April 20: DAILY COVID-19 UPDATE

April 21, 2020  //  FOUND IN: Announcements

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
  • EAR-LOOP MASK TIPS
  • VIRTUAL TOWN HALL VIDEO, Q & A
  • FREE COUNSELING BY TEXT
  • COVID-19 PATIENT TEMPORARY LODGING REQUESTS

DAILY PATIENT STATS

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

Discharges: 303 total COVID-19 discharges to date, 6 in the last 24 hours.  These numbers include patients discharged to skilled nursing facilities but excludes deaths and discharges to hospice.

Deaths and Hospice: Since March 10, Michigan Medicine hospitals have had 60 total COVID-19 deaths or discharges to hospice, 3 in the last 24 hours. Total death and hospice numbers will be reported every Monday.

DAILY TEAM MEMBER TESTING STATS*

* Data from 3/5 through 4/20. 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.

VIRTUAL TOWN HALL VIDEO, Q & As

Michigan Medicine leaders hosted a Virtual Town Hall on Friday. If you missed it, you can view the meeting by clicking here.  Below are answers to some of the FAQs raised during the Town Hall.  Additional questions will be answered in subsequent issues of the COVID-19 Update. For the latest updates related to COVID-19, visit the Headlines COVID-19 page.

Could you talk about the new normal of operations in relation to the potential Command Center and daily operations? 

It is clear that we will be managing COVID-19 patients for some time.  The Hospital Command Center structure has been very effective in rapidly prioritizing and coordinating changes in the organization. As we transition from response to an acute crisis to ongoing management in a new set of circumstances we need to move from the Command Center structure to a more sustainable operational structure.  There are aspects of the Command Center functions which can enhance our usual operations, among these speed of communication, coordination of working teams, clarity of daily priorities, and rapid escalation of issues. This is an optimal time to re-evaluate and redesign some of our operational structure and processes.  While we cannot set an absolute date on when the Command Center will close, we are in the planning process to transition back to ongoing operations. 

We are asking teams to evaluate how to enhance our operational structure with what we have learned from the Command Center and our response to the COVID-19 crisis.

Is there any data that can be shared regarding patients who have recovered from COVID-19 and whether or not they continue to shed viral particles that can cause infection in previously unexposed patients?

The duration of PCR positivity (the nasopharyngeal swab test) after initial diagnosis varies from patient to patient, but can persist for several weeks in some cases.  While it is clear that viral genomic material is often present for a prolonged period of time, few data exist assessing whether viable virus is present beyond the time of clinical recovery.  One recent study of nine patients found no evidence of viable virus by culture or subgenomic messenger RNA detection (a type of RNA only present in actively replicating virus) after eight days of illness despite continued PCR positivity for genomic RNA in the upper respiratory tract for up to 20 days after illness onset.  Study limitations include small number of participants all with mild to moderate severity of disease.

EAR-LOOP MASK TIPS

To continue to maintain our PPE supplies, we have received supplies and masks from a variety of sources. You may see new blue ear-loop masks in circulation. These are all ASTM1 masks like our prior supply.

There have been some concerns raised about some of these new blue ear-loop masks not staying in place.  We have identified that some masks have a moldable plastic nosepiece that can be more difficult to secure.  Before putting on the mask, be sure that the nose piece is appropriately crimped, and folding the mask in half helps to create a good crease. This will provide a more secure fit.  In addition, a securement device such as an S clip can help to provide a secure fit.

FREE COUNSELING BY TEXT

During the COVID-19 pandemic, some faculty, staff, and learners may be struggling with feelings of isolation, anxiety or depression.

Now, members of the Michigan Medicine community have a free text counseling service at their fingertips any time, day or night. Crisis Text Line ® provides access to free, 24/7 support via a medium that most people use and trust: texting.

By texting “UMICH” to 741741, participants will connect to a trained crisis counselor, who will introduce themselves, reflect on what you’ve typed, and invite you to share at your own pace. Counselors are volunteers who are there for support, and to help you sort through your feelings by asking questions, empathizing, and actively listening. You need not be in crisis to use this service for support.

All text conversations are private and secure, with a goal of getting the texter to a calm, safe place. Counselors may also offer a referral for further help.  Please note that HIPAA compliance policies apply, and patient information should not be included in any of your texts.

COVID-19 PATIENT TEMPORARY LODGING REQUESTS

Michigan Medicine will provide temporary lodging for COVID-19 positive patients, and those patients who need quarantine due to COVID-19 following discharge. The process will mirror the existing patient lodging process and be run by the Patient and Visitor Accommodations Program (PVAP). Requests for temporary housing must be submitted by discharge planning, complex care management or social work. If you have a COVID-19 positive patient, please work with these groups to determine eligibility for temporary lodging. If you have any questions about patient or employee lodging, contact Alfreda Rooks at (734) 645-1303 or email arooks@med.umich.edu.

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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