Muskoka District Council - Health Services Department Update - COVID-19 Health Services Department - Muskoka Ratepayers' Association
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Health Services Department Muskoka District Council Health Services Department Update – COVID-19 May 19, 2020
Overview • Current information summary from the Simcoe Muskoka District Health Unit • Provincial, regional and local planning work • Divisional statuses and activities • Next steps
Current COVID-19 Activity
Muskoka COVID-19 Case Status
Number of
Recovered In-Hospital Deceased Other
Cases
Bracebridge 2 1 1
Gravenhurst 6 6
Huntsville 7 6 1
Georgian Bay 0
Lake of Bays 1 1
Muskoka Lakes 3 2 1
District 19 16 1 1 1
As of May 14, 2020; 10:00 a.m. E.T.Current COVID-19 Activity
• Simcoe Muskoka:
– Cases are split between male (42%) and females
(58%)
– Most cases are in the age groups of 18 to 34
years (23%) and 45 to 64 years (31%) ; 31% of
cases are 65+ years
– Most common co-morbidities reported:
hypertension (19%), diabetes (11%) and asthma
(7%)
– Most common acquisition types: community
acquisition (31%), close contact to a case (28%)
As of May 12, 2020COVID-19 Activity • The response to a possible second wave in late fall/winter will depend upon immunity, public health and social distancing measures, and the capacity of the broad health system • This is not just a disease affecting the elderly, most of our cases are among adults between 35 and 64 years of age.
Provincial & Regional Organization OH Central Zone includes the District of Muskoka, the County of Simcoe, York Region, Peel Region, Halton Region and a portion of the City of Toronto
Local Organization • Central Region COVID-19 Planning and Implementation Local Response Table • Simcoe Muskoka Pandemic Planning Meeting (Community Field Hospitals and Natural Death Surge) • Community Assessment Centres working group • Congregate setting daily monitoring working group • Numerous weekly communication meetings with Public Health, Ministry officials, municipalities, community partners and professional organizations including Advantage Ontario and the Ontario Association of Paramedic Chiefs
Long-Term Care Provincial Situation: • 256 outbreaks at Ontario’s 626 long-term care accounting for 41% of all homes • LTC now accounts for more than three quarters of all COVID-19 deaths (1,269 people) As of May 13, 2020
Long-Term Care • Several provincial Emergency Orders have been issued: – Work deployment – Limiting work to a single LTC home – Streamlining requirements for LTC homes – Management of LTC homes in outbreak – Provincial appointed management
Long-Term Care
• A comprehensive directive from the provincial Chief
Medical Officer of Health was issued mandating:
– Active screening of residents, staff and essential visitors
24/7; twice per shift/visit
– Use of PPE for staff and essential visitors
– Preventing resident and staff cohorting
– COVID-19 preparedness
– Outbreak management and testing protocols
– Management of food and product deliveries
– Communication with residents, families, staff and the
publicOperational Changes at The Pines • Dedicated isolation area stocked and at the ready • Additional staff scheduled across the home including housekeeping staff 24/7 to clean all high touch areas with chemicals that specifically kill the virus • Staff uniforms are washed at the Pines to avoid the need for staff to bring/wear items to and from home • Social distancing of residents and staff, including activities and a second sitting added to each meal period • Ongoing, prompt and consistent communications / updates to all families, residents and employees
Staffing at The Pines • Recruitment of front-line staff has been a Corporate priority with 31 new staff have been hired since March resulting in nearly a full staff compliment • Introduced a temporary position, Resident Care Aides (RCA’s) who are responsible for portering of residents, assisting with feeding of residents, performing general laundry and housekeeping duties so that PSWs, housekeeping and laundry staff may focus primarily on the specialized tasks required to keep our residents safe and well • Contingency agreement with a staffing agency in place
COVID-19 Testing • May 4th to May 7th , COVID-19 testing of all residents and staff working at the Pines was completed • The goal of this provincially mandated testing was to proactively identify cases of the virus that are difficult to diagnose, including asymptomatic cases • May 13th the Simcoe Muskoka District Health Unit provided the results for the Pines with no COVID- 19 positive cases • Testing results support that the many measures taken by staff and residents to prevent the spread of the virus have been very effective
Paramedic Services • Self screening at the start of shift for every paramedic • Detailed screening occurring at the Ambulance Communication Service • Mandatory point of care risk assessment performed by Paramedics before patient interaction • Mandatory protocols and procedures for suspected and confirmed COVID-19 patients
Muskoka Paramedic Services
Call Volume Changes
2020 vs 2019 – March 10 to May 10
Difference Percent difference
Total Number Year Year
between 2020 between 2020 and
of Calls 2020 2019
and 2019 2019
Over Call Volume 1,105 1,485 -380 - 26%
Inter-facility
145 280 -135 - 48%
Transfers
LTC/Retirement
107 195 -88 - 45%
Homes – Pickups
LTC/Retirement
66 142 -76 - 54%
Homes – Returns
Mental Health 40 44 -4 - 9%
Opioid 6 12 -6 - 50%Staffing in Muskoka Paramedic Services • 21 new recruits were hired, representing an increase of 10 staff compared to past years • Additional staff available for contingency and potential surge activity • Orientation and onboarding of new recruits was primarily completed virtually
Emergency Planning • Regular meetings of the District’s Emergency Control Group • A real-time information sharing portal is available for Area Community Emergency Management Coordinators related to the pandemic • Risk of flooding remains low in the District • 98,000 sand-bags are on-hand in the District
Community Assessment Centres • 2 locations are operational • Huntsville District Memorial Hospital, Building B, 100 Frank Miller Dr. • Rotary Centre for Youth Bracebridge, 131 Wellington St. – Hours: Monday to Friday 10:00 a.m. to 6:00 p.m. • Testing is occurring through numerous channels in addition to the Assessment Centres
Community Assessment Centres
• Key activities:
– Participated in initial site investigation, visits,
selection and IPAC assessment
– Supplied materials for start up (non PPE related)
– Supported Bracebridge location with rental of
building and internal tenting structure costs
– Assisted with facilitating repairs to building
– Ongoing support in steering committee meetings
– Community Paramedics assisting with testing in
communityCommunity Paramedics • Supporting the operation of the Assessment Centres through testing in the community • Deploying to locations where mass resident and staff testing is occurring • Responding to isolated individuals in need of testing who are not able to attend Assessment Centres
Health Link • Serving 85 clients remotely via telephone, email and conferencing • Coordinating delivery of essential supplies • Assisting with transitions from hospital to long-term care home options • Gathering data from all health organizations and sharing the information for the clients needs
Fairvern Redevelopment • Full redevelopment application for a new 160 bed home submitted as planned on March 21, 2020 • Project plan proceeding on-time with the procurement process underway for the primary design architect
Status of Other Key Projects
• Muskoka and Area Ontario Health Team:
– Development of the Team has paused and focused on
pandemic response and coordination of future service
resumption.
• Extendicare Review:
– Project work was ready to begin just prior to the Pandemic.
Project work has been paused.
• Community Safety and Wellbeing Plan:
– Plan development has not commenced. An extension on
the completion requirement for 2021 is expected from the
Province.Next Steps • Continuous focus on supply of PPE • Cautiously resume admitting new residents at the Pines • Support broad testing of people residing in at-risk congregate settings • Continuously maintain robust contingencies and plan for recovery • Advocate and pursue additional funding to cover increased operating costs
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