New Studies Add to Evidence that Children May Transmit the Coronavirus

Posted on May 6, 2020 by henrykotula • Posted in 2020 Election Issues, Clinical Testing, Contact Tracing, Coronavirus, Crisis, Crisis Management, Data, Data Integrity, Data Interpretation, Health Policy, Infection Control, Infectious Virus, Mortality, Pandemic, Public Health, Public Safety, Quarantine, Social Distancing • Leave a comment

Experts said the new data suggest that cases could soar in many U.S. communities if schools reopen soon.

Among the most important unanswered questions about Covid-19 is this: What role do children play in keeping the pandemic going?

Fewer children seem to get infected by the coronavirus than adults, and most of those who do have mild symptoms, if any. But do they pass the virus on to adults and continue the chain of transmission?

The answer is key to deciding whether and when to reopen schools, a step that President Trump urged states to consider before the summer.

Two new studies offer compelling evidence that children can transmit the virus. Neither proved it, but the evidence was strong enough to suggest that schools should be kept closed for now, many epidemiologists who were not involved in the research said.

Many other countries, including Israel, Finland, France, Germany, the Netherlands and the United Kingdom have all either reopened schools or are considering doing so in the next few weeks.

In some of those countries, the rate of community transmission is low enough to take the risk. But in others, including the United States, reopening schools may nudge the epidemic’s reproduction number — the number of new infections estimated to stem from a single case, commonly referred to as R0 — to dangerous levels, epidemiologists warned after reviewing the results from the new studies.

In one study, published last week in the journal Science, a team analyzed data from two cities in China — Wuhan, where the virus first emerged, and Shanghai — and found that children were about a third as susceptible to coronavirus infection as adults were. But when schools were open, they found, children had about three times as many contacts as adults, and three times as many opportunities to become infected, essentially evening out their risk.

Based on their data, the researchers estimated that closing schools is not enough on its own to stop an outbreak, but it can reduce the surge by about 40 to 60 percent and slow the epidemic’s course.

“My simulation shows that yes, if you reopen the schools, you’ll see a big increase in the reproduction number, which is exactly what you don’t want,” said Marco Ajelli, a mathematical epidemiologist who did the work while at the Bruno Kessler Foundation in Trento, Italy.

The second study, by a group of German researchers, was more straightforward. The team tested children and adults and found that children who test positive harbor just as much virus as adults do — sometimes more — and so, presumably, are just as infectious.

“Are any of these studies definitive? The answer is ‘No, of course not,’” said Jeffrey Shaman, an epidemiologist at Columbia University who was not involved in either study. But, he said, “to open schools because of some uninvestigated notion that children aren’t really involved in this, that would be a very foolish thing.”

The German study was led by Christian Drosten, a virologist who has ascended to something like celebrity status in recent months for his candid and clear commentary on the pandemic. Dr. Drosten leads a large virology lab in Berlin that has tested about 60,000 people for the coronavirus. Consistent with other studies, he and his colleagues found many more infected adults than children.

The team also analyzed a group of 47 infected children between ages 1 and 11. Fifteen of them had an underlying condition or were hospitalized, but the remaining were mostly free of symptoms. The children who were asymptomatic had viral loads that were just as high or higher than the symptomatic children or adults.

“In this cloud of children, there are these few children that have a virus concentration that is sky-high,” Dr. Drosten said.

He noted that there is a significant body of work suggesting that a person’s viral load tracks closely with their infectiousness. “So I’m a bit reluctant to happily recommend to politicians that we can now reopen day cares and schools.”

Dr. Drosten said he posted his study on his lab’s website ahead of its peer review because of the ongoing discussion about schools in Germany.

Many statisticians contacted him via Twitter suggesting one or another more sophisticated analysis. His team applied the suggestions, Dr. Drosten said, and even invited one of the statisticians to collaborate.

“But the message of the paper is really unchanged by any type of more sophisticated statistical analysis,” he said. For the United States to even consider reopening schools, he said, “I think it’s way too early.”

In the China study, the researchers created a contact matrix of 636 people in Wuhan and 557 people in Shanghai. They called each of these people and asked them to recall everyone they’d had contact with the day before the call.

They defined a contact as either an in-person conversation involving three or more words or physical touch such as a handshake, and asked for the age of each contact as well as the relationship to the survey participant.

Comparing the lockdown with a baseline survey from Shanghai in 2018, they found that the number of contacts during the lockdown decreased by about a factor of seven in Wuhan and eight in Shanghai.

“There was a huge decrease in the number of contacts,” Dr. Ajelli said. “In both of those places, that explains why the epidemic came under control.”

The researchers also had access to a rich data set from Hunan province’s Center for Disease Control and Prevention. Officials in the province traced 7,000 contacts of 137 confirmed cases, observed them over 14 days and tested them for coronavirus infection. They had information not just for people who became ill, but for those who became infected and remained asymptomatic, and for anyone who remained virus-free.

Data from hospitals or from households tend to focus only on people who are symptomatic or severely ill, Dr. Ajelli noted. “This kind of data is better.”

The researchers stratified the data from these contacts by age and found that children between the ages of 0 and 14 years are about a third less susceptible to coronavirus infection than those ages 15 to 64, and adults 65 or older are more susceptible by about 50 percent.

They also estimated that closing schools can lower the reproduction number — again, the estimate of the number of infections tied to a single case — by about 0.3; an epidemic starts to grow exponentially once this metric tops 1.

In many parts of the United States, the number is already hovering around 0.8, Dr. Ajelli said. “If you’re so close to the threshold, an addition of 0.3 can be devastating.”

However, some other experts noted that keeping schools closed indefinitely is not just impractical, but may do lasting harm to children.

Jennifer Nuzzo, an epidemiologist at Johns Hopkins University’s Bloomberg School of Public Health, said the decision to reopen schools cannot be made based solely on trying to prevent transmission.

“I think we have to take a holistic view of the impact of school closures on kids and our families,” Dr. Nuzzo said. “I do worry at some point, the accumulated harms from the measures may exceed the harm to the kids from the virus.”

E-learning approaches may temporarily provide children with a routine, “but any parent will tell you it’s not really learning,” she said. Children are known to backslide during the summer months, and adding several more months to that might permanently hurt them, and particularly those who are already struggling.

Children also need the social aspects of school, and for some children, home may not even be a safe place, she said.

“I’m not saying we need to absolutely rip off the Band-aid and reopen schools tomorrow,” she said, “but we have to consider these other endpoints.”

Dr. Nuzzo also pointed to a study in the Netherlands, conducted by the Dutch government, which concluded that “patients under 20 years play a much smaller role in the spread than adults and the elderly.”

But other experts said that study was not well designed because it looked at household transmission. Unless the scientists deliberately tested everyone, they would have noticed and tested only more severe infections — which tend to be among adults, said Bill Hanage, an epidemiologist at the Harvard T.H. Chan School of Public Health.

“Assumptions that children are not involved in the epidemiology, because they do not have severe illness, are exactly the kind of assumption that you really, really need to question in the face of a pandemic,” Dr. Hanage said. “Because if it’s wrong, it has really pretty disastrous consequences.”

A new study by the National Institutes of Health may help provide more information to guide decisions in the United States. The project, called Heros, will follow 6,000 people from 2,000 families and collect information on which children get infected with the virus and whether they pass it on to other family members.

The experts all agreed on one thing: that governments should hold active discussions on what reopening schools looks like. Students could be scheduled to come to school on different days to reduce the number of people in the building at one time, for example; desks could be placed six feet apart; and schools could avoid having students gather in large groups.

Teachers with underlying health conditions or of advanced age should be allowed to opt out and given alternative jobs outside the classroom, if possible, Dr. Nuzzo said, and children with underlying conditions should continue to learn from home.

The leaders of the two new studies, Dr. Drosten and Dr. Ajelli, were both more circumspect, saying their role is merely to provide the data that governments can use to make policies.

“I’m somehow the bringer of the bad news but I can’t change the news,” Dr. Drosten said. “It’s in the data.”

The coronavirus is outlasting the stimulus

Posted on May 6, 2020 by henrykotula • Posted in 2020 Election Issues, Coronavirus, Crisis, Crisis Management, Economic Crisis, Economic Stimulus, Economy, Employee Benefits, Employee Furlough, Employee Hiring Freeze, Employee Layoffs, Employee Pay Cuts, Employee Protections, Employer-Based Health Insurance, Health Insurance Coverage Adequacy, Health Policy, High Deductible Health Plans, High Drug Prices, High Premiums, High Prices, Infection Control, Infectious Virus, Job, Job Market, Job Search, Job Security, Out of Pocket Expenses, Pandemic, Paycheck Protection Program, Public Health, Public Safety, Quarantine, Social Distancing, Surprise Bills, The CARES Act, Underinsured, Unemployment, Unemployment Insurance, Uninsured • Leave a comment

https://www.axios.com/newsletters/axios-vitals-7038a5b1-74fa-44e3-ba7e-43c87052e1c5.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosvitals&stream=top

The coronavirus pandemic is lasting longer than Congress and the White House anticipated when it committed hundreds of billions of dollars to individuals and small businesses, Axios’ Dan Primack and Alayna Treene report.

Why it matters: These bailouts were meant to stop the bleeding, to buy time while the wound cauterizes. Unfortunately, the injury was more severe than originally diagnosed.

Treasury Secretary Steve Mnuchin told CBS that “the entire package provides economic relief overall for about 10 weeks.”

The CARES Act was signed by President Trump on March 27.
Mnuchin’s 10-week window expires on June 5.
No one expects to see a Phase 4 stimulus by that date, nor a full-scale economic reopening.

Paycheck Protection Program (PPP) loans require that small businesses maintain staffing levels for eight weeks. For early recipients, that means their payroll obligations could run out by month’s end.

Direct checks of up to $1,200 to individuals were only expected to help cover expenses for one month, even though many states already are well into their second month of locking down.

All of this makes economic reopening even more complicated.

The federal government has effectively created a “back to normal” deadline for small businesses, even though such decisions are supposed to be made by the states.

The bottom line: The small business loans and individual checks were designed as bridges to reopening, but if they only delayed layoffs and economic pain by a couple of months, then they may end up being remembered as bridges to nowhere.

Where the virus is spreading

Posted on May 6, 2020 by henrykotula • Posted in 2020 Election Issues, Clinical Testing, Contact Tracing, Coronavirus, Crisis, Crisis Management, Economic Crisis, Economy, Health Policy, Infection Control, Infectious Virus, Medical Ethics, Mortality, Pandemic, Public Health, Public Safety, Quarantine, Social Distancing • Leave a comment

https://www.axios.com/newsletters/axios-vitals-7038a5b1-74fa-44e3-ba7e-43c87052e1c5.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosvitals&stream=top

The Trump administration’s reopening guidelines detail that in order to start lifting restrictions and reopening the economy, a state needs to report 14-day trends of fewer cases or fewer positive tests (though local officials do get some leeway in adjusting the metrics).

Not a lot of states meet that criteria, Axios editor-in-chief Nick Johnston writes.

Our chart compares each state’s seven-day average of new cases from Monday and the seven-day average from a week prior, April 27.

By this metric, Minnesota, Nebraska and Puerto Rico have the most worrisome trends, while Arkansas and Wyoming have the most positive trends. Twelve states are moving in the right direction.
But more than a third of the nation still has growing numbers of cases. And that includes states such as Texas and Virginia, where Republican and Democratic governors are beginning to unveil re-opening plans.

Yes, but: These trends only tell us so much.

Some states may see their case counts rise not necessarily because their outbreaks are getting dramatically worse, but because their testing is getting better, so they’re catching more cases.
That’s why health officials are also pulling in other metrics — including the number of deaths, the number of hospitalizations and the percentage of tested patients who test positive. A higher percentage means you’re probably missing people.
Still, public-health guidance calls for a steady decrease in cases before opening up, and few states have achieved that.

The bottom line: The virus isn’t just some other states’ problem. It’s everyone’s problem.

The next phase of America’s coronavirus failure

Posted on May 6, 2020 by henrykotula • Posted in 2020 Election Issues, Clinical Testing, Contact Tracing, Coronavirus, Crisis, Crisis Management, Economic Crisis, Economy, Health Policy, Infection Control, Infectious Virus, Mortality, Pandemic, Public Health, Public Safety, Quarantine, Social Distancing • Leave a comment

https://www.axios.com/newsletters/axios-vitals-7038a5b1-74fa-44e3-ba7e-43c87052e1c5.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosvitals&stream=top

The evidence is mounting that America is steamrolling toward a nightmarish failure to control the coronavirus.

Where it stands: We made a lot of mistakes at the beginning, and despite a month of extreme social distancing to try to hit “reset,” a hurried reopening now raises the risk that we’ll soon be right back where we started.

Driving the news: The Trump administration is in “preliminary discussions” to wind down its coronavirus task force, possibly in early June, Vice President Mike Pence told reporters yesterday.

The formal existence of a task force isn’t necessarily going to make or break the coronavirus response, but its dissolution is yet another sign that the administration is ready to move on — despite all of the indications that we’re not prepared.

What we’re watching: The U.S. is still seeing around 30,000 new coronavirus cases a day — and those are just the ones that we’re catching, because we are still not testing enough people.

Even with a robust contact tracing workforce, which we don’t have, tracking down the interactions of 30,000 people a day would be an impossible task.
And even if it weren’t, we have no system in place for isolating those people to prevent them from infecting their family members, coworkers or other contacts.
Once we lift social distancing measures and people start interacting with one another again, the number of cases will inevitably spike, making containment even more impossible.

We don’t have a treatment or a vaccine, and we’re about to loosen the reins on a virus whose reach, symptoms and long-term effects we are still learning.

Yes, but: Some cities and states have been more proactive in building up their public health infrastructure, and have said they’ll continue with social distancing until their caseloads indicate it’s safe to begin returning to normal.

Cartoon – Coronavirus Recovery Plan

Posted on May 5, 2020 by henrykotula • Posted in 2020 Election Issues, Cartoon, Coronavirus, Crisis, Crisis Management, Economic Crisis, Economic Stimulus, Economy, Employee Furlough, Employee Hiring Freeze, Employee Layoffs, Employee Pay Cuts, Employee Protections, False Hope, Health Policy, Job, Job Market, Job Search, Job Security, Leadership Decentralized, Miracle, Misinformation, Mislead, Misleading, Mortality, Pandemic, Public Health, Public Safety, Quarantine, Social Distancing, Wishful Thinking • Leave a comment

Whistleblower alleges Trump administration ignored coronavirus warnings

Posted on May 5, 2020 by henrykotula • Posted in 2020 Election Issues, Clinical Research, Clinical Research Funding, Clinical Testing, Clinical Trials, Conflicts of Interest, Coronavirus, Credibility, Crisis, Crisis Management, Dept of Health and Human Services (HHS), Food and Drug Administration (FDA), Health Policy, Hydroxychloroquine, Misinformation, Mislead, Misleading, Mistake, Mistrust, Scientists, Transparency, Trust, Truth, U.S. Biomedical Advanced Research and Development Authority (BARDA) • Leave a comment

https://www.axios.com/coronavirus-rick-bright-whistleblower-f48cc9c6-8e6e-4662-a127-03e51f323288.html?stream=health-care&utm_source=alert&utm_medium=email&utm_campaign=alerts_healthcare

Whistleblower alleges Trump administration ignored coronavirus ...

Rick Bright, the former director of the U.S. Biomedical Advanced Research and Development Authority (BARDA), filed a whistleblower complaint Tuesday alleging that the Department of Health and Human Services failed to take early action to mitigate the threat of the novel coronavirus.

Flashback: Bright said last month he believes he was ousted after clashing with HHS leadership over his attempts to limit the use of hydroxychloroquine to treat the coronavirus.

President Trump has repeatedly touted the use of hydroxychloroquine for the virus. In late April, the FDA cautioned doctors on the potentially life-threatening side effects of treating COVID-19 patients with the antimalarial drug.

What’s new: In his complaint, Bright claims he was excluded from an HHS meeting on the coronavirus in late January after he “pressed for urgent access to funding, personnel, and clinical specimens, including viruses” to develop treatments for the coronavirus should it spread outside of Asia.

Bright alleges it “became increasingly clear” in late January that “HHS leadership was doing nothing to prepare for the imminent mask shortage.”
Bright claims he “resisted efforts to fall into line with the Administration’s directive to promote the broad use of chloroquine and hydroxychloroquine and to award lucrative contracts for these and other drugs even though they lacked scientific merit and had not received prior scientific vetting.”
He adds that “even as HHS leadership began to acknowledge the imminent shortages in critical medical supplies, they failed to recognize the magnitude of the problem, and they failed to take the necessary urgent action.”

The White House declined to comment. HHS did not immediately respond to a request for comment.

https://www.documentcloud.org/documents/6882494-NEW-R-Bright-OSC-Complaint-Redacted.html

Coronavirus Dashboard

Posted on May 5, 2020 by henrykotula • Posted in 2020 Election Issues, Clinical Testing, Coronavirus, Crisis, Crisis Management, Economic Crisis, Economy, Health Policy, Infection Control, Infectious Virus, Leadership Decentralized, Mortality, Pandemic, Public Health, Public Safety, Quarantine, Social Distancing, Vaccination, Vaccine • Leave a comment

https://www.axios.com/coronavirus-latest-news-quick-highlights-57a186a3-7547-45bf-852a-83019849d8d5.html

Global: Total confirmed cases as of 3:30 p.m. ET: 3,630,942 — Total deaths: 254,592 — Total recoveries — 1,184,625 — Map.
U.S.: Total confirmed cases as of 3:30 p.m. ET: 1,193,027 — Total deaths: 70,110 — Total recoveries — 187,180 — Total tested: 7,285,178 — Map.
Trump administration: Whistleblower alleges HHS failed to act quickly on coronavirus — Pence says the White House is considering disbanding the coronavirus task force.
World: U.K. reports highest coronavirus death toll in Europe.
States: New York reports 1,700 new coronavirus deaths in nursing homes.
🎓 Commencement: Barack and Michelle Obama to take part in virtual commencement ceremonies for class of 2020.
What should I do? Hydroxychloroquine questions answered — Traveling, asthma, dishes, disinfectants and being contagious — Masks, lending books and self-isolating — Exercise, laundry, what counts as soap — Pets, moving and personal health — Answers about the virus from Axios experts — What to know about social distancing — How to minimize your risk.
Other resources: CDC on how to avoid the virus, what to do if you get it, the right mask to wear.

White House plans to scale back coronavirus task force

Posted on May 5, 2020 by henrykotula • Posted in 2020 Election Issues, Clinical Research, Clinical Testing, Coronavirus, Credibility, Crisis, Crisis Management, Denial, Economic Crisis, Economy, False Hope, Health Policy, Infection Control, Infectious Virus, Misinformation, Mislead, Misleading, Mortality, Pandemic, Partisanship, Public Health, Public Safety, Quarantine, Social Distancing, Vaccination, Vaccine, Wishful Thinking • Leave a comment

https://thehill.com/homenews/administration/496211-white-house-signals-it-will-wind-down-coronavirus-task-force

The White House is in the early stages of winding down its coronavirus task force, Vice President Pence’s office confirmed Tuesday.

The surprise decision comes as most states are preparing to loosen restrictions meant to slow the spread of the virus, while a number of areas continue to see increases in new COVID-19 cases and deaths.

Pence’s office confirmed to The Hill that the vice president told reporters at a limited briefing that his plan is to scale back the task force’s role by Memorial Day. Pence has been leading the task force since late February.

Members are likely to return to their respective departments and manage the coronavirus response from there.

Dr. Deborah Birx, who was brought in from the State Department to coordinate the White House virus response, will “continue to review and analyze data and work with the departments in agencies to help that data inform their decision making processes,” a spokesman for Pence’s office said.

The New York Times first reported on the expected demise of the task force.

The task force, which includes nearly two dozen officials from various government agencies, held near-daily press briefings for more than a month but has been less visible in recent weeks as President Trump and others transition their focus to the economic consequences of the pandemic.

There have been no coronavirus task force briefings in more than a week, and the daily meetings have become less frequent. The group was scheduled to meet Tuesday afternoon.

But the decision to formally disband the task force is sure to raise concern among public health experts who have warned the coronavirus will likely be part of life in the U.S. until there is a widely available vaccine, which could take a year or longer to develop.

234 hospitals furloughing workers in response to COVID-19

Posted on May 5, 2020 by henrykotula • Posted in 2020 Election Issues, Coronavirus, Crisis, Crisis Management, Economic Crisis, Economic Stimulus, Economy, Employee Benefits, Employee Furlough, Employee Hiring Freeze, Employee Layoffs, Employee Pay Cuts, Employee Protections, Employer-Based Health Insurance, Essential Health Benefits, Health Insurance Coverage Adequacy, Health Policy, Health System, Infection Control, Infectious Virus, Job, Job Market, Job Search, Job Security, Out of Pocket Expenses, Pandemic, Personal Protective Equipment (PPE), Preexisting Conditions, Public Health, Public Safety, Quarantine, Social Distancing, Surprise Bills, Underinsured, Unemployment, Unemployment Insurance, Uninsured • Leave a comment

https://www.beckershospitalreview.com/finance/49-hospitals-furloughing-workers-in-response-to-covid-19.html?utm_medium=email

Many U.S. hospitals and health systems have suspended elective procedures to save capacity, supplies and staff to treat COVID-19 patients.

As a result of suspending these nonemergent procedures, several systems have lost or expect to lose a large chunk of their annual revenue, forcing them to make cost reduction a top priority.

Below is a breakdown of the hospitals that have furloughed staff in an effort to remain financially stable amid the COVID-19 pandemic.

May 5

1. Lawrence, Kan.-based LMH Health has furloughed 221 employees as it works to offset revenue shortfalls caused by the COVID-19 pandemic, according to The Lawrence Journal World. The hospital system said that 52 employees would be furloughed for one week, 77 for two weeks and 92 for more than two weeks. Affected employees will retain their health benefits.

2. BJC HealthCare, a 15-hospital system based in St. Louis, will furlough an undisclosed number of employees due to the COVID-19 pandemic, according to the Belleville News Democrat. The health system also will suspend 401(k) and 403(b) matching funds, delay annual salary increases and cut salaries of leaders in the organization to help cut a revenue loss attributed to the pandemic.

3. Monongahela (Pa.) Valley Hospital, citing a loss in revenue due to the suspension of nonessential procedures, has furloughed 10 percent of its staff, according to CBS Pittsburgh. The furloughs affect about 100 staff members. Other staff members volunteered to take a leave of absence, according to the report.

4. Citing a financial hit from the COVID-19 pandemic, Princeton (W.Va.) Community Hospital has furloughed a portion of its staff, according to The Bluefield Daily Telegram. The hospital said the majority of furloughed employees worked in services that were closed or saw a drop in patient volume amid the pandemic.

May 4

1. Employees at Samaritan Healthcare of Moses Lake (Wash.) are taking voluntary furloughs to help cut expenses amid the COVID-19 pandemic, according to The Columbia Basin Herald. The hospital is facing a financial loss due to restrictions on performing elective procedures. The furloughs are expected to start by May 4.

2. Hurley Medical Center in Flint, Mich., is considering several cost-cutting measures, including voluntary and involuntary furloughs and reduced employee hours, to help offset COVID-19 financial losses, according to MLive.com. The medical center also is considering layoffs.

3. Citing a revenue drop of 40 percent due to the COVID-19 pandemic, Portland, Ore.-based Legacy Health System is requiring staff to take 10-day furloughs, according to Oregon Public Broadcasting. Employees can use paid time off during the furlough, but the health system said it expects some employees will have to take unpaid leave.

May 1

1. Minneapolis-based Children’s Minnesota plans to furlough 181 nurses to help offset the financial hit from the COVID-19 pandemic, according to The Star Tribune. Members of the Minnesota Nurses Association must still approve the furlough agreement. If the furloughs take place, they will affect 17 percent of nurses.

2. Providence, R.I.-based Care New England has furloughed a portion of its staff due to the COVID-19 pandemic, according to WJAR. The health system said that the furloughs affect workers in departments that have seen the greatest patient volume drop. Furloughs were voluntary and involuntary. They are being reassessed every two weeks.

3. Citing a decline in patient volume and a resulting revenue drop, Indiana (Pa.) Regional Medical Center has furloughed 200 employees, according to The Indiana Gazette. The furloughs are expected to last until May 31. Furloughed employees will still have access to health insurance and can apply for unemployment.

4. MU Health Care, based in Columbia, Mo., has furloughed staff at its medical school and plans to furlough additional healthcare workers at its hospitals due to the economic hit from the COVID-19 pandemic, according to KRCG TV. The health system will also end contracts for about 70 traveling nurses. In addition, the system will not fill the 300 open positions at MU Health Care.

5. Citing a financial hit and patient volume drop from the COVID-19 pandemic, North Mississippi Medical Center in Tupelo has furloughed a portion of its staff, according to WTVA. The hospital expects to begin calling back some of the first employees furloughed next week as nonemergent surgeries resume.

6. CHI St. Joseph in Lexington, Ky., said it has worked to align staffing levels with current volumes, according to KBTX. Unnamed sources told the publication that hundreds of employees have been affected by furloughs amid the pandemic.

“We continue to look at every possible way to reduce costs and take advantage of resources available to our ministry, including federal funding recently approved by Congress. While those funds are welcomed, they will not be sufficient to address our financial challenges,” CHI St. Joseph told the publication.

April 30

1. Hospital Sisters Health Systems, a 15-hospital system in Springfield, Ill., will furlough a portion of its staff due to the COVID-19 pandemic, according to WAND TV. The health system said the furloughs were necessary to ensure it can remain financially stable. The furloughs were both voluntary and involuntary.

2. The Christ Hospital, based in Cincinnati, will furlough a portion of its staff that is not directly involved in patient care, according to WLWT. The furloughs, which will begin in May, will last 60 days. Affected employees can apply for unemployment and retain their healthcare benefits.

3. Citing a significant reduction in revenue due to the COVID-19 pandemic, Newburyport, Mass.-based Anna Jaques Hospital has furloughed 134 employees, according to the NewburyportNews.com. The unpaid furloughs affect about 10 percent of the hospital’s workforce.

4. Encompass Health, a Birmingham, Ala.-based operator of post-acute services, has implemented market-specific furloughs, according to Home Health Care News. The decision is to better align staffing with demand amid the COVID-19 pandemic, according to the report. It is unclear how many employees are affected.

5. Due to the patient volume drop amid the COVID-19 pandemic, some employees at San Francisco-based UCSF Benioff Children’s Hospitals have had their hours cut, according to The San Francisco Chronicle. One employee, Stephanie Lum Ho, a physical therapist who works at UCSF Benioff Children’s Hospital in Walnut Creek, Calif., said her hours were cut in half.

April 29

1. Stamford (Conn.) Health plans to furlough 375 employees to help offset a revenue loss from the COVID-19 pandemic, according to the Stamford Advocate. The health system said revenue was down $10 million in March, and that loss is expected to hit $27 million in April. The health system has 3,600 employees.

2. Citing a revenue loss of $85 million per month due to the COVID-19 pandemic, University of Virginia Health System in Charlottesville, plans to furlough a portion of its staff not involved in direct patient care. The furloughs will last up to three months. Affected employees can retain their health insurance benefits and can use their paid time off to help offset some of the pay loss. The health system also plans to reduce executive and physician compensation.

3. St. Joseph Mercy Health System in Livingston, Mich., has furloughed 50 staff members due to the COVID-19 pandemic, according to the Livingston Daily. The furloughs affected support staff from both of the health systems locations.

4. After exhausting other alternatives to shore up finances amid the pandemic, University of Rochester (N.Y.) Medical Center will begin furloughing employees in May, according to WXXI News. The hospital system hasn’t yet determined the number of employees that will be affected or how long the furlough will last.

5. Citing a patient volume and revenue drop from the COVID-19 pandemic, Coshocton (Ohio) Regional Medical Center has furloughed a portion of its 320 employees, according to the Coshocton Tribune. The furloughs are expected to last until May 31.

6. Willis-Knighton Health System in Shreveport, La., has placed a portion of its staff on unpaid leave. Affected staff worked in areas where the health system found a lower or nonexistent demand for services. In a statement provided to Becker’s Hospital Review, Chief Administrative Officer Brian Crawford said the state’s directive to curb non-emergent procedures and the effects of the pandemic left about half of the services provided by Willis-Knighton significantly reduced or halted.

7. Henderson, Ky.-based Methodist Health plans to furlough 50 employees due to the COVID-19 pandemic, according to WEHT. The health system said patient volumes have been gravely affected by the state ban on non-emergent procedures.

April 28

1. To help minimize the financial hit from the COVID-19 pandemic, St. Louis-based SSM Health plans to furlough 2,000 employees. The furloughs, expected to last at least 13 weeks, will affect about 5 percent of the health system’s workforce. The health system said it also plans to place more workers on partial furlough or reduce their hours. Affected employees can apply for federal and state unemployment.

2. Bethel, Alaska-based Yukon-Kuskokwim Health will furlough, lay off or reduce hours of 300 workers to help offset a revenue loss attributed to the COVID-19 pandemic, according to Alaska Public Radio. The cuts and furloughs will occur across four categories: workers who are immediately laid off, workers who are furloughed, workers who volunteer for furlough and workers who have their hours cut by 50 percent. The health system employs about 1,400 people.

3. Citing a projected $100 million shortfall in revenue from March through June due to the pandemic, Rancho Mirage, Calif.-based Eisenhower Health has furloughed a portion of its staff, according to The Desert Sun. About 30 to 35 employees have been fully furloughed and others have been partially furloughed with reduced hours.

4. Washington, Ind.-based Daviess Community Hospital has furloughed a portion of its staff to help stabilize its financial position after a revenue loss caused by the COVID-19 pandemic, according to the Washington Times Herald. Affected employees can retain their benefits and have the opportunity to apply for unemployment. The furloughs will be reevaluated after 30 days.

5. University of Vermont Health System in Burlington has furloughed a few hundred employees due to the COVID-19 pandemic, according to NBC affiliate NECN. About 70 of the affected staffers were reassigned to different roles within the health system. The exact number of furloughed employees was not disclosed.

6. Citing a 40 percent reduction in patient volume and a resulting revenue drop, Memphis, Tenn.-based Methodist Le Bonheur Healthcare has furloughed a portion of its staff, according to the Daily Memphian. Some of the employees volunteered to take furloughs. Employees will still have health insurance benefits.

7. Palm Springs, Calif.-based Desert Regional Medical Center has furloughed an undisclosed number of employees because of a patient volume drop amid the COVID-19 pandemic, according to The Desert Sun.

8. Oceanside, Calif.-based Tri-City Medical Center has sent layoff or furlough notices to 24 nurses amid the COVID-19 pandemic, according to the Voice of San Diego.

April 27

1. Citing a revenue loss due to the COVID-19 pandemic, Jackson-based West Tennessee Healthcare has furloughed 1,100 individuals of its 7,000-person workforce. The health system said it lost $18 million in March due to the statewide ban on elective procedures that went into effect March 23. To comply with the order, the health system temporarily shut down some hospital departments as well as its outpatient surgery center.

2. Annapolis, Md.-based Anne Arundel Medical Center has furloughed 1,000 employees due to low patient volume and other financial challenges brought by the COVID-19 pandemic. All furloughed employees received 80 hours of pay and are able to retain their benefits through June 30. The medical center said it plans to redeploy some of the furloughed workers to support an anticipated COVID-19 surge.

3. Lexington, Ky.-based UK Healthcare has furloughed 1,500 employees to help offset a COVID-19-related revenue loss, according to Kentucky.com. The health system said it has seen a drop in the number of services offered after elective procedures were canceled statewide in March. The health system said earlier in April it planned to place some employees on unpaid leave after April 25 if the pandemic continued to affect operations.

4. St. Joseph Hospital in Nashua, N.H., has furloughed 300 employees due to the COVID-19 pandemic, according to WMUR. The furloughs affect about 20 percent of the hospital’s employees. In March, the hospital said it lost $3.6 million in revenue, a number expected to double by the end of April.

5. Citing a financial hit from the COVID-19 pandemic, Fresno, Calif.-based St. Agnes Medical Center has furloughed 175 employees, according to ABC affiliate KFSN. The hospital said it has seen a large drop in the number of elective surgeries and emergency room visits during the pandemic. Affected employees are able to retain healthcare benefits.

6. Pikeville (Ky.) Medical Center has furloughed more than 200 employees amid mounting financial pressure due to the COVID-19 pandemic, according to WCHS TV. The medical center said that the furloughs are necessary because it is predicting a “significant historical financial loss for April.” The furloughs took effect April 26.

7. In an effort to offset financial losses due to the COVID-19 pandemic, Cody (Wyo.) Regional Health said it is furloughing a portion of its nonclinical staff, according to The Cody Enterprise. The health system said the furloughs will last at least two months. Since the crisis began, Cody Regional Health’s revenue has been down 60 percent, according to the report.

8. Citing a decrease in patient volume and revenue, Mobile, Ala.-based Infirmary Health has furloughed a portion of its staff, according to NBC 15. Affected employees will retain their healthcare benefits.

9. Show Low, Ariz.-based Summit Healthcare, projecting a revenue decrease of 40 percent to 50 percent due to COVID-19, is asking employees to voluntarily take furloughs, according to the White Mountain Independent. The hospital system said that the state ban on elective surgeries has significantly reduced workloads and volumes. The voluntary furloughs would begin May 2 and last 90 days.

“Furloughing allows us to retain talent while providing limited benefits,” Summit Healthcare CEO Ron McArthur told the publication.

10. Dalles, Ore.-based Mid-Columbia Medical Center plans to furlough employees beginning May 3 in an effort to help offset losses attributed to the COVID-19 pandemic, according to The Dalles Chronicle. The furloughs will affect departments that are not seeing a high patient volume.

11. Due to a revenue loss from the COVID-19 pandemic, Stanford (Calif.) Health Care employees have the option to take a 20 percent pay cut, using paid time off, or taking a furlough, according to the San Francisco Chronicle. Employees must use one of those options between April 27 and July 4.

April 24

1. HealthPartners will furlough 2,600 workers in an effort to help offset the financial hit from the COVID-19 pandemic, the seven-hospital system in Bloomington, Minn., said April 23. The furloughs, made because the pandemic caused an “immediate and significant decrease in revenue,” affect about 10 percent of its workforce. The furloughs will take place in areas where the organization has stopped, slowed or deferred work temporarily.

2. Citing financial challenges due to the COVID-19 pandemic, Buffalo, N.Y.-based Catholic Health plans to furlough up to 1,200 employees, according to WKBW. The furloughs will affect management and non-management positions. They will begin April 26 and will be reevaluated after 30 days. Affected employees will retain health benefits and can apply for unemployment.

3. Kansas City, Mo.-based Children’s Mercy will furlough 575 employees for up to 60 days, according to KCTV 5. The furloughs will take effect April 26. Hospital officials said the furloughs are an effort to help offset fiscal losses attributed to the COVID-19 pandemic.

4. Mary Free Bed Rehabilitation Hospital in Grand Rapids, Mich., has furloughed 20 percent of its employees due to the COVID-19 pandemic, according to WOOD TV. The furloughs will affect about 400 staffers. Furloughed employees have access to health and life insurance through June 30.

5. Maryville, Tenn.-based Blount Memorial Hospital has furloughed 211 employees due to low patient volume amid the COVID-19 pandemic, according to The Daily Times.

6. Citing a loss of $10 million per month due to the COVID-19 pandemic, Chicago-based Sinai Health System plans to lay off 24 nonclinical employees, furlough about 150 caregivers and cut hours for another 200 employees, according to Crain’s Chicago Business. The four-hospital system said it plans to call 200 furloughed employees back to work in 60 days.

7. After suffering a steep financial loss due to the COVID-19 pandemic, Bangor, Maine-based St. Joseph Healthcare has furloughed 100 of its 1,200 employees, according to The Bangor Daily News. St. Joseph said it ended March with an operating loss of $4 million and expects a bigger hit in April. The majority of affected staff volunteered to take a furlough.

8. Laurinburg, N.C.-based Scotland Health Care System will furlough nearly 70 employees through June 30, according to The Laurinburg Exchange. Most affected employees work in nonclinical roles, though some front-line staff were furloughed. The health system said the furloughs were necessary given the drop in patient volume and revenue caused by the COVID-19 pandemic.

9. Citing a slowdown in elective procedures and a resulting revenue drop, St. Paul, Minn.-based Regions Hospital plans to furlough about 30 employees, according to the Pioneer Press. The affected employees include nurses, physicians, lab techs and other emergency room staffers.

10. Winston-Salem, N.C.-based Wake Forest Baptist Health plans to furlough a portion of its leadership and administrative staff as early as next week, according to The Winston-Salem Journal. The furlough period would last 16 weeks. It is unclear how many employees will be affected.

April 23

1. Detroit-based Henry Ford Health System plans to furlough 2,800 staffers not directly involved in patient care due to financial damage from the COVID-19 pandemic. The six-hospital system recorded a $43 million loss in operating income in March due to the cancellation of elective procedures, temporary clinic closures and the additional expenses of acquiring personal protective gear. The health system expects bigger losses in April and May.

2. Citing a financial hit from the COVID-19 pandemic, Providence, R.I.-based Lifespan has furloughed about 1,100 employees, according to The Providence Journal. A hospital spokesperson said most of the furloughs were taken voluntarily, and some employees have been able to take vacation or sick leave to maintain pay. Affected employees can retain their benefits, such as health insurance.

3. Woodbury, N.J.-based Inspira Health has furloughed 219 employees due to the COVID-19 pandemic, according to the Philadelphia Business Journal. The list of furloughed employees will be reviewed every two weeks, the health system said. Inspira has about 6,000 employees.

4. Macomb, Ill.-based McDonough District Hospital plans to furlough 60 workers amid declining revenue from the COVID-19 pandemic, according to local radio station WGIL. The health system experienced a $1.2 million loss in net revenue in March, and expects April to have a much larger loss.

5. To address the financial impact and patient volume dip caused by the COVID-19 pandemic, Greenville, N.C.-based Vidant Health will furlough a portion of its workforce, according to ABC 12. The health system will start the furloughs April 26. The number of affected employees was not disclosed.

6. Olean, N.Y.-based Upper Allegheny Health System plans to start a voluntary furlough program in an effort to help offset some of the losses from the COVID-19 pandemic, according to Tap Into Greater Olean. The system projects it will incur a $25 million loss related to COVID-19 in 2020.

7. Due to the suspension of elective procedures and subsequent revenue drop, Grand Forks, N.D.-based Altru Health System plans to reduce the number staffing hours by 10 percent to 15 percent through furloughs and a system-required absence program, according to The Grand Forks Herald. The hospital system said it is facing a potential loss of $65 million this year due to the COVID-19 pandemic.

8. Cleveland-based University Hospital plans to cut the hours and pay of 4,100 employees not involved in patient care, according to Cleveland.com. Salaried nonclinical staffers are required to take a one-week unpaid furlough every five weeks. Hourly nonclinical workers will have their hours cut by 20 percent each week. Affected employees can use paid time off and sick time during those unpaid weeks. Hospital staff will still receive benefits, like health insurance.

9. Citing the financial hit from COVID-19, Wausau, Wis.-based Aspirus Health plans to furlough a portion of its staff beginning May 1, according to a system press release. The furloughs will primarily affect employees who do not work directly in patient care.

“This is the most difficult decision our leadership team has ever made,” said Aspirus President and CEO Matthew Heywood. “These drastic actions are ones we hoped to avoid but must take to ensure we can continue to serve our communities throughout this pandemic and for generations after.”

10. To help protect the long-term financial health of the organization, Buffalo, N.Y.-based Kaleida Health is offering a temporary voluntary furlough program for its staff, the health system announced April 22 in a news release. The furlough program is a joint agreement with two unions that represent 8,000 Kaleida Health employees. Affected employees would be able to retain benefits, like health insurance.

Note: Rochester, Minn.-based Mayo Clinic said April 22 that 30,000 staff members will be affected by furloughs or cut hours. More information about the furloughs are listed under April 13, or you can click here.

April 22

1. Southfield, Mich.-based Beaumont Health will permanently lay off 450 staff members, cut executive pay and furlough 2,475 workers due to the financial hit from the COVID-19 pandemic. Most of the 450 layoffs affect corporate staff or administrative employees. The furloughs affect staff not directly caring for patients and hospital administrative staff.

2. Philadelphia-based Tower Health has furloughed at least 1,000 employees due to the financial hit from the COVID-19 pandemic. The furloughs affect roughly 7 percent of the system’s 14,000-person workforce.The seven-hospital system said it has lost about 50 percent of its revenue due to the suspension of elective procedures and drop in outpatient volume.

3. Citing the suspension of elective procedures and a 50 percent reduction in revenue, Kalamazoo, Mich.-based Bronson Healthcare has furloughed hundreds, according to WWMT. Furloughed employees will not be paid for at least four months, and they can not use paid time off. The number of furloughed employees was not disclosed.

4. Utica, N.Y.-based Mohawk Valley Health System will furlough about 20 percent of its workforce of 4,000 for up to four months, according to the Utica Observer-Dispatch. The health system said it is part of a cost-cutting plan to recover from lost revenue caused by the COVID-19 pandemic.

5. About 200 employees at Ithaca, N.Y.-based Cayuga Medical Center have volunteered to take a furlough, according to Ithaca.com. The hospital, which employs 1,500, has seen a 50 percent drop in patient volume. Employees that opt into the furlough program can retain health insurance, apply for unemployment benefits and will receive a stipend upon returning to work.

6. Hudson, N.Y.-based Columbia Memorial Hospital will furlough 125 workers due to a drop in patient volume and revenue caused by the COVID-19 pandemic, according to News 10, an ABC affiliate. Furloughed workers can keep their health insurance and apply for unemployment benefits.

7. St. Mary’s Health System in Lewiston, Maine, will furlough about 5 percent of its workforce to help offset losses attributed to the COVID-19 pandemic, according to the Sun Journal. The furloughs, which affect 77 staffers, will begin April 27 and last for 30 days.

8. Seventy-one employees from Bay Area Hospital in Coos Bay, Ore., opted to take voluntarily furloughs, according to KCBY. The employees will be furloughed for 45 days.

9. Rosemont, Ill.-based Pipeline Health, which operates Weiss Memorial Hospital in Chicago and West Suburban Medical Center in Oak Park, Ill., has furloughed an undisclosed number of its staff due to the COVID-19 pandemic, according to the Chicago Tribune. Those employees will keep their health insurance and can apply for unemployment.

10. Citing a revenue decline of 50 percent due to the COVID-19 pandemic, Dansville, N.Y.-based Noyes Health has furloughed a portion of its staff for one to two week on a rolling basis, according to The Livingston County News. Furloughed staff will retain health insurance benefits.

11. Madison, Wis.-based UW Health plans to furlough some staff due to the COVID-19 pandemic, according to the Wisconsin State Journal. UW Health CEO Alan Kaplan, MD, said UW Health saw a 62 percent decline in surgeries and patient volume, and as a result is expecting losses of $350 to $400 million between March 15 and June 30.

12. West Des Moines, Iowa-based UnityPoint Health said it will implement furloughs starting April 26, according to 25 News, an NBC affiliate. Furloughs will affect employees in areas of the system that are not operating at capacity or experiencing closures.

13. Gottlieb Memorial Hospital in Melrose Park, Ill., has furloughed some staff in response to the COVID-19 pandemic, according to the Chicago Tribune.

14. MacNeal Hospital in Berwyn, Ill., has furloughed some staff in response to the COVID-19 pandemic, according to the Chicago Tribune.

April 21

1. Phoenix-based Banner Health plans to furlough 5 percent to 7 percent of its workforce in response to the COVID-19 pandemic. Some affected employees may be furloughed for just a few weeks. Affected employees will still have benefits, like health insurance.

2. Citing the suspension of elective procedures, Ogdensburg, N.Y.-based Claxton-Hepburn Medical Center has furloughed or cut pay for 170 workers, according to WWNY TV. The furloughed employees will not be paid.

3. Rochester, Minn.-based Olmsted Medical Center, which employs 1,300 people, plans to furlough a portion of its staff to offset the financial hit caused by the COVID-19 pandemic, according to ABC 6 News. The medical center is projecting a loss of nearly $25 million for April through June due to the suspension of elective procedures.

4. Myrtue Medical Center, a Harlan, Iowa-based hospital with 422 employees, has furloughed a portion of its workforce due to a revenue drop from the COVID-19 pandemic, according to HarlanOnline.com. The hospital said that the pandemic has caused a nearly 50 percent drop in procedures, visits and overall patient volumes.

5. Hutchinson (Kan.) Regional Healthcare System, experiencing financial strain from the COVID-19 pandemic, plans to furlough staff, according to The Hutchinson News. The system said the furloughs will affect employees at each of its facilities, but declined to discuss the number of employees that will be furloughed.

6. Poteau-based Eastern Oklahoma Medical Center, a 25-bed critical access hospital, has furloughed 52 employees, according to Erie News Now. The hospital said that suspending non-emergent procedures has caused a dip in patient volume and revenue.

7. Citing a revenue loss from the COVID-19 pandemic and suspension of elective procedures, Framingham, Mass.-based MetroWest Medical Center has furloughed an undisclosed number of nurses, according to The Milford Daily News.

April 20

1. Citing the financial burden caused by the COVID-19 pandemic, Carthage (N.Y.) Area Hospital has furloughed 20 percent of its staff, according to local news station WWNY TV. About 83 staff members are affected. Furloughed employees with health insurance can still receive those benefits.

2. Sioux Falls, Idaho-based Avera Health will furlough 650 workers due to the suspension of elective procedures and resulting revenue loss, according to The Grand Forks Herald. Avera will also cut pay for 1,500 employees. The health system has 19,000 employees across a five-state region.

3. St. Lawrence Health System, a three-hospital system in Potsdam, N.Y., plans to furlough at least 400 workers to help offset the revenue loss caused by the COVID-19 pandemic, according to North Country Now. Due to a drop in patient volume due to the suspension of elective procedures, the system is projecting a cash flow decrease of $10 million in the next 30 days. The health system’s website says it has more than 2,025 employees.

4. Rapid City, S.D.-based Monument Health will place 200 employees on furlough, according to KOTA TV. The health system said that it implemented furloughs to help preserve protective gear and save costs after suspending elective surgeries. The furloughs, which are effective April 25, affect 4 percent of Monument Health’s workforce.

5. In an effort to offset a revenue loss due to the COVID-19 pandemic, Niagara Falls (N.Y.) Memorial Hospital has furloughed 52 workers, according to WKBW.

6. Elizabethtown (N.Y.) Community Hospital has furloughed 25 staff members after experiencing a revenue cut of 50 percent due to the suspension of elective procedures during the COVID-19 pandemic, according to the Adirondack Daily Enterprise.

7. Manatee Memorial Hospital, a safety-net facility in Bradenton, Fla., has furloughed a portion of its staff due to the COVID-19 pandemic, according to Bradenton.com. Affected employees will be able to retain health and life insurance. It is unclear how many staff members are affected or how long the furlough will last.

8. Tucson (Ariz.) Medical Center has furloughed some of its staff to help offset a revenue loss caused by the COVID-19 pandemic, according to Tucson.com. The health system said it is estimating a revenue loss of $20 million in April alone.

9. Tucson, Ariz.-based Carondelet Health Network has implemented furloughs across the system due to the COVID-19 pandemic, according to Tucson.com.

10. Gillette, Wyo.-based Campbell County Health has furloughed an undisclosed number of employees, according to The Gillette News Record. Affected employees are eligible to retain their health insurance and are expected to return to work within six to 12 weeks, according to the report.

April 17

1. Citing declines in revenue and patient volume due to the COVID-19 pandemic, Murray (Ky.) Calloway County Hospital plans to implement furloughs in all departments, according to local news station WPSD. The hospital said the reductions will affect about 15 percent to 30 percent of staff in each department, according to the report.

2. Lockport, N.Y.-based Eastern Niagara Hospital will furlough 60 employees in response to the suspension of elective procedures due to the pandemic, according to Buffalo, N.Y., ABC affiliate WKBW. The furloughs affect union and nonunion employees.

3. Lowville, N.Y.-based Lewis County Health System is temporarily placing 14 percent of its workforce on unpaid leave due to the COVID-19 pandemic, according to WWYN. The health system will ask for volunteers before furloughs will be mandated based on seniority. Furloughs are expected to last eight weeks.

4. Citing a financial hit from the suspension of elective procedures, Traverse City, Mich.-based Munson Healthcare is furloughing a portion of its staff, according to 9&10 News. Ed Ness, president and CEO of Munson Healthcare, told the CBS affiliate that the health system is projected to lose $7 million to $10 million a month.

5. Ann & Robert H. Lurie Children’s Hospital, based in Chicago, has furloughed about 20 percent of its staff through the end of April, according to the Chicago Tribune. Those staff members are still receiving pay and healthcare benefits. The hospital said it is losing about $10 million a week because it suspended elective surgeries and outpatient visits and is seeing a drop in inpatient visits.

6. Due to the COVID-19 pandemic, Maywood, Ill.-based Loyola Medicine has furloughed primarily nonclinical staff and reduced hours for other employees, according to the Chicago Tribune. Furloughed workers are still receiving healthcare benefits.

“We hope to bring back as many furloughed employees as we can, when possible,” Loyola told the newspaper.

7. Citing a revenue drop from the COVID-19 pandemic, Somerset, Ky.-based Lake Cumberland Regional Hospital has 17 percent of its workforce on furlough, according to the Commonwealth Journal. Affected employees will continue to receive health insurance and 25 percent of their wages.

8. Aiken (S.C.) Regional Medical Centers will furlough 54 employees in an effort to offset revenue losses due to the COVID-19 pandemic, according to WJBF. Affected employees will be eligible for unemployment.

9. Due to the impact of the COVID-19 pandemic on its business operations, Boston-based Fenway Health will furlough a portion of its staff this week, according to The Rainbow Times.

“This is not something we are doing lightly. But Fenway Health is not immune to the economic forces affecting every health care system in the state in the midst of the COVID-19 crisis,” Fenway Health CEO Ellen LaPointe, told the publication. “These measures are temporary.”

10. El Paso, Texas-based Hospitals of Providence will furlough a portion of its staff to help offset a drop in patient volume, according to El Paso Times. Hospitals of Providence said that less than 3 percent of staff would be affected.

11. Jacksboro, Texas-based Faith Community Health System has furloughed, cut hours or reassigned about 75 percent of its staff due to the suspension of elective procedures, according to The Dallas Morning News.

“Where larger hospitals might have the ability to sustain that loss of revenue, rural hospitals just don’t. It has hit us faster and harder,” Faith Community CEO Frank Beaman told the publication.

April 16

1. Samaritan Medical Center in Watertown, N.Y., will furlough 10 percent of its 2,400 employee workforce due to a revenue loss stemming from the COVID-19 pandemic, according to NNY360. The medical center expects the furloughs to last about three months.

2. In an effort to ensure the long-term financial stability of the organization, DuBois, Pa.-based Penn Highlands Healthcare has furloughed or laid off 600 employees, according to The Progress News. About 60 percent of the 600 affected staff were furloughed. The health system has seen its revenue dip about 40 percent due to the suspension of elective procedures.

3. New Bedford, N.H.-based SolutionHealth, which includes Manchester, N.H.-based Elliot Hospital System and Nashua-based Southern New Hampshire Health, plans to furlough 650 staff members to offset a revenue hit from the COVID-19 pandemic, according to The Union Leader.

4. Titus Regional Medical Center, a 108-bed facility in Mount Pleasant, Texas, has furloughed about 10 percent of its staff due to the COVID-19 pandemic, according to The Texas Tribune. It has about 800 employees. Titus said it expects the virus to cause a financial hit of $3.3 million, or about 14 days of cash.

5. Citing a financial hit from the COVID-19 pandemic, Chillicothe, Ohio-based Adena Health System has furloughed 500 staff members, according to WBNS, a CBS affiliate. The health system is projecting that it will have a deficit of more than $50 million through 2020 due to the suspension of elective procedures.

6. Akron, Ohio-based Summa Health is furloughing 360 employees in an effort to cut costs during the COVID-19 pandemic, according to The Beacon Journal. Summa Health has about 7,200 employees. The furloughs started this week. It is unclear when they will end.

7. Jupiter (Fla.) Medical Center has furloughed 50 workers in administrative and support positions due to the COVID-19 pandemic, according to The Palm Beach Post. The furloughs affect 2.7 percent of the hospital’s 1,883 employees and are expected to last through the peak of the pandemic.

8. Citing a patient volume and revenue loss from the COVID-19 pandemic, Paragould-based Arkansas Methodist Medical Center plans to furlough a portion of its staff starting April 20, according to local news station KAIT8.

9. Dunn, N.C.-based Harnett Health has furloughed 80 staff members due to theCOVID-19 pandemic, according to My Daily Record.

“We want to reassure our community that we are still here and able to provide care whenever they may need us,” Harnett Health President Cory Hess told the publication. “The restructuring is a direct result of having to temporarily shut down some of our services to reduce the spread of COVID-19.”

10. Citing a revenue dip due to the COVID-19 pandemic, Pocatello, Idaho-based Portneuf Medical Center will furlough and lay off a portion of its staff, according to the Idaho State Journal. It is unclear how many staff members were furloughed and laid off. The furloughs are expected to last 90 days, but some employees may be called back earlier.

“To balance the resources needed to care for our sickest patients against the economic impact of postponed visits and the decline in surgeries, we have made some difficult workforce decisions,” a spokesperson for Portneuf Medical Center told the publication.

11. San Francisco-based Dignity Health has furloughed a portion of its nonclinical staff, Laurie Harting, Dignity’s CEO for the Greater Sacramento region, told the Sacramento Business Journal. The number of affected employees was not disclosed.

12. While Sacramento-based Sutter Health has created a labor pool to redeploy and reassign employees, some who are unable to be reassigned have been furloughed, according to the Sacramento Business Journal. Sutter has offered these affected employees 80 hours of “disaster pay” to account for hours lost and is creating a relief fund for employees. It is unclear how many employees are receiving the disaster pay. The health system has not laid off employees.

April 15

1. Citing a decline in elective surgeries and other nonemergent procedures due to the COVID-19 pandemic, Dallas-based Tenet Healthcare has furloughed about 10 percent of its workforce of more than 113,000. Affected employees include those in administrative support roles, corporate office jobs and elective care. Earlier in April, Tenet said it planned to furlough 500 employees, but the health system said it had to raise the number of furloughs after the costly government-mandated suspension of elective procedures.

2. Citing the suspension of elective procedures, Detroit Medical Center is furloughing 480 employees who are not involved in treating COVID-19 patients or other critical patient care, according to Fox Detroit.

3. Lovelace Health System, based in Albuquerque, N.M., plans to furlough or cut hours of about 630 people, according to The Albuquerque Journal. The temporary workforce reduction affects about 15 percent of the health system’s 4,239 employees.

4. Citing a revenue drop of 60 percent due to the COVID-19 pandemic, Rutland City, Vt.-based Rutland Regional Health System has furloughed 150 employees, according to WCAX. The hospital has about 1,200 employees total.

5. Philadelphia-based Einstein Healthcare Network plans to move forward with furloughs due to a significant decline in physician practice and outpatient volume, according to WHYY. Health system officials said they project a $50 million to $60 million hit in 2020. Internal documents revealed that 70 percent of the health system’s expenses are staff related. Einstein Healthcare department heads were instructed to choose which employees to furlough this week.

6. Abbeville (S.C.) Area Medical Center has furloughed or cut hours of 75 employees for at least two months, according to the Index-Journal. Both clinical and nonclinical staff are affected.

“Like many hospital systems across the state and nation, the COVID-19 pandemic has created financial challenges for Abbeville Area Medical Center,” Dean Turner, Abbeville Area Medical Center’s CEO, told the publication. “This was a difficult decision but one that was necessary not only to ensure that our hospital can continue to serve patients, but also to ensure that our employees have jobs to come back to in the next six to eight weeks, if not sooner.”

7. Citing a financial toll from the COVID-19 pandemic, Roanoke, Va.-based Carilion Clinic plans to furlough a portion of its staff, CEO Nancy Agee announced in a video to employees. The number of affected employees has yet to be determined.

8. Jonesboro, Ark.-based St. Bernards Healthcare has furloughed 50 employees due to a significant decline in patient volume and revenue, according to Arkansas Business. The health system said that it is working to help furloughed staff “receive every benefit possible.”

9. In an effort to conserve cash and ensure the future financial stability of the organization, Sedalia, Mo.-based Bothwell Regional Health Center has furloughed 50 staff members, according to KSIS Radio. The COVID-19 pandemic has resulted in a 43 percent reduction in revenue, the hospital said.

10. Queensbury, N.Y.-based Hudson Headwaters Health Network has furloughed 50 employees due to the revenue hit from the COVID-19 pandemic, according to North Country Public Radio.

11. Decatur, Ill.-based HSHS St. Mary’s Hospital is asking employees to take voluntary furloughs due to a decline in patient volume from the COVID-19 pandemic, according to WCIA.

12. Fayetteville, Ark.-based Washington Regional Medical Center is furloughing a portion of its staff to help offset revenue losses due to the COVID-19 pandemic, according to KNWA, a Fox affiliate. The number of furloughs has yet to be determined.

13. In an effort to offset some of the financial losses from the COVID-19 pandemic, Mount Clemens, Mich.-based McLaren Macomb Hospital plans to furlough up to 20 nurses, according to Detroit News.

April 14

1. Kalispell (Mont.) Regional Healthcare will furlough 600 employees in an effort to help offset the financial hit from the COVID-19 pandemic, according to NBC Montana. The health system expects to incur a revenue loss of $16 million per month due to the suspension of elective procedures.

“The compounding effect of the loss of patient volumes, cancellation of elective surgeries, and the closure of entire service lines has had a tremendous financial impact on KRH,” Craig Lambrecht, MD, Kalispell Regional president and CEO, told the publication. “Cost cutting efforts have been underway but unfortunately those efforts alone cannot remedy the significance of these losses.”

2. UT Health East Texas in Tyler has furloughed or reduced hours of about 10 percent of its staff due to a decline in patient volume stemming from the COVID-19 pandemic, according to KLTV. The furloughs will last about 90 days, but some employees may be called back earlier. Employees will still have access to health insurance and paid time off benefits.

3. Manchester, N.H.-based Catholic Medical Center has furloughed 700 employees after canceling elective procedures to save staff and supplies for COVID-19 patients, according to The Union Leader. The hospital said it is losing about half of its typical monthly revenue. Furloughed workers can use paid time off.

4. Citing a revenue loss tied to the COVID-19 pandemic, Glens Falls (N.Y.) Hospital furloughed 337 workers, according to The Glens Falls Post-Star. Affected employees work in nonclinical roles.

5. Weymouth, Mass.-based South Shore Health has placed 219 employees on furlough in an effort to counter some of the financial strain caused by COVID-19, according to The Patriot Ledger. The health system has more than 5,600 employees. The health system said it is looking to reassign some of the workers to new roles.

6. Las Cruces, N.M.-based Memorial Medical Center has furloughed 125 employees, according to The Las Cruces Sun News. The furloughs affected nearly all departments and will last 60 days. The employees will earn partial pay and will still retain health benefits.

7. Minneapolis-based Allina Health said that employees in nonclinical and indirect patient care roles must take at least one mandatory furlough in a 30-day period, according to SW News Media. The mandatory unpaid furlough will be one week in duration. Employees can use paid time off to cover the mandatory furlough.

“Not unlike other health care systems in Minnesota and across the nation, these changes have created significant financial pressures for Allina Health,” the health system said in a news release.

8. Irving, Texas-based Christus Health implemented furloughs for a portion of its staff, according to KLTV. The health system said employees will retain their healthcare benefits and are allowed to take paid time off. The system didn’t disclose how many employees will be affected.

9. In an effort to help offset an expected revenue loss of $6 million per month, Derby, Conn.-based Griffin Hospital is furloughing 99 employees, according to The New Haven Register. The furloughed employees work in nonclinical roles.

10. Las Cruces, N.M.-based MountainView Regional Medical Center has placed 67 employees on furlough, according to The Las Cruces Sun News. The medical center has furloughed employees from departments where services have been suspended during the pandemic.

11. Nacogdoches (Texas) Memorial Hospital has furloughed a portion of its staff due to the COVID-19 pandemic, according to The Lufkin Daily News. The hospital said it has been stockpiling supplies for an anticipated surge in COVID-19 patients, which has “resulted in extraordinary expenses piling up at exactly the same time that we’ve intentionally driven volumes down by more than 50 percent.”

April 13

1. Citing a revenue drop due to the COVID-19 pandemic, Decatur (Ala.) Morgan Hospital is furloughing about 10 percent of its staff, 100 workers, according to The Decatur Daily.

2. Springfield, Mo.-based CoxHealth has furloughed 283 employees due to the suspension of elective procedures, according to The Springfield News-Leader. The hospital said it is working to get some of the furloughed employees redeployed to other positions in the health system.

3. Canton, Ohio-based Aultman Health will furlough about 400 employees, according to The Canton Rep. The majority of furloughed employees work in nonclinical roles, low-volume service areas or can’t be redeployed to care settings.

4. Evangelical Community Hospital, based in Lewisburg, Pa., has placed 400 workers on a furlough, according to The Williamsport Sun-Gazette. The hospital employs about 1,900 workers.

“Furloughs were across the board,” Deanna Hollenbach, a Evangelical Community Hospital spokesperson, told The Sun-Gazette.

5. Danville, Ky.-based Ephraim McDowell Health plans to furlough 20 percent of its 1,700-employee workforce, according to The Advocate Messenger. The hospital system said that it needed to “take immediate steps to ensure that we can sustain our operations after the COVID-19 crisis ends,” according to a statement obtained by the publication.

6. Starting April 13, Farmington, N.M.-based San Juan Regional Medical Center is furloughing a portion of its staff, according to The Farmington Daily Times. The furloughs will affect employees in elective care and in nonclinical roles.

7. Citing a revenue loss of 50 percent, Elmeria, N.Y.-based Arnot Health plans to furlough a portion of its staff to shore up finances, according to MyTwinTiers.com. Affected employees will be notified by April 17.

“The subsequent reductions in patient revenue have made it impossible for Arnot Health to afford the cost of current staffing levels in all but the most essential areas at this time,” the hospital said in a news release.

8. Although Mayo Clinic previously said it would protect full pay and benefits through April 28, after that date the system now says it will furlough some staff and implement pay cuts to address significant reductions in revenues. The Rochester, Minn.-based system said it projects a $900 million shortfall, even with the furloughs and pay cuts. On April 22, Mayo Clinic said the furloughs and reduced hours will impact about 30,000 staff members. The system also said it expects to incur $3 billion in losses due to the COVID-19 pandemic. The furloughs or reduced hours affect about 42 percent of Mayo Clinic’s 70,000 employees across its campuses in Arizona, Florida and Minnesota.

9. Anderson, S.C.-based AnMed Health will begin implementing furloughs April 19, according to WWYF. The furloughs are expected to last about three months. There was no specific number of furloughs announced, but officials said both clinical and nonclinical employees will be affected.

10. Spartanburg (S.C.) Regional Healthcare System has furloughed some of its staff, according to WWYF. The health system has set up a COVID-19 fund to support affected staff.

11. La Crosse, Wis.-based Gundersen Health System has furloughed some of its staff, according to The La Crosse Tribune. Gundersen officials said that its locations have experienced a 40 percent to 80 percent decrease in business operations in the last few weeks due to the suspension of nonemergent procedures and clinic visits.

“These are temporary actions,” Gundersen CEO Scott Rathgaber, MD, told the publication. “We plan to bring staff back to fully serve the needs of our patients and communities when our procedures and appointments can safely return to normal operations.”

12. Grays Harbor Community Hospital, based in Aberdeen, Wash., has implemented furloughs after the system saw a 45 percent drop in outpatient procedures due to the COVID-19 pandemic, according to KXRO. The hospital said it was also incurring more costs to procure equipment for staff. The furloughs will begin April 13 and last 90 days.

13. Citing millions of dollars in lost revenue due to the COVID-19 pandemic, Bennington-based Southwestern Vermont Health Care is furloughing a portion of its workforce, according to The Bennington Banner. The health system expects to furlough about 100 of its 1,400 workers and said it will reassess the furloughs every two weeks.

14. Putnam, Conn.-based Day Kimball Healthcare has furloughed workers due to a drop in patient volume and revenue, according to NBC Connecticut.

April 10

1. Allentown, Pa.-based Lehigh Valley Health Network has furloughed about 900 employees who work at its physician practices, according to The Morning Call. The email obtained by the publication stated that furloughed workers can return to work after in-person patient visits return to normal levels.

2. Halifax Health, based in Daytona Beach, Fla, has placed 300 staff members on a mandatory four-month furlough, according to The Daytona Beach News Journal. The news comes just nine days after the system asked for volunteers to take furloughs. The health system is also mandating that nonclinical staff not included in the furlough take one day off per week.

3. Citing financial pressure from the COVID-19 pandemic, Escondido, Calif.-based Palomar Health has issued temporary layoffs for 221 employees, according to NBC San Diego. The furloughs will last 21 days and may be extended. Palomar Health said it is facing a significant revenue decline and incurred more costs to procure equipment.

4. Citing a 60 percent reduction in revenue in the last two weeks due to the pandemic, Marshall, Mich.-based Oaklawn Hospital has temporarily laid off 200 employees, according to local news station WWMT. The temporary layoffs affect about 17 percent of its 1,150 employees.

5. More than half of the employees at Gold Beach, Ore.-based Curry Health Network will be furloughed, laid off or have hours cut, according to Oregon Live. The hospital network said that 192 employees will be affected. At the beginning of March the network employed 340. The system said the state’s ban on elective procedures to free up capacity and supplies for COVID-19 patients cut into its revenue stream, according to the report.

6. Baptist Health, an eight-hospital system based in Louisville, Ky., has implemented temporary unpaid furloughs for employees in jobs that do not support caregivers or are not critical to treating COVID-19 patients. The health system did not disclose the number of furloughed employees.

“Our intent is to return to normal operations as soon as possible, and begin calling back employees. This is just a temporary measure,” said Baptist Health CEO Gerard Colman.

7. Batesville, Ark.-based White River Health System has furloughed some employees for 30 days due to a decrease in patient volume, according to local news station KARK. It is unclear how many employees were placed on furlough, but they are expected to be temporary.

8. Citing volume declines of more than 50 percent due to the COVID-19 pandemic, Georgetown, S.C.-based Tidelands Health has furloughed an undisclosed number of staff, according to WPDE, an ABC affiliate.

9. Gardener, Mass.-based Heywood Healthcare has furloughed an undisclosed number of staff in units and facilities that were closed in preparation for a surge of coronavirus patients, according to The Gardener News. The first furlough will last four weeks and will mainly affect staff that work in outpatient settings.

“We are actually seeing a $5 million drop in overall revenue for our organization, so we are going to really work on staffing, and we are going to implement a variety of things today, including furloughs — both full furloughs for staff and partial furloughs — continuing to use low activity days, some very limited layoffs, reducing scheduled hours, changing our on-call arrangements, restructuring job positions, reducing the contracted services we have, as we try to tackle and lower our expenses,” Win Brown, president and CEO of Heywood Healthcare, told the publication.

10. Brewer, Maine -based Northern Light Health is asking its staff to volunteer to take furloughs, according to CentralMaine.com. The health system said it has no plans to conduct involuntary furloughs.

April 9

1. Citing severe patient volume disruptions caused by the COVID-19 pandemic, Johnson City, Tenn.-based Ballad Health plans to furlough at least 1,300 workers, cut pay for some senior leaders and suspend retirement contributions. Ballad is projecting a cash flow drop of $150 million in the next 90 days due to the suspension of elective procedures.

2. Lewiston-based Central Maine Healthcare will furlough 330 employees to help offset the revenue loss caused by the COVID-19 pandemic, according to Bangor Daily News. The furloughs affect about 10 percent of its workforce.

“Furloughs like this are one way that we can adjust and manage the balance sheet appropriately. It also allows us to do that without having to sacrifice jobs permanently, without having to end the provision of care,” Kate Carlisle, director of public relations and community affairs for Central Maine Healthcare, told the publication.

3. Oswego (N.Y.) Health will furlough 25 percent of its workforce next week, according to Syracuse.com. Health system officials said that it has been losing about $180,000 per day since the beginning of March due to the coronavirus pandemic. Oswego Health said the furloughs should last about 10 to 12 weeks.

4. Citing a revenue and patient volume dip caused by the COVID-19 pandemic, Hopkinsville, Ky.-based Jenny Stuart Health has furloughed 248 staff members, according to Kentucky New Era. The health system has about 1,000 employees.

“This is an incredibly difficult time for our health system, and this is not a decision we made lightly. I regret the immediate personal impact on these employees and their families,” Jennie Stuart Health CEO Eric Lee told the publication.

5. Marshfield (Wis.) Clinic will furlough employees who are not involved in preparing for the anticipated surge in COVID-19 patients, according to local news station WEAU. The furloughs are expected to be temporary, and staff can be recalled at any point in time to help manage the surge, according to the report.

6. Due to the suspension of elective procedures, Ashtabula (Ohio) County Medical Center is furloughing a portion of its workforce, according to the Star Beacon. To reduce the number of employees affected by the furlough, the hospital is training some employees to support different clinical departments in anticipation of a surge of COVID-19 patients.

7. University of Kansas Health System St. Francis Campus in Topeka is laying off 29 employees and furloughing 235, according to The Topeka Capital Journal. The furloughs and layoffs are an effort to offset the financial impact of the COVID-19 pandemic. The furloughs affect about 17 percent of the hospital’s staff.

8. Holyoke, Colo.-based Melissa Memorial Hospital is placing 19 employees on furlough for about three months, according to The Holyoke Enterprise. Furloughed employees are expected to return to work on July 26. The hospital said the decision was made because revenue was down due to the suspension of elective procedures.

9. Mad River Community Hospital, a 78-bed hospital in Arcata, Calif., is placing some employees on a full or partial furlough, according to Lost Coast Outpost. Hospital officials said the move is “essential” to ensure its doors remain open after the pandemic.

10. Citing challenges due to the COVID-19 pandemic, Oklahoma City-based Integris Health plans to furlough employees not involved in direct patient care, according to News 9. The furloughs are expected to be temporary. Affected employees will still receive health insurance benefits.

11. Abilene (Texas) Regional Medical Center has placed a small number of employees on furlough, according to KTXS, an ABC affiliate. Affected employees work in areas where services have been curtailed or suspended due to the COVID-19 pandemic.

April 8

1. MUSC Health, an eight-hospital system based in Charleston, S.C., said it would temporarily lay off 900 employees, or 5 percent of its workforce, to offset the financial hit caused by the COVID-19 pandemic. The temporary layoffs, which do not affect nonclinical workers, were effective April 7.

2. Nonclinical employees at Peoria, Ill.-based OSF HealthCare will be subject to mandatory paid time off or will be furloughed, the health system said April 7. The health system said the furloughs are necessary to help offset a revenue loss caused by the COVID-19 pandemic.

“It is important for the communities OSF has been called to serve for more than 142 years that we stabilize our financial position and protect our culture so we can continue to serve those communities, and our Mission Partners and their families in Illinois and Michigan,” said Mike Allen, CFO of OSF HealthCare. “Our priority remains equipping our frontlines with the resources they need to ensure the continuation of essential care, while protecting those providing that care.”

3. Citing a revenue and patient volume reduction caused by the COVID-19 pandemic, Holyoke, Mass.-based Valley Health System has furloughed 225 employees, according to Western Mass News. The furloughs affect about 11 percent of its workforce.

4. Odessa (Texas) Regional Medical Center has furloughed 60 employees to help offset a revenue loss due to the COVID-19 pandemic, CBS 7 reports. Affected employees will still receive insurance and are expected to be called back to work.

5. Medical Center Hospital in Odessa, Texas, has furloughed 30 staff members after the facility was ordered to suspend the lucrative elective procedures to save resources and staff to treat COVID-19 patients, according to CBS 7. The hospital has reassigned hospital workers to different areas, but Medical Center Hospital CEO Russell Tippin told the publication that it has been difficult.

“We’re in such a regulated industry that it’s hard,” Mr. Tippin told CBS 7. “You can’t take a pharmacist and put them in radiology. And you can’t take a radiologist and put them in pharmacy.”

6. Citing financial difficulties caused by the COVID-19 pandemic, Chillicothe, Ohio-based Adena Health System plans to furlough nonclinical workers in the coming weeks, according to a video from Adena CEO Jeff Graham.

7. In an effort to ease the financial damage caused by the COVID-19 pandemic, Amarillo, Texas-based BSA Hospital plans to furlough some of its employees for up to 90 days, according to ABC 7 Amarillo.

8. Magnolia (Ark.) Regional Medical Center has furloughed an undisclosed number of nonclinical staff, including administrative and clerical workers, according to The Magnolia Banner News. The furloughs are expected to last at least two months. Affected staff will remain on the MRMC roster and maintain insurance, according to the report.

9. Caribou, Maine-based Cary Medical Center has furloughed a number of employees due to a drop in patient volume and revenue as a result of preparing for a COVID-19 patient surge, according to The Bangor Daily News. A majority of the furloughs affect support staff for physicians, according to the report.

10. In response to the COVID-19 pandemic, Hartford, Conn.-based Trinity Health of New England plans to furlough an undisclosed number of employees, according to The Hartford Courant. The majority of the furloughs will affect nonclinical workers.

“This will enable us to focus our resources on the functions directly related to essential COVID-19 patient care needs that we anticipate, while protecting people and helping prevent the spread of the disease,” Trinity Health of New England said in a statement to The Hartford Courant.

April 7

1. Tulsa, Okla.-based HillCrest HealthCare System will furlough 600 employees for up to 90 days, according to local news station KRMG. The furloughs affect about 9 percent of staff and are a result of a decline in routine and elective procedures due to the COVID-19 pandemic.

2. Thomas Health System in South Charleston, W.Va., plans to furlough “less than 500” employees starting this week, according to the West Virginia Gazette Mail. In announcing the furloughs, the health system cited the suspension of nonemergent procedures due to the COVID-19 pandemic.

3. Citing a decrease in patient volume and revenue due to the pandemic, Cookeville (Tenn.) Regional Medical Center has furloughed 400 employees, according to Fox 17 News.

“The pandemic created by COVID-19 has had a devastating impact not only in our community and state but across our entire country and the world that has required each of us to make sacrifices,” the hospital said in a statement to Fox 17 News.

4. Cape Fear Valley Health, based in Fayetteville, N.C., plans to furlough an additional 350 employees, according to The Fayetteville Observer. The health system had already furloughed about 300 employees on March 27. The health system said since the first round of furloughs, its inpatient occupancy has dropped to 60 percent.

5. Citing a revenue and patient volume drop from the COVID-19 pandemic, Washington Court House, Ohio-based Fayette County Memorial Hospital has furloughed 71 of its 352 employees, according to radio station WKKJ. The furloughs are expected to last for 30 days.

6. M Health Fairview, a 10-hospital system in Minneapolis, is asking physicians, nurse practitioners and physician assistants in some clinics to volunteer to take a week of unpaid leave as a furlough, according to The Star Tribune.The system is taking volunteers for one-week physician furloughs through May 3. Those who volunteer will still receive benefits.

7. Mountain Home, Ark.-based Baxter Regional Medical Center plans to furlough an undisclosed number of employees to ease the financial hit from a decrease in volume and increased costs to prepare for the COVID-19 pandemic, according to local news station KTLO. The furloughs are expected to be temporary. The hospital will reevaluate if additional measures are needed or if employees can return after four weeks.

8. Joplin, Mo.-based Freeman Health System plans to furlough an undisclosed number of employees after suspending elective procedures to prepare for the anticipated surge in COVID-19 patients, according to FourStatesHomepage.com

9. Lawrence (La.) General Hospital has placed 160 staff members on a four-week furlough, according to The Eagle Tribune. Most of the furloughs, which are expected to be temporary, affect nonclinical workers. Lawrence General has about 2,000 employees.

10. Froedtert Health has furloughed some workers, according to local news station Fox 6, which spoke to furloughed nurses from the Wauwatosa, Wis.-based system on the condition of anonymity.

April 6

1. Huntington, W.Va.-based Mountain Health Network furloughed 550 employees and cut the hours of 450, according to local news station WSAZ. The furloughs are a result of the financial and resource strain prompted by the COVID-19 pandemic.

2. LRGHealthcare, based in Laconia, N.H., plans to furlough 600 employees for up to four months to cope with the financial effects of the COVID-19 pandemic, according to the Laconia Daily Sun. Affected employees will keep their medical insurance and can receive unemployment compensation.

3. Citing a 35 percent reduction in revenue due to the COVID-19 pandemic, Columbia, Tenn.-based Maury Regional Health will furlough 340 employees this week, according to The Columbia Daily Herald. Maury Regional Health employs more than 3,000.

“We are experiencing unprecedented events as the COVID-19 pandemic evolves. After much deliberation, we were forced to make the difficult decision to furlough employees in the face of declining volumes and revenue. We plan to begin calling back employees as patient volumes normalize,” Maury Regional CEO Alan Watson told the Daily Herald.

4. Franklin, Tenn.-based Williamson Medical Center will furlough 200 employees due to a loss in revenue attributed to the COVID-19 pandemic and government mandates to postpone elective procedures, according to The Tenneseean. The furloughs, which began taking place April 1, are expected to be temporary.

5. Coos Bay, Ore.-based North Bend Medical Center has furloughed 130 employees to prepare for the novel coronavirus pandemic, according to TheWorldLink.com. The medical center is still providing insurance to the furloughed workers.

6. Citing a $16 million revenue loss in March due to the postponement of elective procedures, Sarasota (Fla.) Memorial Hospital will furlough an undisclosed number of employees, according to local news station WUSF. The hospital, which has 6,400 employees, expects to lose even more revenue in April and May due to the COVID-19 pandemic.

7. Dayton, Ohio-based Premier Health will furlough an undisclosed number of employees due to an anticipated financial hit from Ohio’s interim ban on nonessential surgeries, according to The Dayton Business Journal. The furloughs will affect employees that are not providing patient care.

8. Due to a loss in revenue and patient volume, Conway (S.C.) Medical Center plans to furlough about 100 employees who are not frontline care providers, according to WMBF. The hospital said the mandate on suspending elective procedures caused the revenue and volume drop.

April 3

1. Burlington, Mass.-based Wellforce, which includes four community hospitals, one academic medical center and a children’s hospital, has furloughed 719 workers, according to the Boston Business Journal. The affected employees will be furloughed for at least 90 days to help the system deal with the drastic volume decrease from suspending elective procedures. In addition, 1,236 employees will have their hours and pay reduced, according to the report.

2. Southbridge, Mass.-based Harrington Healthcare has furloughed 131 employees across its network this week, according to MassLive. About 20 of the 131 affected employees were “partially furloughed,” meaning their hours were significantly reduced, according to the report. Chris Canniff, the company’s vice president of administration and human resources, said the provider has seen a 50 percent decline in patient volume amid the COVID-19 pandemic. Furloughed employees will not be paid for four weeks.

3. Seattle-based Virginia Mason Medical Center said it has seen a 30 percent decline in revenue since the COVID-19 pandemic started and Gov. Jay Inslee ordered hospitals to suspend elective procedures. As a result, the system is furloughing an undisclosed number of employees, according to local station K5 News. Most of the affected employees are in nonclinical roles.

“We rely substantially on outpatient revenue to ensure our financial viability,” wrote medical center executives in an internal memo to Virginia Mason leaders obtained by K5 News. “This is an unprecedented time and it calls for drastic measures.”

4. Citing drastic revenue decreases and increased expenses, Columbus, Ohio-based Mount Carmel Health System will furlough nonclinical staff, according to ABC 6. The health system said fewer than 500 employees will be affected. The system employs more than 10,000. In addition to the furloughs, the health system is implementing pay cuts for executives and physicians, according to the report.

5. Atlantic City, N.J.-based AtlantiCare has furloughed some of its workers due to the COVID-19 pandemic, according to NJ.com. In addition, the system has asked staff members, including nurses and physicians, to voluntarily take a furlough or a reduction in their hours, according to Press of Atlantic City. The staffing changes began taking place March 30. The changes are considered temporary, and affected employees will keep their benefits.

6. Citing a drop in patient revenue due to government mandates to help the COVID-19 pandemic, Dayton, Ohio-based Kettering Health Network is placing some of its employees on furlough, according to the Dayton Business Journal.

7. New Bedford, Mass.-based Southcoast Health will furlough some staff not actively involved in patient care efforts because the health system is absorbing a deep revenue hit, according to Southcoast Today. The health system will pay a portion of furloughed employees’ insurance premiums through June 30.

April 2

1. Livonia, Mich.-based Trinity Health plans to furlough 2,500 employees. The system made the decision to help offset the financial hit from COVID-19. Most of the affected employees are in nonclinical roles.

2. Boston Medical Center is furloughing 700 staff members, or 10 percent of its workforce, due to financial losses from the COVID-19 pandemic. Kate Walsh, CEO of Boston Medical Center, told The Globe that the hospital has lost about $5 million in revenue per week, and that the furloughs will help save the system about $1 million per week.

3. Citing a revenue hit from the COVID-19 pandemic, Cincinnati-based Bon Secours Mercy Health will furlough 700 employees and freeze wages of all nonclinical personnel. The furloughs are expected to begin next week and last 30 to 90 days, depending on how long the pandemic lasts, according to Bon Secours Mercy Health CEO John Starcher. Bon Secours Mercy Health estimates it will see an operating loss of at least $100 million per month while the pandemic lasts.

4. Citing a severe disruption in services due to the COVID-19 pandemic, Duluth, Minn.-based Essentia Health has placed about 500 nonclinical staff on administrative leave.

5. Hartford-based Connecticut Children’s Medical Center is furloughing 400 employees across its system due to the expected financial hit from COVID-19, according to The Hartford Courant. The system said its patient volume has been cut in half due to halting elective procedures. Furloughed employees are mainly nonclinical workers, and are expected to return to work in early June, or when elective procedures can resume.

6. Clay County Medical Center, a 25-bed hospital in Clay Center, Kan., has furloughed 25 percent of its staff in response to the COVID-19 pandemic, according to The Clay Center Dispatch. It has about 300 employees, according to its website.

7. Williamson Medical Center in Franklin, Tenn., will temporarily furlough 200 employees to sustain its financial resources during the COVID-19 pandemic.

8. Dallas-based Steward Health Care is informing employees to expect furloughs at its facilities across the U.S. as the system works to overcome the “seismic shock” of the COVID-19 pandemic. The health system said it has started a temporary furlough program for some employees of its hospitals in nine states. Most affected staff work in nonclinical jobs.

9. Huntsville (Ala.) Hospital System, faced with expenses and a loss of revenue due to the novel coronavirus, has implemented a cost reduction plan that includes furloughs, according to AL.com. Huntsville Hospital said April 9 that it had to furlough or cut hours for 2,000 employees.

10. Syracuse, N.Y.-based St. Joseph Health plans to furlough an undisclosed number of workers as it prepares to deal with an “unprecedented fiscal fallout” from the COVID-19 pandemic, Syracuse.com reports. St. Joseph Health will also cut pay for senior management.

11. Baptist Health in Little Rock, Ark., has started furloughing an undisclosed number of employees this week to address an expected revenue loss from the pandemic.

12. Little Rock-based Arkansas Heart Hospital has furloughed workers due to the interruption of normal hospital operations.

March 27 to April 1

1. Citing the financial hit from the COVID-19 pandemic, Greenville, S.C.-based Prisma Health said it will furlough an undisclosed number of clinical, corporate and administrative workers. On April 9, Prisma Health executives told legislators that it was forced to furlough or cut hours for 3,900 of its 30,000 person workforce, according to The State.

2. Chattanooga, Tenn.-based Erlanger Health System said it is implementing a cost-reduction plan that includes furloughs and pay reductions for leadership. The moves were prompted by the COVID-19 pandemic. Administrative employees also are affected by the furlough.

3. Appalachian Regional Healthcare, a 13-hospital system in Lexington, Ky., will furlough about 500 employees due to a sharp reduction in business and revenue. In addition to the financial aspect, Appalachian Regional said its decision was to protect employees not involved in direct patient care from contracting the novel virus and ensure that the health system has enough supplies to treat the anticipated surge of COVID-19 patients.

4. Cleveland-based St. Vincent Charity Medical Center has furloughed about 70 employees amid the COVID-19 pandemic. Affected employees include nurses, surgical assistants, clerical and other support staff.

5. Morehead, Ky.-based St. Claire HealthCare announced it will furlough 300 employees who are not involved in direct patient care to ensure it can sustain clinical operations during and after the COVID-19 pandemic.

6. Astoria, Ore.-based Columbia Memorial Hospital has furloughed 90 of its 740 employees after the facility scaled back nonemergent procedures to concentrate on the coronavirus.

7. Citing the spreading and unforgiving demands of the COVID-19 pandemic, Canton, Ohio-based Mercy Medical Center has furloughed workers. The move came shortly after the state ordered hospitals to suspend elective surgeries and procedures to free up capacity and supplies to treat COVID-19 patients.The number of staff affected was not disclosed.

8. Meadville (Pa.) Medical Center has furloughed more than 225 employees to ensure the hospital’s financial stability. The hospital said the furlough is expected to last through April 5, but warned an extension is possible if the pandemic continues to affect business operations and revenue.

9. To help the system survive the economic challenges linked to the COVID-19 pandemic, Rockford, Ill.-based Mercyhealth has furloughed an undisclosed number of employees who are not providing direct patient care.

10. In response to the COVID-19 pandemic, Lewisburg, Pa.-based Evangelical Community Hospital has furloughed a “significant” number of employees who are not involved in direct patient care.

Coronavirus in the U.S.: An Unrelenting Crush of Cases and Deaths

Posted on May 5, 2020 by henrykotula • Posted in 2020 Election Issues, Centers for Disease Control & Prevention (CDC), Clinical Testing, Coronavirus, Crisis, Crisis Management, Health Policy, Infection Control, Infectious Virus, Mortality, Pandemic, Public Health, Public Safety, Quarantine, Social Distancing, Vaccination, Vaccine, Wishful Thinking • Leave a comment

While cities like New York have seen a hopeful drop in cases, upticks in other major cities and smaller communities have offset those decreases.

In New York City, the daily onslaught of death from the coronavirus has dropped to half of what it was. In Chicago, a makeshift hospital in a lakefront convention center is closing, deemed no longer needed. And in New Orleans, new cases have dwindled to a handful each day.

Yet across America, those signs of progress obscure a darker reality.

The country is still in the firm grip of a pandemic with little hope of release. For every indication of improvement in controlling the virus, new outbreaks have emerged elsewhere, leaving the nation stuck in a steady, unrelenting march of deaths and infections.

As states continue to lift restrictions meant to stop the virus, impatient Americans are freely returning to shopping, lingering in restaurants and gathering in parks. Regular new flare-ups and super-spreader events are expected to be close behind.

Any notion that the coronavirus threat is fading away appears to be magical thinking, at odds with what the latest numbers show.

Coronavirus in America now looks like this: More than a month has passed since there was a day with fewer than 1,000 deaths from the virus. Almost every day, at least 25,000 new coronavirus cases are identified, meaning that the total in the United States — which has the highest number of known cases in the world with more than a million — is expanding by between 2 and 4 percent daily.

Rural towns that one month ago were unscathed are suddenly hot spots for the virus. It is rampaging through nursing homes, meatpacking plants and prisons, killing the medically vulnerable and the poor, and new outbreaks keep emerging in grocery stores, Walmarts or factories, an ominous harbinger of what a full reopening of the economy will bring.

While dozens of rural counties have no known coronavirus cases, a panoramic view of the country reveals a grim and distressing picture.

“If you include New York, it looks like a plateau moving down,’’ said Andrew Noymer, an associate professor of public health at the University of California, Irvine. “If you exclude New York, it’s a plateau slowly moving up.”

In early April, more than 5,000 new cases were regularly being added in New York City on a daily basis. Those numbers have dropped significantly over the last few weeks, but that progress has been largely offset by increases in other major cities.

Consider Chicago and Los Angeles, which have flattened their curves and avoided the explosive growth of New York City. Even so, coronavirus cases in their counties have more than doubled since April 18. Cook County, home to Chicago, is now sometimes adding more than 2,000 new cases in a day, and Los Angeles County has often been adding at least 1,000.

Dallas County in Texas has been adding about 100 more cases than it was a month ago, and the counties that include Boston and Indianapolis have also reported higher numbers.

It is not just the major cities. Smaller towns and rural counties in the Midwest and South have suddenly been hit hard, underscoring the capriciousness of the pandemic.

Dakota County, Neb., which has the third-most cases per capita in the country, had no known cases as recently as April 11. Now the county is a hot zone for the virus.

Dakota City is home to a major Tyson beef-processing plant, where cases have been reported. And the region, which spreads across the borders of both Iowa and South Dakota, is dotted with meat-processing plants that have been a major source of work for generations. The pattern has repeated all over: Federal authorities say that at least 4,900 meat and poultry processing workers have been infected across 19 states.

The Tyson plant in Dakota City has temporarily closed for deep cleaning. Now the workers wait, afraid to go back to work but fearful not to.

“They need money and they want to go back of course,” said Qudsia Hussein, whose husband is an imam in the area. With many businesses shuttered or suffering financially because of the pandemic, she said, “There’s no other place they can work.”

Trousdale County, Tenn., another rural area, suddenly finds itself with the nation’s highest per capita infection rate by far. A prison appears responsible for a huge spike in cases; in 10 days, this county of about 11,000 residents saw its known cases skyrocket to 1,344 from 27.

As of last week, more than half of the inmates and staff members tested at Trousdale Turner Correctional Center in Hartsville, Tenn., were positive for the virus, officials said.

“It’s been my worst nightmare since the beginning of this that this would happen,” said Dwight Jewell, chairman of the Trousdale County Commission. “I’ve been expecting this. You put that many people in a contained environment and all it takes is one.”

Everyone in town knows about the outbreak. But they are defiant: Businesses in the county are reopening this week. On Monday evening, county commissioners were scheduled to have an in-person meeting, with chairs spaced six feet apart. They have a budget to pass and other issues facing the county, Mr. Jewell said.

“We’ve got to get back to the business of the community,” he said.

Infectious-disease experts are troubled by perceptions that the United States has seen the worst of the virus, and have sought to caution against misplaced optimism.

“I don’t see why we expect large declines in daily case counts over the next month,” Trevor Bedford, a scientist at the Fred Hutchinson Cancer Research Center who has studied the spread and evolution of the virus, wrote on Twitter. He added, “There may well be cities / counties that achieve suppression locally, but nationally I expect things to be messy with flare-ups in various geographies followed by responses to these flare-ups.”

The outbreak in the United States has already killed more than 68,000 people, and epidemiologists say the nation will not see fewer than 5,000 coronavirus-related deaths a week until after June 20, according to a survey conducted by researchers at the University of Massachusetts at Amherst.

An aggregate of several models assembled by Nicholas Reich, a biostatistician at the university, predicts there will be an average of 10,000 deaths per week for the next few weeks. That is fewer than in previous weeks, but it does not mean a peak has been passed, Dr. Reich said. In the seven-day period that ended on Sunday, about 12,700 deaths tied to the virus occurred across the country.

“There’s this idea that it’s going to go up and it’s going to come down in a symmetric curve,” Dr. Reich said. “It doesn’t have to do that. It could go up and we could have several thousand deaths per week for many weeks.”

The deaths have hit few places harder than America’s nursing homes and other long-term care facilities. More than a quarter of the deaths have been linked to those facilities, and more than 118,000 residents and staff members in at least 6,800 homes have contracted the virus.

There is no escaping some basic epidemic math.

In the absence of a vaccine, stopping the spread of the virus requires about two-thirds of the population to have been infected. And some experts have argued that before what is known as herd immunity kicks in, the number of people infected nationwide could reach a staggering 90 percent if social distancing is relaxed and transmission rates climb. (It is also not clear how long immunity will last among those who have been infected.)

As testing capacity has increased, so has the number of cases being counted. But many jurisdictions are still missing cases and undercounting deaths. Many epidemiologists assume that roughly 10 times as many people have been infected with the coronavirus than the number of known cases.

Because of the time it will take for infections to spread, incubate and cause people to die, the effects of reopening states may not be known until six weeks after the fact. One model used by the Centers for Disease Control and Prevention includes an assumption that the infection rate will increase up to 20 percent in states that reopen.

Under that model, by early August, the most likely outcome is 3,000 more deaths in Georgia than the state has right now, 10,000 more each in New York and New Jersey, and around 7,000 more each in Pennsylvania, Illinois and Massachusetts. Under the model’s most likely forecast, the nation will see about 100,000 additional deaths by Aug. 4.

“Even if we’re past the first peak, that doesn’t mean the worst is behind us,” said Youyang Gu, the data scientist who created the model. “It goes up quickly but it’s a slow decline down.”

	Duncan S. MacLean MD on Biden targets drug costs in St…
	Duncan S. MacLean MD on U.S. healthcare: A conglomerat…
	7 healthcare takeawa… on 7 healthcare takeaways from Se…
	Annette on Cartoon – Fire Fauc…
	sreenadha vattam on Cartoon – US Healthcare…

HENRY KOTULA

A Healthcare Leadership Blog

Category Archives: Crisis Management

Whistleblower alleges Trump administration ignored coronavirus warnings

Share this:

Share this:

Share this:

Share this:

Share this:

Share this:

Share this:

Share this:

Share this:

Share this: