PREPARING YOUR WORKFORCE TO RETURN TO WORK€¦ · High value recommendation. Social distancing ......

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PREPARING YOUR WORKFORCE TO RETURN TO WORK

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Today’s speaker:

Gerry Stanley, MDChief Medical Officer, Cerner Workforce Health Services

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CERNER WORKFORCE HEALTH SERVICESCOVID-19Response

Our number one priority is the same as yours…

THE SAFETY OF YOUR EMPLOYEES

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RETURN TO WORK CONSIDERATIONSCOVID-19Response

“I’m an airline CEO, not a healthcare CEO, but this virus is turning all of us

into a healthcare CEO.”-Ed Bastian

CEO Delta AirlinesApril 22, 2020 Annual Report

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COVID-19Response

RETURN TO WORK CONSIDERATIONS

RESPOND RECOVER REIMAGINE

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RETURN TO WORK CONSIDERATIONSCOVID-19Response

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RETURN TO WORK CONSIDERATIONSCOVID-19Response

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COVID-19Response

RESPOND• Clinically-driven• Outline via the U.S. Centers for Disease

Control and Prevention (CDC)

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COVID-19Response

RECOVER• Business driven• Clinically-guided by CDC

recommendations

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COVID-19Response

• Business driven• Redesigning clinical delivery from our

“lessons learned”

REIMAGINE

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RETURN TO WORK CONSIDERATIONS

1) Understand clinical guidelines from the CDC

2) Understand your options

3) Understand your state’s unique requirements and guidelines

4) Consider your specific HR goals

COVID-19Response

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RETURN TO WORK CONSIDERATIONS

CDC guidelines• Handwashing

• Hygiene

• Masks

• Critical workers

COVID-19Response

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RETURN TO WORK CONSIDERATIONSCOVID-19Response

• Staggering shifts

• 8 hour shifts: 6 ½ working & 1 ½ cleaning

• No visitors

• Limiting to essential workers ONLY

• Site/job specific protection

High value recommendations

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COVID-19Response

Handwashing• 20 seconds with soap and water

• High value recommendation

Social distancing• Six feet or more• High value recommendation

Hand hygiene• Do not touch your eyes, nose or mouth• High value recommendation

CDC GUIDANCEHANDWASHING

HYGIENE

MASKS

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COVID-19ResponseMASKS

CDC GUIDANCEHANDWASHING

HYGIENE

MASKS

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COVID-19ResponseMASKS

CDC GUIDANCEHANDWASHING

HYGIENE

MASKS

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COVID-19Response

CDC GUIDANCEHANDWASHING

HYGIENE

MASKS

MASKS

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RETURN TO WORK CONSIDERATIONSCOVID-19Response

Temperature testing• Site specific

recommendations• Outsourced

temperature screening

• Training personnel to screen

Physician Consultation• CMO for hire• Return to work

notes• Virtual consultation• Contact tracing

Laboratory testing• Polymerase chain

reaction (PCR)• Antibody testing• Special

considerations

Questionnaires• RN coordination• Symptom trackers• Return to work

guidance

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COVID-19Response

• Physical locations

• Volume of employees

• Thermometers

• Personal protective equipment (PPE)

CONSIDERATIONS

TEMPERATURE TESTINGSITE SPECIFIC CONSIDERATIONS

OUTSOURCED TEMPERATURE SCREENING

TRAINING YOUR PERSONNEL TO SCREEN

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COVID-19ResponseCONSIDERATIONS

TEMPERATURE TESTINGSITE SPECIFIC CONSIDERATIONS

OUTSOURCED TEMPERATURE SCREENING

TRAINING YOUR PERSONNEL TO SCREEN

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COVID-19ResponseCONSIDERATIONS

TEMPERATURE TESTINGSITE SPECIFIC CONSIDERATIONS

OUTSOURCED TEMPERATURE SCREENING

TRAINING YOUR PERSONNEL TO SCREEN

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COVID-19Response

TEMPERATURE TESTINGSITE SPECIFIC CONSIDERATIONS

OUTSOURCED TEMPERATURE SCREENING

TRAINING YOUR PERSONNEL TO SCREEN

• Physical locations

• Volume of employees

• Thermometers

• Personal protective equipment (PPE)

Value unknown

CONSIDERATIONS

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COVID-19Response

• Registered nurse (RN) coordination• Symptom tracking (questionnaire)• Return to work guidance

AREAS OF FOCUS

QUESTIONNAIRES

RN COORDINATION

SYMPTOM TRACKERS

RETURN TO WORK GUIDANCE

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COVID-19ResponseRN COORDINATION

QUESTIONNAIRES

RN COORDINATION

SYMPTOM TRACKERS

RETURN TO WORK GUIDANCE

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COVID-19Response

Have you or anyone you are in close contact with…• Traveled out of the country in the

last 30 days?• Traveled on a cruise ship in the last

30 days?

Are you/they currently experiencing any of the following symptoms?• Fever• Severe Headache• Muscle pain

ELECTRONIC SYMPTOM TRACKERS

QUESTIONNAIRES

RN COORDINATION

SYMPTOM TRACKERS

RETURN TO WORK GUIDANCE

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COVID-19Response

• RN coordination

• Symptom tracking (questionnaires)

• Return to work guidance

HIGH VALUE AND PRACTICAL RECOMMENDATION

QUESTIONNAIRES

RN COORDINATION

SYMPTOM TRACKERS

RETURN TO WORK GUIDANCE

QUESTIONNAIRES

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COVID-19Response

• PCR testing

• Antibody testing

• Special considerations

AREAS OF FOCUS

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

PCR AntibodyHow obtained? Nasal swab Blood drawOther names RNA, Polymerase

chain reaction, DNA amplification

IgG, IgM, Serology, “kits,” “CLIA-waived testing”

Does it detect active disease

Yes No

Availability Limited Yes

PCR VS. ANTIBODY TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19ResponsePCR VS. ANTIBODY TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

LAB TESTING

PCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

Day 21Day 0 Day 14Day 7

*This is for demonstration purposes as there is considerable variability

PCR testing is (+)

ONSET OF SYMPTOMS

IgM testing is (+)

IgG testing is (+)

PCR testing is (-)

TIMELINE OF SYMPTOM TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

• Detects ACTIVE Disease

• Available now via nasal swab (just released a home swab)

• Results are (+) or (-)

• Detects the actual RNA of the specific COVID-19 coronavirus mutation

High diagnostic value

PCR TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

• Detects antibodies to the disease

• Available now via blood collection (limited availability

• Many tests of questionable utility

• Results are IgM & IgG (+) or (-)

Unknown value

ANTIBODY TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

Ig M Ig G (+) for C-19 Utility(+) (+) YES Likely actively infectious

(+) (-) YES Likely still contagious

(-) (+) YES Exposed and now potentially immune

(-) (-) Not sure? Good candidate for a vaccine

Unknown value

ANTIBODY TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

Ig M Ig G (+) for C-19 Utility(+) (+) YES Likely actively infectious

(+) (-) YES Likely still contagious

(-) (+) YES Exposed and now potentially immune

(-) (-) Not sure? Good candidate for a vaccine

Unknown value

ANTIBODY TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

Ig M Ig G (+) for C-19 Utility(+) (+) YES Likely actively infectious

(+) (-) YES Likely still contagious

(-) (+) YES Exposed and now potentially immune

(-) (-) Not sure? Good candidate for a vaccine

Unknown value

ANTIBODY TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

Ig M Ig G (+) for C-19 Utility(+) (+) YES Likely actively infectious

(+) (-) YES Likely still contagious

(-) (+) YES Exposed and now potentially immune

(-) (-) Not sure? Good candidate for a vaccine

Unknown value

ANTIBODY TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

• IgG (+) giving a person long-term immunity cannot be confirmed (not medically certain)

• Testing supplies are limited and rationed by the CDC and the FDA

• Media misinformation

• No vaccine, yet

Unknown value

ANTIBODY TESTING

LAB TESTINGPCR

ANTIBODY TESTING

SPECIAL CONSIDERATIONS

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COVID-19Response

1891 painting by Luke Fildes

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COVID-19Response

• Physician consultation and guidanceo Chief medical officer (CMO) advice

o Contact tracing services

• Virtual care and return to work notes

• On-site care

PHYSICIAN EVALUATION

CMO FOR HIRE

RETURN TO WORK NOTES

VIRTUAL CONSULTATIONS

CONTRACT TRACING

CONSIDERATIONS

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COVID-19Response

• Guidance to interpret clinical guidelines

• Assistance with HR to develop unique return to work protocols

• Education for staff/teams about best practices

• Temporary CMO for hire services

• Do you NEED a “Return to Work Letter” from a Physician ?

PHYSICIAN EVALUATION

CMO FOR HIRE

RETURN TO WORK NOTES

VIRTUAL CONSULTATIONS

CONTRACT TRACING

UTILIZING A PHYSICIAN

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COVID-19Response

• Symptom checkers and artificial intelligence (AI) chat-bot

• Physician curated library of medical questions and advice

• Physician consultation and guidance

o Virtual visits for COVID-19 return to work clearance

o Virtual visits for other medical conditions

High value recommendation

PHYSICIAN EVALUATION

CMO FOR HIRE

RETURN TO WORK NOTES

VIRTUAL CONSULTATIONS

CONTRACT TRACING

VIRTUAL CARE

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COMPREHENSIVE VIRTUAL CARECOVID-19Response

Symptom assessment by AI

Searchable physician-written answers to

questionsPhysician-ordered prescriptions and

labs; referrals

Answers to individual questions in 24 hours

or less24/7 virtual doctor visits

Follow-up and reminders

High value recommendation

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COVID-19Response

• If you have a health center…• Provider consultation and guidance

o Virtual or on-site visits for COVID-19 return to work clearance

o Virtual or on-site visits for other medical conditions

High value recommendation

ON-SITE CARE

PHYSICIAN EVALUATION

CMO FOR HIRE

RETURN TO WORK NOTES

VIRTUAL CONSULTATIONS

CONTRACT TRACING

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COMPREHENSIVE VIRTUAL CARECOVID-19Response

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COVID-19Response

RETURN TO WORK CONSIDERATIONS

Respond Recover Reimagine

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COVID-19Response

THINGS TO CONSIDER FOR YOUR BUSINESS…

WHY

WHO

HOW

WHEN

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CERNER SERVICES TO HELP ADDRESS COVID-19COVID-19Response

Digital primary care• Video visits with physician• Searchable physician-written

COVID-19 content

Care coordination• Digital COVID-19 care plans• Virtual check-ins to help care

managers proactively intervene

VIRTUAL CARE

Temperature screenings• Screenings upon arrival to work• Screeners equipped with personal

protection equipment

COVID-19 testing• Testing if recommended• Professionals equipped with PPE

ON-SITE SERVICES

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IN SUMMARYCOVID-19Response

• This is a business decision

• Clinical guidance is recommended

• Highly unique and customized to your workforce and community

• We are here to serve as your guide and resource

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THANK YOUCOVID-19Response

Submit your questions to the host via the “Q&A” function

- Contact us at -

WorkforceHealth@cerner.com