Governor Cuomo Directs State Department of Health to Begin Implementing ‘Surge & Flex’ Hospital Protocol


Hospitals Mandated to Expand Capacity by 25%

Regions to Be Designated as Red Zones if Hospital Capacity Is Projected to Become Critical

NY Asking Retired Doctors and Nurses to Return to Service; Registration to be Automatically Renewed, Fees Waived

Indoor Dining to be Closed in NYC & Reduced to 25% in Rest of State if a Region’s Hospitalizations Do Not Stabilize in Next 5 Days

4,602 Patient Hospitalizations Statewide

872 Patients in the ICU; 477 Intubated

Statewide Positivity Rate is 4.79%

80 COVID-19 Deaths in NY State Sunday

Governor Andrew M. Cuomo yesterday, directed the New York State Department of Health to begin implementing the state’s “surge and flex” protocol and mandate all hospitals begin expanding their bed capacity by 25 percent to further prepare hospitals for a future COVID-19 surge. Hospitals had previously been preparing plans for this action as part of New York’s Winter COVID Plan. Additionally, the Governor issued a call to all retired doctors and nurses urging them to return to service if they are able to do so. A registration will be renewed at no cost for an individual who completes the questionnaire through the volunteer portal, set up by the state Department of Health.

Cuomo and team update New Yorkers on Hospital directive.

The Governor also announced that regions that reach critical hospital capacity will be designated as a Red Zone under New York’s micro-cluster strategy. Specifically, following the implementation of the state’s “surge and flex” program, if a region’s 7-day average hospitalization growth rate shows that the region will reach 90 percent within the next three weeks, the region will become a Red Zone.

Finally, following updated guidance from the CDC, the Governor announced that if a region’s hospitalization rate does not stabilize in the next five days, additional restrictions will be applied to indoor dining. If the hospitalization rate does not stabilize in New York City in the next five days, indoor dining will be suspended; if the rate does not stabilize in regions outside New York City, capacity restrictions will be reduced to 25 percent.

Gov. Andrew Cuomo

“Here in New York, we have followed the data and the science. We do more testing than any state in the United States by far, have more data points by far, and we rely on the data. It’s not anecdotal, it’s not political, it’s not an opinion. Right now, the data is showing us that the highest percent of hospitalization is actually upstate – Finger Lakes, that’s Monroe, Rochester area. Buffalo, Western New York, Central New York. You come down to New York City, Long Island, we actually have a lower rate hospitalized than upstate, which is an exact flip of where we were in the spring. In the spring, we had a largely downstate situation and upstate the situation was much better,” Governor Cuomo said. “We’ve done a couple of things that are different than other states. In New York, the state sets all the policies and keeps numbers that are determinative of the policies. Now, we close down if you hit critical hospital capacity. We’re implementing the surge and flex. We’re going to add 25 percent additional hospital beds. We’ll renew the registration for nurses and doctors to get us a backup staff pool, continue to caution on the small spread and at the same time, we are gearing up to have the most efficient, most effective, most fair vaccination program in the country, reaching out to the black community, Latinos, undocumented, to make sure that it’s fair. The good news is New York still has one of the lowest positivity rates in the nation. Only Maine, Vermont, Hawaii are lower than we are and Maine, Vermont, Hawaii — beautiful states — but different than New York. They don’t have the cities, they don’t have the density, so, for us to be down that low, is really good news.”

Today’s data is summarized briefly below:

  • Patient Hospitalization – 4,602 (+160)
  • Patients Newly Admitted – 530
  • Hospital Counties – 55
  • Number ICU – 872 (+22)
  • Number ICU with Intubation – 477 (+13)
  • Total Discharges – 88,263 (+314)
  • Deaths – 80
  • Total Deaths – 27,232

The regional hospital bed capacity and occupancy numbers, including the number of hospitalizations as a percent of the region’s population, is as follows:

Region
COVID Patients Currently in Hospital in Region
COVID Hospitalizations as Percent of Region Population
Percent of Hospital Beds Available in Region
Capital Region
220
0.02%
26%
Central New York
296
0.04%
26%
Finger Lakes
545
0.05%
30%
Long Island
702
0.03%
18%
Mid-Hudson
618
0.03%
25%
Mohawk Valley
146
0.03%
26%
New York City
1416
0.02%
19%
North Country
38
0.01%
46%
Southern Tier
134
0.02%
39%
Western New York
487
0.04%
28%
NYS TOTAL
4,602
0.02%
23%
The regional ICU bed capacity and occupancy numbers are as follows:
Region
Total ICU Beds in Region
Total Occupied ICU Beds in Region
Percent of ICU Beds Available in Region
Capital Region
314
167
44%
Central New York
290
189
33%
Finger Lakes
659
246
62%
Long Island
801
579
25%
Mid-Hudson
728
368
48%
Mohawk Valley
131
99
26%
New York City
2290
1687
27%
North Country
67
33
54%
Southern Tier
129
82
35%
Western New York
559
293
50%
NYS TOTAL
5,968
3,743
37%

Each region’s 7-day average percentage of positive test results reported over the last three days is as follows:

Region
Friday
Saturday
Sunday
Capital Region
4.32%
4.50%
4.60%
Central New York
5.48%
5.19%
5.55%
Finger Lakes
6.56%
6.80%
7.01%
Long Island
5.20%
5.38%
5.50%
Mid-Hudson
5.77%
5.97%
6.03%
Mohawk Valley
6.09%
6.35%
6.53%
New York City
3.99%
4.01%
4.04%
North Country
4.12%
4.39%
4.50%
Southern Tier
2.63%
2.33%
2.09%
Western New York
7.44%
7.40%
7.34%

Each New York City borough’s 7-day average percentage of positive test results reported over the last three days is as follows:

Borough
Friday
Saturday
Sunday
Bronx
4.60%
4.64%
4.70%
Brooklyn
3.91%
3.98%
4.04%
Manhattan
2.68%
2.56%
2.50%
Queens
4.33%
4.43%
4.54%
Staten Island
6.03%
6.30%
6.36%

Of the 713,129 total individuals who tested positive for the virus, the geographic breakdown is as follows:

County
Total Positive
New Positive
Albany
6,818
107
Allegany
1,239
15
Broome
6,003
57
Cattaraugus
1,439
27
Cayuga
1,196
77
Chautauqua
1,917
24
Chemung
3,457
24
Chenango
739
15
Clinton
549
9
Columbia
1,111
11
Cortland
1,219
16
Delaware
446
14
Dutchess
8,192
93
Erie
29,720
383
Essex
321
5
Franklin
350
28
Fulton
634
21
Genesee
1,328
25
Greene
802
9
Hamilton
60
0
Herkimer
917
32
Jefferson
796
15
Lewis
475
8
Livingston
906
11
Madison
1,209
30
Monroe
19,518
444
Montgomery
628
5
Nassau
65,632
534
Niagara
4,952
139
NYC
333,771
2,765
Oneida
6,382
112
Onondaga
12,941
279
Ontario
1,659
30
Orange
18,349
130
Orleans
721
13
Oswego
2,056
17
Otsego
747
18
Putnam
3,368
37
Rensselaer
2,145
45
Rockland
22,897
97
Saratoga
2,787
53
Schenectady
3,081
49
Schoharie
250
5
Schuyler
355
3
Seneca
389
7
St. Lawrence
1,138
38
Steuben
2,084
25
Suffolk
67,860
748
Sullivan
2,315
13
Tioga
1,260
9
Tompkins
1,336
30
Ulster
3,897
39
Warren
662
5
Washington
491
2
Wayne
1,418
26
Westchester
55,187
516
Wyoming
697
7
Yates
313
6

Yesterday, 80 New Yorkers died due to COVID-19 in New York State, bringing the total to 27,232. A geographic breakdown is as follows, by county of residence:

Deaths by County of Residence
County
New Deaths
Albany
1
Allegany
1
Bronx
3
Broome
1
Cattaraugus
1
Chautauqua
1
Chemung
2
Dutchess
2
Erie
11
Franklin
1
Genesee
1
Kings
3
Livingston
1
Madison
1
Manhattan
2
Monroe
1
Nassau
4
Niagara
2
Oneida
2
Onondaga
2
Ontario
1
Orange
2
Queens
7
Rensselaer
2
Richmond
4
Rockland
3
Saratoga
1
Steuben
1
Suffolk
5
Sullivan
1
Ulster
3
Wayne
2
Westchester
5