Page 15 - WCMS4Q21

Community Partnerships
• Mobilized popup test centers with personnel in areas of socioeconomic inequity, homeless shelter, and SNFs
Improving Care by Partnering with Health Systems and Public Health
• Regular calls and knowledge sharing with health system leadership (chief clinical officers, regional CMOs) and MHA
• Biweekly Washtenaw County Medical Society calls with health systems, U of M, public health, and community physicians
• Case counts, management, treatment, testing, contact tracing, community messaging and needs, vaccination
• Alignment with joint statements, testing and PPE strategies
MICHIGAN MEDICINE COVID “FIRST WAVE”
MM COVID-19+ CENSUS TREND
760 patients hospitalized March 10-June 9, 2020 46% required ICU care
34% COVID patients from transfers 60% of transfers required ICU care
• Activated Regional Infectious Containment Unit (RICU)located within Mott Children’s hospital staffed by hospitalists, critical care/pulmonary, anesthesia
• Negative pressure unit with separate air handling
• 34rooms–52patients
• CCMU, SICU (ECMO), other ICUs
• Surged to PACU space and additional floor within Mott Children’s hospital
• Significant environmental modifications to create additional negative pressure environments and/or HEPA filtration
MM COVID-19 Demographics – “First wave” through June 10, 2020
Age Distribution and ICU Proportions (Discharged+ In House)
<10 11-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 >90
Discharge LOS
Non-ICU ALOS=5.7 days ICU ALOS=19.7 days
Slide courtesy Vikas Parekh MD
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~15% Overall Mortality Rate ~34% Ventilated Mortality Rate
Partnership
• Washtenaw County Medical Society weekly meetings with representation from local hospitals, UM campus, health department, WCMS members
• Regular Washtenaw County Health Department medical director and epidemiologist debriefs with county health systems
• Communication around SNF, congregate living, community outbreaks
• Screening, testing, PPE strategies, visitor policies - awareness and
alignment among county health systems when possible
• Health system support for testing kits and COVID testing for SNFs in response to outbreaks and for surveillance
• Health system support for testing kits, COVID testing, and personnel support for community pop-up clinics coordinated by WCHD
• University of Michigan campus environmental health and local health department partnership for case investigation and contact tracing
Coming Together In a Pandemic
• Regular communication and sharing will help deliver a coordinated, aligned, and collaborative response
SNF Testing
• May 2020 (mandate 6/15)
• 10 SNFs tested*
• Total tested = 469
• Asymptomatic Positives Range by facility: [0% - 38%]
• Overall % = 10 %
* 5 additional tested, data not available
www.washtenaw.org/health | 734-544-6700 | healthy together
Volume 73 • Number 4 Washtenaw County Medical Society BULLETIN 15