Before the COVID-19 pandemic struck, Greene County General Hospital in Linton, Indiana, faced challenges in providing access to care because the area has transportation barriers. THE PROBLEM Greene County spans 546 miles, and has a population of about 30,000. Even though the healthcare organization offers four rural health clinics throughout the county,
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Michigan COVID-19 Resources
Updated July 21st, 2020 -The “MI Safe Schools Return to School Roadmap” is a 63-page document that outlines coronavirus (COVID-19) safety protocols for each phase of Whitmer’s reopening plan.
“Our students, parents and educators have made incredible sacrifices during our battle with COVID-19,” Whitmer said. “Thanks to our aggressive action against this virus, the teachers who have found creative ways to reach their students, and the heroes on the front lines, I am optimistic that we will return to in-person learning in the fall.”
Whitmer’s plan outlines ways for schools to protect teachers, students and everyone involved in returning to in-person learning.
- Here are all 140 executive orders issued by Whitmer during COVID-19 pandemic
- List of Michigan executive orders that are still active
- Here’s how all 83 Michigan counties are divided into regions in Gov. Whitmer’s reopening plan
The safety protocols detailed in the roadmap include guidance on the use of personal protective equipment, good hygiene, cleaning/disinfecting, spacing in classrooms, screening for symptoms, athletics and more.
Michigan COVID-19 News Updates
Encouraging the use of telehealth services during the COVID-19 emergency
May 14, 2020
Here are the 6 stages in Michigan Gov. Gretchen Whitmer’s plan to fully reopen the state
The MI re-opening plan has six phases as outlined here - https://www.michigan.gov/coronavirus/0,9753,7-406-98158-528453--,00.html
The phases of the pandemic include:
1. UNCONTROLLED GROWTH
The increasing number of new cases every day, overwhelming our health systems.
- If a community remains in this phase for an extended period of time, healthcare facilities could quickly be overwhelmed. Because unmitigated behavior contributes to the exponential growth, communities can slow the growth rate and exit this phase by introducing social distancing practices and wearing masks when in public.
2. PERSISTENT SPREAD
We continue to see high case levels with concern about health system capacity.
- There are still high case levels, but the growth rate might gradually decrease. Within this phase, the epidemic is widespread in a community and source of infection is more difficult to trace. Even though the growth rate of new cases is decreasing, high volumes of infected individuals mean that health systems could become overwhelmed, leading to higher mortality rates. During this phase, it is important to maintain social distancing practices in order to slow the spread to a level that health systems can handle as they are continuing to build capacity.
The epidemic is no longer increasing and the health-system’s capacity is sufficient for current needs.
- Because new cases are not constantly increasing, health system capacity has time to expand to epidemic needs and is not typically overwhelmed. During this phase, testing and contact tracing efforts are ramped up statewide. To prevent each infected individual from spreading the virus unchecked, rapid case investigation, contact tracing, and containment practices are necessary within a community.
Cases, hospitalizations and deaths are clearly declining.
- When in the Improving phase, most new outbreaks are quickly identified, traced, and contained due to robust testing infrastructure and rapid contact tracing. Health system capacity can typically handle these new outbreaks, and therefore case fatality rate does not rise above typical levels. Though a community might be in a declining phase, the overall number of infected individuals still indicate the need for distancing to stop transmission and move to the next phase.
Continued case and death rate improvements, with outbreaks quickly contained.
- At this point, the number of active cases has reached a point where infection from other members of the community is less common. With widespread testing, positivity rates often fall much lower than earlier phases. Rapid case investigation, contact tracing, and containment strategies cause new cases to continue to fall. However, if distancing and other risk mitigation efforts are not continued, infections could begin to grow again because a permanent solution to the epidemic has not yet been identified.
Community spread not expected to return.
- Reaching this phase would mean that community spread is not expected to return, because of sufficient community immunity and availability of treatment. Because of this, the number of infected individuals falls to nearly zero and the community does not typically experience this strain of the epidemic returning. All areas of the economy reopen, and gatherings of all sizes resume.
“The worst thing we can do is open up in a way that causes a second wave of infections and death, puts health care workers at further risk, and wipes out all the progress we’ve made. That’s why we will continue to monitor the spread of this virus, hospital capacity, testing rates, and more as we work toward reaching the ‘improving’ phase,” Whitmer said.
RELATED LINK: Whitmer Extends Stay Home, Stay Safe Order To May 28
Michigan Policy Updates from Michigan.gov coronavirus updated May 11, 2020
- Executive Orders, Directives & FAQs
- COVID-19 Updates from MDHHS
- News Releases from the State Emergency Operations Center
- News Releases from the Executive Office of the Governoration.
- Executive Orders
- Medicaid Policy
ASPPB - State Psych Boards and licensing changes due to COVID-19. direct link to the document from their website is here: Michigan is on page 17- Released on April 1, 2020
- COVID-19 Response: Telemedicine Policy Expansion - Prepaid Inpatient Health Plans (PIHPs)/Community Mental Health Services Providers (CMHSPs) Implications – Issued March 20, 2020
- COVID-19 Response: Relaxing Face-to-Face Requirement – Policy update for Medicaid, Children Special Health Care Services, Flint Waiver, Healthy Michigan Plan – Issued March 18, 2020
- General Telemedicine Policy Changes; Updates to Existing Policy; Federally Qualified Health Center and Rural Health Clinic Policy Changes – This policy expands the definition for originating site and updates reimbursement information. It was not released in response to COVID-19 but includes many changes that went into effect March 1, 2020.
- Medicaid will allow homes to be an eligible originating site
- Expansion of Telemedicine Policy, including telephonic only communication.
Whitmer Administration Expands Telemedicine, Urges President Trump to Permit ACA Special Enrollment Period During COVID-19
Proposed Medicaid Policy 2021-Telemedicine
The following proposed policy has been issued for public comment:
- 2021-Telemedicine - COVID-19 Response: Telemedicine Policy Expansion; Prepaid Inpatient Health Plans (PIHPs)/Community Mental Health Services Programs (CMHSPs) Implications.
Comments may be forwarded to the e-mail or address noted on the policy's transmittal sheet.
Proposed Medicaid policies may be accessed here on the MDHHS website.