The goal of the Action Plan is to build a state-led national program of Covid-19 testing that supports reopening the economy through the goals of workforce monitoring, early detection of recurrent outbreaks, and diagnostic and home testing.
This would be the largest public health testing program in American history. Success will depend on the active engagement of the government, business, philanthropy, and the public.
THE ACTION PLAN HAS THREE MAJOR OBJECTIVES
1. Launch a 1-3-30 Plan to Dramatically Expand Covid-19 Testing
2. Launch a Covid Community Healthcare Corps for testing and contact tracing
3. Create a Covid-19 Data Commons and Digital Platform
Launch a 1-3-30 Plan to Dramatically Expand Covid-19 Testing
1
Create an Emergency Network for Covid-19 Testing (ENCT) to coordinate and underwrite the testing market.
To drive rapid scale-up of Covid-19 testing, the ENCT will engage with: producers of testing equipment, reagents, and other lab consumables; national, state and local purchasers; public and private healthcare funders; and financial institutions. The ENCT will also work to identify and resolve choke points in the test supply chain. The ENCT should convene a consensus group of national, state, business, and academic leaders on the use of testing for workplace monitoring and early detection of Covid recurrences. An overarching analysis of the testing supply chain both in the United States and globally should be undertaken immediately.
Launch an eight-week National Testing Laboratory Optimization Initiative to increase current U.S. testing from 1 million to 3 million per week within the next eight weeks.
This will be achieved by unleashing the untapped potential of existing test capacity at national, university, and local labs. Importantly, this program would bolster the capacities and resources of thousands of small laboratories around the country. Supply constraints will be identified and eliminated.
Invest in a public-private Testing Technology Accelerator to further grow U.S. testing capacity from 3 million to 30 million per week within six months.
This increase will depend on realizing and rolling out the best mix of new technologies for higher efficiency laboratory testing, point-of-care office testing, and home-testing. In addition, some of this increase can be achieved through process efficiencies and lab techniques such as batch sampling. The powers of the Defense Production Act may will be need to be invoked given the inherent commercial uncertainties in this 10-fold production increase.
2
A Covid Community Healthcare Corps (CCHC) should be launched at state public health departments, an effort that will involve massive investments in manpower and equipment.
At least 100,000 people and perhaps as many as 300,000 must be hired to undertake a vigorous campaign of test administration and contact tracing, and they must be supported by computer systems networked with regional and national viral datasets and as many electronic health records from local hospital systems as can be provided. The CCHC should designate staff to distribute, administer and oversee testing.
A national system to track Covid-19 status must be created.
Policy makers and the public must find the balance between privacy concerns and infection control to allow the infection status of most Americans to be accessed and validated in a few required settings and many voluntary ones.
Digital apps and privacy-protected tracking software should be widely adopted to enable more complete contact tracing.
Whenever possible, incentives should be used to nudge the voluntary use of these apps rather than require them.
3
Integrate and expand Federal, state, and private data platforms to cover the full range of data required to monitor the pandemic, deploy resources, and remove bottlenecks
This effort would support recent Department of Health and Human Services Federal and State collaboration with leading edge data technical firms to develop an integrate, real-time data platform so testing levels can be aligned at regional levels with illness burden. This platform can enhance procurement, distribution and deployment of tests as those tests evolve in quantity and function. It should also enable state and local authorities to track testing results and capacities to identify spot shortages. This will help identify any supply and demand constraints so that testing levels can be aligned at regional levels with illness burdens.
Innovative digital technologies can improve workforce monitoring and early detection of recurrent outbreaks.
When integrated into national and state surveillance systems, such innovations may enable the same level of outbreak detection with fewer tests. Promising techniques include anonymous digital tracking of workforces or population-based resting heart-rate and smart thermometer trends; continually updated epidemiological data modeling; and artificial intelligence projections based on clinical and imaging data.
Full Plan PDF:
https://www.rockefellerfoundation.or..._4_22_2020.pdf
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Originally Posted by Zippyjuan
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