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© Cerner Corporation. All rights reserved.
PREPARING YOUR WORKFORCE TO RETURN TO WORK
© Cerner Corporation. All rights reserved.
WELCOME!Helpful tips for today’s webinar
Audio/technical Use the chat tool to reach out to the host
Q&AUse the Q&A feature to ask questions to the presenter, questions will be answered at the end of the webinar
RecordingThis webinar will be recorded and shared to attendees
© Cerner Corporation. All rights reserved.
Today’s speaker:
Gerry Stanley, MDChief Medical Officer, Cerner Workforce Health Services
© Cerner Corporation. All rights reserved.
CERNER WORKFORCE HEALTH SERVICESCOVID-19Response
Our number one priority is the same as yours…
THE SAFETY OF YOUR EMPLOYEES
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
RETURN TO WORK CONSIDERATIONSCOVID-19Response
© Cerner Corporation. All rights reserved.
RETURN TO WORK CONSIDERATIONSCOVID-19Response
© Cerner Corporation. All rights reserved.
COVID-19Response
RESPOND• Clinically-driven• Outline via the U.S. Centers for Disease
Control and Prevention (CDC)
© Cerner Corporation. All rights reserved.
COVID-19Response
RECOVER• Business driven• Clinically-guided by CDC
recommendations
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
RETURN TO WORK CONSIDERATIONS
CDC guidelines• Handwashing
• Hygiene
• Masks
• Critical workers
COVID-19Response
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
COVID-19ResponseMASKS
CDC GUIDANCEHANDWASHING
HYGIENE
MASKS
© Cerner Corporation. All rights reserved.
COVID-19ResponseMASKS
CDC GUIDANCEHANDWASHING
HYGIENE
MASKS
© Cerner Corporation. All rights reserved.
COVID-19Response
CDC GUIDANCEHANDWASHING
HYGIENE
MASKS
MASKS
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
COVID-19ResponseCONSIDERATIONS
TEMPERATURE TESTINGSITE SPECIFIC CONSIDERATIONS
OUTSOURCED TEMPERATURE SCREENING
TRAINING YOUR PERSONNEL TO SCREEN
© Cerner Corporation. All rights reserved.
COVID-19ResponseCONSIDERATIONS
TEMPERATURE TESTINGSITE SPECIFIC CONSIDERATIONS
OUTSOURCED TEMPERATURE SCREENING
TRAINING YOUR PERSONNEL TO SCREEN
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
COVID-19ResponseRN COORDINATION
QUESTIONNAIRES
RN COORDINATION
SYMPTOM TRACKERS
RETURN TO WORK GUIDANCE
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
COMPREHENSIVE VIRTUAL CARECOVID-19Response
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
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
© Cerner Corporation. All rights reserved.
THANK YOUCOVID-19Response
Submit your questions to the host via the “Q&A” function
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