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what our primary care clinic is doing, at least for now, during #COVID19

1) providers call every pt on our schedule without an urgent visit or need to be seen in person. Switch to a phone or video visit, or postpone.

2) all patients w/ respiratory symptoms go on 14d quarantine
3) no more than TWO pts per hour on site ONLY for physical exams. then they go home or to the car. take history, schedule follow up by phone.

4) many have said but I will repeat ... patients with mild cold symptoms do NOT go to a health care facility. Triage and treat by phone
5) skeleton crew on site. Anyone who can work by phone will do so, including docs.

6) diagnose and treat influenza and strep throat empirically. #COVID19 testing at drive through sites (will open soon)

These are tough measures and they’ll likely change
If someone needs to be seen in person they will

But health care sites like offices are going to be dangerous given that people with symptoms from many different social circles will be in one place

So please please encourage people to call first before going to the office
Additional steps we are taking or discussing:
- staff work from separated exam rooms to socially distance
- split up each weekend call to lower the burden on each provider
- was not emphasized earlier but so important to protect front desk staff and transition to virtual
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