Preparedness and Contingency Responses of Healthcare System to COVID-19 in Taiwan, 2020

The outbreak of pneumonia caused by novel coronavirus in Wuhan, China began at the end of 2019. World Health Organization named the virus as coronavirus disease 2019 (COVID-19). Afterwards, the pandemic of COVID-19 hit countries worldwide and outbreaks of healthcare-associated infection occurred. The pandemic of COVID-19 is a rigorous challenge to public health and healthcare system in Taiwan. To strengthen the preparedness and response capacity of healthcare system, Taiwan developed 10 contingency strategies for healthcare facilities, long-term care facilities, and laboratories, to reach three major goals: 'mitigation of the transmission', 'maintenance of the healthcare system operation', and 'reduction of severe and death cases'. The 10 contingency strategies included: (1) strengthening infection control and biosafety| (2) conducting un-notified on-site inspections and drills on medical responses| (3) tracing and identifying persons at-risk via National Health Insurance database| (4) implementing patient triage and decentralizing in-patients| (5) preparing response hospitals and designated wards| (6) constructing national testing networks| (7) monitoring capacity of healthcare system| (8) expanding capacity of quarantine places| (9) managing visitors to hospitals| and (10) monitoring health status of healthcare workers.