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State of California—Health and Human Services Agency
California Department of Public Health

AFL 20-23
March 20, 2020

All Facilities

California Coronavirus Disease 2019 (COVID-19) Health Care System Mitigation Playbook


All Facilities Letter (AFL) Summary

This AFL announces that the California Department of Public Health (CDPH) is issuing the California COVID-19 Health Care System Mitigation Playbook.

NOTE: This AFL is no longer in effect and is for historical purposes only​

CDPH is issuing the COVID-19 Health Care System Mitigation Playbook. The purpose of this mitigation playbook is to provide a summary for a mitigation strategy in the State of California and the health care system.

The COVID-19 Health Care System Mitigation Playbook (PDF) contains information and guidance on:

  • Novel Coronavirus (COVID-19)
  • Pandemic Response Phases
  • Containment to Mitigation Continuum
  • Health Care System Mitigation: Key Considerations
  • Facility Capacity Management
  • Emergency Medical Services (EMS)
  • Health Care Workforce
  • COVID-19 Patients and the Health Care Worker
  • Supply Chain
  • Infection Control
  • Public and Patient Outreach
  • Laboratory Testing
  • Medical Counter Measures

 The State of California, and specifically the regulatory entities within Health and Human Services Agency, stand ready to assist and partner with health care facilities in this effort.

For questions about infection prevention and control of COVID-19, please contact the CDPH Healthcare-Associated Infections Program via email at or

Please remember to immediately report suspected and confirmed cases of COVID-19 to your local public health department and your district office.



Original signed by Heidi W. Steinecker

Heidi W. Steinecker
Deputy Director



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