April 15: Daily COVID-19 UPDATE

April 16, 2020  //  FOUND IN: Updates & Resources

NEW TODAY: Here’s the latest information about Michigan Medicine’s management of the COVID-19 pandemic:

  • DAILY PATIENT STATS
  • DAILY TEAM MEMBER TESTING STATS
  • CONQUERING COVID-19: OUR PATIENT’S STORY
  • MODELING UPDATE: ON THE PLATEAU
  • FUTURE PLANNING
  • UPDATE TO PPE GUIDELINES
  • UPDATE ON UNIVERSAL SKILLS TRAINING
  • COVID-19 TASK FORCE ON RACIAL DISPARITIES
  • VIRTUAL TOWN HALL ON FRIDAY
  • MANAGING PATIENT/FAMILY/FRIEND CONNECTIONS
  • FREE SERVICES FROM METLIFE

DAILY PATIENT STATS

Today’s census for COVID-19 inpatients and those patients under investigation (PUI) are noted below: 

Discharges: 226 total COVID-19 discharges to date, 13 in the last 24 hours.

DAILY TEAM MEMBER TESTING STATS*

* Data from 3/10 through 4/15. The testing stats reflect just Michigan Medicine employees, not all University of Michigan employees. It also reflects only those who sought testing at or were hospitalized at Michigan Medicine or reported their testing to Occupational Health Services. Some Michigan Medicine employees may have been tested outside our system.

CONQUERING COVID-19: OUR PATIENT’S STORY

Paul DeWyse had a double lung transplant here at Michigan Medicine last November. He was devastated to learn he had COVID-19. He was the first COVID-29 positive patient hospitalized at Michigan Medicine and now he is at home and doing well. Read his inspiring story about beating the disease here on our Michigan Medicine health blog.

MODELING UPDATE: ON THE PLATEAU

Aggressive social distancing seems to be working here in Washtenaw County and also across southeast Michigan, according to Vikas Parekh, M.D., associate chief clinical officer for Michigan Medicine’s adult hospitals and professor of internal medicine, who has led the data analytics team responsible for our COVID-19 modeling.

“We believe that we have hit the peak and now are on a plateau,” Parekh said. “But this doesn’t mean we can stop aggressive social distancing. There is a risk of a second wave if we relax those restrictions before we see a sustained substantial drop in new infections.” Similar plateaus and case numbers have been seen at other health systems in southeast Michigan.

The chart above shows that Michigan’s recent growth in cases has been slower than other states and countries at the same time point in the epidemic, Parekh said.

“The good news is we have slowed down faster than we expected and faster than other places. But we need to keep up the good work, continue to monitor and keep sending out the message that staying home will keep us all safe.”

FUTURE PLANNING

While we recognize that the current number of COVID-19 patients is plateauing and our hospital census of COVID-19 is stabilizing, it is also clear that managing COVID-19 patients will be required for some time. We also have to consider how to resume care for those whose treatment has been deferred during this pandemic.  We have learned a great deal from the institutional changes made in response to the COVID-19 pandemic. We are at an unprecedented time and need to thoughtfully redesign care delivery to safely meet these two priorities, provide care to those who need it and continue to reduce the spread of COVID-19.  We will need to engage many across the organization to do this in a coordinated and comprehensive way.   We appreciate your patience and understanding as we start this planning and work together to build strength in the organization and intentionally design our structure for the challenges ahead. 

UPDATE TO PPE GUIDANCE

Given the risk of an unanticipated ventilator circuit disconnection, all staff entering the rooms where there is a mechanically ventilated patient with COVID-19 or PUI should wear an N95/PAPR in addition to cover gown, gloves, and eye protection.  This is because unanticipated disconnection of ventilator circuits when turning, moving or placing mechanically ventilated COVID-19 patients in a prone position has been reported.  While being on a ventilator with a closed circuit is not considered an aerosol-generating procedure (AGP), disruptions of the ventilator circuit could result in potential aerosolization of respiratory secretions.  Ear-loop facemasks should continue to be worn for non-COVID ventilated patients. The latest PPE guidance can be found by clicking here.

UPDATE ON UNIVERSAL SKILLS TRAINING

Due to the ongoing efforts needed to fight the COVID-19 pandemic and in accordance with social distancing guidance, Michigan Medicine is canceling all high reliability universal skills classes through the end of May. Anyone who has registered for a class in May does not need to do anything at this time; all registrants will be notified of the cancellation through MLearning. As of now, classes scheduled in June will continue and more classes will be added throughout the summer and fall to accommodate all faculty and staff whose classes were cancelled due to the pandemic.

Everyone is encouraged to continue utilizing high reliability skills and promote their use with team members. Several one-page reference guides have been created to help teams more easily adopt a common language around high reliability. The reference guides can be found here.

COVID-19 TASK FORCE ON RACIAL DISPARITIES

The COVID-19 pandemic has brought to the forefront the existence of significant health disparities that greatly affect our diverse communities. According to state data, more than 40 percent of COVID-19 deaths in Michigan are African Americans, but only 14 percent of Michiganders are African Americans.

The State of Michigan is taking steps to address these disparities. Governor Gretchen Whitmer recently created the Michigan Coronavirus Task Force on Racial Disparities, which will consist of leaders across state government and health care professionals from communities most impacted by COVID-19. 

David J. Brown, M.D., associate vice president and associate dean for health equity and inclusion, has been named as one of 16 task force members who will provide the governor with recommendations on how to address health disparities as work continues to slow the spread of COVID-19.

For Dr. Brown to best represent Michigan Medicine on the task force, please complete this Qualtrics survey and share pertinent research and viewpoints on this important subject. The survey data will be used to help inform the dialogue here at Michigan Medicine and throughout the state. Michigan Medicine is committed to being a leader in addressing health disparities; thank you in advance to taking the survey.

VIRTUAL TOWN HALL, FRIDAY 2 P.M.

Michigan Medicine leaders will host another Virtual Town Hall this Friday to share updates on COVID-19 related activities and future planning.

Town Hall, April 17 Friday, 2 to 3 p.m.

To join as a participant

https://primetime.bluejeans.com/a2m/live-event/eevfgfjx

Joining via a mobile device

a) Open this link: https://primetime.bluejeans.com/a2m/live-event/eevfgfjx
b) Download the app if you don’t have it already
c) Enter event ID to join: eevfgfjx

Joining via phone

a) Dial the following numbers: +1 (415) 466-7000 (US)
b) Enter the participant PIN: 8627107 followed by # to confirm.

MANAGING PATIENT/FAMILY/FRIEND CONNECTIONS

During the COVID-19 pandemic, it is crucial to continue to support social distancing and limit visitors while managing the need for compassionate, consistent care and the best possible patient, family and staff experience, despite the difficult circumstances.

To minimize the risk of transmission of COVID-19 infection in patients, visitors and staff during the current pandemic, visitor restrictions are required (Active Policy #7804587 ). Front line staff / attending teams will conduct initial compassionate conversation about visit limitations. Employees needing guidance and support in considering exceptions is available through a multidisciplinary team, 24/7 at COVID-VisitorExceptions@med.umich.edu o, call the main hospital line at 734-936-4000 and ask them to send a page to pager #60814

As always, if patients or visitor(s) are exhibiting concerning/aggressive behavior call 734-763-1131

Visitors can be offered support through the following resources:

  • Spiritual Care/ emotional support –734-936-4041. For urgent consults or after-hours requests, call operator at (734) 936-4000 and request the chaplain on call be paged.
  • Virtual visits – Connecting family members to their loved one through regular phone/video connections, supported by staff.
  • Social Work – call 734-764-6893 or email SocWk-Gapstaff@med.umich.edu

FREE SERVICES FROM METLIFE

To assist the U-M community during the COVID-19 pandemic, MetLife Legal Plans (formerly Hyatt Legal Plans) is offering U-M faculty and staff free access to its self-help library for the completion of wills, living wills/advanced directives and power of attorney documents (see attached). This access applies to all faculty and staff even if they are not members of MetLife Legal Plans through July 31, 2020.

Learn more about MetLife online services here, or contact MetLife at 800-821-6400 M-F from 8 a.m. to 8 p.m., EST.

Still have questions?

We are also posting all daily bulletins and policies on Michigan Medicine Headlines at https://mmheadlines.org/covid-19-updates/.  Please bookmark that site and refer to it throughout the day for the most up-to-date information. An FAQ for staff is also posted and updated frequently.

If you still can’t find what you’re looking for on these web pages, please email coronavirus-info@med.umich.edu and your question will be answered as quickly as possible.  Do not use this email for sharing patient health information.

Jeffrey Desmond, M.D.
Chief Medical Officer

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