COVID-19 Medical Staff Update

Colleagues

We hope this COVID-19 update finds you and your family healthy and doing well.

The next Medical Staff town hall will be next Wednesday June 24 at 5 PM.  Please mark your calendars.  A WebEx invite will come that day.

Operational and Recovery Planning update

Fortunately, we’ve seen an ongoing reduction in the number of COVID-19 admissions to Main Line Health hospitals. As a result, our inpatient COVID-19 census is now the lowest it’s been since March. As of June 18th, we had 38 COVID19 inpatients; 15 patients in the ICU and 11 on ventilators. We have discharged 1,234 COVID19 patients from our MLH hospitals. We continue to grieve for and be impacted by the 429 COVID19 related inpatient deaths.

Our rolling three-day average of admissions is now less than 5 admissions per day.

Non COVID-19 related clinical activity continues to increase across the system. On average we are running at about 75% of our pre-COVID-19 activity in most of our major clinical services. We have seen Emergency Department activity increase but to a lesser degree. It still appears that patients are reluctant to return for clinical services. On a weekly basis we assess our readiness to further expand clinical services across the Main Line Health environment. In addition, we are using multiple communication channels to reach out to the patients in our community with a message of reassurance about safety of the environment and our accessibility and capacity to meet their clinical needs.

Rapid COVID-19 testing supplies continue to be very limited creating operational complexities for all of you. Our expected delivery of the new testing platform this week did not materialize but we are hopeful to receive it next week. We hope to soon resume the ability to rapidly test all admissions to the hospital as well as any untested add-on surgery and procedure. We need to continue the pre-procedural testing of scheduled surgery and procedures for the foreseeable future.

On June 10, Dr. Rachel Levine, Pennsylvania Secretary of Health directed specific orders to health systems in the Commonwealth. We are now required to assure that all employees and medical staff are aware of the following:

  • That they will be notified within 24 hours if exposed to a patient with COVID-19 or suspected of it when not in protective PPE
  • That COVID-19 testing will be provided if exposed
  • N95 respirators are now required when caring for any patient with COVID-19 or suspected of it
  • Universal masking for all employees, patients and visitors is now required

By June 23 we must have documentation that all employees and medical staff have received this information. For the medical staff that will be done via email using Microsoft Forms. The first email will have the relevant policies and instructions. The second email will have a link to the required attestation. This completed attestation will be required for all members of the medical staff with clinical privileges as ordered by the Secretary.

Please do not work if you are ill. Take your temperature daily and monitor for any symptoms. If symptomatic, contact your primary care physician or the MLH employee exposure hotline (484-580-4955) and you will be directed to MLH Occupational Health resources for advice regarding testing and return to work options. We are aware of the personal toll this situation can cause and want to remind you to take advantage of our employee assistance program First Call as a resource to our medical staff by calling 1-800-382-2377.

Daily COVID updates are emailed to employees and the medical staff.  For detailed information go to the MLH Intranet COVID site on a regular basis at https://mlhs365.sharepoint.com/sites/wellspring/Pages/Coronavirus.aspx . Reach out to your Chairs, Chiefs, Main Line HealthCare leadership and/or campus interim VPMAs for information or with your questions. Questions and input can also be sent to COVID19command@MLHS.org.

We again thank you for your hard work, adaptability and resilience during this 4-month COVID-19 situation. As summer officially begins this week, we hope that you’re planning for some downtime to enjoy time with family and friends.

Please be safe and stay well

Andy Norton, MLH CMO   NortonAJ@mlhs.org

Jim Gengaro, Regional VPMA     GengaroJ@mlhs.org

Jon Stallkamp, Regional VPMA     StallkampJ@mlhs.org

 

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