Updated COVID-19 projections are out: The new peak dates in each state

https://www.beckershospitalreview.com/patient-flow/updated-covid-19-projections-are-out-the-new-peak-dates-in-each-state.html?utm_medium=email

COVID-19 state-by-state forecast | WCHS

Peak demand for hospital resources due to COVID-19 is expected this week in the U.S., according to updated projections from the University of Washington’s Institute for Health Metrics and Evaluation in Seattle. 

The model, first released in late March, presents estimates of predicted health service utilization and deaths due to COVID-19 for each state in the U.S. if social distancing measures are maintained through May. Researchers used state-level hospital capacity data, data on confirmed COVID-19 deaths from the World Health Organization, and observed COVID-19 utilization from select locations.

When IHME first released its model, the only place where the number of daily deaths had already peaked was Wuhan, China. The data from Wuhan formed the basis for IHME’s estimation of the time from implementation of social distancing policies to the peak day of deaths. That estimation is now based on data from Wuhan and seven locations in Spain and Italy where the number of daily deaths appears to be peaking or to have peaked. The model has also been updated to use three different weighting schemes to better approximate the variation in potential policy impact across social distancing mandates.

Projections for peak demand for resources, namely hospital beds and ventilators, also changed after IHME incorporated new data sources into its model and made changes to its analytical framework. Access more information about the changes here.

According to the most recent projections, which use data updated April 8, peak demand for hospital resources will occur at the national level on April 11. However, this varies by state. Below is the projected date of peak demand for hospital beds, ICU beds and ventilators in each state according to the IHME model. 

April 1
Vermont

April 2
Washington

April 4
Louisiana

April 7
Michigan

April 8
Colorado
New York
Ohio

April 9
Delaware
District of Columbia

April 11
Illinois
New Jersey

April 12
Hawaii

April 13
California
Pennsylvania
Wisconsin

April 14
Idaho
Indiana

April 15
North Carolina
West Virginia

April 16
Mississippi
New Hampshire

April 17
Alaska
Maine
Maryland
Nevada
Tennessee

April 20
Alabama
Georgia
Kansas
Massachusetts
Montana
Virginia

April 21
Connecticut
Florida
Kentucky
Missouri
New Mexico
North Dakota

April 22
Arizona
Oregon
Texas

April 23
Minnesota
Oklahoma

April 24
South Carolina

April 25
Arkansas
Rhode Island
Utah

April 26
Nebraska

April 27
Iowa
South Dakota

April 29
Wyoming

 

 

Coronavirus-wracked nursing home evacuated after most of staff failed to show for two days

https://www.washingtonpost.com/nation/2020/04/09/california-nursing-home-coronavirus/?fbclid=IwAR2qdVFKS7o1m5NgYcx2_brXqGxqxrrlcO52cD9Xxd4l_FSZDaKUwyputu8&utm_campaign=wp_main&utm_medium=social&utm_source=facebook

Coronavirus-wracked California nursing home evacuated after staff ...

A California nursing home where dozens have tested positive for the novel coronavirus was forced to evacuate Wednesday after a majority of its staff failed to show up to work for the second consecutive day, according to public health officials.

People decked out in masks, gloves and protective gowns could be seen wheeling residents of the Magnolia Rehabilitation & Nursing Center in Riverside, Calif., one by one on stretchers to ambulances that would take them to other care facilities in the area.

“We have a large vulnerable population at any of our long-term-care facilities, and we want to make sure those people are taken care of,” he said.

Nursing homes and other long-term-care centers nationwide have been hit particularly hard by the coronavirus, which poses much higher risks to elderly people and those with underlying health conditions. In recent months, facilities have reported struggling to contain the spread of covid-19 among patients, with staff growing increasingly concerned about becoming exposed to the virus themselves due to shortages of personal protective equipment.

Riverside County officials say they do not yet know why many of Magnolia’s staff members stopped reporting for duty. As of Wednesday, Kaiser said his office had not received any complaints from the staff about working conditions at the 90-bed center, which bills itself as “one of the finest skilled nursing facilities in Riverside, California.”

But no matter how justified the reasoning may be, Kaiser said he is concerned that the employees’ actions “could rise to the level of abandonment.”

“Nationwide, all of our health-care workers are considered heroes, and they rightly are,” he said. “But implicit in that heroism is that people stay at their posts.”

Officials learned something was amiss Monday when they received a notice that the Riverside facility “had made a large staffing request for the next day which was considered an unusual event,” Kaiser said. The request came just days after testing confirmed an outbreak of covid-19 at the center.

Upon contacting the nursing home, Kaiser said he was informed that a “substantial portion” of employees had not come in for their shifts.

On Tuesday, only one certified nursing assistant out of the 13 scheduled to work showed up, which prompted facilities nearby to send more than 30 of their own nurses to the center, according to a news release from the county.

The staffing problem persisted into Wednesday morning, Kaiser said at the news conference, leaving him with no choice but to order the evacuation “to safeguard the well-being of the residents and ensure appropriate continuity of care.” According to the most recent figures, Riverside County has 1,179 confirmed cases of the coronavirus, with 32 reported deaths.

Bruce Barton, director of the county’s emergency management department, told reporters that Wednesday’s operation involved 53 ambulances as well as assistance from the fire department and police.

The Southern California county isn’t alone in its struggles to care for its vulnerable residents amid the pandemic.

Since the coronavirus reached the United States, reports of nursing homes and eldercare facilities becoming overwhelmed by outbreaks have surfaced regularly.

Last month, a senior-care center in New Jersey relocated all 94 of its residents following a covid-19 outbreak that also sickened several workers, causing critical staffing shortages. Meanwhile, the CEO of a company running several eldercare facilities in New York, the epicenter of the U.S. outbreak, started advising family members to take their loved ones home if possible, NBC News reported this month.

The Seattle Times reported Wednesday that at least 137 long-term-care facilities in Washington state had residents test positive for the virus. More than 200 deaths have been linked to them, according to the Times, about half the total fatalities in the state from covid-19.

On Wednesday, as patients from the Riverside center were still waiting to be transported, Barton issued a plea to health-care workers for assistance.

“We are in immediate need for help to care for our most vulnerable patients,” he said. “We will provide full PPE. We will pay you and provide malpractice. The facilities you work in will be clean. We have an amazing team that is working on this night and day. Please come join us.”