergency Contacts (including cell phone numbers); Service or Work Continuation Plan; Communication Plan for members; and staffing plan.

2.Please attach your Continuity of Operations Plan.

Ensure that your plan includes the information in the previous question.

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3.Please attach your updated Infectious Disease or Universal Precautions Policy.

Ensure that your plan includes the information in the above question.

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4.Do you have any anticipated office or business-related concerns regarding COVID-19?(Required.)

Yes, please identify any current service change to hours of operation or scheduling of intakes, etc. Please provide detailed information in your response including: the specific program(s) affected; service(s) delivered at each identified program(s); and the license type of each program.

No, please notify CBH immediately if anticipated office or business-related concerns arise. Please note in writing the service changes to hours of operation or scheduling of intakes, etc. Please provide detailed information including: the specific program(s) affected; services delivered at each identified program(s); and the license type of each program.

5.Please attach your concerns.

Ensure that your plan includes the information in the previous question.

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6.If you plan to close your organization, what is your plan for internally managing any crisis as it arises with members with whom your organization provides services? This plan should include: a plan for medication management; the use of telehealth and e-scripts to pharmacies; and the process for members to initiate contact regarding the crisis. If there is a person specifically designated for managing any crisis during the closure, please include that person's contact information (including cell phone number).

Please attach the plan for internal management of crises.

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Current Progress,

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