COVID-19 Worksheets & Decision Grid

    By August 3, 2022 No Comments

    The Secretary of Health and Human Services has again extended the current Public Health Emergency (PHE) related to the COVID-19 virus. In response to this extension, AAAASF will be requiring surveyors to move to a community-based transmission rate assessment focused on local COVID-19 transmission rates at the time of the survey rather than a blanket approach. Facilities should have in place policies and procedures to respond to transmission rate changes.  


    COVID-19 Surveyor Supplemental Worksheet

    Beginning August 1, 2022, we will utilize an updated COVID-19 Surveyor Supplemental Worksheet. The instructions are combined with the worksheet, and the changes are noted in red. The COVID-19 worksheet must be completed by the surveyor and returned along with the additional survey materials. The worksheet identifies the latest CDC guidelines with specific references to applicable AAAASF standards. AAAASF surveyors should use this worksheet to determine COVID-19-related deficiencies in addition to ordinary survey methods. 


    The worksheets are available at under the Documents section for each program. We encourage facilities to utilize this supplemental surveyor worksheet to conduct an independent self-assessment to ensure all necessary measures have been implemented based on community transmission rates. Each COVID-19 worksheet contains a CDC link to the community transmission rates by county at the top of the first page that surveyors and facilities should use to verify local circumstances.


    The COVID-19 Surveyor Worksheets can also be accessed here:
    Surgical (ASC), OPT, RHC, Surgical, Procedural, Oral Maxillofacial, Pediatric Dentistry, International Surgical, and International Dental


    COVID-19 Decision Grid

    Please review the new COVID-19 decision grid. This tool was created to assist you in developing your COVID-19 policies and procedures during Low, Medium, and High Community Transmission rates.

    The COVID-19 decision grid is available under each program's Documents page. We encourage you to use this to supplement the surveyor worksheet tool and to conduct an independent self-assessment to ensure all necessary measures have been implemented based on your community transmission rates.

    We appreciate your continued commitment to patient safety. Any questions should be directed to

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