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INDOT launches temporary permit program for food trucks to operate at highway rest areas

The Indiana Department of Transportation announced today the launch of a temporary program to permit licensed food trucks to operate at rest area locations on Indiana interstate highways to provide food and beverage options for commercial truck drivers and motorists engaged in essential travel during the COVID-19 public health emergency.

 

The program will provide needed options for truck drivers, many of whom are reporting limited availability of food and beverages options near highways across the country due to restaurants and other businesses following public health guidelines in place to slow the spread of COVID-19, including closing dining rooms and in some cases reducing hours of service.

 

In accordance with the US Department of Transportation Federal Highway Administration’s Notice of Enforcement Discretion titled “Operation of Commercial Food Trucks in Federally Funded Interstate Highway Rest Areas”, issued April 3, 2020, INDOT will temporarily permit food trucks to service rest areas and welcome centers statewide.  These permits are a temporary measure taken to address needs ancillary to essential travel during the COVID-19 State of Emergency.

 

INDOT will issue two (2) permits for food trucks to operate between the hours of 7:00 AM and 7:00 PM each day on a first-come, first-served basis for each of the following rest area locations.

 

Rest Area Table

 

Permits will be valid until canceled by INDOT or the national federal emergency status is lifted. 

 

Interested applicants should review the “Indiana Rest Area and Welcome Center Temporary Permit Application for Food Truck Service” document available at https://www.in.gov/indot/restareas.htm or INDOT's COVID-19 response webpage at https://www.in.gov/indot/4037.htm.

 

Only complete applications will be considered. All submitted applications must include:

1) Proof of a current liability insurance policy;

2) A valid operating registration, license or permit from the Indiana State Department of Health, a local health department, or other valid issuing authority as required under IC 16-42-1-6 and 410 IAC 7-24-107; and

3) Proof of Registration and good standing with the Office of the Indiana Secretary of State. 

 

If granted a permit, Applicants will be required to comply with all permit terms detailed in the permit application and permit form documents.

 

Submit completed applications by email to INDOTFoodTruckRequest@indot.in.gov.

 

Applications are being accepted immediately.

Health department announces 30 new COVID-19 deaths, updates statewide case count

The Indiana State Department of Health (ISDH) today announced that 439 additional Hoosiers have been diagnosed with COVID-19 through testing at ISDH, the Centers for Disease Control and Prevention (CDC) and private laboratories. That brings to 5,943 the total number of Indiana residents known to have the novel coronavirus following corrections to the previous day’s total.

 

A total of 203 Hoosiers have died to date. Deaths are reported based on when data are received by ISDH and occurred over multiple days.

 

To date, 30,869 tests have been reported to ISDH, up from 28,764 on Monday.

 

Marion County had the most new cases, at 151. Other counties with more than 10 new cases were Bartholomew (11), Hamilton (29), Hancock (12), Hendricks (17), Johnson (19), Lake (43) and St. Joseph (13).  The Lake County totals include results from East Chicago and Gary, which have their own health departments.

 

The complete list of counties with cases is included in the ISDH COVID-19 dashboard at coronavirus.in.gov which will be updated daily at 10 a.m. Cases are listed by county of residence. Private lab reporting may be delayed and will be reflected in the map and count when results are received at ISDH.

 

The dashboard also has been updated to make corrections based on updated information provided to ISDH.

MHP update on COVID-19 - April 7

NEW SERVICE: Virtual visits: www.mymhp.org/virtual

  • TELEHEALTH/VIDEO VISIT UPDATES
    • 591 Telehealth visits completed since 3/19
    • 375 MHP Family & Internal Medicine Telehealth visits completed since 3/19
    • 39 MHP Pediatric Telehealth visits completed since 3/19
    • 44 Psychology Telehealth visits completed since 3/19
    • Dr. Jacob has performed 95 Telehealth visits since 3/19
    • MHP Family & Internal Medicine has now performed over 40 home visits for patients unable to travel

 

  • GENERAL UPDATES FOR THE PUBLIC:
    • Daily Temperature Logs at SNFs:  Shelby County Health Dept has required all local nursing homes to submit daily temperature logs of all residents and staff.  The County Health Dept Medical Director is reviewing these on a daily basis for any concerns or necessary follow-up.  MHP’s Nurse Practitioner is continuing to round daily at the facilities.   
    • Home follow-up visits.  MHP Family & Internal Medicine is performing home follow-up visits for patients with positive/pending results for COVID who been discharged from inpatient or the Emergency Department.  We have also performed home visits for patients that are attempting to remain in the home and avoid the Emergency Department.   
    • Hotel stays for Affected MHP Employees:  MHP cares about our employees and their families.  We have secured hotel accommodations at two local hotels for MHP staff who are affected by COVID-19.  For staff that need a hotel room, the hospital will pay for their entire stay.  Some examples would include: 
      • A staff member becomes infected with COVID-19 and needs to be quarantined away from their home; or
      • The staff member’s work schedule significantly changes and they need a quiet place to rest; or
      • For staff members working long hours who need a quiet place to rest/sleep.     

 

 

  • When can COVID-19 patients be released to work
    • People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions:
      • If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:
        • You have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers) AND
        • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
        • at least 7 days have passed since your symptoms first appeared
      • If you will be tested to determine if you are still contagious, you can leave home after these three things have happened:
        • You no longer have a fever (without the use medicine that reduces fevers) AND
        • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
        • you received two negative tests in a row, 24 hours apart. 

 

 

  • SUPPLY UPDATES:
    • General Supplies and PPE:  We are beginning to see significant decreases in our shipment of supplies on allocation.  In some cases, we aren’t receiving anything.  Our main concerns are replenishment of disposable gowns and different sizes of non-latex gloves.   
    • N95 sterilization process:  We are working on a process to sterilize our N95 masks in-house.  Central Sterile and Pharmacy are working together to perfect the process.  We can sterilize up to 100 per day.   
    • Pharmacy:  We are evaluating using Hydroxychloroquine and Azithromycin on a limited basis in the outpatient setting for high-risk patients.  This would be limited to the ER, Priority Care and Washington Street locations.  We don’t have excess stock, but we are considering this in order to attempt to decrease the number of patients that need inpatient care or vent support. 
    • We need your empty hand sanitizer bottles.  We are making our own hand sanitizer and need your empty containers in order to reuse.      
    • Do you have items that you would like to donate?  (hand sanitizer, masks, respirators, gloves, N95, bouffant caps, or gowns).  If so, please contact Angela Gill (agill@majorhospital.org)
    • Food Donations:  Several community supporters have called to offer to donate food for our staff and physicians.  Some are also doing it as a way to support those restaurants who are struggling to stay afloat while they are only open for carryout.  We are extremely grateful for all the community support and selfless gestures.  If you would like to find out more information, please contact Angela Gill (agill@majorhospital.org).   

 

  • PATIENTS TREATED AT OUR RESPIRATORY CLINIC LOCATIONS:
    • Priority Care located at 30 W. Rampart Road: Treated 23 patients yesterday and 14 patients so far today.  Priority Care is open 7AM-7PM Monday through Friday and 8AM-2PM on Saturdays and Sundays.  
    • Washington St. Clinic located at 157 W. Washington St:  Washington St Clinic treated 11 patients yesterday with respiratory signs/symptoms and 9 patients so far today.   Washington St. Clinic is open 8AM to 4:30PM Monday through Friday.

Indiana DOR waiving use tax on donated COVID-19 supplies

The Indiana Department of Revenue (DOR) is taking steps to encourage the donation of medical supplies and other goods to help fight the COVID-19 pandemic.

 

On March 6, 2020, Governor Eric Holcomb issued Executive Order 20-02, declaring a public health disaster emergency in Indiana due to the coronavirus (COVID-19). Later, on March 19, 2020, Gov. Holcomb issued Executive Order 20-05 to provide the following tax incentives for COVID-19 donations:

 

  1. Manufacturers making donations of medicine, medical supplies or other eligible items to fight the COVID-19 pandemic in Indiana will not incur a use tax obligation for those donations; and
  2. Groups or organizations making donations of medicine, medical supplies or other goods will not incur a use tax obligation for those donations if sales tax was not paid when receiving the item.

“Gov. Holcomb is inspiring us all to do everything we can to help Hoosiers during this medical emergency,” said DOR Commissioner Bob Grennes. “Waiving use tax for COVID-19 supplies will empower more companies and organizations to help Hoosiers battle the spread of COVID-19.”

 

Use tax typically applies to retail transactions when items are not subject to sales tax at the time of purchase. Eligible items for the COVID-19 use tax waiver include, but are not limited to:

  • Medicine
  • Medical supplies (such as personal protective equipment, ventilators and dialysis machines)
  • Food donated to food banks or other charities helping feed those in need because of the COVID-19 crisis.
  • Clothing, bedding or personal care products donated to homeless shelters or other charities helping those displaced or in jeopardy because of the COVID-19 crisis.
  • Soaps, sanitizers, disinfectants, detergents and other cleaning supplies to medical facilities and the charities mentioned above.
  • Building supplies, beds and other materials used to construct and furnish field hospitals or other temporary medical facilities.

Companies and organizations must get approval from DOR to use the COVID-19 waiver by emailing COVID19donations@dor.in.gov and providing the following information:

  1. Name of the donor.
  2. The donor’s Tax ID or Federal Employer Identification Number (FEIN).
  3. Identify if the donor is the manufacturer or purchaser of the donated items.
  4. A list of all items donated, including the cost or purchase price of the items.
  5. The organization(s) receiving the listed items.
  6. A confirmation by the receiving organization(s) that the items have been or will be donated. Email confirmations are accepted.

After reviewing the information, DOR will confirm if the donation has been approved for the waiver. If approved, the donor will not be required to report the use tax on their next sales and use tax return, their income tax return or a consumer use tax return.

 

Eligible donations made prior to March 19, 2020, will be considered; however, donation of such items will not entitle the donor to a refund of any sales or use tax previously paid to DOR or to a vendor.

 

Any changes to this guidance, additional modifications to normal operations or changes to tax filing and payment deadlines will be posted on DOR’s website, as well as DOR’s social media accounts.

MHP COVID-19 Daily Update - April 6

 

NEW SERVICEwww.mymhp.org/virtual

 

  • TELEHEALTH/VIDEO VISIT UPDATES
    • 516 Telehealth visits since 3/19
    • 326 MHP Family & Internal Medicine Telehealth visits since 3/19
    • 24 Virtual COVID-19 Clinic Telehealth visits since 3/27 (Washington Street)
    • 6 MHP providers added to the Priority Care Video visit platform
    • MHP providers have now performed 40 home visits for patients that are homebound and in need of care

 

 

  • GENERAL UPDATES FOR THE PUBLIC:
    • Hotel stays for Affected MHP Employees:  MHP cares about our employees and their families.  We have secured hotel accommodations at two local hotels for MHP staff who are affected by COVID-19.  For staff that need a hotel room, the hospital will pay for their entire stay.  Some examples would include: 
      • A staff member becomes infected with COVID-19 and needs to be quarantined away from their home; or
      • The staff member’s work schedule significantly changes and they need a quiet place to rest; or
      • For staff members working long hours who need a quiet place to rest/sleep.     
    • Nursing Home Additional Coverage and Precautions:  In addition to adding daily Nurse Practitioner coverage in our local nursing homes, we are in constant communication with the local SNFs, including all non-local SNFs who are affiliated with MHP.  We ensure all homes are in frequent communication with MHP, their local EMS, EMA and hospital.  We also ensure they are reporting any PPE shortages or other issues that need attention.  We have hired licensed staff who are responsible for coordinating and reporting in an effort to remain proactive and ready to provide support or resources.     

 

 

  • When can COVID-19 patients be released to work
    • People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions:
      • If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:
        • You have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers) AND
        • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
        • at least 7 days have passed since your symptoms first appeared
      • If you will be tested to determine if you are still contagious, you can leave home after these three things have happened:
        • You no longer have a fever (without the use medicine that reduces fevers) AND
        • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
        • you received two negative tests in a row, 24 hours apart. 

 

 

  • SUPPLY UPDATES:
    • Community donations:  Click on the link for an updated listing of all the donations received since our last update on 3/25 from the local community.  The generosity of the local community is truly remarkable.  https://mymhp.sharepoint.com/sites/mhp/ShelbyCountyDonations/Copy%20of%20Donations%20list%20as%20of%20950%20a.m.%20on%204-6-2020-PC-0257A.pdf?csf=1&e=mCnNZi&cid=0ca348e1-e361-432a-beec-b659d3dd257d
    • Gowns:  It takes 107 minutes for a full cycle (wash and dry) turnaround for our isolation gowns.  We are nearly able to keep pace with our gown usage rate in a 24-hour period.  We expect an additional delivery of gowns on Tuesday. 
    • Bouffant caps:  We have 800 currently, but we still need more based on projected volumes and our daily burn rate. 
    • Pharmacy:  We are still stable with our medications.  Additional quantities of Diprivan and Precedex have arrived.   
    • Supplies on allocation:  The items that are on allocation are no longer being replenished.  This includes gowns, some sizes of gloves, masks, and other PPE items.  This is a concern that we are monitoring on a daily basis. 
    • We need your empty hand sanitizer bottles.  We are making our own hand sanitizer and need your empty containers in order to reuse.      
    • Do you have items that you would like to donate?  (hand sanitizer, masks, respirators, gloves, N95, bouffant caps, or gowns).  If so, please contact Angela Gill (agill@majorhospital.org)
    • Food Donations:  Several community supporters have called to offer to donate food for our staff and physicians.  Some are also doing it as a way to support those restaurants who are struggling to stay afloat while they are only open for carryout.  We are extremely grateful for all the community support and selfless gestures.  If you would like to find out more information, please contact Angela Gill (agill@majorhospital.org).   

 

  • PATIENTS TREATED AT OUR RESPIRATORY CLINIC LOCATIONS:
    • Priority Care located at 30 W. Rampart Road: Treated 9 patients yesterday and 15 patients so far today.  Priority Care is open 7AM-7PM Monday through Friday and 8AM-2PM on Saturdays and Sundays.  
    • Washington St. Clinic located at 157 W. Washington St:  The Washington Street Clinic was closed yesterday and has seen 10 patients today so far.  Washington St. Clinic is open 8AM to 4:30PM Monday through Friday.

 

 

  • CALL CENTER VOLUMES:
    • 392-DOCS line had 59 phone calls over the weekend.
    • Call Center volumes: 406 calls answered Friday (does not include 392-DOCS line).  Average queue hold 38 seconds with 96% of calls answered.  The Call Center is not open on the weekends. 

 

  • WANT TO CHECK IN WITH A LOVED ONE WHO IS AT MAJOR HOSPITAL?
    • Managing visitation:  Indiana hospitals are strictly enforcing visitation rules.  We are following the same policies.  However, Major Hospital understands you still need to see and hear your loved one.  That’s why we have initiated using FaceTime or Skype connectivity for patients and their family members.  We have dedicated iPads that our patients can use to communicate with the outside world using our dedicated Wi-Fi access.  The inpatient nursing staff is also offering family members a phone number to call in for daily updates and offering to make daily calls to the patient’s family if preferred. 

 

  • MHP TESTING STATUS: Please understand we are only able to report numbers and results of MHP patients who had their testing ordered or performed through MHP.  The Shelby County Health Department receives the positive results for ALL Shelby County residents, regardless of the location where the testing was performed.  If the COVID-19 test was not ordered or performed by MHP, we are not notified of the test or the result.  Consequently, our reported testing data will differ from that information available through the Indiana State Department of Health, the CDC and the Shelby County Health Department. 

 

  • Number of MHP patients tested: 182
  • Number of pending results: 28
  • Number of positive results: 24 (increase of 9 since yesterday)
    • Currently, we have 8 inpatients that have tested positive and 11 inpatients have pending results. 
  • If you want updated statistics for Shelby County and/or the State of Indiana, please visit https://coronavirus.in.gov/.      
  • If you want updated statistics for the United States, please visit https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html

 

 

  • TESTING STATUS:  
    • Number of available swabs/media: 156.  We will continue to follow the ISDH/CDC testing protocols to determine which patients are eligible for testing. 
    • The Lilly testing location has expanded its testing criteria to include essential public employees and those in the community considered vulnerable to the virus.  Please visit https://www.info.lillycovid19testing.com/ for more information.
    • Both the Washington St. Clinic and Priority Care are able to test patients for COVID-19.  However, both are continuing to follow the recommended ISDH testing criteria which has been expanded as of 4/1.  Healthcare employees and first responders should obtain testing through the Lilly drive-through testing location.  The hospital lab is not accepting orders for outpatient COVID testing at this time.         

 

 

  • MHP INPATIENT STATUS:
    • Current number of inpatients:  29
    • Current number of patients with respiratory related diagnoses: 28 (3 patients are on a vent and 1 is on BiPap and 1 is on a trilogy device)

Number of available beds: 11

 

 

  • MHP EMERGENCY DEPT STATUS:
    • Number of ER patients in last 24 hours: 36
    • Number of ER patients with respiratory signs/symptoms: 10 (representing 28%)
    • 5 patients are in the ACC unit with 17 available beds

 

 

$600 CARE Act money still to come to unemployed

Some workers unemployed because of coronavirus cutbacks have received their first unemployment checks, only to find they didn't get the extra $600 they'd been hearing about.

 

The Indiana Department of Workforce Development--like similar agencies in other states--is waiting for guidance from the U.S. Department of Labor. The payments are authorized under the Coronavirus Aid, Relief, and Economic Security Act. Put aside the controversy over giving laid off works more money than they would get for working--Congress passed the bill and the President signed it into law.

 

Once states figure out how to implement it, the payments will be made retroactive to March 29.

Walmart announces it will limit number of customers inside stores

 

In this taxing and uncertain time, our associates have gone above and beyond to help Americans get the food, medicine and supplies they need.

 

We care deeply about our associates’ health and well-being, and in recent weeks we’ve taken steps such as expanding our paid leave policies; closing our stores overnight for cleanings and restocking; installing sneeze guards and social distance markers in stores; beginning temperature checks; and starting to make gloves and masks available to associates who want them.

 

While many of our customers have been following the advice of the medical community regarding social distancing and safety, we have been concerned to still see some behaviors in our stores that put undue risk on our people. We want to encourage customers to bring the fewest number of people per family necessary to shop, allow for space with other customers while shopping, and practice social distancing while waiting in lines. We’re also seeing states and municipalities set varying policies regarding crowd control – which has created some confusion regarding shopping.

 

To promote health, safety and consistency for our associates and customers in this environment, we’re taking some further steps for our U.S. stores:

 

Regulating Store Entry

Starting Saturday, we will limit the number of customers who can be in a store at once. Stores will now allow no more than five customers for each 1,000 square feet at a given time, roughly 20 percent of a store’s capacity.

 

To manage this restriction, the associates at a store will mark a queue at a single-entry door (in most cases the Grocery entrance) and direct arriving customers there, where they will be admitted one-by-one and counted. Associates and signage will remind customers of the importance of social distancing while they’re waiting to enter a store – especially before it opens in the morning.

 

Once a store reaches its capacity, customers will be admitted inside on a “1-out-1-in” basis.

 

Shopping Inside the Store

We’ll also institute one-way movement through our aisles next week in a number of our stores, using floor markers and direction from associates. We expect this to help more customers avoid coming into close contact with others as they shop.

 

We’ll continue to put signage inside our stores to remind customers of the need to maintain social distancing – especially in lines. And once customers check out, they will be directed to exit through a different door than they entered, which should help lessen the instances of people closely passing each other.

 

We always want people to feel welcome at Walmart, and we know that in ordinary times a store is a gathering place for members of a community to connect and socialize. We look forward to the time when that is again the case; however, we now want to prioritize health and safety by encouraging customers to do their shopping at a distance from others, then head home.

 

As the COVID-19 situation continues to develop, our leaders and operations teams will continue to listen to advice from medical experts, associates and customers, and consider how we can best serve people while helping slow the spread of the virus. The health and safety of our associates and customers is what matters the most.

 

 

MHP update on COVID-19 - April 3

MHP providers are now available on 2 virtual visit platforms! The MHP COVID Virtual Clinic (for patients with respiratory or COVID related symptoms ONLY) and MHP Virtual Visit (for all other non-COVID related conditions). These new platforms allows patients to seek medical advice from the comfort of their homes, potentially eliminating the need to visit physician offices, urgent cares, or emergency departments.  To learn more visit www.myMHP.org/virtual.

TELEHEALTH/VIDEO VISIT UPDATES

  • 453 Telehealth visits since 3/19
  • 284 Family and Internal Medicine Telehealth visits since 3/19
  • 20 Virtual COVID Clinic Telehealth visits since 3/27

 

  • GENERAL UPDATES FOR THE PUBLIC:
    • Main Entrance/Door #2 closing earlier:  Beginning Monday 4/6, Main Entrance/Door #2 will be closed at 5PM during the week.  This entrance opens at 6AM Monday through Friday and is closed on weekends.   
    • Community Appreciation Event:  Members of the community have organized a recognition event to show their support and appreciation for all MHP Providers and staff.  This is scheduled for Saturday 4/4 at 7PM in the MHP Medical Center parking lot.  Participants will remain in their vehicles and drive through the parking lot with blinking/flashing lights and honking horns.  They are also requesting participants to tune into Giant FM WSVX 96.5 during the event.  Marketing will cover the event on social media.  MHP appreciates all the support, donations and kind gestures from Shelbyville and Shelby County! 
    • MHP Orthopaedic Walk-in Care:  Beginning Monday, 4/6, we will begin providing orthopaedic walk-in visits at Renovo Orthopaedic Center at 275 W. Basset Road.  This service will be available Monday through Friday from 8AM-3PM.  The purpose of this new service is to help keep those with orthopaedic injuries from having to visit the Emergency Department or Priority Care.  This service is being offered as a collaboration between the providers at MHP Sports Medicine, MHP FORCE Orthopaedics, and MHP Foot & Ankle Surgery.  The walk-in site will treat ONLY urgent orthopaedic injuries and fractures.  Chronic pain, medication refills and other non-related orthopaedic illnesses will not be seen at this location.  Patients with signs or symptoms of respiratory illness will also not be able to be seen at this location.     

 

  • When can COVID-19 patients be released to work
    • People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions:
      • If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:
        • You have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers) AND
        • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
        • at least 7 days have passed since your symptoms first appeared
      • If you will be tested to determine if you are still contagious, you can leave home after these three things have happened:
        • You no longer have a fever (without the use medicine that reduces fevers) AND
        • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
        • you received two negative tests in a row, 24 hours apart. 

 

  • Hand sanitizer bottles:  Please remember to save your empty hand sanitizer bottles.  MedWorks needs those empty bottles in order to refill what they are making so we can keep all areas supplied with hand sanitizer. 

 

  • SUPPLY UPDATES:
    • Supplies/PPE:  Stable/steady at this time. 
    • Laundering gownsOur new overnight process of laundering isolation gowns in-house went well.  It takes approximately 40-45 minutes for a complete turnaround cycle.  We can turn 60 gowns per cycle.    
    • GownsWe expect a delivery of additional gowns Sunday/Monday.
    • D Batteries:  We now have a sufficient supply of D batteries. Our sincere thanks to several members of the community who made donations.  We needed these for our supply of 10 emergency ventilators.  These are powered by D batteries and the batteries are required to be changed every 48 hours.   
    • We need your empty hand sanitizer bottles.  We are making our own hand sanitizer and need your empty containers in order to reuse.      
    • Do you have items that you would like to donate?  (hand sanitizer, masks, respirators, gloves, N95, bouffant caps, D-batteries, or gowns).  If so, please contact Angela Gill (agill@majorhospital.org)
    • Food Donations:  Several community supporters have called to offer to donate food for our staff and physicians.  Some are also doing it as a way to support those restaurants who are struggling to stay afloat while they are only open for carryout.  We are extremely grateful for all the community support and selfless gestures.  If you would like to find out more information, please contact Angela Gill (agill@majorhospital.org).   

 

  • PATIENTS TREATED AT OUR RESPIRATORY CLINIC LOCATIONS:
    • Priority Care located at 30 W. Rampart Road: Treated 21 patients yesterday and 15 patients so far today.  Priority Care is open 7AM-7PM Monday through Friday and 8AM-2PM on Saturdays and Sundays.  
    • Washington St. Clinic located at 157 W. Washington St:  The Washington St. Clinic treated 21 patients yesterday and has seen 18 patients today so far.  Washington St. Clinic is open 8AM to 4:30PM Monday through Friday.

First Shelby County COVID-19 death reported

Shelby County Department of Health announced today the death from thenovel coronavirus (COVID-19). The individual was an adult male from ShelbyCounty.

 

The adult fromShelby County died at Major Health Partners Hospital on April 02, 2020. The person, who was over age 60, had been hospitalized as a COVID-19 patient. No further information about the patient will be released due to privacy laws.

 

Dr. Loman, Shelby County Health Officer, is asking all individuals to follow our civic responsibility and maintain a minimum of six feet between others when out of our homes for grocery and medical needs. Please stay home unless you are required to work outside the home in an essential job. Wash your hands frequently and maintain good personal and household hygiene measures.

 

COVID-19 is a respiratory illness caused by a novel, or new, coronavirus that has not been previously identified. It is not the same as the type of coronavirus that causes the common cold.

COVID-19 is most commonly spread from an infected person to others through:

  • Respiratory droplets released into the air by coughing and sneezing;
  • Close personal contact, such as touching or shaking hands;
  • Touching an object or surface with the virus on it, then touching your mouth, nose, or
    eyes before washing your hands; and
  • Rarely, fecal contamination.

Many people who acquire COVID-19 that mayonly havemildsymptoms, should self-isolate and may not need to be tested. Older individuals and those with underlying medical conditions are at higher risk for severe illness and should seek advice from their medical provider via telemedicine.

 

The best ways to protect yourself are to wash your hands often with soap and water for at least 20 seconds, avoid touching your face with unwashed hands, avoid close contact with people, stay home when you’re sick, cover your cough or sneeze and clean and disinfect frequently touched objects and surfaces.

 

If you work in an essential job, Shelby County Health Department recommends bathing/showering immediately when you return home. Keep work clothes separate from other soiled laundry and wear only one time if at all possible. Keep work shoes separated or cleanse prior to being worn in the home.

 

First Shelby County COVID-19 death reported

Shelby County Department of Health announced today the death from thenovel coronavirus (COVID-19). The individual was an adult male from ShelbyCounty.

 

The adult fromShelby County died at Major Health Partners Hospital on April 02, 2020. The person, who was over age 60, had been hospitalized as a COVID-19 patient. No further information about the patient will be released due to privacy laws.

 

Dr. Loman, Shelby County Health Officer, is asking all individuals to follow our civic responsibility and maintain a minimum of six feet between others when out of our homes for grocery and medical needs. Please stay home unless you are required to work outside the home in an essential job. Wash your hands frequently and maintain good personal and household hygiene measures.

 

COVID-19 is a respiratory illness caused by a novel, or new, coronavirus that has not been previously identified. It is not the same as the type of coronavirus that causes the common cold.

COVID-19 is most commonly spread from an infected person to others through:

  • Respiratory droplets released into the air by coughing and sneezing;
  • Close personal contact, such as touching or shaking hands;
  • Touching an object or surface with the virus on it, then touching your mouth, nose, or
    eyes before washing your hands; and
  • Rarely, fecal contamination.

Many people who acquire COVID-19 that mayonly havemildsymptoms, should self-isolate and may not need to be tested. Older individuals and those with underlying medical conditions are at higher risk for severe illness and should seek advice from their medical provider via telemedicine.

 

The best ways to protect yourself are to wash your hands often with soap and water for at least 20 seconds, avoid touching your face with unwashed hands, avoid close contact with people, stay home when you’re sick, cover your cough or sneeze and clean and disinfect frequently touched objects and surfaces.

 

If you work in an essential job, Shelby County Health Department recommends bathing/showering immediately when you return home. Keep work clothes separate from other soiled laundry and wear only one time if at all possible. Keep work shoes separated or cleanse prior to being worn in the home.

 

MHP COVID-19 Daily Update - April 2

  • TELEHEALTH/VIDEO VISIT UPDATES
    • 382 Telehealth visits since 3/19
    • 238 MHP Family and Internal Medicine Telehealth visits since 3/19
    • 15 Washington Street Clinic Telehealth visits since 3/27

 

  • GENERAL UPDATES FOR THE PUBLIC:
    • When can COVID-19 patients be released to work
      • People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions:
        • If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:
          • You have had no fever for at least 72 hours (three full days of no fever without the use of medicine that reduces fevers) AND
          • other symptoms have improved (for example, your cough or shortness of breath have improved) AND
          • at least 7 days have passed since your symptoms first appeared
        • If you will be tested to determine if you are still contagious, you can leave home after these three things have happened:
          • You no longer have a fever (without the use of medicine that reduces fevers) AND
          • other symptoms have improved (for example, your cough or shortness of breath have improved) AND
          • you received two negative tests in a row, 24 hours apart.  PLEASE REFER TO THE ATTACHED HANDOUT.   

 

  • MHP PDO Disaster Assistance Fund:  Major Hospital has created a PDO Disaster Assistance Fund for staff impacted by COVID-19.  This is funded with donations made by MHP employees for fellow MHP staff members.  If an MHP staff member becomes ill and is off work for COVID-19, he/she is eligible to receive donated paid time off from fellow staff members.  Also, if a staff member incurs a reduction in hours during this crisis, he/she is also eligible to participate. 
  • Cessation of Pediatric Admissions:  MHP is no longer admitting pediatric patients.  Any pediatric patient requiring admittance will be sent to Riley or St. Vincent until the crisis is over.   

 

 

  • SUPPLY UPDATES:
    • Isolation gowns:  Plymate Inc has stepped up and  agreed to launder all isolation gowns that we deliver to them in the morning and have them returned to us by afternoon.  If you know anyone at Plymate, please thank them as this is a tremendous help and a relief for our front-line caregivers.  We also purchased our own washers/dryers to help launder isolation gowns around the clock.  This will begin later today.  Our sincere thanks to the MHP staff that worked hard to get this up and running in just a few hours!   
    • IV tubing:  We have 6’ IV tubing and plan to locate the IV pumps outside the inpatient rooms in order to preserve PPE so staff can access the pumps in the hallway.   
    • Bouffant caps:  Our supply is low and our resupply is unknown.  Our plan is to attempt to locate reusable caps and begin laundering them along with our gowns.
    • We need empty hand sanitizer bottles.  We are making our own hand sanitizer and need your empty containers in order to reuse.    
    • Do you have items you would like to donate?  (hand sanitizer, masks, respirators, gloves, N95, bouffant caps, D-batteries, or gowns).  If so, please contact Angela Gill (agill@majorhospital.org)
    • Food Donations:  Several community supporters have called to offer to donate food for our staff and physicians.  Some are also doing it as a way to support those restaurants who are struggling to stay afloat while they are only open for carryout.  We are extremely grateful for all the community support and selfless gestures.  If you would like to find out more information, please contact Angela Gill (agill@majorhospital.org).   

 

  • PATIENTS TREATED AT OUR RESPIRATORY CLINIC LOCATIONS:
    • Priority Care located at 30 W. Rampart Road: Treated 15 patients yesterday and 20 patients so far today.  Priority Care is open 7AM-7PM Monday through Friday and 8AM-2PM on Saturdays and Sundays.  
    • Washington St. Clinic located at 157 W. Washington St:  The Washington St. Clinic treated 22 patients yesterday and has seen 20 patients today so far.  Washington St. Clinic is open 8AM to 4:30PM Monday through Friday.

 

 

  • CALL CENTER VOLUMES:
    • 392-DOCS line had 26 phone calls yesterday.
    • Call Center volumes: 493 calls answered since Friday (does not include 392-DOCS line).  Average queue hold 1 minute 52 seconds with 93% answered.

 

  • WANT TO CHECK IN WITH A LOVED ONE WHO IS AT MAJOR HOSPITAL?
    • Managing visitation:  Indiana hospitals are strictly enforcing visitation rules.  We are following the same policies.  However, Major Hospital understands you still need to see and hear your loved one.  That’s why we have initiated using FaceTime or Skype connectivity for patients and their family members.  We have dedicated iPads that our patients can use to communicate with the outside world using our dedicated Wi-Fi access.  The inpatient nursing staff is also offering family members a phone number to call in for daily updates and offering to make daily calls to the patient’s family if preferred. 

 

  • MHP TESTING STATUS: Please understand we are only able to report numbers and results of MHP patients who had their testing ordered or performed through MHP.  The Shelby County Health Department receives the positive results for ALL Shelby County residents, regardless of the location where the testing was performed.  If the COVID-19 test was not ordered or performed by MHP, we are not notified of the test or the result.  Consequently, our reported testing data will differ from that information available through the Indiana State Department of Health, the CDC and the Shelby County Health Department. 

 

  • Number of MHP patients tested: 138
  • Number of pending results: 33
  • Number of positive results: 13 (increase of 2 since yesterday)
    • Currently, we have 6 inpatients that have tested positive and 5 inpatients have pending tests. 
  • If you want updated statistics for Shelby County and/or the State of Indiana, please visit https://coronavirus.in.gov/.      
  • If you want updated statistics for the United States, please visit https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html

 

 

  • TESTING STATUS:  
    • Number of available swabs/media: 340.  We will continue to follow the ISDH/CDC testing protocols to determine which patients are eligible for testing. 
    • The Lilly testing location has expanded its testing criteria to include essential public employees and those in the community considered vulnerable to the virus.  Please visit https://www.info.lillycovid19testing.com/ for more information.
    • Both the Washington St. Clinic and Priority Care are able to test patients for COVID-19.  However, both are continuing to follow the recommended ISDH testing criteria which has been expanded as of 4/1.   The updated testing requirements are listed on the ISDH website.    

 

 

  • MHP INPATIENT STATUS:
    • Current number of inpatients:  23
    • Current number of patients with respiratory signs/symptoms: 19 (3 patients are on a vent and 1 is on BiPap and 1 is on a trilogy device)
    • Number of available beds: 17

 

 

  • MHP EMERGENCY DEPT STATUS:
    • Number of ER patients in last 24 hours: 48
    • Number of ER patients with respiratory signs/symptoms: 18 (representing 37.5%)
    • 9 patients are in the ACC

 

 

Indiana schools to remain closed the rest of the academic year

State Superintendent of Public Instruction Dr. Jennifer McCormick said that schools will remain closed through the rest of the school year. Schools must switch to remote learning.

 

High School seniors who have their credits, including those for classes they're currently enrolled in, will get their diplomas. For every other student, requirements to move on to the next grade are unchanged.

McCormick working to get students educated and moved on to the next grade.

 

 

McCormick says there’s no clear answer as to the impact on things like summer school and the next school year.

 

 

Gov. Holcomb also ordered all non-public schools to close.

Health department announces 13 new COVID-19 deaths, updates statewide case count

The Indiana State Department of Health (ISDH) today announced that 474 additional Hoosiers have been diagnosed with COVID-19 through testing at ISDH, the Centers for Disease Control and Prevention (CDC) and private laboratories. That brings to 3,039 the total number of Indiana residents known to have the novel coronavirus following corrections to the previous day’s total.

 

Seventy-eight Hoosiers have died to date. Deaths are reported based on when data are received by ISDH and occurred over multiple days.

 

To date, 16,285 tests have been reported to ISDH, up from 14,375 on Wednesday.

 

Marion County had the most new cases, at 192. Other counties with more than 10 new cases were Decatur (10), Clark (11), Floyd (13), Hamilton (21), Hendricks (24) and Lake (28). The complete list of counties with cases is included in the ISDH COVID-19 dashboard at coronavirus.in.gov/, which will be updated daily at 10 a.m. Cases are listed by county of residence. Private lab reporting may be delayed and will be reflected in the map and count when results are received at ISDH.

 

The dashboard also has been updated to make corrections based on updated information provided to ISDH.

Additional updates on the state’s response to the COVID-19 outbreak may be provided later today. 

Supply donations appreciated, needed at MHP

Major Health Partners appreciates the public's help and donations during the COVID-19 pandemic.  

 

For anyone able, a list follows from MHP of items that would be valuable:

 

We need your empty hand sanitizer bottles.  We are making our own hand sanitizer and need your empty containers in order to reuse.    

 

Do you have items that you would like to donate?  (hand sanitizer, masks, respirators, gloves, N95, bouffant caps, D-batteries, or gowns).  If so, please contact Angela Gill (agill@majorhospital.org)

 

Food Donations:  Several community supporters have called to offer to donate food for our staff and physicians.  Some are also doing it as a way to support those restaurants who are struggling to stay afloat while they are only open for carryout.  We are extremely grateful for all the community support and selfless gestures.  If you would like to find out more information, please contact Angela Gill (agill@majorhospital.org).   

 

Pharmacy:  Our current medication supply is stable, however, our ability to replenish our supply is unknown at this time.  Propofol is projected to be in shortage starting 4/19.  We are researching our options and plans for an alternative solution or supplier.       

 

Beds:  We are receiving a donation of 7 inpatient beds from the Blue River Career Center. 

 

Personal Protective Equipment (PPE):  our current supply is stable as compared to our daily burn rate. 

 

We have 10 emergency ventilators that run on D-batteries only.  The batteries are required to be changed every 48 hours.  Our engineering staff are currently exploring how to covert these devices from battery operated to electric. 

Health department announces 16 new COVID-19 deaths, updates statewide case count

The Indiana State Department of Health (ISDH) today announced that 409 additional Hoosiers have been diagnosed with COVID-19 through testing at ISDH, the Centers for Disease Control and Prevention (CDC) and private laboratories. That brings to 2,565 the total number of Indiana residents known to have the novel coronavirus following corrections to the previous day’s total.

                                                                                                                                             

Sixty-five Hoosiers have died to date. Deaths have occurred over multiple days and are reported based on when data are received by ISDH.

 

To date, 14,375 tests have been reported to ISDH, up from 13,373 on Tuesday.

 

Marion County had the most new cases, at 159. Other counties with more than 10 new cases were Hamilton (49), Hendricks (21), Johnson (17) and Lake (25). The complete list of counties with cases is included in the ISDH COVID-19 dashboard at coronavirus.in.gov, which will be updated daily at 10 a.m. Cases are listed by county of residence. Private lab reporting may be delayed and will be reflected in the map and count when results are received at ISDH.

 

The dashboard also has been updated to make corrections based on updated information provided to ISDH.

 

Additional updates on the state’s response to the COVID-19 outbreak may be provided later today. 

MHP COVID-19 Daily Update - March 31

MHP has launched a virtual clinic staffed with dedicated MHP providers.  Get the care, treatment or medical advice you need using just your computer or phone.  This service allows patients to seek medical advice from anywhere in the US, potentially eliminating the need to visit physician offices, urgent cares, or emergency departments.  The MHP Virtual Clinic is staffed Monday - Friday from 8 a.m. - 4:30 p.m. Please visit https://www.mymhp.org/services/virtual-visits/ to sign up now.    

  • TELEHEALTH/VIDEO VISIT UPDATES
    • 241 Telehealth visits have been conducted by MHP providers since 3/19
    • 163 Family & Internal Medicine Telehealth visits have occurred since 3/19
    • 12 MHP Psychology visits have occurred since 3/26
    • 7 additional providers were trained on 3/30 and will begin conducting visits today

Dedicated MHP Provider Virtual Clinic. MHP has launched a virtual clinic staffed with dedicated MHP providers.   This service allows patients to seek medical advice from the comfort of their homes, potentially eliminating the need to visit physician offices, urgent care, or the emergency department.  The MHP Virtual Clinic will be staffed Monday - Friday from 8 a.m. - 4:30 p.m. 

How can patients access the MHP Virtual Clinic?

1. Download the free myVirtualHealthVisit app (Google Play or iTunes) or enroll on your computer with the following link:https://myvirtualhealthvisit.org/landing.htm 

2. Enroll by creating a free login and entering your demographic information as well as theSERVICE KEY: mhpvisit

3. If given the option,select MHP Telehealth and then select the MHP provider you would like to see.

Be sure to allow access to your camera and microphone if you are using the app. If you are connecting via desktop, be sure to test your computer settings.

For more information, visit our website: https://www.mymhp.org/virtual
If you have questions or need help enrolling, please call us at (317) 421-1956.

 

  • GENERAL UPDATES FOR THE PUBLIC:
    • Shelby Go upcoming holiday closures:  April 10th – Good Friday, May 22nd – Floating Holiday, May 25th – Memorial Day. ZTrip (formerly Yellow Cab) can be used as an alternative. 
    • Nursing Homes:  We have started rounding daily in the local nursing homes.  We are exploring using more telehealth options for our nursing homes in order to keep patients from having to be transported to the hospital. 
    • Lilly Drive-Thru Testing Center for healthcare workers and first responders:  For information, please visit: https://www.info.lillycovid19testing.com/hcp
    • MedWorks Pharmacy:  MedWorks will soon be sending discharge medications with inpatients upon discharge for convenience and to keep those at-risk patients in their homes instead of having to visit a pharmacy.     

 

 

  • SUPPLY UPDATES:
    • We need your empty hand sanitizer bottles.  We are making our own hand sanitizer and need your empty containers in order to reuse.    
    • Do you have items that you would like to donate?  (hand sanitizer, masks, respirators, gloves, N95, bouffant caps, D-batteries, or gowns).  If so, please contact Angela Gill (agill@majorhospital.org)
    • Food Donations:  Several community supporters have called to offer to donate food for our staff and physicians.  Some are also doing it as a way to support those restaurants who are struggling to stay afloat while they are only open for carryout.  We are extremely grateful for all the community support and selfless gestures.  If you would like to find out more information, please contact Angela Gill (agill@majorhospital.org).   
    • Pharmacy:  Our current medication supply is stable, however, our ability to replenish our supply is unknown at this time.  Propofol is projected to be in shortage starting 4/19.  We are researching our options and plans for an alternative solution or supplier.       
    • Beds:  We are receiving a donation of 7 inpatient beds from the Blue River Career Center. 
    • Personal Protective Equipment (PPE):  our current supply is stable as compared to our daily burn rate. 
    • We have 10 emergency ventilators that run on D-batteries only.  The batteries are required to be changed every 48 hours.  Our engineering staff are currently exploring how to covert these devices from battery operated to electric. 

 

  • PATIENTS TREATED AT OUR RESPIRATORY CLINIC LOCATIONS:
    • Priority Care located at 30 W. Rampart Road: Treated 30 patients yesterday and 20 patients so far today. Priority Care is open 7AM-7PM Monday through Friday and 8AM-2PM on Saturdays and Sundays.  
    • Washington St. Clinic located at 157 W. Washington St:  The Washington St. Clinic treated 26 patients yesterday and has seen 22 patients today so far.  Washington St. Clinic is open 8AM to 4:30PM Monday through Friday.

 

 

  • CALL CENTER VOLUMES:
    • 392-DOCS line had 40 phone calls yesterday.
    • Call Center volumes: 550 calls answered since Friday (does not include 392-DOCS line).  Average queue hold one minute and 14 seconds with 94% answered.

 

  • WANT TO CHECK IN WITH A LOVED ONE WHO IS AT MAJOR HOSPITAL?
    • Managing visitation:  Indiana hospitals are strictly enforcing visitation rules.  We are following the same policies.  However, Major Hospital understands you still need to see and hear your loved one. That’s why we have initiated using FaceTime or Skype connectivity for patients and their family members.  We have dedicated iPads that our patients can use to communicate with the outside world using our dedicated Wi-Fi access.  The inpatient nursing staff is also offering family members a phone number to call in for daily updates and offering to make daily calls to the patient’s family if preferred. 
    • Visitors are prohibited with the following exceptions:
      • One designated at end of life with appropriate screening
      • One designated for laboring patient with appropriate screening
      • One designated for pediatric patient with appropriate screening
      • One designated for surgery patient with appropriate screening
    • If a visitor is permitted, the visitor must remain in the patient’s room and cannot come and go from the patient’s room.  We are doing this to protect our other high-risk patients and our staff.  The visitor must alsonot have a positive or pending COVID-19 test. 

 

  • MHP TESTING STATUS:Please understand we are only able to report numbers and results of MHP patients who had their testing ordered or performed through MHP.  The Shelby County Health Department receives the positive results for ALL Shelby County residents, regardless of the location where the testing was performed.  If the COVID-19 test was not ordered or performed by MHP, we are not notified of the test or the result.  Consequently, our reported testing data will differ from that information available through the Indiana State Department of Health, the CDC and the Shelby County Health Department. 

 

 

 

  • TESTING STATUS:  
    • Number of available swabs/media: 74.  We anticipate an additional 300 early this week.  We will continue to follow the ISDH/CDC testing protocols to determine which patients are eligible for testing. 

 

 

  • MHP INPATIENT STATUS:
    • Current number of inpatients: 19 (4 of our inpatients tested positive for COVID-19)
    • Current number of patients in isolation: 16 (4 patients are on a vent and 1 is on BiPap and 1 is on a trilogy device)
    • Number of available inpatient beds: 21

 

 

  • MHP EMERGENCY DEPT STATUS:
    • Number of ER patients in last 24 hours: 40
    • Number of ER patients with respiratory signs/symptoms: 17 (representing 42.5%)
    • 4 patients are in the ACC with 18

 

  • RESOURCES
    • Indiana State Dept of Health Call Center for Healthcare workers and the general public (staffed 8AM-8PM) (317) 233-7125.  Please call (317) 233-1325 after hours. 
    • For the Shelby County Health Department, please call (317) 392-6470.

Gov. Holcomb extends restaurant, bar restrictions

Governor Eric J. Holcomb today signed two executive orders to aid in the fight against COVID-19. To see copies of the executive orders, click here: https://www.in.gov/gov/2384.htm

 

Executive order 20-14 extends the requirements for bars, nightclubs and restaurants to stay closed to dine-in patrons until April 6 at 11:59 p.m. They may continue to provide take-out and delivery services.

 

The Governor expects bars, nightclubs and restaurants to comply with the directive for the safety of Hoosiers in their communities without the need to call for enforcement measures. However, the state and local boards of health and the Indiana Alcohol and Tobacco Commission (ATC) have been directed by the Governor to take all available administrative and enforcement actions against establishments that continue to offer in-house dining services, in violation of the governor’s order.

 

Executive order 20-15 eases government operations including permitting electronic notary services to remotely review and approve documents.

 

Additional steps taken by the state today include:

 

  • The Indiana Department of Transportation (INDOT) will hold a virtual job fair for more than 1,000 construction and related positions at 10 a.m. ET on Thursday, April 16.
  • The Indiana Commission for Higher Education will offer free virtual FAFSA filing help for students and families from 1 p.m. to 3 p.m. on Saturday, April 4.
    • Help will be available through the Commission’s Learn More Indiana social media platforms: Facebook (facebook.com/LearnMoreIN), Instagram (@LearnMoreIndiana) and Twitter (@LearnMoreIN)

Click here to download public service announcements (PSAs) recorded by the state for your use: https://www.dropbox.com/sh/egf210ognxxyx4h/AADYd7E-tBn7P6gtiLSZUiVBa?dl=0

 

More information may be found at the ISDH website at coronavirus.in.gov and the CDC website at https://www.cdc.gov/coronavirus/2019-ncov/index.html.

Health department announces 14 new COVID-19 deaths, updates statewide case count

The Indiana State Department of Health (ISDH) today announced that 374 additional Hoosiers have been diagnosed with COVID-19 through testing at ISDH, the Centers for Disease Control and Prevention (CDC) and private laboratories. That brings to 2,159 the total number of Indiana residents known to have the novel coronavirus following corrections to the previous day’s total. Forty-nine Hoosiers have died.

                                                           

To date, 13,373 tests have been reported to ISDH, up from 11,658 on Monday.

 

Marion County had the most new cases, at 170, while Lake County had 50, Johnson County had 20, Hamilton County had 16, St. Joseph County had 13 and Hendricks County had 11. The complete list of counties with cases is included in the ISDH COVID-19 dashboard at coronavirus.in.gov, which will be updated daily at 10 a.m. Cases are listed by county of residence. Private lab reporting may be delayed and will be reflected in the map and count when results are received at ISDH.

 

The dashboard also has been updated to include demographics on individuals who have died and make other corrections based on updated information provided to ISDH.

 

Additional updates on the state’s response to the COVID-19 outbreak may be provided later today. 

Gov. Holcomb details COVID-19 surge plan; Governor also signs executive order

Governor Eric J. Holcomb today signed an executive order and detailed Indiana’s plan for the anticipated spike in COVID-19 cases.

 

To see a copy of the executive order, click here: https://www.in.gov/gov/2384.htm

 

“We see a surge coming and we’re calling in the reinforcements, bolstering Indiana’s capacity to provide additional health care services during this emergency,” said Gov. Eric J. Holcomb. “By eliminating licensing barriers and tapping in to the available talent pool of healthcare workers, Hoosiers are staffing up and stepping up to meet this challenge head-on.”

 

The executive order allows the following professionals who do not currently hold an active license to practice:

  • medical professionals who retired or became inactive in the last five years
  • medical professionals who hold licenses in other states
  • medical professionals who held licenses in other states and retired or became inactive in the last five years
  • certain medical students and graduates

 

These professionals must register with the Indiana Professional Licensing Agency via their website at www.in.gov/pla. These professionals will be able to assist in screenings, telemedicine and other basic procedures to allow regularly licensed medical professionals to be on the frontline.

 

In Indiana, the baseline number of critical care hospital beds is 1,432. As of Monday, hospitals have already taken steps to increase the number of critical care hospital beds to 1,940. Overall, the state’s plan is to double the number, if needed, by taking existing noncritical care hospital beds, recovery rooms, operating rooms and outpatient facilities, turning them into critical care hospital beds.

 

In Indiana, the baseline number of ventilators is 1,177 ventilators. As of Monday, hospitals have identified another 750 ventilators that can be used for critical care patients. Overall, the state’s plan is to double the number, if needed, by repurposing ventilators from operating rooms, ambulatory care centers, EMS and the Indiana National Guard.

 

Additionally, the surge plan calls for moving less critical patients to alternate facilities including neighborhood hospitals, medical clinics and state-owned hospitals, such as unopened floors at the NeuroDiagnostic Institute hospital in Indianapolis and the Richmond State Hospital.

 

If needed, after all of these steps are exhausted, Indiana will be prepared to put patients in alternative facilities. The Indiana National Guard and Department of Homeland Security, in conjunction with FEMA, are in charge of these plans.

 

The state of Indiana has been working on plans related to COVID-19 since January, and each hospital has a disaster plan in place. Planning has become more specific for state health and hospital officials as models of the projected impact of coronavirus became available. Based on those models, Indiana’s patient surge is expected to begin soon and the peak is expected to be mid-April to mid-May.

MHP COVID-19 Daily Update - March 30

NEW SERVICE:  MHP has launched a virtual clinic staffed with dedicated MHP providers.  Get the care, treatment or medical advice you need from the comfort of your home using your computer or phone.  This service allows patients to seek medical advice from anywhere in the U.S., potentially eliminating the need to visit physician offices, urgent cares, or emergency departments.  The MHP Virtual Clinic is staffed Monday - Friday from 8 a.m. - 4:30 p.m.  Please visit https://www.mymhp.org/services/virtual-visits/ to sign up now.    

 

  • GENERAL UPDATES FOR THE PUBLIC:
    • The CDC has issued a Health Advisory for Severe Illness Associated with Using Non-Pharmaceutical Chloroquine Phosphate to Prevent and Treat Coronavirus Disease 2019 (COVID-19). 
    • Shelby Go upcoming holiday closures:  April 10th – Good Friday, May 22nd – Floating Holiday, May 25th – Memorial Day. ZTrip (formerly Yellow Cab) can be used as an alternative. 
    • Nursing Homes:  We have started rounding daily in the local nursing homes.  We are exploring using more telehealth options for our nursing homes in order to keep patients from having to be transported to the hospital. 
    • Lilly Drive-Thru Testing Center for healthcare workers and first responders:  For information, please visit: https://www.info.lillycovid19testing.com/hcp
    • Community Support for First Responders and MHP Staff:  We have been informed through social media that members of the community are planning to show their support and encouragement by driving through the MHP parking lot and flashing their lights on Saturday.  We appreciate it! 
    • MedWorks Pharmacy:  MedWorks will soon be sending discharge medications with inpatients upon discharge for convenience and to keep those at-risk patients in their homes instead of having to visit a pharmacy.     

 

 

  • SUPPLY UPDATES:
    • We need your empty hand sanitizer bottles.  We are making our own hand sanitizer and need your empty containers in order to reuse.    
    • Do you have items that you would like to donate?  (hand sanitizer, masks, respirators, gloves, N95, D-batteries, gowns or food for our staff).  If so, please contact Angela Gill (agill@majorhospital.org)
    • We are pleased to announce that District 5 is shipping 600 small N95 masks to us this week.  We have secured a supply of D-batteries.  Bouffant caps are in short supply.  We are seeking alternatives such as reusable caps.   
    • Temporary beds:  We have secured 20 army-type beds/cots.  They are spartan and rugged, but will work in the event we have an inpatient surge.  They will hold up to 400 pounds. 
    • Respirators:  We received additional respirators and filters.  These are non-disposable. 

 

  • PATIENTS TREATED AT OUR RESPIRATORY CLINIC LOCATIONS:
    • Priority Care located at 30 W. Rampart Road: Treated 12 patients yesterday and 25 patients so far today.  Priority Care is open 7AM-7PM Monday through Friday and 8AM-2PM on Saturdays and Sundays.  
    • Washington St. Clinic located at 157 W. Washington St:  The Washington St. Clinic was closed yesterday and has seen 22 patients today so far.  The Washington St. Clinic is open 8AM to 4:30PM Monday through Friday.

 

 

  • CALL CENTER VOLUMES:
    • 392-DOCS line had 89 phone calls over the weekend.
    • Call Center volumes: 444 calls answered since Friday (does not include 392-DOCS line).  Average queue hold one minute with 93% answered.

 

  • WANT TO CHECK IN WITH A LOVED ONE WHO IS AT MAJOR HOSPITAL?
    • Managing visitation:  Indiana hospitals are strictly enforcing visitation rules.  We are following the same policies.  However, Major Hospital understands you still need to see and hear your loved one.  That’s why we have initiated using FaceTime or Skype connectivity for patients and their family members.  We have dedicated iPads that our patients can use to communicate with the outside world using our dedicated Wi-Fi access.  The inpatient nursing staff is also offering family members a phone number to call in for daily updates and offering to make daily calls to the patient’s family if preferred. 
    • Visitors are prohibited with the following exceptions:
      • One designated at end of life with appropriate screening
      • One designated for laboring patient with appropriate screening
      • One designated for pediatric patient with appropriate screening
      • One designated for surgery patient with appropriate screening
    • If a visitor is permitted, the visitor must remain in the patient’s room and cannot come and go from the patient’s room.  We are doing this to protect our other high-risk patients and our staff.  The visitor must also not have a positive or pending COVID-19 test. 

 

  • MHP TESTING STATUS: Please understand we are only able to report numbers and results of MHP patients who had their testing ordered or performed through MHP.  The Shelby County Health Department receives the positive results for ALL Shelby County residents, regardless of the location where the testing was performed.  If the COVID-19 test was not ordered or performed by MHP, we are not notified of the test or the result.  Consequently, our reported testing data will differ from that information available through the Indiana State Department of Health, the CDC and the Shelby County Health Department. 

 

 

 

  • TESTING STATUS:  
    • Number of available swabs/media: 84.  We anticipate an additional 300 early this week.  We will continue to follow the ISDH/CDC testing protocols to determine which patients are eligible for testing. 

 

 

  • MHP INPATIENT STATUS:
    • Current number of inpatients: 16 (4 of our inpatients tested positive for COVID-19)
    • Current number of patients in isolation: 16 (2 patient are on a vent and 1 is on BiPap)
    • Number of available inpatient beds: 24

 

 

  • MHP EMERGENCY DEPT STATUS:
    • Number of ER patients in last 24 hours: 32
    • Number of ER patients with respiratory signs/symptoms: 8 (representing 25%)
    • 7 patients are in the ACC with 15 available beds and 1 ACC patients has respiratory symptoms

 

  • RESOURCES
    • Indiana State Dept of Health Call Center for Healthcare workers and the general public (staffed 8AM-8PM) (317) 233-7125.  Please call (317) 233-1325 after hours. 
    • For the Shelby County Health Department, please call (317) 392-6470.

Dr. Gustafson talks COVID-19 testing, donations; MHP Virtual Clinic

Testing for COVID-19 has many variables.  From the region of the United States to available tests even to the length of time to get a result.

 

MHP Chief Medical Officer Dr. Paula Gustafson.

 

 

Gustafson says the Medical Center does everything it can to employ social distancing.

 

 

MHP has launched a virtual clinic staffed with dedicated MHP providers to provide care, treatment or medical advice you need from the comfort of your home using your computer or phone.  This service allows patients to seek medical advice from anywhere in the U.S, potentially eliminating the need to visit physician offices, urgent cares, or emergency departments. The MHP Virtual Clinic is staffed Monday - Friday from 8 a.m. - 4:30 p.m. Please visit www.mymhp.org/virtual to sign up now.    

 

Want to check in with a loved one at the MHP Medical Center ?

Indiana hospitals are strictly enforcing visitation rules.  We are following the same policies.  However, MHP understands you still need to see and hear your loved one. That’s why we have initiated using FaceTime or Skype connectivity for patients and their family members.  We have dedicated iPads our patients can use to communicate with the outside world using our dedicated Wi-Fi access.  The inpatient nursing staff is also offering family members a phone number to call in for daily updates and offering to make daily calls to the patient’s family if preferred. 

Visitors are prohibited with the following exceptions:

  • One designated at end of life with appropriate screening
  • One designated for laboring patient with appropriate screening
  • One designated for pediatric patient with appropriate screening
  • One designated for surgery patient with appropriate screening

If a visitor is permitted, the visitor must remain in the patient’s room and cannot come and go from the patient’s room.  We are doing this to protect our other high-risk patients and our staff.  The visitor must also not have a positive or pending COVID-19 test. 

 

Gustafson says they appreciate efforts in the community to donate needed supplies to MHP.

 

 

MHP faces critical shortages of small-sized N95 masks and D-batteries. 

 

Hand sanitizer, masks, respirators, gloves, N95, D-batteries, gowns or food for the staff are all appreciated.  If you wish to donate, please contact Angela Gill (agill@majorhospital.org).

MHP COVID-19 Daily Update - March 28

NEW SERVICE:  MHP has launched a virtual clinic staffed with dedicated MHP providers.  Get the care, treatment or medical advice you need from the comfort of your home using your computer or phone.  This service allows patients to seek medical advice from anywhere in the U.S, potentially eliminating the need to visit physician offices, urgent cares, or emergency departments. The MHP Virtual Clinic is staffed Monday - Friday from 8 a.m. - 4:30 p.m. Please visit www.mymhp.org/virtual to sign up now.    

 

  • SUPPLY UPDATES:
    • Critical shortage items:  small-sized N95 masks and D-batteries. 
    • Do you have items you would like to donate?  (hand sanitizer, masks, respirators, gloves, N95, D-batteries, gowns or food for our staff).  If so, please contact Angela Gill (agill@majorhospital.org)

 

  • PATIENTS TREATED AT OUR RESPIRATORY CLINIC LOCATIONS:
    • Priority Care located at 30 W. Rampart Road: Treated 26 patients on 3/27 with respiratory symptoms. Priority Care is open 7AM-7PM Monday through Friday and 8AM-2PM on Saturdays and Sundays.  
    • Washington St. Clinic located at 157 W. Washington St.: Treated 17 patients on 3/27 with respiratory symptoms.  The Washington St. Clinic is open 8AM to 4:30PM Monday through Fridayand is not open on weekends. 

 

 

  • VIDEO VISITS AND TELEHEALTH:
    • Beginning 3/19 through 3/27, we have conducted 186 telehealth visits.  You can conduct your telehealth visit today at  www.mymhp.org/virtual
    • 127 telehealth visits have been performed through MHP Family & Internal Medicine and we have also rolled out home-visits for certain patients. 
    • MHP Psychology has performed 7 telehealth visits
    • OurWashington St. Clinic performed its first telehealth visit on 3/27
    • MHP Pulmonology, MHP Nephrology and MHP Wound Care will have the ability to begin scheduling telehealth visits for certain patients beginning next week
    • OnsiteSolutions and MHP SportWorks will be the next sites to implement telehealth capabilities

 

 

  • WANT TO CHECK IN WITH A LOVED ONE AT THE MHP MEDICAL CENTER ?
    • Managing visitation:  Indiana hospitals are strictly enforcing visitation rules.  We are following the same policies.  However, MHP understands you still need to see and hear your loved one. That’s why we have initiated using FaceTime or Skype connectivity for patients and their family members.  We have dedicated iPads our patients can use to communicate with the outside world using our dedicated Wi-Fi access.  The inpatient nursing staff is also offering family members a phone number to call in for daily updates and offering to make daily calls to the patient’s family if preferred. 
    • Visitors are prohibited with the following exceptions:
      • One designated at end of life with appropriate screening
      • One designated for laboring patient with appropriate screening
      • One designated for pediatric patient with appropriate screening
      • One designated for surgery patient with appropriate screening
    • If a visitor is permitted, the visitor must remain in the patient’s room and cannot come and go from the patient’s room.  We are doing this to protect our other high-risk patients and our staff.  The visitor must alsonot have a positive or pending COVID-19 test. 

 

  • MHP TESTING STATUS:Please understand we are only able to report numbers and results of MHP patients who had their testing ordered or performed through MHP.  The Shelby County Health Department receives the positive results for ALL Shelby County residents, regardless of the location where the testing was performed.  If the COVID-19 test was not ordered or performed by MHP, we are not notified of the test or the result.  Consequently, our reported testing data will differ from that information available through the Indiana State Department of Health, the CDC and the Shelby County Health Department. 

 

 

 

  • TESTING STATUS:  
    • Number of available swabs/media: 57, and we are expecting delivery of an additional 300 on or about April 7th.  We have placed an order for an additional 500 test kits.  Delivery date is unknown. 
    • We will be using GuideMed, our current vendor for drug screens, to perform COVID testing with an anticipated 3-day turnaround time.  GuideMed has sufficient testing supplies and media to help increase our testing availability.  We will update as more information becomes available.  We expect 300 testing kits to be delivered next week.      

 

 

  • MHP INPATIENT STATUS:
    • Current number of inpatients: 17
    • Current number of patients in isolation: 17 (1 patient is on a vent and 0 are on BiPap)
    • Number of available beds: 23

 

 

  • MHP EMERGENCY DEPT STATUS:
    • Number of ER patients in last 24 hours: 38
    • Number of ER patients with respiratory signs/symptoms: 15 (representing 39.47%)
    • 5 patients in the ACC with 17 available beds

 

  • RESOURCES
    • Indiana State Dept of Health Call Center for Healthcare workers and the general public (staffed 8AM-8PM) (317) 233-7125.  Please call (317) 233-1325 after hours. 
    • For the Shelby County Health Department, please call (317) 392-6470.

Relief bill passed in Washington. What next?

Now that the relief bill passed Friday is law and checks are the way, the government still has the responsibility to keep you safe and keep the economy going. U Indy associate professor of Finance Matt Will says two different areas of government will have to come together.

 

"That is a combination of health and economics experts having to come together. Clearly living in isolation is not a long-term sustainable strategy," he said.

 

Will said society, including government, must figure out how to live our lives, how to run the economy and how to deal with the coronavirus.

 

"Hopefully the health experts and the economic experts can get together and figure out how can we run our economy and still keep people as safe as possible," he said.

 

Will said people must figure out how to do both, despite the risk.

 

"You can't really equate this to something like the flu or driving your car. But, we do live with risk in our lives and we have to figure out, how can we live with this risk?"

 

Pres. Trump has been criticized for talking about "opening America back up", by doctors who believe that the risk is too great.

 

"I don't think he's getting criticism from the person stuck in his house and saying, I can't stay here for the next six months. I think the criticism is probably coming from his political opponents," said Will. "I don't think the solution is saying, okay people, stay in your house 'til the day you die. I don't think that's a realistic alternative."

 

 

Shelby County confirms additional cases

The Shelby County Health Department, in consultation with the Centers for Disease Control and Prevention (CDC) and Indiana State Department of Health (ISDH), has confirmed additional cases of novel coronavirus in our county. All individuals are asked to isolate at home if not admitted to a hospital. It is your social responsibility to continue social distancing.

 

The county is working closely with all our partners to identify any people who have come in contact with confirmed patients who might have been exposed ensuring that appropriate precautions are taken in accordance with the latest CDC guidance.

 

At this time, we ask all our residents to stay home unless you need urgent supplies or are receiving care. If you are in a job that is still open, please only go to work if you are not ill.

 

If you are ill, please CALL your medical providers office or 317-392-DOCS for further instructions. Please do not just show up to receive medical care. If it is a true emergency please call 911 and give specific details to the dispatcher for the quickest possible assistance.

 

Local Health Officer, Dr. Chris Loman is working with his co-workers at Major Health Partners and Shelby County Health Department to provide care and guidance.

 

Symptoms of novel coronavirus include fever, cough and shortness of breath. Like influenza, human coronaviruses most commonly spread from an infected person to others through:

  • Respiratory droplets released into the air by coughing and sneezing;
  • Close personal contact, such as touching or shaking hands;
  • Touching an object or surface with the virus on it, then touching your mouth, nose, or eyes before washing your hands; and
  • Rarely, fecal contamination.

 

The best way to protect yourself from any respiratory illness, including the flu, is to:

 

Disinfecting CDC Link   https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-       disinfection.html