MUSC Health tri-weekly COVID-19 report (May 4)

CHARLESTON, S.C. (May 4, 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; information can change quickly.

The Path Forward / Recovery

MUSC Health ambulatory services will open drive-in lab specimen collection and check-in sites for vulnerable patient populations who need regular blood draws and blood pressure checks related to ongoing monitoring of their conditions, but who may not wish to enter a facility to complete these services. These individuals include those in treatment for cancer, heart issues or organ transplantation, for example.

Patients who need these monitoring services will receive lab orders from their MUSC providers, likely after connecting through MUSC Health’s telehealth platform. All efforts will be made to match patients with their preferred location below, beginning Wednesday, May 6:

MUSC Health Primary Care- Springview

87 Springview Lane, Summerville

Monday through Friday, 8 a.m. - 11:30 a.m.

MUSC Health East Cooper Medical Pavilion

1600 Midtown Avenue, Mount Pleasant

Monday, Wednesday, and Friday, 8:15 a.m. - 4:30 p.m.

MUSC Health Rutledge Tower

135 Rutledge Avenue, Charleston

Monday through Friday, 1 p.m. - 4:30 p.m.

Patients will drive in, park in a designated area and check-in at the tent to have their blood work completed or blood pressure checked. Patients do not need to enter the building and MUSC staff will be there to assist with patient check in and wayfinding.Ambulatory Service is pleased to announce the opening of four drive-in lab services sites on Wednesday, May 6.

ICYMI: Leaders from Berkeley, Charleston and Dorchester counties announced a collaborative effort, led by One Region, to establish a consistent roadmap for employers and residents that inspires confidence as we prepare to safely reopen our local economy. The strategy, named re|IGNITE, leverages expertise from business, health care, nonprofit, and government sectors to create a coordinated, science-based plan to restore the local economy. MUSC is participating as part of the organization’s leadership role to protect public health and ensure reopening does not set back progress made from current social distancing and stay-at-home orders.

“MUSC is providing expertise and guidance for monitoring, testing and tracing efforts as we move forward with the initial steps of safely opening our economy, and we must remain focused on keeping the rate of new infections low,” said MUSC, President, David J. Cole, M.D., FACS. “Through efforts such as the One Region re|IGNITE Strategy, and in alignment with the CDC, DHEC and accelerateSC, our region can thoughtfully and successfully move forward and get our economy and lives heading back to normal."

One Region will work closely with the Governor’s office to ensure that re|IGNITE is aligned with accelerateSC. The phase one plan will be released in the next two weeks. View the video announcement from regional leaders and for more information visit oneregionreignite.org.

ICYMI:MUSC College of Medicine scientists and clinicians, led by world-renowned vitamin D research experts Bruce Hollis, Ph.D., professor emeritus in the Department of Pediatrics, and Carol Wagner, M.D., a professor in the Department of Pediatrics and neonatologist, are planning a focused research effort to determine if individuals with sufficient baseline levels of vitamin D have more protection against severe COVID-19 infection. Read more.

ICYMI: Four critically ill COVID-19 patients were successfully infused with convalescent plasma by MUSC Health physicians as part of an investigational treatment to improve their symptoms and help them to recover after contracting the deadly coronavirus. Read more.

FOR THE COMMUNITY: For information regarding plasma donation or to schedule an appointment to make a donation, please contact: The Blood Connection (thebloodconnection.org/ or 854-429-1700) or American Red Cross (redcross.org or 843-764-2323) to learn more.

Patients who have been tested for COVID-19 and need test results to complete plasma donation appointments should log into mychart.musc.edu and access the “Health” tab and select “Test Results.” Patients who do not yet have a MyChart account, go to mychart.musc.edu and click the blue “Create Your Account” button to create one, which takes up to 48 hours.

If individuals or patients do not want to access this information through MyChart, or have difficulty accessing COVID-19 lab results in MyChart, they may request individual results from the MUSC medical records department at 843-792-3881. If patients were tested for COVID-19 at a non-MUSC facility, please contact your physician or the records department at that facility.

The MUSC COVID-19 Epidemiology Intelligence Projectis a digital dashboard that provides leading indicators related to the COVID-19 epidemic to enable informed decisions. An Institute for Health Metrics and Evaluation (IHME) chart from the website illustrates the level of the expected impact in South Carolina, and experts will continue to monitor the data and make adjustments to operations, as needed. MUSC’s goal is to deliver health care in a safe and reliable environment, while pushing forward to enable a rapid and successful revitalization of the economy.

A current situation assessment for MUSC Health – Charleston (Charleston, Berkeley and Dorchester counties) is also available on this site. Data related to MUSC Health Florence division was published last week. Information related to the Lancaster division is expected this week.

As the community moves forward to revitalize the economy, the possibility exists that a second group of COVID-19 patients may emerge as a result of relaxed social distancing restrictions, which could reverse or undermine any economic progress. To avoid this and help the statewide community move forward successfully, MUSC is actively engaged with state leadership on these five actions:

1) Staged strategic economic revitalization with businesses allowed to move forward taking responsibility for assuring appropriate social distancing, workforce and customer protection, aligned with

2) Diagnostic testing for COVID-19, the disease caused by this new coronavirus and

3) Antibody testing for SARS-CoV-2, the specific form of coronavirus that caused the pandemic, to define prevalence;

4) Contact tracing deployed to respond to new COVID-19 hotspots and mitigate the potential for outbreaks; and

5) Vigilant protection of vulnerable populations.

MUSC COVID-19 diagnostic and antibody testing

Rural and underserved communities experience disparities in access to COVID-19 screening, testing, prevention and treatment in South Carolina and nationally. MUSC Health, in partnership with the state legislature, is setting up mobile screening and collection sites in rural and underserved areas. Tents will be set up outside in designated locations to collect COVID-19 respiratory specimens from both walk-up and drive-thru patients. Prescreening is not required, and the cost is free to patients. Patients will be contacted within seventy-two hours with the results of their test. The mobile setup allows care providers to rotate sites and reach as many individuals as possible during the next several weeks, reaching underserved and rural populations experiencing barriers to health care access for COVID-19 screening.

“We are incredibly pleased to work with our state elected officials, local and county municipalities, clinical partners and affiliates, law enforcement and emergency management teams throughout targeted areas of our state to gain a better understanding of community prevalence and any increase in new COVID-19 infections,” said Patrick J. Cawley, M.D., MUSC Health CEO. “We will continue to leverage technology and use mobile units to expand access to COVID-19 education, screening, testing, monitoring and treatment for patients in rural and underserved areas. Serving the community in this way is at the core of what we do at MUSC, and I am incredibly proud of the innovative approach this team of people has created to meet communities where they are and get them the care they need.”

Collectively, the MUSC Health ambulatory, telehealth, information solutions, emergency management and operations, finance, laboratory and leadership teams were first in the nation to launch a combined virtual urgent care platform and drive-through specimen collection site; now, they’re taking a version of this successful model to more communities that need it.

MUSC Health is moving to a second mobile specimen collection site in Columbia this week, located at Rice Creek Elementary School,4751 HardScrabble Rd. The temporary site will open on Wednesday, May 6, Thursday, May 7, and Friday, May 8. After May 8, MUSC will evaluate the need for continued operation of this site or make a determination to move to another temporary, community location in the Columbia area. This site operates from 10 a.m. to 3 p.m. The temporary site previously located at Eau Claire High School will not reopen this week.

For the Sumter area, those seeking free mobile walk-up and drive-through screening and specimen collection may visit the Sumter Civic Center located at 700 West Liberty Streetbeginning Monday, May 4, with hours of operation from 10 a.m. to 3 p.m. that day, and again on Wednesday, May 6, and Friday, May 8.

MUSC Health Florence Medical Center’s mobile screening and specimen collection site locations will rotate weekly and will be open Monday through Friday from 9 a.m. to 3 p.m. Screenings will start Monday, May 4:

May 4 – 8 New Ebenezer Baptist Church, 307 S. Ravenel Street

May 11- 15 Iola Jones Park, 800 Oakland Avenue

May 18 – 22 Pearl Moore Basketball Center, 500 Barnes Street

In Charleston, a free mobile screening and specimen collection site will launch Thursday, May 7, and team members will offer a second day for community participation on Friday, May 8, at CC Blaney Elementary School located at 184 SC-162, Hollywood, SC 29449.Hours of operation are from 10 a.m. to 3 p.m. After May 8, MUSC will evaluate hours and number of days still needed to operate the following week.

In reporting on these important developments for these local communities, media outlets are asked to adhere to these basic rules while engaging with these locations during operational hours:

NO FILMING INSIDE FENCE/GATE/SITE while patients are present (10 a.m. to 3 p.m.). This is to protect patient privacy while undergoing specimen collection and for the safety of our care team members. The team needs to perform this service safely when vehicles are present.
We ask that every effort be made to consider patient privacy, and prefer that photography or video taken from outside the site not involve real-time aerial, close-up/identifying or magnified lens use while patients are present.
We ask that every effort be made to follow all security protocols for the site so that patients, care team members and media professionals stay safe. Those who cannot follow these protocols will be asked to leave the area as appropriate.
We ask that all MUSC Health team member interviews related to this topic take place when the site is not in operation (before opening, during an individual’s lunch break or after closing via phone or Zoom at a later time) so that our team can focus on safety, patient care and making sure that things are going as smoothly as possible. All interviews should be coordinated through MUSC PR offices and are dependent on site location.

MUSC has been working alongside Clemson University and the University of South Carolina, as well as Prisma Health, for the past month to develop reliable antibody tests. Antibody testing, along with diagnostic testing, would together provide policymakers with valuable information about the present state of infections once commerce recommences so they can determine what, if any, real-time measures might be necessary. Read more.

In part due to this effort, MUSC Health is now offering voluntary COVID-19 serologic testing to care team members and first responders in Charleston, Florence and Lancaster divisions and those local communities. This service is expected to expand for broader community access in the coming weeks.

Early results from antibody testing of indicate that just 2% of health care workers have antibodies to SARS-CoV-2, the novel coronavirus that causes COVID-19. Pamela Murphy, Ph.D., R.N., system administrator of the Pathology and Laboratory Medicine Integrated Clinical Center of Excellence at MUSC Health, said that 920 tests had been completed in the first week of testing. “Our lab team implemented this testing so quickly; it’s a real example of the collaboration and dedication to our community at large,” she said. Read more.

The serology test is a blood test that looks for the presence of antibodies, which are specific proteins made in response to infections. Antibodies can be found in the blood and in other tissues of those who are tested after an infection. The antibodies detected by this test indicate that a person had an antibody response to SARS-CoV-2 (the virus that causes COVID-19), whether symptoms developed from the infection or the infected person was asymptomatic. These antibodies may help provide protection from future infection as well as identify those still at risk. There are some limitations to serological testing at this time, specifically:

• In the early days of an infection when the body’s antibody response is still building, antibodies may not be detected. For this reason, serological tests should not be used as the sole basis to diagnose or exclude infection with the SARS-CoV-2 virus.

•There is still a great deal we don’t yet fully understand about COVID-19 immunity. For example, we do not know whether or not someone who has developed antibodies is fully protected from reinfection, or how long any immunity lasts.

Care team members or first responders who wish to be tested can use MUSC Virtual Urgent Care (musc.care) to complete a COVID-19 (coronavirus) visit. Select “yes” on the additional information question and enter #covidimmunity in the comments section. Virtual Care will determine medical eligibility for serologic testing.

Candidates for the serology test, should schedule blood draw appointments through MUSC MyChart. Results will be available in MyChart within 48-72 hours. Testing is available at select locations in the Charleston, Florence, and Lancaster divisions and by appointment only. Repeat testing, for those who test negative, will be offered no more than every 30 days for qualified candidates. The cost of the test will be billed to insurance carriers. Based on the recent CARES Act, insured patients will likely not have an outstanding balance for this test.

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

T Cell Treatment

Researchers at Hollings Cancer Center are developing a clinical trial involving the use of T cells, normally a part of cancer treatment, to fight COVID-19.

HERO Registry

From front line doctors and nurses to cleaning crew, heroes of pandemic are asked to share experiences in national registry.

Front Lines

Some people are charmed. Others cursed. For Johan Zamoscianyk, there’s more nuance to it. It’s almost as if he’s charmed by curse.

COVID Disparities

As cases of COVID-19 continue to rise across the country, African Americans have emerged as those at the highest risk for contracting the illness.

Basic stats / COVID-19 positive cases

In response to ongoing news coverage trends and requests, the PAMR team is streamlining the most sought after data points and offering more context around these numbers. Our aim is to better explain what these numbers mean for the community. Previously reported data points, such as the number of telehealth screenings, total number of specimens collected at the West Ashley specimen collection site, or the number of COVID-19 positive MUSC care team members are still available upon request.

Total number of COVID-19 community screening tests completed by MUSC Health-Charleston: 12,552 (MUSC Health system-wide:15,751)

Total Number of COVID-19 positive greater Charleston community screening tests: 556 (MUSC Health system-wide: 882)

It is important to understand, and to avoid duplication in reporting, that these cases are reported to, and included in, the DHEC statewide COVID-19 numbers.
The majority of these individuals may not require hospitalization in a South Carolina hospital at some point in time.

Number of COVID-19 inpatients currently in the hospital (MUSC Health-Charleston): 7

MUSC Health monitors this number to determine that we have current and future capacity in terms of health care providers, supplies, ventilators and PPE. Please see the IHME graph here. These numbers are consistent with the modeling and expectation that MUSC Health will have appropriate resources to manage these patients.
Of the 7 patients currently in the MUSC Health-Charleston location, 5 are in the MUSC Health COVID-19 intensive care unit with 4 of the 5 inpatients receiving ventilator care for disease progression at this time.

COVID-19 capacity (Charleston)

General status (green, yellow, red): GREEN

No change since April 10 report.

Supplies / Equipment (Charleston)

General status (green, yellow, red): GREEN

No change since April 13 report.

MUSC Health is encouraging the community to donate 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.

For specific 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.

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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.