UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

Pandemic Recovery Acceleration Model

COVID-19 PANDEMIC

Metrics, Trends & Acceleration Index

1

NebraskaData Sources:

Cases, Deaths and Tests :Nebraska Electronic Disease Surveillance System (NEDSS)

Vents, Hospital Beds and ICU Beds: Knowledge Center

PRAM Disease & Resource Trend Daily Index

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

Metric C COVID-19 Confirmed Cases 10 New cases/day/million pop’n 19.3 new cases/day

Metric T COVID-19 % Positive Tests 5% New positive tests/day 5% positive tests/day

Metric D COVID-19 Related Death 0.25 New Death/day/million population 0.39 new deaths/day

PRAMDISEASE METRICS NAMES

NEBRASKA PRAMPHASE I BENCHMARKS

PRAMDISEASE BENCHMARKS PRAMNEBRASKA BENCHMARKSPHASE I PHASE IPHASE I

3

Metric H COVID-19 Hospital Beds 15% Capacity regional hospital beds 429 hospital care beds

Metric I COVID-19 Intensive Care Beds 20% Capacity regional ICU beds 146 intensive care beds

Metric V COVID-19 Ventilator Beds 25% Capacity regional Vent beds 153 ventilator care beds

PRAMRESOURCE METRICS NAMES PRAMRESOURCE BENCHMARKS PRAMNEBRASKA BENCHMARKS

PHASE I PHASE IPHASE I

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NEBRASKA PRAM DAILY AGGREGATED ACCELERATION DASHBOARD

PRAM Dashboard for NEBRASKA

PRAM TODAY BENCHMARK

PRAM TODAY METRIC

PRAM VELOCITY

BENCHMARK

PRAM TODAY VELOCITY

PRAM ACCELERATION BENCHMARK

PRAM TODAY ACCELERATION

Confirmed Case Index <19.3 210.3 <1.0 0.69 <0.20 -0.007

% Positive Test Index <5.0 8.8 <1.0 0.90 <0.20 0.040

Confirmed Death Index <0.39 2.0 <1.0 0.64 <0.20 -0.046

Hospital Beds Index <429 214.7 <1.0 1.05 <0.20 -0.015

ICU Beds Index <146 73.7 <1.0 1.05 <0.20 -0.067

Ventilator Use Index <153 61.0 <1.0 1.01 <0.20 -0.052

Disease Trend Index <1.5 0.74 <1.0 0.96 <0.20 0.005

Resource Trend Index <1.5 1.04 <1.0 0.83 <0.20 -0.041

Recovery Composite Index <1.5 0.89 <1.0 0.88 <0.20 -0.019

Recovery Ratio Index 0.5-1.5 1.41 <1.0 0.85 <0.20 -0.052

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NEBRASKA PRAM DAILY AGGREGATED HCC ACCELERATION DASHBOARDS

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NEBRASKA PRAM DAILY DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NEBRASKA PRAM CUMULATIVE DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NEBRASKA PRAM DAILY RESOURCE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NEBRASKA PRAM DAILY RECOVERY INDEX DASHBOARD

OMHCC PRAM Disease & Resource Trend Daily Index

Data Sources:

Cases, Deaths and Tests :Nebraska Electronic Disease Surveillance System (NEDSS)

Vents, Hospital Beds and ICU Beds: Knowledge Center

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

Metric C COVID-19 Confirmed Cases 10 New cases/day/million pop’n 0.87 new cases/day

Metric T COVID-19 % Positive Tests 5% New positive tests/day 5% positive tests/day

Metric D COVID-19 Related Death 0.25 New Death/day/million population 0.24 new deaths/day

PRAMDISEASE METRICS NAMES

OMHCC PRAM PHASE I BENCHMARKS

PRAMDISEASE BENCHMARKS PRAMOMHCC BENCHMARKSPHASE I PHASE IPHASE I

11

Metric H COVID-19 Hospital Beds 15% Capacity regional hospital beds 185 hospital care beds

Metric I COVID-19 Intensive Care Beds 20% Capacity regional ICU beds 76 intensive care beds

Metric V COVID-19 Ventilator Beds 25% Capacity regional Vent beds 80 ventilator care beds

PRAMRESOURCE METRICS NAMES PRAMRESOURCE BENCHMARKS PRAMOMHCC BENCHMARKS

PHASE I PHASE IPHASE I

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

OMHCC PRAM DAILY AGGREGATED ACCELERATION DASHBOARD

PRAM Dashboard for OMHCC

PRAM TODAY BENCHMARK

PRAM TODAY METRIC

PRAM VELOCITY

BENCHMARK

PRAM TODAY VELOCITY

PRAM ACCELERATION BENCHMARK

PRAM TODAY ACCELERATION

Confirmed Case Index <8.37 138.7 <1.0 0.89 <0.20 -0.036

% Positive Test Index <5.0 10.6 <1.0 0.83 <0.20 0.022

Confirmed Death Index <0.17 0.3 <1.0 0.58 <0.20 -0.048

Hospital Beds Index <185 148.3 <1.0 1.19 <0.20 -0.029

ICU Beds Index <76 54.0 <1.0 1.20 <0.20 -0.073

Ventilator Use Index <80 45.0 <1.0 1.12 <0.20 -0.078

Disease Trend Index <1.5 0.77 <1.0 0.85 <0.20 -0.003

Resource Trend Index <1.5 1.17 <1.0 0.75 <0.20 -0.042

Recovery Composite Index <1.5 0.97 <1.0 0.79 <0.20 -0.024

Recovery Ratio Index 0.5-1.5 1.52 <1.0 0.91 <0.20 -0.035

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

OMHCC PRAM DAILY DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

OMHCC PRAM CUMULATIVE DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

OMHCC PRAM DAILY RESOURCE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

OMHCC PRAM DAILY RECOVERY INDEX DASHBOARD

TRIMRSData Sources:

Cases, Deaths and Tests :Nebraska Electronic Disease Surveillance System (NEDSS)

Vents, Hospital Beds and ICU Beds: Knowledge Center

PRAM Disease & Resource Trend Daily Index

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

Metric C COVID-19 Confirmed Cases 10 New cases/day/million pop’n 2.1new cases/day

Metric T COVID-19 % Positive Tests 5% New positive tests/day 5% positive tests/day

Metric D COVID-19 Related Death 0.25 New Death/day/million population 0.04 new deaths/day

PRAMDISEASE METRICS NAMES

TRIMRS PRAMPHASE I BENCHMARKS

PRAMDISEASE BENCHMARKS PRAMTRIMRS BENCHMARKSPHASE I PHASE IPHASE I

18

Metric H COVID-19 Hospital Beds 15% Capacity regional hospital beds 64 hospital care beds

Metric I COVID-19 Intensive Care Beds 20% Capacity regional ICU beds 15 intensive care beds

Metric V COVID-19 Ventilator Beds 25% Capacity regional Vent beds 23 ventilator care beds

PRAMRESOURCE METRICS NAMES PRAMRESOURCE BENCHMARKS PRAMTRIMRS BENCHMARKS

PHASE I PHASE IPHASE I

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

TRIMRS PRAM DAILY AGGREGATED ACCELERATION DASHBOARD

PRAM Dashboard for TRIMRS

PRAM TODAY BENCHMARK

PRAM TODAY METRIC

PRAM VELOCITY

BENCHMARK

PRAM TODAY VELOCITY

PRAM ACCELERATION BENCHMARK

PRAM TODAY ACCELERATION

Confirmed Case Index <2.1 11.3 <1.0 0.35 <0.20 -0.059

% Positive Test Index <5.0 6.5 <1.0 0.77 <0.20 0.024

Confirmed Death Index <0.04 1.3 <1.0 1.02 <0.20 0.016

Hospital Beds Index <64 17.7 <1.0 0.61 <0.20 -0.007

ICU Beds Index <15 4.7 <1.0 0.61 <0.20 -0.016

Ventilator Use Index <23 4.0 <1.0 0.67 <0.20 0.006

Disease Trend Index <1.5 0.71 <1.0 0.94 <0.20 -0.018

Resource Trend Index <1.5 0.63 <1.0 0.98 <0.20 -0.001

Recovery Composite Index <1.5 0.67 <1.0 0.96 <0.20 -0.010

Recovery Ratio Index 0.5-1.5 0.89 <1.0 1.05 <0.20 0.019

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

TRIMRS PRAM DAILY DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

TRIMRS PRAM CUMULATIVE DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

TRIMRS PRAM DAILY RESOURCE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

TRIMRS PRAM DAILY RECOVERY INDEX DASHBOARD

RROMRSData Sources:

Cases, Deaths and Tests :Nebraska Electronic Disease Surveillance System (NEDSS)

Vents, Hospital Beds and ICU Beds: Knowledge Center

PRAM Disease & Resource Trend Daily Index

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

Metric C COVID-19 Confirmed Cases 10 New cases/day/million pop’n 2.5 new cases/day

Metric T COVID-19 % Positive Tests 5.0 % New positive tests/day 5.0 % positive tests/day

Metric D COVID-19 Related Death 0.25 New Death/day/million population 0.05 new deaths/day

PRAMDISEASE METRICS NAMES

RROMRS PRAMPHASE I BENCHMARKS

PRAMDISEASE BENCHMARKS PRAMRROMRS BENCHMARKSPHASE I PHASE IPHASE I

25

Metric H COVID-19 Hospital Beds 15% Capacity regional hospital beds 53 hospital care beds

Metric I COVID-19 Intensive Care Beds 20% Capacity regional ICU beds 11 intensive care beds

Metric V COVID-19 Ventilator Beds 25% Capacity regional Vent beds 11 ventilator care beds

PRAMRESOURCE METRICS NAMES PRAMRESOURCE BENCHMARKS PRAMRROMRS BENCHMARKS

PHASE I PHASE IPHASE I

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

RROMRS PRAM DAILY AGGREGATED ACCELERATION DASHBOARD

PRAM Dashboard for RROMRS

PRAM TODAY BENCHMARK

PRAM TODAY METRIC

PRAM VELOCITY

BENCHMARK

PRAM TODAY VELOCITY

PRAM ACCELERATION BENCHMARK

PRAM TODAY ACCELERATION

Confirmed Case Index <2.5 36.7 <1.0 0.74 <0.20 0.043

% Positive Test Index <5.0 20.8 <1.0 1.53 <0.20 0.106

Confirmed Death Index <0.05 0.3 <1.0 0.78 <0.20 -0.022

Hospital Beds Index <53 5.3 <1.0 0.85 <0.20 -0.040

ICU Beds Index <11 3.0 <1.0 0.78 <0.20 -0.368

Ventilator Use Index <11 0.3 <1.0 0.66 <0.20 -0.061

Disease Trend Index <1.5 1.02 <1.0 1.26 <0.20 0.054

Resource Trend Index <1.5 0.76 <1.0 0.55 <0.20 -0.090

Recovery Composite Index <1.5 0.89 <1.0 0.78 <0.20 -0.032

Recovery Ratio Index 0.5-1.5 0.75 <1.0 0.36 <0.20 -0.189

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

RROMRS PRAM DAILY DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

RROMRS PRAM CUMULATIVE DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

RROMRS PRAM DAILY RESOURCE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

RROMRS PRAM DAILY RECOVERY INDEX DASHBOARD

NPHCCData Sources:

Cases, Deaths and Tests :Nebraska Electronic Disease Surveillance System (NEDSS)

Vents, Hospital Beds and ICU Beds: Knowledge Center

PRAM Disease & Resource Trend Daily Index

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

Metric C COVID-19 Confirmed Cases 10 New cases/day/million pop’n 0.78 new cases/day

Metric T COVID-19 % Positive Tests 5.0% New positive tests/day 5.0% positive tests/day

Metric D COVID-19 Related Death 0.25 New Death/day/million population 0.02 new deaths/day

PRAMDISEASE METRICS NAMES

NPHCC PRAMPHASE I BENCHMARKS

PRAMDISEASE BENCHMARKS PRAMNPHCC BENCHMARKSPHASE I PHASE IPHASE I

32

Metric H COVID-19 Hospital Beds 15% Capacity regional hospital beds 24 hospital care beds

Metric I COVID-19 Intensive Care Beds 20% Capacity regional ICU beds 6 intensive care beds

Metric V COVID-19 Ventilator Beds 25% Capacity regional Vent beds 7 ventilator care beds

PRAMRESOURCE METRICS NAMES PRAMRESOURCE BENCHMARKS PRAMNPHCC BENCHMARKS

PHASE I PHASE IPHASE I

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NPHCC PRAM DAILY AGGREGATED ACCELERATION DASHBOARD

PRAM Dashboard for NPHCC

PRAM TODAY BENCHMARK

PRAM TODAY METRIC

PRAM VELOCITY

BENCHMARK

PRAM TODAY VELOCITY

PRAM ACCELERATION BENCHMARK

PRAM TODAY ACCELERATION

Confirmed Case Index <0.78 0.7 <1.0 0.90 <0.20 -0.020

% Positive Test Index <5.0 1.3 <1.0 0.94 <0.20 -0.056

Confirmed Death Index <0.02 0.0 <1.0 1.00 <0.20 0.000

Hospital Beds Index < 24 3.7 <1.0 1.05 <0.20 0.040

ICU Beds Index < 6 0.3 <1.0 0.44 <0.20 -0.016

Ventilator Use Index < 7 0.3 <1.0 0.44 <0.20 -0.016

Disease Trend Index <1.5 0.95 <1.0 1.02 <0.20 -0.007

Resource Trend Index <1.5 0.64 <1.0 1.02 <0.20 0.065

Recovery Composite Index <1.5 0.80 <1.0 1.02 <0.20 0.043

Recovery Ratio Index 0.5-1.5 0.67 <1.0 0.97 <0.20 0.062

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NPHCC PRAM DAILY DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NPHCC PRAM CUMULATIVE DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NPHCC PRAM DAILY RESOURCE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

NPHCC PRAM DAILY RECOVERY INDEX DASHBOARD

SEHCCData Sources:

Cases, Deaths and Tests :Nebraska Electronic Disease Surveillance System (NEDSS)

Vents, Hospital Beds and ICU Beds: Knowledge Center

PRAM Disease & Resource Trend Daily Index

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

Metric C COVID-19 Confirmed Cases 10 New cases/day/million pop’n 4.7 new cases/day

Metric T COVID-19 % Positive Tests 5% New positive tests/day 5% positive tests/day

Metric D COVID-19 Related Death 0.25 New Death/day/million population 0.09 new deaths/day

PRAMDISEASE METRICS NAMES

SEHCC PRAMPHASE I BENCHMARKS

PRAMDISEASE BENCHMARKS PRAMSEHCC BENCHMARKSPHASE I PHASE IPHASE I

39

Metric H COVID-19 Hospital Beds 15% Capacity regional hospital beds 78 hospital care beds

Metric I COVID-19 Intensive Care Beds 20% Capacity regional ICU beds 28 intensive care beds

Metric V COVID-19 Ventilator Beds 25% Capacity regional Vent beds 23 ventilator care beds

PRAMRESOURCE METRICS NAMES PRAMRESOURCE BENCHMARKS PRAMSEHCC BENCHMARKS

PHASE I PHASE IPHASE I

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

SEHCC PRAM DAILY AGGREGATED ACCELERATION DASHBOARD

PRAM Dashboard for SEHCC

PRAM TODAY BENCHMARK

PRAM TODAY METRIC

PRAM VELOCITY

BENCHMARK

PRAM TODAY VELOCITY

PRAM ACCELERATION BENCHMARK

PRAM TODAY ACCELERATION

Confirmed Case Index <4.7 29.0 <1.0 0.55 <0.20 -0.017

% Positive Test Index <5.0 5.4 <1.0 0.83 <0.20 0.042

Confirmed Death Index <0.09 0.3 <1.0 0.93 <0.20 -0.024

Hospital Beds Index < 78 38.0 <1.0 0.94 <0.20 -0.043

ICU Beds Index < 28 11.3 <1.0 1.04 <0.20 -0.219

Ventilator Use Index < 23 11.3 <1.0 1.04 <0.20 -0.219

Disease Trend Index <1.5 0.77 <1.0 0.94 <0.20 0.019

Resource Trend Index <1.5 1.01 <1.0 0.55 <0.20 -0.144

Recovery Composite Index <1.5 0.89 <1.0 0.68 <0.20 -0.062

Recovery Ratio Index 0.5-1.5 1.31 <1.0 0.58 <0.20 -0.195

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

SEHCC PRAM DAILY DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

SEHCC PRAM CUMULATIVE DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

SEHCC PRAM DAILY RESOURCE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

SEHCC PRAM DAILY RECOVERY INDEX DASHBOARD

PRMRSData Sources:

Cases, Deaths and Tests :Nebraska Electronic Disease Surveillance System (NEDSS)

Vents, Hospital Beds and ICU Beds: Knowledge Center

PRAM Disease & Resource Trend Daily Index

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

Metric C COVID-19 Confirmed Cases 10 New cases/day/million pop’n 0.86 new cases/day

Metric T COVID-19 % Positive Tests 5% New positive tests/day 5% positive tests/day

Metric D COVID-19 Related Death 0.25 New Death/day/million population 0.02 new deaths/day

PRAMDISEASE METRICS NAMES

PRMRS PRAMPHASE I BENCHMARKS

PRAMDISEASE BENCHMARKS PRAMPRMRS BENCHMARKSPHASE I PHASE IPHASE I

46

Metric H COVID-19 Hospital Beds 15% Capacity regional hospital beds 23 hospital care beds

Metric I COVID-19 Intensive Care Beds 20% Capacity regional ICU beds 7 intensive care beds

Metric V COVID-19 Ventilator Beds 25% Capacity regional Vent beds 7 ventilator care beds

PRAMRESOURCE METRICS NAMES PRAMRESOURCE BENCHMARKS PRAMPRMRS BENCHMARKS

PHASE I PHASE IPHASE I

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

PRMRS PRAM DAILY AGGREGATED ACCELERATION DASHBOARD

PRAM Dashboard for PRMRS

PRAM TODAY BENCHMARK

PRAM TODAY METRIC

PRAM VELOCITY

BENCHMARK

PRAM TODAY VELOCITY

PRAM ACCELERATION BENCHMARK

PRAM TODAY ACCELERATION

Confirmed Case Index 0.86 4.0 <1.0 2.06 <0.20 0.109

% Positive Test Index <5.0 2.9 <1.0 1.47 <0.20 0.109

Confirmed Death Index <0.02 0.0 <1.0 1.00 <0.20 0.000

Hospital Beds Index < 23 1.7 <1.0 2.67 <0.20 0.213

ICU Beds Index < 7 0.3 <1.0 1.33 <0.20 0.033

Ventilator Use Index < 7 0.0 <1.0 1.00 <0.20 0.000

Disease Trend Index <1.5 1.51 <1.0 1.44 <0.20 0.080

Resource Trend Index <1.5 1.67 <1.0 1.27 <0.20 0.027

Recovery Composite Index <1.5 1.59 <1.0 1.35 <0.20 0.056

Recovery Ratio Index 0.5-1.5 1.11 <1.0 0.87 <0.20 -0.057

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

PRMRS PRAM DAILY DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

PRMRS PRAM CUMULATIVE DISEASE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

PRMRS PRAM DAILY RESOURCE DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

PRMRS PRAM DAILY RECOVERY INDEX DASHBOARD

UNMC PRAM COVID-19 Daily Acceleration Trends: May 28, 2020

The GCHS PRAM Model