COVID ‐ 19 Webinar for Case Investigation and Follow ‐ up Tools for LBOHs April 21, 2020 Hillary Johnson, Infectious Disease Epidemiologist Scott Troppy, Surveillance Epidemiologist Bureau of Infectious Disease and Laboratory Sciences MA Department of Public Health
Contact Tracing Update Academic Public Health Volunteer Corps A partnership between MDPH, MHOA, and MA Academic Institutions Update to LBOH on April 21, 2020
Academic Partners working with MDPH Boston University, School of Public Health 1. Harvard University T.H Chan School of Public Health 2. Holyoke Community College 3. MCPHS University (Massachusetts College of Pharmacy and Health Sciences) 4. Northeastern University, Program in Public Health 5. Northern Essex Community College, Associates in Public Health 6. Regis College 7. Simmons University, Program in Public Health 8. Tufts University, School of Public Health 9. UMass Amherst, School of Public Health 10. UMass Lowell, Public Health Program 11. UMass Worcester, Medical School, Public Health Program 12.
As of Monday, April 20 Component of Volunteer Assignment Process Number of individuals or * Note that some neighboring LBOHs have chosen to share a team of volunteers towns # of volunteers 1,900 # of LBOH enrolled with APH Volunteer Corps (deployed or 132 planning) # of LBOH doing contact tracing with APH Volunteers 82 # of LBOH* with deployed APH Volunteers (includes 4 county ‐ 89 level assistance requests) # of APH Volunteers deployed 560
Towns currently served Acushnet Carver Freetown Mashpee Paxton Ware Ashland Chatham Georgetown Mattapoisett Peabody Watertown Avon Chelsea Gloucester Maynard Pelham Wellfleet Barnstable Concord Harwich Medway Plympton Wellfleet (county County Danvers Holyoke Mendon Provincetown assistance) Bedford Dedham Hopedale Milford Randolph Wenham Belchertown Dennis Hudson Nantucket Sandwich Westborough Bellingham Dennis (county Ipswich Natick Saugus Westfield Belmont assistance) Kingston New Bedford Sheffield Westminster Beverly Dighton Lakeville Newbury Somerville Westwood Boston Eastham Lawrence North Reading Sudbury Wilbraham Bourne Easton Lexington Northborough Taunton Yarmouth Brewster Fairhaven Lincoln Northbridge Tewksbury Brookline Fall River Marion Norton Truro Burlington Falmouth Marshfield Norwood Uxbridge Cambridge Franklin (county Orleans Waltham Carlisle assistance)
Towns in planning stage Andover Gosnold Marion Newton Shutesbury Attleboro Greenfield Rochester Northampton Springfield Auburn Hadley Regional Orange Swansea and Barnstable Haverhill Health Palmer Somerset Clinton Holbrook District Plymouth Wales Cohasset Lowell Medford Raynham Webster Dover Lynn Methuen Revere Weymouth Dukes Lynnfield Milton Rochester Whately County Mansfield Nashoba Sharon Winthrop Duxbury Newburyport Worcester Framingham
Changes to Scope of Services from Student Volunteers as of April 23 Contact Tracing Cases will no longer go to REDCap. LBOHs will begin work with Community Tracing Collaborative (CTC). Existing cases in REDCap will continue with student volunteers until they are closed out. Other Public Health Assistance The following services will continue to be available to LBOH: health communications, social media, data and policy analysis, translation assistance.
APH Volunteers ‐ Areas of Support ● Social media ● Policy and data Other ideas…? ● Research strategies ...It never hurts to ask. ● Phone support ● Translation Admin support ●
How to request Academic Public Health Volunteers Phone consult Volunteers Fill out APHV will contact with your Team are assigned MHOA you for brief Lead Survey phone call Every LBOH is different. Volunteers can assist with health communications, data and 1. policy, translation, and other needs. Please discuss with the Team Lead so we can assign a volunteer team for you. Team Lead acts as single point of contact/project manager with LBOH 2.
Thank you! We are open to feedback.
Follow ‐ up for Positive COVID ‐ 19 Cases and their Close Contacts Tools for LBOHs April 21, 2020 Scott Troppy, Surveillance Epidemiologist Bureau of Infectious Disease and Laboratory Sciences MA Department of Public Health
Community Tracing Collaborative (CTC) sites as of 4/21/2020 • Andover • Lowell • Attleboro • Methuen • Belmont • Milford • Billerica • Norwood • Boston • Plymouth • Brockton • Randolph • Chelmsford • Revere • Danvers • Salem • Dracut • Shrewsbury • Greenfield • Taunton • Ipswich • Walpole • Leominster • Worcester N=24
What’s Ahead? |Roll‐Out Timeline
MAVEN Misc. for today • Please enter your clinical information in the Clinical Question Package NOT the notes section • Please don’t request a merge/de ‐ duplication for your event in the Notes section. You need to email isishelp@state.ma.us with your request. Please let us know the Event ID and which one you want as the preferred Event ID. • Please update addresses in the participants tab and demographic question package (tip sheet in MAVEN help). • Workflows are not functioning due to volume of cases. • Complete your Steps 1 ‐ 5 to move cases out of the workflows
MAVEN Housekeeping Items • Due to the volume of confirmed and contact COVID ‐ 19 events , some MAVEN events are not appearing in their appropriate MAVEN workflows. These events may seem to “disappear” between workflows, as well. One way that you can find them is by running the COVID ‐ 19 Confirmed Case Line List or the COVID ‐ 19 Contact Line List reports under the MAVEN report feature. For confirmed cases you will still receive email notifications of immediate disease events. • We plan to create a COVID ‐ 19 Wizard where all of the questions for your investigation are in one place – we will demonstrate the wizard on the webinar tomorrow. • We plan to add additional variables to track cases that have been sent to the Community Tracing Collaborative (CTC) in MAVEN. Some variables under consideration are: event/contact has been contacted, event/contact has been updated. We hope that these two variables can help you to better track information for your CTC events. • You will notice that COVID ‐ 19 Confirmed Case Line List now has death data listed in this report ( Outcome, Death Date, Location of Death ). Look to the right side of the report to see these variables.
Electronic Lab Reporting Issue • Multiple Local Boards of Health and Public Health nurses flagged an issue with reports not entering Maven last week. We found after investigation that all of these tests had been performed by Quest. Our ELR team has been pushing Quest very hard for a response. This morning we were informed by Quest that there was an internal coding issue in their LIMS that prevented a subset of tests from being sent to states. This has affected many facilities across several states. Quest have found and resolved the issue, and have assured us that reports will be sent through this evening/tomorrow morning. • Thank you to all of those who pointed out to us that there was an issue; if you had not raised the alarm, there would have been further delay.
Reporting your data Towns are able to report their own data, however; to protect patient confidentiality, the Bureau of Infectious Disease and Laboratory Sciences employs a strict policy whereby case counts of less than five are suppressed in populations of less than 50,000.
COVID 19 Questions • COVID19CommunityTracingCollaborativeQuestions@mass.gov
COVID Requested Assistance as “Yes” or “No”
MAVEN functionality refresher • Help Section on MAVEN • http://www.maventrainingsite.com/maven ‐ help/toc.html • Race/Ethnicity in the Demographic Question Package #2 • Additional variables added to Risk/Exposure Question Package • Question: Employed at, admitted to, or visited a healthcare setting? • Address updates/Demographic updates (gender, dob, address, city/town) • Communication events in MAVEN for 351 towns/city • Reports • Searching for Events or Cluster
MAVEN Help Section
Race/Ethnicity
Select Official Address hyperlink to update the event Official City
Search for your Communication Event City: Your town/city Event: Communication
Follow ‐ up for Positive COVID ‐ 19 Cases and their Close Contacts Tools for LBOHs April 21, 2020 Hillary Johnson, Infectious Disease Epidemiologist Scott Troppy, Surveillance Epidemiologist Bureau of Infectious Disease and Laboratory Sciences MA Department of Public Health
Topics Today • Update from Volunteer Corps & CTC • New Case Definitions are Here! • Confirmed Vs. Probable (NEW) • Updated Interview Tool (paper based) • Use for CONFIRMED & PROBABLE cases • Contact Monitoring Question Package – a Review • UPDATE on Asymptomatic HCWs returning to work • Cluster Events in Facilities – What to Do? • Tips for Staying Organized • Your Questions
Tuesday & Friday Webinars for LBOHs Now Tuesdays AND Fridays at 11am!! • Isolation of Cases and Quarantine of Contacts is the goal until that strategy changes/evolves. • MAVEN is the main reporting source and where you should document your work. • Focusing on Priority Activities • Clusters in Facilities in your community need your help. • Call Epi Program 617‐983‐6800 to create cluster events.
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