{"id":"PA-069","kind":"order","level":"state","jurisdiction":"Pennsylvania","state":"PA","metro":"","industry":"","agency":"","eco":"","issuer":"Secretary of Health Rachel Levine, M.D.","authority":"Department of Health direction to licensed acute care hospitals; precursor to the Nov. 23, 2020 elective-procedures order (PA-025)","instrument":"Memorandum to Pennsylvania Acute Care Hospital Chief Executive Officers and Chief Medical Officers (expectations for surge; elective procedures)","title":"Memorandum of the Secretary of Health for Hospital Leaders","dateIssued":"2020-11-17","effective":"2020-11-17","end":"Followed by the Nov. 23, 2020 order (PA-025)","startDate":"2020-11-17","endDate":"2020-11-23","quarters":["2020Q4"],"types":["HC"],"addressees":["acute care hospitals"],"clause":"On March 17, 2020, the Department issued guidance to licensed hospitals requiring them to postpone or cancel all elective procedures, which was followed by Orders from the Governor and the Secretary of Health (Secretary) on March 19, 2020, mandating hospitals stop elective [procedures]... On April 27, 2020, the Department lifted restrictions on elective procedures in accordance with a Joint Statement issued by the American [College of Surgeons, American Society of Anesthesiologists, Association of periOperative] Registered Nurses, and American Hospital Association on the safe resumption of elective procedures. Elective procedures were prohibited for 40 days during the spring surge... [the Secretary states her] intention to again, by Order, prohibit all elective procedures across the Commonwealth [if hospital capacity metrics are met].","enforcement":"Department of Health direction to licensees; the Nov. 23, 2020 order followed","functions":["SX surgery and elective procedures","IP surge capacity","CB patients and referring practices"],"notes":"Primary recital fixing the Commonwealth\u0027s elective-procedure prohibition at Mar. 17/19 - Apr. 27, 2020 (\u002740 days\u0027) for hospitals, physician offices, outpatient centers and dental offices (the life-sustaining list\u0027s notation).","sourceUrl":"https://www.governor.pa.gov/wp-content/uploads/2020/11/20201117-SOH-Memorandum-for-Hospital-Leaders.pdf","snapshot":"https://web.archive.org/web/20201119114340/https://www.governor.pa.gov/wp-content/uploads/2020/11/20201117-SOH-Memorandum-for-Hospital-Leaders.pdf","fileExists":true,"fileBytes":416339,"grade":"primary","character":"","description":"","collection":"PA","url":"/library/PA-069","exhibitUrl":"/exhibit/PA-069","citation":"Secretary of Health Rachel Levine, M.D, Memorandum to Pennsylvania Acute Care Hospital Chief Executive Officers and Chief Medical Officers (expectations for surge; elective procedures) (Nov. 17, 2020) (Ex. PA-069)","stateName":"Pennsylvania","related":["PA-025","PA-004","PA-097","PA-020","PA-021","PA-071","PA-027","PA-072","PA-022","PA-078","PA-113","PA-028"]}