MUSC Health tri-weekly COVID-19 report (April 10)

CHARLESTON, S.C. (April 10, 2020) –At MUSC Health, the safety of patients, families, care team members, students, faculty and staff remains the number one priority. In an effort to provide accurate, relevant and timely COVID-19 information to news media in South Carolina and beyond, the MUSC Public Affairs and Media Relations (PAMR) department issues regular COVID-19 updates on Monday, Wednesday and Friday of each week. Please read the report in its entirety.

MODELING, TESTING, TRACKING KEY TO RE-ENTRY, ECONOMIC REVITALIZATION

MUSC continues to identify and align with other expertise in and outside of the organization on leading indicators to better project the possible apex and magnitude of the COVID-19 wave headed for South Carolina. So far, our modeling and projections indicate a peak in the wave in late April, early May. As our modeling is refined and matures in the coming days, this important data will inform our decision-making before, during and after this inflection point. As we get better at projecting impacts to our health system, our communities can make more informed, fact-based decisions about how best to navigate the coming months. We will be sharing these lead indicators and data with the public soon.

To do our part in laying the groundwork for a sequential and measured economic revitalization plan, MUSC is focused on building more testing capability, including point-of-care testing, which would allow us to more precisely understand: community prevalence, who is immune to the virus and can return more quickly to community activity/movement, and to identify and contain new cases.

These efforts would also include developing a smarter, collaborative community contact tracing ability that would help identify individuals and ensure they remain appropriately isolated until they can be tested and reassured they will not spread the virus further. The ability to trace and test is crucial to safely emerging from the path we are on and taking another that leads to more normal activity. The balance comes in doing this without incurring a second COVID-19 wave that cripples all of our important efforts and renders all the sacrifices that have been made in vain.

MUSC In-house COVID-19 testing capability

MUSC Health has fully mobilized its in-house testing capability. This web article provides a deep dive into how it’s happening, who is involved and the steps MUSC has taken to make it possible. Images, b-roll and interviews related to this new testing capability are available through:

Main External Media Folder

Covid-19 Folder

Testing/Lab Folder

MUSC COVID-19 info for repurpose with permission/credit or follow-up story ideas:

Discipline on coronavirus stay-home days when parents may be pushed to limit

Cyber criminals persist, even in face of pandemic

Waring Historical Library seeking 'people's history' submissions

MUSC Health begins home monitoring of COVID-19 patients

The following information is for the Charleston area only. For information about MUSC Health Florence or Marion Medical Centers, please contact Kim Geiger at geigerki@musc.edu. For information about MUSC Health Chester or Lancaster Medical Centers, please contact Ashley Shannon at shannona@musc.edu.

CONFIRMED AS OF 4-10-2020:

Basic stats

Telehealth screenings through musc.care: Approximately 35,000

Total patients seen at West Ashley specimen collection site: Approximately 5,000

Inpatient pending rule-outs: 10

Total number of completed COVID-19 tests: 5,645

COVID-19 positive cases

Inpatient: 4

Outpatient/community collection site: 330

Total: 334

Health care workforce: 41 (this number is included in the total number above)

The safety of our care team remains of utmost importance to us. MUSC Health has a very conservative COVID-19 specific return to work; care team members are not allowed to come to work if they are experiencing COVID-19-like respiratory symptoms or if they have not completed the testing process when known to have a high-risk exposure in or outside of work. Many of our care team members have fared well and recovered quickly.

We support our team member's rights to privacy and protection of health information and will not confirm or deny name, role or any other identifying information related to COVID-19 positive cases for our workforce. We have internal notification and tracing protocols in place to contact those patients who may have been at high-risk for exposure from a health care provider.

Surge capacity

MUSC Health would first use recently vacated, critical care space in the old Children’s Hospital, now known as University Hospital Extension, as well as possible ICU space in Ashley River Tower for approximately 150 extra beds.
We have verbal agreements in place to work with other local health care providers to transfer patients to open beds in other facilities as needed.
MUSC has worked with the Army Corps of Engineers and the S.C. National Guard to plan a field hospital/care facility on campus, should it be needed, for COVID-19 patients who do not require critical care. This facility is currently being equipped for possible use in the future and is located within the MUSC Wellness Center on Courtenay Drive. All chain of command protocols will be appropriately adhered to at local, state and federal levels. The Army Corps of Engineers and National Guard will proceed with any plans at the direction and discretion of the appropriate state agencies.

Supplies / Equipment

General status (green, yellow, red): GREEN

We are not currently out of any items at this time, however, we are centralizing the distribution of certain supplies, such as N95 masks, in an effort to conserve personal protective equipment (PPE) prior to a surge in COVID-19 patients.

Reducing the overall use of PPE, where safe to do so, is the single most effective strategy for conserving our supply of PPE. These practices are based on the recommendations of the CDC; it is important to note that CDC guidance around PPE use for COVID-19 has been fluid as experts learn more about the virus and its transmission. Hospitals and health systems throughout the state are doing their best to align with that guidance to keep care team members and patients safe, and at the same time must manage supply chain preparation and preservation needs while still uncertain about exactly how much PPE will ultimately be needed. Given those guiding principles, MUSC Health care team members should:

Work expeditiously to transfer non-COVID-19 patients out of airborne infection isolation rooms.
Centralize the supply of all PPE items in a secured area.
Clearly identify essential personnel who will care for any rule out or confirmed COVID-19 patient and limit entry into the patient room to essential individuals.Limit the number of individuals in the room when performing high-risk aerosol generating procedures.
Use face-fitting N95 respirators while in the same room as a rule-out COVID-19 or lab-confirmed COVID-19 patient. Do not wear face-fitting N95 respirators while in hospital common areas unrelated to patient care activity.
Use surgical/isolation face masks when experiencing minor respiratory symptoms attributable to non-infectious causes (e.g. mild nasal congestion consistent with personal allergic history).

Care team members may now wear a surgical/isolation face mask while in common areas of the hospital and ambulatory clinics.Wearing a face mask while in the hospital does not remove the need for very close self-monitoring, compliance with social distancing (at home and as much as possible at work), staying home when ill and strict compliance with other PPE measures.

Ventilators: MUSC currently has approximately 190 ventilators to care for hospitalized COVID-19 patients. The exact number will continue to be a moving target as more capacity is pulled in over time, current equipment is double-checked, as new equipment is received and new supply chain pathways are pursued in the private industry as well as through state and national assistance efforts.

MUSC Health asks that media and the community please take into account that the ability to care for patients who need ventilators involves a number of variables; our current stock is considered adequate as we prepare for a possible surge in hospitalized COVID-19 patients for our area.

MUSC Health is encouraging the community to donate the following supplies at the MUSC Warehouse in North Charleston, located at 4295 Arco Lane Charleston, SC 29418. For a current list of supply requests, please visit this page.

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About MUSC

Founded in 1824 in Charleston, MUSC is the oldest medical school in the South, as well as the state’s only integrated, academic health sciences center with a unique charge to serve the state through education, research and patient care. Each year, MUSC educates and trains more than 3,000 students and nearly 800 residents in six colleges: Dental Medicine, Graduate Studies, Health Professions, Medicine, Nursing and Pharmacy. The state’s leader in obtaining biomedical research funds, in fiscal year 2019, MUSC set a new high, bringing in more than $284 million. For information on academic programs, visit musc.edu.

As the clinical health system of the Medical University of South Carolina, MUSC Health is dedicated to delivering the highest quality patient care available, while training generations of competent, compassionate health care providers to serve the people of South Carolina and beyond. Comprising some 1,600 beds, more than 100 outreach sites, the MUSC College of Medicine, the physicians’ practice plan, and nearly 275 telehealth locations, MUSC Health owns and operates eight hospitals situated in Charleston, Chester, Florence, Lancaster and Marion counties. In 2019, for the fifth consecutive year, U.S. News & World Report named MUSC Health the No. 1 hospital in South Carolina. To learn more about clinical patient services, visit muschealth.org.

MUSC and its affiliates have collective annual budgets of $3.2 billion. The more than 17,000 MUSC team members include world-class faculty, physicians, specialty providers and scientists who deliver groundbreaking education, research, technology and patient care.