MHP COVID-19 Daily Update

DATE: April 7, 2020

NEW SERVICE: Virtual visits: www.mymhp.org/virtual

  • TELEHEALTH/VIDEO VISIT UPDATES:
    • 591 Telehealth visits completed since 3/19
    • 375 MHP Family & Internal Medicine Telehealth visits completed since 3/19
    • 39 MHP Pediatric Telehealth visits completed since 3/19
    • 44 Psychology Telehealth visits completed since 3/19
    • Dr. Jacob has performed 95 Telehealth visits since 3/19
    • MHP Family & Internal Medicine has now performed over 40 home visits for patients unable to travel
  • GENERAL UPDATES FOR THE PUBLIC:
    • Daily Temperature Logs at SNFs: Shelby County Health Dept has required all local nursing homes to submit daily temperature logs of all residents and staff. The County Health Dept Medical Director is reviewing these on a daily basis for any concerns or necessary follow-up. MHP’s Nurse Practitioner is continuing to round daily at the facilities.
    • Home follow-up visits. MHP Family & Internal Medicine is performing home follow-up visits for patients with positive/pending results for COVID who been discharged from inpatient or the Emergency Department. We have also performed home visits for patients that are attempting to remain in the home and avoid the Emergency Department.
    • Hotel stays for Affected MHP Employees: MHP cares about our employees and their families. We have secured hotel accommodations at two local hotels for MHP staff who are affected by COVID-19. For staff that need a hotel room, the hospital will pay for their entire stay. Some examples would include:
    • A staff member becomes infected with COVID-19 and needs to be quarantined away from their home; or
    • The staff member’s work schedule significantly changes and they need a quiet place to rest; or
    • For staff members working long hours who need a quiet place to rest/sleep.
  • 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:
    • General Supplies and PPE: We are beginning to see significant decreases in our shipment of supplies on allocation. In some cases, we aren’t receiving anything. Our main concerns are replenishment of disposable gowns and different sizes of non-latex gloves.
    • N95 sterilization process: We are working on a process to sterilize our N95 masks in-house. Central Sterile and Pharmacy are working together to perfect the process. We can sterilize up to 100 per day.
    • Pharmacy: We are evaluating using Hydroxychloroquine and Azithromycin on a limited basis in the outpatient setting for high-risk patients. This would be limited to the ER, Priority Care and Washington Street locations. We don’t have excess stock, but we are considering this in order to attempt to decrease the number of patients that need inpatient care or vent support.
    • 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 23 patients yesterday and 14 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 11 patients yesterday with respiratory signs/symptoms and 9 patients so far today. Washington St. Clinic is open 8AM to 4:30PM Monday through Friday.

  • CALL CENTER VOLUMES:
    • 392-DOCS line had 7 phone calls yesterday.
    • Call Center volumes: 613 calls answered yesterday (does not include 392-DOCS line). Average queue hold 24 seconds with 99% 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: 167. We will continue to follow the ISDH/CDC testing protocols to determine which patients are eligible for testing.
    • 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 4/1. 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: 25
    • Current number of patients with respiratory related diagnoses: 9 (4 patients are on a critical care vent and 2 are on BiPap and 1 is on a trilogy device)
    • Number of available beds: 15
  • MHP EMERGENCY DEPT STATUS:
    • Number of ER patients in last 24 hours: 31
    • Number of ER patients with respiratory signs/symptoms: 10 (representing 32%)
    • 6 patients are in the ACC unit with 16 available beds