April 23: DAILY COVID-19 UPDATE

April 24, 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
VIRTUAL TOWN HALL FRIDAY
MASKS AND PRESSURE INJURIES
LIVESTREAM ON TESTING
UMMG UPDATE

DAILY PATIENT STATS

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

Discharges: 318 total COVID-19 discharges to date, 7 in the last 24 hours.  These numbers include patients discharged to skilled nursing facilities but excludes deaths and discharges to hospice.

* Data from 3/5 through 4/23. 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

Leaders will host another Virtual Town Hall tomorrow from 2 to 3 p.m. To submit questions in advance, send them to coronavirus-info@med.umich.edu with Subject line: TOWN HALL QUESTION.

Virtual Town Hall via Zoom webinar
When: Apr 24, 2020 02:00 PM Eastern Time (US and Canada)
Please click the link below to join the webinar:
https://umich-health.zoom.us/j/99900851586?pwd=MXpjMFRYODd6Qm9ETlpTQlg0akZJdz09
Password: 657670
Or iPhone one-tap :
US: +13126266799,,99900851586#

or +16465588656,,99900851586#

Or Telephone:
Dial(for higher quality, dial a number based on your current location):
US: +1 312 626 6799

or +1 646 558 8656

Webinar ID: 999 0085 1586

MASKS AND PRESSURE INJURIES

One of the frequently asked questions about face mask use is how to prevent and treat pressure injuries related to N95 masks. Follow these tips:

  • Wash skin with a gentle cleanser prior to coming to work, and avoid use of cosmetics (makeup can also interfere with reprocessing of N95 masks).
  • If a dressing is used, make sure it does not interfere with the seal of the mask.
  • Treat abrasions from masks with moisturizer, skin sealant, tissue adhesive (e.g., Dermabond) or a thin dressing (do not apply skin sealant or tissue adhesive near the eyes or mouth).

LIVESTREAM ON TESTING

Today, Duane Newton, Ph.D., director of the clinical microbiology laboratory at Michigan Medicine, answered questions via livestream on the Michigan Medicine social platforms. His talk explained the challenges of COVID-19 and how Michigan Medicine is helping to address them.

Watch here: https://www.youtube.com/watch?v=FQupjaCK-vc&feature=youtu.be

UMMG – AMBULATORY CARE UPDATE

As the University of Michigan Medical Group begins ramping up towards our new operations, we are establishing clear principles and timelines to help ensure a smooth transition. We will continue to work within the framework of Governor Whitmer’s Stay at Home executive orders, our testing capacity and current facility contraction, to safely balance ramp up activity.  Ramp up will be driven by patient acuity and risk of harm related to further deferral of care.  

Ambulatory services (clinic, procedures, diagnostics etc.) will be phased in through four Tiers (3-week cycles) as noted below. Please note – the timeline may shift if Stay at Home orders are extended.

  • Tier 1: (Current state) Urgent patients are managed as we respond to the Covid-19 surge. Elective care is deferred.
  • Tier 2: (May 4 – 22) We identify and bring back patients with significant medical needs where further deferral carries a greater risk compared to their Covid-19 exposure risk. Some, non-urgent surgeries, medical procedures and diagnostic tests are performed, with numbers limited by PPE and testing limitations. 
  • Tier 3: (May 25 – June 12) Patients with next level of acuity are scheduled.
  • Tier 4: (June 15 – TBD) Transition into the new normal state, emphasizing virtual care as a default visit type, constrict our facility footprint and remain prepared for a second Covid-19 wave.

We anticipate moving into the Tier 2 Phase on May 4. Currently, most providers have full schedule grids, with many patients scheduled in clinic locations that are still closed. We need all providers to complete the survey distributed by UMMG that categorizes patients as urgent, virtual or deferred by Monday, April 27. This will allow us to open schedules and backfill them with Tier 2 patients. 

Facilities and Clinic Locations: There will be no expansion of clinic sites in Tier 2, and providers will continue to practice where they currently practice. There will be an ongoing analysis of future clinical service line locations as well as changes where practices eventually land may be changed. Clinics will also follow directives from health system leadership, moving to a revised care delivery model which includes extended hours and a 6- or 7-day/week in order to efficiently utilize our existing facilities.

ORs, Medical Procedures and Diagnostics: Brighton Center for Specialty Care will re-activate some ORs and medical procedure units in early May, allowing Tier 2 patients needing procedures can be accommodated. Strict standards will be established to prioritize patients and match volumes with our testing and PPE capacity. Locations of diagnostic capabilities (radiology, phlebotomy, other diagnostic procedures) will also be coordinated.

Virtual Care: Michigan Medicine is committed to maximizing virtual care going forward, and all clinical service lines are to adopt a virtual-first practice model. This will be our standard going forward.

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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