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Supporting Staff During COVID-19

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Supporting Staff During COVID-19

  1. 1. 1 Dec 2021
  2. 2. 48,454,229 cases on 11/30/21 with 778,870 deaths COVID-19 in the United States: TOTAL
  3. 3. COVID-19 Hot Spots
  4. 4. New Reported Cases – United States
  5. 5.
  6. 6. Omicron -B.1.1.529 Variant • New Variant of Concern (VOC) from S. Africa – Only 24% of population immunized! – Infections have increased steeply – Seems to be highly infectious • Highly mutated around the Spike protein – 43 spike protein mutations, compared to 18 for Delta variant
  7. 7. Omicron • We’re still dealing with Delta variant – 99.9 percent of our samples – Sequencing ~80,000 samples each week • One in seven positive PCR samples • Symptoms? • More mild – this was reported in younger • Dr. Fauci “be careful of bread crumbs”
  8. 8. Will vaccines cover for Omicron? • A surge of protective antibodies after a booster shot would likely still be formidable against Omicron, helping to prevent severe illness, Dr. Fauci said – ~100 million Americans without a booster • Pfizer, Moderna: They could have a modified vaccine ready in ~100 days – They already had been working on it!
  9. 9. Molnupiravir – FDA Evaluation • Lagevrio (Molnupiravir) – ‘False’ nucleoside instead of real cytidine (C) – Stops RNA strand production • About 50 percent effective when given within five days of the onset of symptoms
  10. 10. COVID-19 Vaccinations Across the Nation
  11. 11. COVID-19 Boosters Across the Nation
  12. 12. Percent Fully Vaccinated by State for the Total Population
  13. 13. Trusted Resources • Johns Hopkins • CDC • WHO: • Others
  14. 14. Reflections on COVID-19 as a Leader: Tim Kearney, Chief Behavioral Health Officer • Standing alongside staff • Stress in America Findings – One in three Americans said sometimes they are so stressed about the coronavirus pandemic that they struggle to make even basic decisions • Increasing demand for behavioral health roles • Challenges for Behavioral Health providers: – Busy schedules with fewer no-shows and more challenging visits – Balancing upkeep of client relationships with school policies – Staff requirements to be onsite; be flexible wherever possible • Embrace qualities of home-life, as appropriate (e.g., pets, kids) • Opportunity to train the next generation in the hybrid model
  15. 15. Reflections on COVID-19 as a Leader: Veena Channamsetty, Chief Medical Officer • Positive aspects of working from home • Work-life balance boundaries have become blurred and professional boundaries may need to be re-established • Working from home presents new stressors – Children’s needs – School needs – Family illnesses • Balance of telehealth vs in-person • Workforce shortage and support
  16. 16. Reflections on COVID-19 as a Leader: Mary Blankson, Chief Nursing Officer • Addressing and continuing Team-Based Care with gaps in staffing and some staff remote – Re-evaluate the FTE needed to support a panel – Re-evaluate priorities to address during clinic visits – Coordinate remote and onsite staff logistics – Evaluate success of remote assignments – Recognize patient preferences to be remote or onsite – Addressing incident to care for telehealth visits • Impact of the Great Resignation
  17. 17. Employee Retention • Provide staff with platforms to be heard – Town halls – Listening sessions – One on one meetings – Clear plan for follow up • Recognize and appreciate staff – Salary reviews – Bonuses – Lunches & thank you’s
  18. 18. Recruitment Efforts • Diversifying staff, such as hiring other certified clinical staff, such as CNAs and EMTs • Market research • Sign on bonuses • Provider recruitment/retention • BH recruitment/retention
  19. 19. Acknowledging Rising Leaders Acknowledge individuals who have risen up to support patient care and colleagues in response to COVID-19. • Natalie Bycenski, Senior Nurse Manager and Infection Control and Immunization Specialist at CHC, Inc.
  20. 20. Lessons Learned & Promising Practices • The pandemic affects everyone • Telehealth & service delivery impacts are not going away • Establish platforms for staff feedback and define a process for feedback follow up • Proactive appreciation and ongoing market analysis
  21. 21. Resources • Stress in America™ 2021: Pandemic impedes basic decision-making ability

Editor's Notes

  • 12/1: Welcome everyone – today’s topic is Supporting Staff During COVID-19
  • 11/30/21
    28-Day: 2,315,007 | 30,148
    Totals: 48,454,229 | 778,870

  • Intro: Here you can see from the map the ‘hot spots’ occurring around the country. The Darker colors mean more active infections

    ahead of Thanksgiving, the country was averaging about 95,000 new cases a day, an increase of about 25 percent over two weeks. That uptick has been fueled largely by worsening conditions in the Upper Midwest and Northeast.
    Many health departments will not report data on Thanksgiving, and some will not return to normal reporting until after the holiday weekend. The Times has changed how it calculates its case curve to help lessen the effects of inconsistent data reporting over the holidays.
    Michigan leads the country in recent cases per capita. The state is averaging more than 8,000 new cases a day.
    Reports of new cases are up more than 80 percent over the last two weeks in Massachusetts and up more than 70 percent in Illinois.
  • 11/30: Resistance to the decline we saw…
  • 11/30: Hard data…
    More testing is being done – other respiratory viruses out there!
    Hospitalizations are over 50000
    Deaths are lower – but still seem quite high…
  • ritonavir helps slow the metabolism, or breakdown, of PF-07321332 in order for it to remain active in the body for longer periods of time at higher concentrations

    Phase 2/3 EPIC-PEP (Evaluation of Protease Inhibition for COVID-19 in Post-Exposure Prophylaxis) to evaluate efficacy and safety in adults exposed to SARS-CoV-2 by a household member.
  • Molnupiravir

  • 11/30:
    Nearly 60 percent of Americans are fully vaccinated. Many health officials have said that fully vaccinated people can celebrate Thanksgiving in relative safety.

  • 11/30: just a couple of weeks ago: Total boosted was 15.4% now…up to 20.5%
    Elderly boosted – 36.1%.... Now up to 43.7%

  • 11/30:
    Connecticut now 71.9 up from 70.8% 2 weeks ago
    Vermont: now 72.9 up from 71.3%
    Puerto Rico – doing very well: 74.1 up from 73.6% immunized
    Alaska – 54.1 up from 52.7%
  • Tim
  • Veena
  • Mary
  • Veena, Mary
  • Mary, Tim
  • Mary
  • Tim, Veena, Mary