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HHS-OIG's Oversight of COVID-19 Response and Recovery

We accelerated efforts to begin reviews that examine the effectiveness of the public health response through an independent and objective lens.

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OIG is publishing audits and evaluations assessing COVID-19 preparedness and response in programs that serve HHS beneficiaries. Our reports result in timely information and may provide recommendations regarding HHS programs and operations. The expected impact of OIG's reports varies from direct cost savings and recovery of misspent funds to improvements in payment efficiency, program operations, quality of services, and public safety. Completed reports related to COVID-19 are in the table below.

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Reports are listed in reverse chronological order.
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Title Objectives Key Findings

HHS's and HRSA's Controls Related to Selected Provider Relief Fund Program Requirements Could Be Improved A-09-21-06001

September 29, 2022

Our objective was to determine whether HHS’s and the Health Resources and Services Administrations (HRSA’s) controls related to selected the Provider Relief Fund (PRF) program requirements (i.e., those related to the requirements for submission of revenue information and attestation of rejection of payments) ensured that providers received the correct payments from the Phase 1 General Distribution.

  • In the context of unprecedented challenges from the COVID-19 national emergency, HHS and HRSA developed controls related to selected PRF program requirements designed to ensure that providers received the correct PRF payments from the Phase 1 General Distribution in a fast, fair, and transparent manner.
  • HHS’s and HRSA’s procedures did not include: (1) requesting and reviewing providers’ supporting documentation to verify the estimated revenue losses in March and April 2020, (2) subtracting the automatic payments made to providers’ subsidiaries when certain nonautomatic payments were calculated, and (3) specifying a deadline for providers to return rejected payments.
  • HHS’s and HRSA’s procedures had weaknesses. Specifically: (1) HHS’s and HRSA’s payment thresholds for manual review of information submitted by providers were set at a level that resulted in only 2 percent of providers undergoing manual review, and (2) HRSA’s process to open and view the data file containing subsidiaries’ taxpayer identification numbers (subsidiary TINs) extracted from providers’ applications led to an error that caused the use of incorrect subsidiary TINs when payments were calculated.

End-Stage Renal Disease Network Organizations' Reported Actions Taken in Response to the COVID-19 Pandemic (A-05-20-00051)

September 23, 2022

Identify what actions the End-Stage Renal Disease Network Organizations took during the COVID-19 pandemic aid dialysis clinics and patients and To keep the Centers for Medicare & Medicaid Services (CMS) informed about quality-of-care issues.

  • The 18 Network Organizations that we surveyed provided information about the actions they took to address the additional demands on clinics during the pandemic. Network Organizations also reported to us challenges they encountered in taking those actions during the pandemic.
  • Network Organizations also kept CMS informed of quality-of-care issues by communicating through established communication processes and processes modified for better use during the pandemic.

FDA Repeatedly Adapted Emergency Use Authorization Policies to Address the Need for COVID-19 Testing (OEI-01-20-00380)

September 21, 2022

Assess the effectiveness of the Food and Drug Administration’s (FDA’s) use of emergency use authorization (EUA) to authorize tests for COVID-19.

  • From January through May 2020, FDA repeatedly adapted its approach to how it used EUAs to address COVID-19 testing challenges and to expedite access to tests. However, these efforts to increase test availability sometimes came at a cost to test quality.

FDA’s Work with the Tri-Agency Task Force for Emergency Diagnostics Helped Labs Implement COVID-19 Tests (OEI-01-20-00381)

September 21, 2022

Determine the extent to which Food and Drug Administration’s (FDA’s) engagement with the Tri-Agency Task Force for Emergency Diagnostics helped facilitate laboratories’ ability to implement COVID-19 tests.

  • As FDA carried out its responsibilities during the first months of the COVID-19 pandemic, the Task Force served as a forum for FDA to collaborate and coordinate with the Centers for Disease Control and Prevention and the Centers for Medicare & Medicaid Services to facilitate emergency test implementation in labs.

IHS's National Supply Service Center Was Generally Effective in Providing Supplies to Facilities During the COVID-19 Pandemic, but Its Internal Controls Could Be Improved (A-07-20-04124)

September 20, 2022

Determine whether Indian Health Services' (IHS') National Supply Service Center (NSSC) effectively distributed medical supplies and equipment in response to the COVID-19 pandemic.

  • The NSSC was generally effective in facilitating the distribution of medical supplies and equipment during the COVID-19 pandemic. However, we noted that the NSSC's internal controls could be improved.

Certain Life Care Nursing Homes May Not Have Complied With Federal Requirements for Infection Prevention and Control and Emergency Preparedness (A-01-20-00004)

September 19, 2022

Assess whether selected Life Care Centers of America (Life Care) nursing homes complied with Federal requirements for infection prevention and control and emergency preparedness.

  • Selected Life Care nursing homes in eleven states may not have complied with Federal requirements for infection prevention and control and emergency preparedness. Specifically, 23 of the 24 nursing homes selected had possible deficiencies.

The IHS Telehealth System Was Deployed Without Some Required Cybersecurity Controls (A-18-21-03100)

September 9, 2022

Determine whether the Indian Health Service (IHS) implemented select cybersecurity controls to protect its telehealth system.

  • Although IHS deployed a national telehealth system, which increased the availability of health care services during the pandemic, it did not complete select IT controls as required prior to deploying its telehealth system.

Certain Medicare Beneficiaries, Such as Urban and Hispanic Beneficiaries, Were More Likely Than Others to Use Telehealth During the First Year of the COVID-19 Pandemic (OEI-02-20-00522)

September 7, 2022

Examine the characteristics of beneficiaries who used telehealth during the first year of the pandemic

  • Beneficiaries in urban areas were more likely than those in rural areas to use telehealth.
  • Dually eligible, Hispanic, younger, and female beneficiaries were also more likely than others to use telehealth.
  • Almost one-fifth of beneficiaries used certain audio-only telehealth services; the vast majority of these beneficiaries used them exclusively.
  • Older beneficiaries were more likely to use certain audio-only services, as were dually eligible and Hispanic beneficiaries.

Medicare Telehealth Services During the First Year of the Pandemic: Program Integrity Risks (OEI-02-20-00720)

September 7, 2022
  • Assess the program integrity risks associated with Medicare telehealth services.
  • We identified 1,714 providers out of approximately 742,000 whose billing for telehealth services poses a high risk to Medicare.
  • Each of these providers had concerning billing on at least one of seven measures we developed that may indicate fraud, waste, or abuse.
  • Identify ways to safeguard Medicare from fraud, waste, and abuse related to telehealth.
  • We offer recommendations to the Centers for Medicare & Medicaid Services to strengthen oversight of telehealth services.

HHS Did Not Fully Comply With Federal Requirements and HHS Policies and Procedures When Awarding and Monitoring Contracts for Ventilators (A-02-20-02002)

September 2, 2022

Determine whether the Administration for Strategic Preparedness and Response (ASPR) awarded and monitored contracts for the production of ventilators in accordance with Federal requirements and HHS policies and procedures.

  • ASPR did not consistently award and monitor contracts for ventilators for use in responding to the COVID-19 pandemic in accordance with Federal requirements and HHS policies and procedures. Therefore, ASPR could not determine whether the use of taxpayer funds was reasonable.

Certain Nursing Homes May Not Have Complied With Federal Requirements for Infection Prevention and Control and Emergency Preparedness (A-01-20-00005)

July 29, 2022

Determine whether the selected nursing homes complied with Federal requirements for infection prevention and control and emergency preparedness.

  • Selected nursing homes may not have complied with the requirements. Specifically, 28 of the 39 nursing homes had possible deficiencies.

CDC Found Ways To Use Data To Understand and Address COVID-19 Health Disparities, Despite Challenges With Existing Data (OEI-05-20-00540)

July 15, 2022
  • Identify limitations in the racial, ethnic, and socioeconomic data used by the Centers for Disease Control and Prevention (CDC) that are associated with COVID-19 testing, cases, hospitalizations, and deaths.
  • CDC’s data had limitations and provided an incomplete picture of COVID-19 disparities. Data were sometimes missing, inconsistent, inaccurate, not clearly defined, or not consistently collected.
  • Examine how CDC uses these data in its response to COVID-19 disparities.
  • CDC worked to understand and address COVID-19 disparities using the data, despite challenges with this information.
  • Describe CDC’s challenges, successes, and lessons learned in using these data and supporting jurisdictions and Tribal Epidemiology Centers in response to the COVID-19 pandemic.
  • CDC took steps to supplement and improve these data.

An Estimated 91 Percent of Nursing Home Staff Nationwide Received the Required COVID-19 Vaccine Doses, and an Estimated 56 Percent of Staff Nationwide Received a Booster Dose (A-09-22-02003)

June 27, 2022

Identify the COVID-19 vaccination status of nursing home staff as of the week ended March 27, 2022.

  • Ninety-one percent of staff nationwide had received the vaccine doses required by the Centers for Medicare & Medicaid Services.
  • Fifty-six percent of staff nationwide had received a booster dose.
  • Six percent of staff nationwide had been granted a religious exemption.

Office of Refugee Resettlement's Influx Care Facility and Emergency Intake Sites Did Not Adequately Safeguard Unaccompanied Children From COVID-19 (A-06-21-07002)

June 23, 2022

Determine whether the influx care facilities and emergency intake sites had procedures in place to test for and protect against the spread of COVID-19 and, as appropriate, report testing and results to the Office of Refugee Resettlement (ORR) and State and local health entities.

These facilities lacked:

  • procedures for COVID-19 testing of children, employees, and volunteers;
  • measures to protect against the spread of COVID-19; and
  • procedures to report required testing and results to ORR and State and local health entities.

Selected Dialysis Companies Implemented Additional Infection Control Policies and Procedures To Protect Beneficiaries and Employees During the COVID-19 Pandemic (A-05-20-00052)

May 26, 2022

Determine whether, to protect high-risk beneficiaries with end-stage renal disease (ESRD) during the COVID-19 pandemic, selected dialysis companies implemented additional infection control policies and procedures in accordance with Centers for Medicare & Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) guidance.

  • The selected dialysis companies had infection control policies and procedures in place to protect ESRD beneficiaries and employees. When recommended by CMS and CDC, the companies implemented additional policies and procedures.

HHS Should Improve Internal Coordination Regarding Unaccompanied Children (OEI-BL-20-00670)

May 5, 2022

To assess coordination within the Department of Health and Human Services during the development and early implementation of a March 2020 public health order affecting unaccompanied noncitizen children.

  • CDC did not coordinate with ORR on development or implementation of a public health order that significantly affected unaccompanied children.

National Snapshot of Trends in the National Domestic Violence Hotline's Contact Data Before and During the COVID-19 Pandemic (A-09-21-06000)

April 28, 2022

Identify trends in the Hotline’s contact data before and during the pandemic, challenges that the Hotline faced during the pandemic, and actions that it took to address those challenges while continuing to support those affected by domestic violence.

  • The number of contacts that used online chat to contact the Hotline increased by 19 percent, the number of contacts that identified with the Asian ethnicity group increased by 24 percent, and the need for protective/restraining order assistance increased by 40 percent.
  • The Hotline experienced challenges connecting victims to providers and resources that were operating at a limited capacity because of the pandemic.
  • The Hotline also experienced challenges tracking the unique impact of the pandemic on victims to better serve contacts’ needs.
  • The Hotline identified challenges addressing a decrease in contact volume from victims who may have needed help but did not contact the Hotline because they were in closer proximity to their abusers as a result of shelter-in-place orders.

Telehealth Was Critical for Providing Services to Medicare Beneficiaries During the First Year of the COVID-19 Pandemic (OEI-02-20-00520)

March 17, 2022

Provide insight into the use of telehealth in both Medicare fee-for-service and Medicare Advantage during the first year of the COVID-19 pandemic.

  • Over 28 million Medicare beneficiaries (more than 2 in 5) used telehealth during the first year of the pandemic.
  • Beneficiaries used 88 times more telehealth services during the first year of the pandemic than they used in the prior year.
  • Beneficiaries’ use of telehealth peaked at the beginning of the pandemic and remained high through early 2021.
  • Beneficiaries most commonly used telehealth for office visits during the first year of the pandemic.

The Assistant Secretary for Administration Awarded and Managed Five Sole Source Contracts for COVID-19 Testing in Accordance With Federal and Contract Requirements (A-05-21-00014)

January 26, 2022

Determine whether HHS’ Assistant Secretary for Administration (ASA) awarded and managed the COVID-19 testing contracts in accordance with applicable Federal regulations, as well as contract terms and conditions.

  • ASA awarded and managed the contracts in accordance with Federal regulations and contract requirements.

COVID-19 Tests Drove an Increase in Total Medicare Part B Spending on Lab Tests in 2020, While Use of Non-COVID-19 Tests Decreased Significantly (OEI-09-21-00240)

January 4, 2022

Provide an analysis of Medicare Part B payments for lab tests in 2020.

  • Medicare Part B spent $1.5 billion on COVID-19 tests in 2020. At the same time, spending on non-COVID-19 tests declined by $1.2 billion. The result was a net spending increase of 4 percent.
  • The decrease in utilization of non-COVID-19 tests raises questions about the potential impacts on beneficiary health.

Most Medicare beneficiaries received telehealth services only from providers with whom they had an established relationship (OEI-02-20-00521)

October 18, 2021

Describe the extent to which Medicare beneficiaries had established relationships with providers furnishing their telehealth services.

Identify differences in these relationships between traditional Medicare and Medicare Advantage.

  • Eighty-four percent of these beneficiaries received all their telehealth services from providers with whom they had an established relationship.
  • Those enrolled in traditional Medicare were more likely to receive services from providers with whom they had an established relationship, compared to beneficiaries in Medicare Advantage.

Changes Made to States’ Medicaid Programs To Ensure Beneficiary Access to Prescriptions During the COVID-19 Pandemic (A-06-20-04007)

October 14, 2021

Identify actions that selected State Medicaid agencies (States) took, or planned to take, to ensure that Medicaid beneficiaries continued to receive prescription drugs during the COVID-19 pandemic.

  • Most States in our review described actions they have taken or planned to take to ensure that Medicaid beneficiaries continued to have access to prescription drugs during the pandemic.
  • Most States reviewed responded that they have implemented changes giving physicians greater flexibility to prescribe drugs to both new and established patients following telehealth episodes during the pandemic.
  • All States reviewed indicated that they are providing updated guidance to all stakeholders to ensure that beneficiaries can obtain their prescriptions.

Six of Eight Home Health Agency Providers Had Infection Control Policies and Procedures That Complied With CMS Requirements and Followed CMS COVID-19 Guidance To Safeguard Medicare Beneficiaries, Caregivers, and Staff During the COVID-19 Pandemic (A-01-20-00508)

September 27, 2021

Determine whether eight selected Home Health Agency (HHA) providers had infection control policies and procedures that complied with Centers for Medicare & Medicaid Services (CMS) requirements and followed CMS guidance during the COVID-19 pandemic.

  • Six of the selected HHA providers had infection control policies and procedures that complied with CMS requirements and followed CMS guidance to safeguard HHA staff, Medicare beneficiaries, and caregivers during the pandemic.

Indian Health Service Use of Critical Care Response Teams Has Helped To Meet Facility Needs During the COVID-19 Pandemic (OEI-06-20-00700)

September 21, 2021

Assess Indian Health Service (IHS) use of Critical Care Response Teams (CCRTs) to support IHS and Tribal health care facilities during the COVID-19 pandemic.

  • IHS developed the CCRT program as an innovative capacity-building tool to strengthen IHS and Tribal facilities’ response to the COVID-19 pandemic.
  • The program is a positive step in IHS’s efforts to promptly respond to the immediate needs of facilities.
  • The CCRT model also holds promise for addressing longstanding challenges facing some facilities related to quality of care and staffing.

CMS's COVID-19 Data Included Required Information From the Vast Majority of Nursing Homes, but CMS Could Take Actions To Improve Completeness and Accuracy of the Data (A-09-20-02005)

September 3, 2021

Determine whether Centers for Medicare & Medicaid Services’ (CMS’s) COVID-19 data for nursing homes were complete and accurate.

  • CMS’s COVID-19 data for nursing homes included the required information from the vast majority of nursing homes; however, the data were not complete or accurate for some facilities.
  • For about 5 percent of nursing homes, the data did not include all COVID-19 information nursing homes were required to report and/or were not complete or accurate after CMS performed its quality assurance checks.

Medicare Beneficiaries Hospitalized With COVID-19 Experienced a Wide Range of Serious, Complex Conditions (OEI-02-20-00410)

September 1, 2021

Understand the types of conditions for which Medicare beneficiaries with COVID-19 were being treated and what groups were more likely to be hospitalized with COVID-19.

  • Medicare beneficiaries hospitalized with COVID-19 were treated for a wide range of complex conditions such as acute respiratory failure, kidney failure, and sepsis.
  • More than half of hospitalized Medicare beneficiaries with COVID-19 received intensive care or mechanical ventilation.
  • Dually eligible, Black, Hispanic, or older beneficiaries were disproportionately hospitalized with COVID-19.

States' Backlogs of Standard Surveys of Nursing Homes Grew Substantially During the COVID-19 Pandemic (OEI-01-20-00431)

July 27, 2021

Addendum to: Onsite Surveys of Nursing Homes During the COVID-19 Pandemic: March 23-May 30 (OEI-01-20-00430), December 22, 2020

Provide an update on the backlogs of standard surveys of nursing homes that State Survey Agencies faced during the COVID-19 pandemic.

  • States' backlogs of standard nursing home surveys have grown substantially, even after August 2020 when CMS lifted its suspension of those surveys (which it had suspended due to the COVID-19 pandemic).
  • Nationally, 71 percent of nursing homes had gone at least 16 months without a standard survey as of May 31, 2021.

CMS's Controls Related to Hospital Preparedness for an Emerging Infectious Disease Were Well-Designed and Implemented but Its Authority Is Not Sufficient for It To Ensure Preparedness at Accredited Hospitals (A-02-21-01003)

June 28, 2021

Assess whether the Centers for Medicare and Medicaid Services (CMS) designed and implemented effective internal controls related to hospital preparedness for emerging infectious diseases such as COVID-19.

  • CMS's controls were well-designed and implemented to achieve its control objective and respond to risks, but CMS's authority is not sufficient for it to ensure preparedness for emerging infectious diseases including COVID-19 at 4,200 accredited hospitals.

COVID-19 Had a Devastating Impact on Medicare Beneficiaries in Nursing Homes During 2020 (OEI-02-20-00490)

June 22, 2021

Determine how many Medicare beneficiaries in nursing homes were affected by COVID-19 in 2020.

Understand beneficiaries' characteristics that are associated with greater risk of contracting the virus.

  • 2 in 5 Medicare beneficiaries in nursing homes were diagnosed with either COVID-19 or likely COVID-19 in 2020.
  • Almost 1,000 more beneficiaries died per day in April 2020 than in April 2019.
  • Overall mortality in nursing homes increased to 22 percent in 2020 from 17 percent in 2019.
  • About half of Black, Hispanic, and Asian beneficiaries in nursing homes had or likely had COVID-19, and 41 percent of White beneficiaries did.
  • Understanding the pandemic's effects on nursing home residents is necessary if tragedies like this are to be averted.

Hospitals Reported That the COVID-19 Pandemic Has Significantly Strained Health Care Delivery: Results of a National Pulse Survey February 22-26, 2021 (OEI-09-21-00140)

March 24, 2021

Provide a national snapshot, from the perspective of hospital administrators, on how responding to the COVID-19 pandemic has affected hospitals' capacity to care for patients, staff, and communities nearly a year after COVID-19 was declared a pandemic.

  • Hospital administrators described difficulty balancing the complex and resource-intensive care needed for COVID-19 patients with efforts to resume routine hospital care. Specifically, they described significant challenges related to health care delivery, staffing, vaccinations, and finances.
  • Hospitals reported a range of strategies they have used to address their challenges and identified areas in which further government support could help as they continue responding to the pandemic.

Opioid Use in Medicare Part D During the Onset of the COVID-19 Pandemic (OEI-02-20-00400)

February 4, 2021

Describe opioid use in Part D during the onset of COVID-19, focusing on the first 8 months of 2020.

  • At least 5,000 Part D beneficiaries per month suffered an opioid overdose.
  • Further, almost a quarter of a million beneficiaries received high amounts of opioids.
  • During this time, the number of beneficiaries receiving drugs for medication-assisted treatment increased slightly.
  • The number of beneficiaries receiving naloxone—a drug that can reverse an opioid overdose—declined through April but increased in the following months.

Federal COVID-19 Testing Report: Data Insights from Six Federal Health Programs

January 14, 2021

Provide information on COVID-19 testing paid for by Medicare Part B from February 1, 2020, to August 31, 2020.

  • 5,090,175 beneficiaries received at least one COVID-19 test paid for by Part B, which was 13% of total Part B beneficiaries.
  • Part B paid more than $551 million for 7.98 million COVID-19 tests administered.
  • Testing of beneficiaries was generally proportional to the demographic characteristics of the Part B population.

Onsite Surveys of Nursing Homes During the COVID-19 Pandemic: March 23-May 30 (OEI-01-20-00430)

December 22, 2020

See also addendum: States' Backlogs of Standard Surveys of Nursing Homes Grew Substantially During the COVID-19 Pandemic (OEI-01-20-00431), July 27, 2021

Determine the number and results of surveys of nursing homes conducted by the Centers for Medicare & Medicaid Services (CMS) and State survey agencies (States) from March 23 through May 30, 2020.

Describe challenges that CMS and States experienced in conducting nursing home oversight during the COVID-19 pandemic and their insights into their experiences.

  • States conducted onsite surveys at 31 percent of nursing homes from March 23 through May 30, 2020, fewer than during the same time period in 2019 when States and CMS were under normal operations.
  • These surveys resulted in few deficiencies but allowed States to provide nursing homes with guidance and other support.
  • States had challenges in securing personal protective equipment and staff to conduct onsite surveys.

Opioid Treatment Programs Reported Challenges Encountered During the COVID-19 Pandemic and Actions Taken To Address Them (A-09-20-01001)

November 23, 2020

Identify challenges that opioid treatment programs (OTPs) have encountered during the COVID-19 pandemic.

Identify actions that OTPs have taken to address those challenges while ensuring the continuity of needed services and protecting the health and safety of their patients and staff.

  • OTPs reported challenges related to maintaining pre-pandemic service levels, managing impacts on facility, and implementing and using telehealth, and others.
  • OTPs reported actions taken that included encouraging or requiring various personal safety measures for patients and staff, implementing or expanding the use of telehealth to continue providing services, and increasing the number of take-home doses to reduce the number of patients visiting facilities.

Office of Refugee Resettlement Ensured That Selected Care Providers Were Prepared To Respond to the COVID-19 Pandemic (A-04-20-02031)

November 9, 2020

Determine whether Office of Refugee Resettlement (ORR) ensured that selected facilities followed ORR requirements in preparing for and responding to communicable diseases, such as COVID-19.

  • The 11 selected facilities that we reviewed were generally prepared to respond to an emergency event, such as the COVID-19 pandemic, in accordance with Federal guidance. Specifically, they had policies and procedures, the capability to quarantine COVID-19 cases in their facilities, and adequate personal protective equipment.

National Snapshot of State Agency Approaches to Child Care During the COVID-19 (A-07-20-06092)

October 1, 2020

Identify the approaches that State agencies adopted to ensure access to safe child care as well as to protect the providers rendering that care in their Child Care and Development Fund (CCDF) programs in response to the COVID-19 pandemic.

  • All State agencies reported that they issued guidance to child care providers on protective measures recommended by the Centers for Disease Control and Prevention, and almost all State agencies stated that they were following the provisions of their disaster plans.
  • Many State agencies used the flexibilities afforded to them by the Administration for Children and Families (ACF), the cognizant Federal agency, to lessen the impact of COVID-19 on child care providers and to ensure continued access to child care.
  • To implement changes to their CCDF programs, many State agencies sought changes in their State requirements, requested waivers from ACF, and submitted CCDF plan amendments.

Top Challenges Facing Federal Agencies: COVID-19 Emergency Relief and Response Efforts

June 17, 2020

Share insight into the top management challenges facing federal agencies that received pandemic-related funding, as identified by Offices of Inspector General.

  • Drawing on our past experience, as well as current risk-assessment and work planning, HHS-OIG has identified top challenges to HHS's pandemic response in three broad categories: (1) protecting people, (2) protecting funds, and (3) protecting infrastructure.

Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020 (OEI-06-20-00300)

April 6, 2020

Identify hospitals' challenges and needs in responding to the COVID-19 pandemic in a national snapshot.

  • Hospitals reported that their most significant challenges centered on testing and caring for patients with known or suspected COVID-19 and keeping staff safe.
  • Hospitals also reported substantial challenges maintaining or expanding their facilities' capacity to treat patients with COVID-19.
  • Hospitals described specific challenges, mitigation strategies, and needs for assistance related to personal protective equipment, testing, staffing, supplies and durable equipment; maintaining or expanding facility capacity; and financial concerns.