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Toward a Post-Pandemic World: Lessons from COVID-19 for Now and the Future: Proceedings of a Workshop (2022)

Chapter: Appendix D: Table of Strategic Actionsfrom Group One

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Suggested Citation: "Appendix D: Table of Strategic Actionsfrom Group One." National Academies of Sciences, Engineering, and Medicine. 2022. Toward a Post-Pandemic World: Lessons from COVID-19 for Now and the Future: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/26556.

Appendix D

Table of Strategic Actions from Group One

IMMEDIATE (crisis mitigation)	SHORT TERM (adaptive as new knowledge arises)	MEDIUM/LONG TERM (systemic resilience building for the future)
ACTION 1: Actor: Public health departments Action: Set up immediate active surveillance efforts for children, congregate settings, elder care facilities.	ACTION 1: Actor: Health care systems and local public health departments, in partnership with community-based organizations Action: Mobilize community-based workforce (community health workers, navigators) to disseminate necessary health information directly to community members.	ACTION 1: Actor: Research community funding effort for misinformation response Action: Establish an organized understanding about the types of misconceptions that are likely to be artificially promoted. Use pattern recognition for tropes and methods of miscommunication to anticipate what could come next. Extract and operationalize key information about history and intervention approaches.

IMMEDIATE (crisis mitigation)

SHORT TERM (adaptive as new knowledge arises)

MEDIUM/LONG TERM (systemic resilience building for the future)

ACTION 1:

Actor: Public health departments
Action: Set up immediate active surveillance efforts for children, congregate settings, elder care facilities.

ACTION 1:

Actor: Health care systems and local public health departments, in partnership with community-based organizations
Action: Mobilize community-based workforce (community health workers, navigators) to disseminate necessary health information directly to community members.

ACTION 1:

Actor: Research community funding effort for misinformation response
Action: Establish an organized understanding about the types of misconceptions that are likely to be artificially promoted. Use pattern recognition for tropes and methods of miscommunication to anticipate what could come next. Extract and operationalize key information about history and intervention approaches.

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IMMEDIATE (crisis mitigation)	SHORT TERM (adaptive as new knowledge arises)	MEDIUM/LONG TERM (systemic resilience building for the future)
ACTION 2: Actor: Local governments and departments of health, and hospital systems Action: Community-based organizations should be engaged as soon as possible in strategy and response conversations, including implementation process.	ACTION 2: Actor: Local government(s), in coordination with the private sector (hotels, child care providers, etc.) and school districts Action: Ramp up efforts to identify alternate housing and child care on a large scale to minimize household exposures; need to protect at-risk children from lower-risk infected adults.	ACTION 2: Actor: Research community Action: Collect, analyze, and disseminate data to build the knowledge base and identify lessons learned locally and globally o Community-level health data o Municipality-level health data
ACTION 3: Actor: Hospitals and health care systems, outpatient clinical sites Action: Enact surge protocols. Identify additional health care staff. Pediatric divisions will need to surge staff and identify additional inpatient/outpatient sites (increasing beds).	ACTION 3: Actor: Education departments and school districts Action: Adapt education plans throughout and monitor participation to ensure those who need assistance are reached. Ensure people have access to the equipment needed to learn.	ACTION 3: Actor: Federal government Action: Identify regulatory flexibilities that could be brought to bear to adapt health system responses as needed for a community-level sensitivities and needs.

IMMEDIATE (crisis mitigation)

SHORT TERM (adaptive as new knowledge arises)

MEDIUM/LONG TERM (systemic resilience building for the future)

ACTION 2:

Actor: Local governments and departments of health, and hospital systems
Action: Community-based organizations should be engaged as soon as possible in strategy and response conversations, including implementation process.

ACTION 2:

Actor: Local government(s), in coordination with the private sector (hotels, child care providers, etc.) and school districts
Action: Ramp up efforts to identify alternate housing and child care on a large scale to minimize household exposures; need to protect at-risk children from lower-risk infected adults.

ACTION 2:

Actor: Research community
Action: Collect, analyze, and disseminate data to build the knowledge base and identify lessons learned locally and globally o Community-level health data o Municipality-level health data

ACTION 3:

Actor: Hospitals and health care systems, outpatient clinical sites
Action: Enact surge protocols. Identify additional health care staff. Pediatric divisions will need to surge staff and identify additional inpatient/outpatient sites (increasing beds).

ACTION 3:

Actor: Education departments and school districts
Action: Adapt education plans throughout and monitor participation to ensure those who need assistance are reached. Ensure people have access to the equipment needed to learn.

ACTION 3:

Actor: Federal government
Action: Identify regulatory flexibilities that could be brought to bear to adapt health system responses as needed for a community-level sensitivities and needs.

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IMMEDIATE (crisis mitigation)	SHORT TERM (adaptive as new knowledge arises)	MEDIUM/LONG TERM (systemic resilience building for the future)
ACTION 4: Actor: Public health communicators, in coordination with local governments Action: Anticipate information and communication challenges based on lessons learned from the past. Test response campaigns and have talking points ready based on likely misinformation, and disseminate via communication toolkits to community-based organizations and leaders.	ACTION 4: Actor: School districts and local department of education Action: Build a plan to distribute food/nutritional assistance to children who were originally receiving food through school.	ACTION 4: Actor: Federal government in partnership with private sector Action: Develop capacity for nonclinical laboratory testing on a population-level scale.
ACTION 5: Actor: Public health communicators, in coordination with local governments Action: Reach out to social media platforms to partner on specific anticipated misinformation and use the platforms effectively.	ACTION 5: Actor: Public health department in partnership with health care systems Action: Increase testing capacity, both in clinical and nonclinical settings. Mail-in testing should be expanded; capacity needs to be established for broad groups without necessitating hospital visits.	ACTION 5: Actor: Federal government Action: Identify regulatory flexibilities that could be brought to bear to adapt health system responses as needed for community-level sensitivities and needs.
ACTION 6: Actor: Federal government Action: Identify regulatory flexibilities that could be brought to bear to adapt health system responses as needed for a community-level sensitivities and needs.	ACTION 6: Actor: Local government Action: Revisit jurisdictional statutes and health orders to ensure they are up to date for new needs under the new outbreak.

IMMEDIATE (crisis mitigation)

SHORT TERM (adaptive as new knowledge arises)

MEDIUM/LONG TERM (systemic resilience building for the future)

ACTION 4:

Actor: Public health communicators, in coordination with local governments
Action: Anticipate information and communication challenges based on lessons learned from the past. Test response campaigns and have talking points ready based on likely misinformation, and disseminate via communication toolkits to community-based organizations and leaders.

ACTION 4:

Actor: School districts and local department of education
Action: Build a plan to distribute food/nutritional assistance to children who were originally receiving food through school.

ACTION 4:

Actor: Federal government in partnership with private sector
Action: Develop capacity for nonclinical laboratory testing on a population-level scale.

ACTION 5:

Actor: Public health communicators, in coordination with local governments
Action: Reach out to social media platforms to partner on specific anticipated misinformation and use the platforms effectively.

ACTION 5:

Actor: Public health department in partnership with health care systems
Action: Increase testing capacity, both in clinical and nonclinical settings. Mail-in testing should be expanded; capacity needs to be established for broad groups without necessitating hospital visits.

ACTION 5:

Actor: Federal government
Action: Identify regulatory flexibilities that could be brought to bear to adapt health system responses as needed for community-level sensitivities and needs.

ACTION 6:

Actor: Federal government
Action: Identify regulatory flexibilities that could be brought to bear to adapt health system responses as needed for a community-level sensitivities and needs.

ACTION 6:

Actor: Local government
Action: Revisit jurisdictional statutes and health orders to ensure they are up to date for new needs under the new outbreak.

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IMMEDIATE (crisis mitigation)	SHORT TERM (adaptive as new knowledge arises)	MEDIUM/LONG TERM (systemic resilience building for the future)
	ACTION 7: Actor: Federal government Action: Identify regulatory flexibilities that could be brought to bear to adapt health system responses as needed for community-level sensitivities and needs.

IMMEDIATE (crisis mitigation)

SHORT TERM (adaptive as new knowledge arises)

MEDIUM/LONG TERM (systemic resilience building for the future)

ACTION 7:

Actor: Federal government
Action: Identify regulatory flexibilities that could be brought to bear to adapt health system responses as needed for community-level sensitivities and needs.