May 22, 2020

Community Testing

Strategy and Operational Plan

Agenda • Community Testing Overview

• Strategy & Objectives

• Guidance for Ordering Clinicians and Their Teams

• Operational Overview

• Approved Community Testing Sites

• Testing Details & Patient Costs

• Next Steps

Strategy

• Play a community leadership role in the providing COVID-19 testing and care

• Deliver on our commitment to groups that have been disproportionately affected by COVID-19

• Provide a consumer-centered approach to COVID-19 testing access, testing services, and results management experience.

• Design and deliver on a range of testing options to meet the needs of our communities including testing on our Advocate Aurora campuses and mobile sites.

Objectives

• Target Population: AAH and non-AAH patients with at least one COVID symptom

• Provide strategic consumer and internal messaging

• Scale-able, sustainable

Guidance for Ordering Clinicians and Their Teams

Operational Overview

• Operational Workflow

• Patient Entry Point

• Ordering

• Scheduling

• Results Management

• Clinic Process

• Testing Results Workflow

• Community Testing Sites

• Patient Costs

• Testing Details

**These guidelines apply to community testing only

• All other testing populations (e.g., pre-procedural, employee health, etc.) follow a different process

Site Models

• Hospital-based site

• Clinic-associated

• Stand-alone

Entry Points Pre-Visit Test Site Results Management

Enterprise Population Health

COVID+ results follow-up;

PCP assignment/unique patient capture

Clinician Order

Online Self Scheduling

Hotline

Schedule

Registration

Test Order

LiveWellActivation

System Standard Testing Operational Workflow Populations: Pre-procedural, Employees, Community, and Business Partners

Clinic Process• Patient must have a COVID-related symptom to be tested

• Test order and scheduling can be performed by any team member per protocol w/o cosign

• Order

• Exact Sciences – WI

• Quest – IL

• Scheduling to nearest site

• Enrollment/activation in MyAdvocateAurora (using on-line or LiveWell app)

• WI clinics must complete and fax PUI form to local health department

• Instructions regarding results in 3 to 5 days; for Quest labs it may be as many as 7 days

Testing Results Workflow

• All results will be sent online via MyAdvocateAurora (online or LiveWell app)

• If test is ordered in office, result is sent to ordering provider whether positive or negative – No action required

• Enterprise Population Health (EPH) Staff will contact ALL patients if:

• Patient has a positive result

• Patient has not checked negative result on MyAdvocateAurora (on line or in LiveWell app)

• Patient is not activated in MyAdvocateAurora

• If the patient, ordered the test via the online webpage or hotline only

• PCP will not receive InBasket results

• Positive results will be routed to PCP by EPH – FYI only

Lab Orderables

Test Type Lab / Lab CodeLab Turnaround

TimeResults Available in

MyChart?Results Printed &

Mailed?

Employee HealthACL Rosemont /

LAB1063524 hours Yes No

Pre-ProcedureACL Rosemont /

LAB1063524 hours

Yes, if the lab was ordered in Epic

No, if the lab was ordered in Cerner

No

Wisconsin CommunityExact Sciences /

LAB1066548 – 72 hours Yes

Yes, EPH will send if they are unable to reach the patient

Illinois Community Quest / LAB10636 Within 7 days YesYes, EPH will send if they are unable to reach the patient

Community Testing Sites WIKatie Sahajpal: Regional Operations Owner

Community Testing Sites (approved as of 5/20) Location Go-Live Date Days/Hours of Operation

Midtown Drive-Through Milwaukee, WI 5/18/20Mon-Fri: 7am-7pm

Sat: 9am-2pm

Summit Hospital Drive-Through (Community Only Lane)

Oconomowoc, WI

5/27/20 Mon-Sun: 7am-3pm

Kenosha Hospital Drive-Through (Community Only Lane)

Kenosha, WI 5/27/20 Mon-Sun: 9am-4pm

Oshkosh Hospital Drive-Through (Shared Lane) Oshkosh, WI 5/27/20Afternoon Hours Reserved

for Community

Manitowoc County Hospital Drive-Through (Community Only Lane)

Two Rivers, WI 5/27/20 Mon-Sun: 8am-4:30pm

Sinai Hospital Drive-Through (Temporary shared lane until expansion)

Milwaukee, WI 5/27/20Afternoon Hours Reserved

for Community

Burlington Hospital Drive-Through (Shared Lane) Burlington, WI 5/27/20Afternoon Hours Reserved

for Community

Additional community testing locations are actively being identified

Community Testing Sites ILSara Jenson: Regional Operations Owner

Community Testing Sites (approved as of 5/20)

Location Go-Live Date Days/Hours of Operation

Imani Village South Chicago First week of June TBD

Condell Hospital Drive-Through Libertyville, IL TBDMon-Fri: 7am-6pm

Sat: 8am-4pm(Community Hours TBD)

Micro-mobile TBD TBD TBD

Additional Hospital Drive-Throughs TBD TBD TBD

Additional community testing locations are actively being identified

Patient Costs

• Patient Financial Responsibility

• If the patient has insurance, the insurance company will be billed for a lab handling fee (99211)

• If the patient does not have insurance, AAH will write off the loss

• No out of pocket cost for the patient.

• In Wisconsin, the Exact Science test is provided by the state at no cost to AAH

• Lab handling and collection fee only

Testing Details

• Testing Sites

• Ages 2 years and above

• “Swabber” must have competency validation

• By appointment only; however, people do not have to be in a car to be tested

• Primarily drive-through locations

• Normal appointment arrival and lab check-in

• Patients are given instructions to quarantine at home until results are obtained

• Other Scheduling Options

• Web Page: www.aah.org/testing

• Hotline: 877-819-5034

• Mon-Fri: 7am-7pm / Sat: 9am-2pm

• Online: MyAdvocateAurora (online or LiveWell App)

Next Steps

• Webinar and supporting materials will be posted on COVID website

• Additional community sites will be updated on a continuous basis as logistics and operations are confirmed – posted on COVID website