MHP COVID-19 Daily Update

DATE: April 8, 2020

NEW SERVICE: www.mymhp.org/virtual

  • TELEHEALTH/VIDEO VISIT UPDATES:
    • 690 Telehealth visits since 3/19
    • 451 MHP Family & Internal Medicine Telehealth visits since 3/19
    • 73 Pulmonology Telehealth visits since 3/19
    • 60 Nephrology & Infectious Disease Telehealth visits since 3/19
    • 48 Psychology Telehealth visits since 3/19
    • Family & Internal Medicine has performed 45 home visits
  • GENERAL UPDATES FOR THE PUBLIC:
    • Elective cases and outpatient non-essential visits: The original date was to push these visits out to May 4th. The current recommendation is to extend this to June 1st and continue to evaluate as more information becomes available.
    • Are patients recovering? Several staff have asked if we have patients who have recovered from COVID and how they are doing. We are gathering some data to report back, but one of our fellow staff members graciously agreed to share her experience. Teaser…she is alive and well. Feel free to read her story at this link.
    • When can COVID-19 patients be released to work?
      • People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions:
        • If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:
          • You have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers) AND
          • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
          • at least 7 days have passed since your symptoms first appeared
        • If you will be tested to determine if you are still contagious, you can leave home after these three things have happened:
          • You no longer have a fever (without the use medicine that reduces fevers) AND
          • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
          • you received two negative tests in a row, 24 hours apart.
  • SUPPLY UPDATES:
    • Isolation gowns: We can launder 1,100 gowns in-house per day based on current volumes. Plymate Inc is serving as a backup for times when we need additional assistance in laundering.
    • Pharmacy: We have solid stock, but our suppliers are unable to resupply our current daily use.
    • Intubation boxes: We are building intubation boxes in our engineering department. 8 have been built to date and 8 more are under construction. Some will be shared with Shelbyville Fire Department for their use.
    • Sterilizing N95 masks: We are reprocessing N95 masks in our Hydrogen Peroxide Gas Plasma sterilizer in Central Sterile. Our process has been validated and the biologicals have come back negative and the swabs from the test have returned with “no growth”. The process takes approximately 3 hours to complete.
    • We need your empty hand sanitizer bottles. We are making our own hand sanitizer and need your empty containers in order to reuse.
    • Do you have items that you would like to donate? (hand sanitizer, masks, respirators, gloves, N95, bouffant caps, or gowns). If so, please contact Angela Gill (agill@majorhospital.org)
    • Food Donations: Several community supporters have called to offer to donate food for our staff and physicians. Some are also doing it as a way to support those restaurants who are struggling to stay afloat while they are only open for carryout. We are extremely grateful for all the community support and selfless gestures. If you would like to find out more information, please contact Angela Gill (agill@majorhospital.org).
  • PATIENTS TREATED AT OUR RESPIRATORY CLINIC LOCATIONS:
    • Priority Care located at 30 W. Rampart Road: Treated 20 patients yesterday and 11 patients so far today. Priority Care is open 7AM-7PM Monday through Friday and 8AM-2PM on Saturdays and Sundays.
    • Washington St. Clinic located at 157 W. Washington St: Washington St Clinic treated 9 patients yesterday with respiratory signs/symptoms and 13 patients so far today. Washington St. Clinic is open 8AM to 4:30PM Monday through Friday.
  • CALL CENTER VOLUMES:
    • 392-DOCS line had 13 phone calls yesterday.
    • Call Center volumes: 476 calls answered yesterday (does not include 392-DOCS line). Average queue hold 20 seconds with 98% of calls answered.
  • WANT TO CHECK IN WITH A LOVED ONE WHO IS AT MAJOR HOSPITAL?
    • Managing visitation: Indiana hospitals are strictly enforcing visitation rules. We are following the same policies. However, Major Hospital understands you still need to see and hear your loved one. That’s why we have initiated using FaceTime or Skype connectivity for patients and their family members. We have dedicated iPads that our patients can use to communicate with the outside world using our dedicated Wi-Fi access. The inpatient nursing staff is also offering family members a phone number to call in for daily updates and offering to make daily calls to the patient’s family if preferred.
  • MHP TESTING STATUS: Please understand we are only able to report numbers and results of MHP patients who had their testing ordered or performed through MHP. The Shelby County Health Department receives the positive results for ALL Shelby County residents, regardless of the location where the testing was performed. If the COVID-19 test was not ordered or performed by MHP, we are not notified of the test or the result. Consequently, our reported testing data will differ from that information available through the Indiana State Department of Health, the CDC and the Shelby County Health Department.
  • TESTING AVAILABILITY:
    • Number of available swabs/media: 150. We will continue to follow the ISDH/CDC testing protocols to determine which patients are eligible for testing. The testing criteria was updated this week and is available on the ISDH website.
    • The Lilly testing location has expanded its testing criteria to include essential public employees and those in the community considered vulnerable to the virus. Please visit https://www.info.lillycovid19testing.com/ for more information.
    • Both the Washington St. Clinic and Priority Care are able to test patients for COVID-19. However, both are continuing to follow the recommended ISDH testing criteria which has been expanded as of 4/8. Healthcare employees and first responders should obtain testing through the Lilly drive-through testing location. The hospital lab is not accepting orders for outpatient COVID testing at this time.
  • MHP INPATIENT STATUS:
    • Current number of inpatients: 29
    • Current number of patients with respiratory related diagnoses: 28 (4 patients on a critical care vent and 2 on BiPap and 2 on a trilogy device)
    • Number of available beds: 11
  • MHP EMERGENCY DEPT STATUS:
    • Number of ER patients in last 24 hours: 37
    • Number of ER patients with respiratory signs/symptoms: 9 (representing 24.3%)
    • 12 patients are in the ACC unit with 10 available beds
  • RESOURCES:

[1] We are now able to report testing for all MHP patients, which includes the hospital, the Washington St Clinic and Priority Care. Previous reports only included the hospital testing data, which is why it appears the number of positive cases increased substantially.