- Are hospitals testing all patients (hotspot)?
- Are positive asymp patients counted as C19 hosps?
- Do multiple positives for one person = multiple cases?
- Are foreign cases counted?
@boriquagato @EthicalSkeptic
1/22
Could not find a state-wide rule for hospitals, but Stanford Health Care is testing patients before most procedures. Positives allowed to proceed with procedure on case-by-case basis. Medical staff and employees are tested regularly.
2/22
stanfordhealthcare.org/stanford-healt…
6/9: California’s state-run psychiatric hospitals will conduct mandatory testing on all patients and workers: baseline first and then monthly.
This will add a new detection hotspot for CA moving forward.
3/22
sacbee.com/news/politics-…
6/7: Many American citizens/perm residents crossing from Mexico to CA (and AZ) for C19 care
"Now we have a surge in the Imperial Valley because the situation is so severe in Mexicali."
2.5X increase in Imperial County; over half of Chula Vista
4/22
nytimes.com/2020/06/07/us/…
6/9: "Every patient admitted to a UCHealth hospital will now automatically be tested for COVID-19, effective immediately."
Will be a new hotspot for cases in CO.
5/22
kdvr.com/health-3/uchea…
5/28:
"UMC is now testing for COVID-19 all patients admitted to the hospital."
"UMC also tests all patients who visit UMC for elective surgeries and outpatient procedures that do not require admission to the hospital."
6/22
reviewjournal.com/local/local-la…
5/20:
"Vanderbilt UMC officials told News 2 that they are now testing all patients who are admitted to the hospital for COVID-19."
"...if you are then admitted to the hospital as an inpatient, you will then be swab tested for COVID-19."
7/22
wkrn.com/news/local-new…
4/20:
"UPMC said all patients, even those without COVID-19 symptoms, will now be tested for the coronavirus when they come into hospitals for 'essential' surgical procedures."
8/22
wtae.com/article/upmc-t…
6/8:
Starting today, the hospital will begin universal COVID-19 testing for all patients admitted through the Emergency Department, as well as all obstetrics patients, Dallarda said. Testing will expand Wednesday to include direct admissions.
9/22
mauinews.com/news/local-new…
5/13:
"Iowa’s three hospital systems said they will test all patients for COVID-19."
"Asymptomatic patients coming in for elective surgeries will receive outpatient tests during a pre-surgery appointment and know the results within a day or two"
10/22
kcci.com/article/iowa-h…
4/27:
"Starting April 27, 2020, BMC will move to testing all patients being admitted to the hospital."
For asymp patients, "If the test is positive, admit to a COVID floor."
11/22
bumc.bu.edu/id/covid-19-re…
5/21:
"On May 11, Abbott ordered testing of all nursing home residents and staff."
"...directed the state HHS Commission to expand COVID-19 testing to all patients, residents and staff at Texas’ 23 state-operated inpatient psychiatric hospitals and living centers."
12/22
(cont.)
"Abbott said, 'we are better equipped to identify and mitigate these potential hot spots…'
"The new round will include those who have shown no signs of COVID-19 or have not been tested within the last 30 days."
13/22
statesman.com/news/20200521/…
I found no state-wide mandate to test all patients, but I searched one large hospital and found this:
"All patients will be tested for active infection…"
14/22
bayloruptown.com
6/2:
"We’re conducting COVID-19 testing for all admitted patients and have taken many other steps to ensure patient and provider safety."
"Patients who’ve been diagnosed with COVID-19 are isolated away from the rest of the patient population"
15/22
wexnermedical.osu.edu/mediaroom/pres…
4/29:
"Elective surgeries are expected to resume Friday in Arizona with a prerequisite for patients: a negative COVID-19 test."
Mexico crossings: "In Yuma Co, cases have more than doubled since Memorial Day, rising to 1,510 by Friday."
16/22
webcache.googleusercontent.com/search?q=cache…
"Patients who need to have emergency or more urgent surgery will be tested for C19 if time allows, based on the urgency of the situation"
"An analysis by the Arizona Hospital and Healthcare Association shows Arizona hospitals are reporting revenue losses of 30%-40%"
17/22
5/6:
"The S.C. Department of Health and Environmental Control (DHEC) says it will test residents and staff members at every nursing home in the state for COVID-19."
^^^Started 5/11 with completion end of May.
18/22
wltx.com/article/news/l…
"This table represents volume of tests received and not distinct individuals tested. Individuals could have multiple tests."
19/22
scdhec.gov/infectious-dis…
5/1:
Test reporting in VA includes all tests and all positives even if it's the same person being tested multiple times.
~10% of C19 positive people are tested multiple times.
20/22
whsv.com/content/news/V…
ASA/APSF
4/29 (Updated 6/3):
"Patients reporting symptoms should be referred for additional evaluation. All other patients should undergo nucleic acid amplification testing (including PCR tests) prior to undergoing non-emergent surgery."
21/22
apsf.org/news-updates/a…
England
Noticed this while searching. Add this to hospital hotspot testing:
"Up to 1/5 of patients with C19 in several hospitals contracted the disease over the course of the pandemic while already being treated there for another illness"
22/22
theguardian.com/world/2020/may…