Kaleida Health COVID-19 Update

November 10, 2020

Good afternoon,

Welcome to a new week. We are clearly in a new wave of the coronavirus infection, but we are in a better position than we were last year. We now have both experience and insight that comes from a year of challenges. November 10 is a day filled with historic events. It is Oishei Children’s Hospital’s 3rd anniversary of opening on the Buffalo Niagara Medical Campus. It was also on this date in 1775 that the United States Marine Corps was formed. It is one day shy of Veterans Day. We pause to remember the sacrifices of so many.

Bottom Line Up Front

• Mini Grand Rounds: Management of Carpal Tunnel Syndrome • COVID-19 Updates o Hospital Census o New York State COVID Dashboard o National Trend • Important Updates o Upstate University Hospital quarantines 36 doctors exposed to coronavirus at Halloween party • Hospital Updates o Interim Guidance for the Prevention of High-Risk OR Fires • Practice Updates o Six codes to remember as COVID-19 cases surge across the country o Erie County Department of Health COVID-19 Testing Sites o Webside Manner • Patient Education Opportunity o Healthy U: Tips for Managing Type 2 Diabetes • Learning Opportunities o November 12 Training on Addressing Veterans’ Social Needs o Veterans Matters: Suicide in Veterans Webinar

Mini Grand Rounds: Management of Carpal Tunnel Syndrome

• When: Wednesday, November 11, 2020 • 7:30-8 a.m. • Audio participation only: Dial: 1-716-859-7444 Enter Conference ID: 1142805 • Virtual seating capacity is 250 participants • Click HERE to join Skype meeting

COVID-19 Updates

Hospital Census

New York State COVID Dashboard

• NYS has implement new rules and restrictions directly target areas with the highest transmission of COVID-19 cases and surrounding communities • This will apply to much of New York State, and almost all of Western New York • To learn more: https://forward.ny.gov/

National Trend

[US in light green; Spain in dark green; India in red/orange]

• Cases continue to rise across the nation. It took 10 days for the total number of cases to climb from 8 million to 9 million • In the past 24 hours, we have seen 119.94K new cases • There have also been 472 deaths • Nationwide the positivity rate is at 8.122% (up from 6.63% last week) • The largest number of new cases continue to be in Illinois, Michigan, and California • Internationally, the largest number of new cases are in Spain and India, but both nations trail far behind the United States • Source: https://coronavirus.jhu.edu/

Important Updates

Upstate University Hospital quarantines 36 doctors exposed to coronavirus at Halloween party

• Upstate University Hospital has quarantined 36 doctors in training who were exposed at an off- campus Halloween party last weekend to a co-worker who tested positive for coronavirus. • This is an important reminder for all of us to be conscious of our behavior and the risk we might be taking for ourselves and our colleagues. • To see the article: https://www.syracuse.com/coronavirus/2020/11/upstate-university-hospital- quarantines-36-employees-exposed-to-coronavirus-off-campus.html

Hospital Updates

Interim Guidance for the Prevention of High-Risk OR Fires

• Nationally, the incidence of OR fires is not decreasing; 85% of all fires are in elective, high-risk cases • Having a fire is not acceptable • A collaborative team effort with surgery, anesthesiology and nursing offers the best approach to prevent this “never” event • See Kaleida Health’s full guidance for preventing high-risk OR fires at: https://www.kaleidahealth.org/kyi/news/?i=15042

Practice Updates

Six codes to remember as COVID-19 cases surge across the country

• The American Academy of Family Physicians has organized several key billing codes that will be important as practices see an increased volume of cases • Their article can be seen at: https://www.aafp.org/journals/fpm/blogs/inpractice/entry/key_covid_codes.html

Erie County Department of Health COVID-19 Testing Sites

• The ECDOH has organized a directory of available testing sites across Western New York • This can be found at: https://www2.erie.gov/health/index.php?q=covid-19-testing-information

Webside Manner

• As we begin to face the possibility that the latest wave of COVID-19 will require increased use of telehealth, this is a good time to re-focus on “webside manner.” This is ability to effectively care for and communicate with your patient remotely • To learn more: https://www.advisory.com/research/physician-executive-council/resources/posters/webside- manner

Patient Education Opportunity

Healthy U: Tips for Managing Type 2 Diabetes

• Kaleida Health offers a monthly free virtual community education class called “Healthy U” • This month focuses on managing type 2 diabetes • When: November 20 at noon • Live video on Kaleida Health’s Facebook page • Please share this information with your patients and their families • For more information: https://www.kaleidahealth.org/kyi/news/?i=15027

Learning Opportunities

November 12 Training on Addressing Veterans’ Social Needs

• The Greater New York Hospital Association will continue its Social Determinants of Health Learning Series with a November 12 webinar during which LegalHealth, a division of the New York Legal Assistance Group, will conduct a training on addressing veterans’ social needs • The training will focus on veteran status as a social determinant of health, the importance of screening for veteran status, available benefits, and potential legal issues for the veteran population • This training will help healthcare providers, social workers, care and case managers, and other staff to mitigate economic hardship and increased health and social risks affecting veterans in their patient population • Date: Thursday, November 12, 2020 • Time: 1-2:30 p.m. • Registration: https://attendee.gotowebinar.com/register/7971215620080733963

Veterans Matters: Suicide in Veterans Webinar

• The Medical Society of the State of New York is hosting a Continuing Medical Education (CME) program entitled Veterans Matters: Suicide in Veterans live webinar • November 23, 2020 at 7:30 a.m. • Faculty: Jack McIntyre, MD • Educational Objectives: o Address the causes and warning signs of suicide and suicidal behavior among veterans o Explore evidence-based diagnostic, intervention, and treatment options o Identify barriers to identification and treatment in military culture and methods to overcome them • For more information, contact Jangmu Sherpa at [email protected] or call (518) 465-8085

Today's theme is about communication and how we communicate. As a profession, communication is at the heart of who we are and who we should be. Embracing the Latin root for the word, communis – literally to make public – it was our ability to communicate, to teach one another and to share what we learned that separated the medical professions from the ranks of pseudo-mystics and charlatans who were once our peers. Today we are faced with a new world and a new challenge. The old ways by which we communicate are no longer sufficient for the challenges of 2020. Internally, we have taken the first skittish steps towards a new way of embracing the world. Technologies, like the common electronic health record have offered us a different way of engaging with one another, forging a more complete understanding of the patient and the world in which they live, but this benefit only goes so far. Today I would challenge you that we must do better, and we must move faster. Our audience – our patients – are no longer looking to us as the first source of truth. The aging pile of informational pamphlet sitting in our exam rooms have been supplanted by a whole new generation of technology that provides rapid and dynamic if not always accurate information. This is our competition. Progressively, we find ourselves competing against websites and television shows for patient’s attention. It is the reality of 21st century communication. Today, however, marks the 54th anniversary of the first episode of Sesame Street. From the distance of a half-century it is hard to appreciate what a transformative moment that was. Sesame Street marked the first time that television sought to meet children where they were. We need to learn from this example. As a profession, we need to take the initiative in reaching out to patients and meet them where they are. We need to refocus what we say and how we say it. We must embrace new technology and combine it with our best traditions as we search for new ways to embrace our colleagues our patients and our community.

David P. Hughes, MD, MPH EVP, Chief Medical Officer, Kaleida Health

Kenneth Snyder, MD, PhD Chief Physician Quality Officer, Kaleida Health

Jamie Nadler, MD Medical Director of Quality and Patient Safety, Kaleida Health

David Pierce, MD CMO, Buffalo General Medical Center/Gates Vascular Institute Michael Mineo, MD CMO, Millard Fillmore Suburban Hospital

Stephen Turkovich, MD CMO, Oishei Children’s Hospital

Richard Charles, MD CMO, General Physician, PC

Thomas Hughes, MD CMO, Optimum Physician Alliance

Questions If you have questions, please reach out ([email protected]) and we will do our best to get you the information you need.