### Population of Interest

All hospitalized patients who are COVID-19 positive (includes confirmed and presumptive cases when testing is not available).

### Intent (Expected Outcomes)

- 1) Initial presenting symptoms are documented in the population of interest.
- 2) Co-morbidities are documented in the population of interest.
- 3) COVID test sample collection and result times are documented in the population of interest.
- 4) When intubation is required, staff document levels of use (level 1-surgical mask, level 2-N95, level 3- Powered air-purifying respirator (PAPR)).
- 5) Recommended treatments for severe and critical COVID-19 patients are received early after hospital admission.

### Performance/Adherence Metrics

- 1) Number and percentage of patients with initial presenting symptoms are documented in the history and physical (H&P) record.
- 2) Number and percentage of patients with a complete past medical history (PMH) are documented in the H&P.
- 3) Number and percentage of patients with smoking history are documented in the H&P.
- 4) Documented number and percentage of patients with COVID test sample collection and result times.
- 5) Number and percentage of patients requiring intubation procedures who have documentation of level of PPE used by staff (level 1-surgical mask, level 2-N95, level 3-PAPR).
- 6) Number and percentage of severe and critical patients receiving remdesivir in < 24 hrs and < 48 hrs.
- 7) Number and percentage of severe and critical patients receiving dexamethasone in < 24 hrs and < 48 hrs.
- 8) Number and percentage of severe and critical patients receiving COVID convalescent plasma (CCP) in < 24 hrs and < 48 hrs.

### Data Source

- Patient Record
- DoDTR

### System Reporting & Frequency

- The previous sections constitute the minimum criteria for PI monitoring of this CPG. System reporting will be performed annually; additional PI monitoring and system reporting may be performed as needed.
- The JTS Chief, JTS Program Manager, and the JTS PI Branch will perform the system review and data analysis.

### Responsibilities

It is the trauma team leader’s responsibility to ensure familiarity, appropriate compliance, and PI monitoring at the local level with this CPG.