MUSC Health biweekly COVID-19 report (January 25)

CHARLESTON, S.C. (Jan. 25, 2021) – At MUSC Health, the safety of patients, families, care team members, students, faculty and staff remains the number one priority. The MUSC Public Affairs and Media Relations (PAMR) department issues regular COVID-19 updates on Monday and Thursday of each week. Please read the report in its entirety; information can change quickly.

The Path Forward / Recovery

COVID-19 VACCINATION UPDATE

MUSC Health is asking for clinical and non-clinical volunteers to help expedite the vaccination roll-out. Interested individuals should email volunteer@musc.edu.

Vaccine Q and A: Dr. Danielle Scheurer talks all things vaccine.

MUSC Health is aligned with CDC and SCDHEC recommendations for distribution of COVID-19 vaccines. As supply becomes more readily available, MUSC Health will next offer the Pfizer vaccine to community essential workers in early 2021. The community is encouraged to monitor muschealth.org for COVID-19 vaccine availability criteria, updates and FAQs.

Our goal at MUSC is to get COVID-19 vaccinations into arms. MUSC Health is currently administering vaccines to health care personnel providing direct medical care in any setting, health care personnel providing indirect medical care, workers exposed to bodily fluids, and residents and staff of all long-term care facilities. This group also includes South Carolina residents age 70 or older, regardless of health status or preexisting conditions and home caregivers of children who are medically fragile or complex, or severely disabled. The rationale for adding these children’s care givers is to help ensure a safe home environment for chronically ill children under age 18, who are not eligible for the vaccine, by offering vaccination to their primary caregivers.

Eligible individuals should visit muschealth.org/vaccine to make an appointment. View information and a video with directions on how to schedule a vaccination appointment.

All individuals will need to sign an attestation to their vaccine status and may need to present credentials/proof to verify they qualify to receive vaccination. Patients who will not attest to their status or who are not able to present credentials (e.g., driver’s license for the 70+ group or employer badge, medical license, picture of license, or other proof) will not be vaccinated and asked to return with proof at their earliest convenience. For parents or home care givers of a medically fragile or complex or severely disabled child, individuals will be asked to supply a medical provider’s signed attestation to confirm that the parent or care giver meets criteria for vaccination at this time.

The federal government is currently providing the vaccine to MUSC for free, so there is no charge for the vaccine itself to either MUSC or the patient. MUSC will charge governmental payers (Medicaid/Medicare) and individual and employer-sponsored private health plans for the administration. This helps cover costs associated with obtaining, storing, scheduling, and providing trained staff and supplies for vaccination administration.

Individual and employer-sponsored private health plans subject to the Affordable Care Act’s (ACA) preventive services coverage standards must provide coverage for individuals to receive vaccines that the National Advisory Committee on Immunization Practices recommends without cost-sharing. Those individual and employer-sponsored private health plans not subject to the ACA’s preventive services coverage standards may elect to cover the administration fee without cost-sharing to the patient but are not required to do so. Patients should consult their insurance providers to determine what their company will or will not require them to pay for related to the administration of the vaccine.

The Department of Health and Human Services has provided a mechanism for providers to bill the COVID-19 Provider Relief fund for the cost of vaccine administration for uninsured patients. Uninsured patients will be able to receive the vaccine with no out of pocket cost.

The MUSC Health team continues to work hard and around the clock on this complex and important distribution process.

Total number of COVID-19 vaccinations received: 62,000
Total number of COVID-19 vaccinations administered by MUSC Health: 40,949
- 82% of doses received from SCDHEC have been administered
- Note: Vaccinations not yet administered are aligned with scheduled appointments.
Percent MUSC Health employees vaccinated across MUSC divisions:

MUSC Health is receiving the Pfizer vaccine exclusively at this time, due to sub-zero freezing storage capacity.
- Shipments have been arriving approximately once a week and are administered as quickly as possible while also monitoring closely supply dynamics.
  - Our process was designed to allow for a day’s worth of doses to remain “in-hand” in case a shipment arrived late, to ensure no vaccination appointments have to be canceled or rescheduled.
  - MUSC Health has opened evening and weekend clinics to accommodate health care worker schedules and to accelerate completion of this initial phase.

OUTPATIENT COVID-19 TREATMENT

Early Treatment

MUSC Health works to expand access to monoclonal antibody infusions to treat COVID-19 after seeing good results in the first batch of patients in late 2020.

MUSC Health is now accepting community health care provider referrals for their patients to receive treatment at MUSC’s COVID-19 Infusion suite in Charleston. The site administers monoclonal antibody treatment to patients who meet the symptom onset and eligibility requirement of the Emergency Use Authorization (EUA). Community providers may learn more about referring patients for this treatment by visiting this page.

FOR UPDATED DATA: The MUSC COVID-19 Epidemiology Intelligence Project is a digital dashboard that provides leading indicators related to the COVID-19 epidemic to enable informed decisions. Current situation assessments for MUSC Health – Charleston (Charleston, Berkeley and Dorchester counties), MUSC Health Florence, and MUSC Health Lancaster divisions are available on this site.

HELPFUL WEB LINKS FOR THE GENERAL PUBLIC:

General information

Information about testing options

MUSC Virtual Urgent Care

COVID-19 vaccination

MUSC Health diagnostic saliva-based COVID-19 testing

MUSC Health is prioritizing diagnostic COVID-19 saliva testing for symptomatic patients (by appointment only) at select locations in the Charleston, Florence and Lancaster communities. Results will be available in MyChart in less than 24 hours (per internal data reports). The test is not a “rapid” point-of-care test and results must be processed within a clinical laboratory. The cost of the test will be billed to insurance carriers. Based on the recent CARES Act, insured or uninsured patients will not have an outstanding balance for this test.

High levels of accuracy were reported for MUSC Health saliva tests, thanks to continued interdisciplinary collaboration and expertise sharing among clinical care and bench research teams.

Status of MUSC COVID-19 diagnostic testing

At this time, MUSC Health is not experiencing significant issues which would delay either the scheduling of a test or delivering the results of tests to patients. Individuals who are symptomatic or have had a significant exposure to someone with COVID-19 should seek testing.

Our goal is to maintain the quality, timeliness and volume of testing needed by our state and community. As waves of COVID-19 infections develop, it is possible that one or all of these challenges may reduce our test volume capability. This could result in temporary changes to the testing paradigm in order to conserve tests for those requiring hospitalization, health care workers, and first responders. This would allow MUSC Health to focus testing on patients who need it the most. No changes have been made at this time. We will provide timely notification to the public if any changes occur and ask for understanding and patience as we respond as best we can to external factors beyond our system’s control that may arise.

MUSC COVID-19 mobile diagnostic testing

MUSC Health, in partnership with the state legislature, is rotating mobile screening and collection sites in rural and underserved areas throughout the state. Tents will be set up outside in designated locations to collect COVID-19 respiratory specimens from both walk-up and drive-through patients. Prescreening is not required and the cost is free to patients. Patients will be contacted within two days with the results of their test, if not sooner. Patients are asked to bring photo identification and an insurance card if they have one. Insurance is not required to be seen, however, the CARES Act does require MUSC to bill insurance providers if patients do have insurance. Patients may email drivethruresults@musc.edu if they have questions regarding their results. If they do not have an email address, they may call 843-985-8888.

Sites may close early or operate with reduced hours if weather conditions become unsafe for care team members or if volume exceeds site safety capacity.

NORTH CHARLESTON: The Charleston International Airport and MUSC Health have collaborated to offer a mobile COVID-19 diagnostic testing site. The site will open on Monday, Jan. 25, Tuesday, Jan. 26, Thursday Jan. 28, Tuesday, Feb. 2, Wednesday, Feb. 3 and Friday, Feb. 5 from 2:30 p.m. to 5:30 p.m. and is located on the 4th floor of the airport’s Daily Parking Garage, 5500 International Blvd., North Charleston, S.C. 29418. “Rapid’ nasopharyngeal swab testing is now available at this site, with results available via email within 30 minutes of the test.

(Information related to Healthy Me — Healthy SC free, statewide mobile testing sites for each week can be found here.)

In reporting on these important developments for these local communities, individuals (elected officials, community leaders, city employees, etc.) and media outlets are asked to adhere to these basic rules while engaging with these locations during operational hours:

1. NO FILMING OR PHOTOGRAPHY INSIDE THE SITE while patients are present and during the stated “open” hours for any given site. This is to protect patient privacy. We also request that no real-time aerial, close-up/identifying or magnified lens use while patients are present.

2. 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.

3. 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 and care team member availability.

MUSC Health antibody testing

MUSC Health is offering voluntary COVID-19 serologic testing through musc.care. 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 not have an outstanding balance for this test.

The antibodies detected by this blood 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.

MUSC Health is committed to offering the best tests available. It is important to make sure individuals and the media understand what the test results mean.

MUSC COVID-19 follow-up story ideas:

Low School Spread

Some experts feared in-person school during pandemic would cause surge in cases. Data show that hasn’t happened in Charleston County.

COVID Survey

Almost 100 people have signed up so far for an MUSC survey that could help Charleston as it tries to bring COVID-19 under control.

Overdose Epidemic

Drug overdoses are up during COVID-19 at MUSC Health and across the country. A self-described addict, now sober, shares her perspective.

Basic stats / COVID-19 positive cases

Previously reported data points, such as the number of telehealth screenings, total number of specimens collected at various mobile sites, or the number of COVID-19 positive MUSC care team members are available upon request. Information related to vaccinations is at the top of this release.

Total number of COVID-19 community screening tests completed by MUSC Health-Charleston: 273,493

(MUSC Health system-wide: 317,722)

Total Number of COVID-19 positive greater Charleston community screening tests: 25,401

(MUSC Health system-wide: 30,757)

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.

Number of COVID-19 inpatients currently in the hospital (MUSC Health-Charleston): 51
- 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 51 patients currently in the MUSC Health-Charleston location, 21 are in MUSC Health COVID-19 intensive care, with 13 of the 51 total inpatients currently receiving ventilator care for disease progression.

MUSC Health can use recently vacated, critical care space in the old Children’s Hospital, now known as University Hospital Extension, as well as ICU space in Ashley River Tower as patient volumes increase.

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. MUSC brought in more than $271 million in biomedical research funds in fiscal year 2020, continuing to lead the state in obtaining National Institutes of Health funding, with more than $129.9 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 325 telehealth locations, MUSC Health owns and operates eight hospitals situated in Charleston, Chester, Florence, Lancaster and Marion counties. In 2020, for the sixthconsecutive 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.