HigherEducationOverviewMAVENUpdates

Hillary Johnson, MHS, Infectious Disease EpidemiologistScott Troppy, MPH, PMP, CIC, Surveillance Epidemiologist

Bureau of Infectious Disease and Laboratory SciencesMA Department of Public Health

As of 9/1/2020

TopicsToday Institutes of Higher Ed (IHEs) & Follow‐up Models (Jill Finnerty, Amanda Kearns & Gillian Haney)

New Workflow for Contacts Umbrella Clusters MAVEN Higher Ed Release Review Additional Training for Clusters,  Friday, 9/4/2020 at 11 – details forthcoming

Key Documents Last week’s Recap Your Questions

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TuesdayWebinars forCOVID‐19CaseInvestigationandFollow‐up

• IsolationofCasesandQuarantineofContactsisthegoaluntilthatstrategychanges/evolves.

• MAVENisthemainreportingsourceandwhereyoushoulddocumentyourwork.

• FocusingonPriorityActivities

• ClustersinFacilitiesinyourcommunityneedyourhelp.

• CallEpiProgramtocreateclusterevents.

Tuesdays@11am

MAVENHelphasGuidanceDocumentsandPreviousWebinars:

http://www.maventrainingsite.com/maven‐help/toc.html

MDPH Epi Program:  617‐983‐6800MDPH MAVEN Help Desk:  isishelp@mass.govMDPH Food Protection Program:  617‐983‐6712 CTC Help Desk: 857‐305‐2828COVID19CommunityTracingCollaborativeQuestions@mass.gov

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Updatesfortoday,Tuesday,9/1Contact Tracing for Higher Ed & Boarding Schools (Jill Finnerty)MAVEN Release Review – review of changes in MAVEN for higher educationMAVEN Status Map – three towns offline LBOH Immediate Workflow – COVID‐19 event only – please check your workflow and clear out the workflowNew “COVID Assistance Set to No (Contacts) Workflow” Allows you to send you contact events to CTCUmbrella Clusters Line List – for Higher Ed (Help Section) 4

MAVENStatusMapasof9/1/2020

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ImmediateNotificationworkflow(COVID‐19Only)UPDATE: COVID‐19 Immediate Notification Workflow ‐874 events in this workflow today This will allow proper notification of all new COVID‐19 events for your jurisdiction. (Confirmed and Probable Cases) Please review all events/cases in this workflow and complete your Step 1‐ LBOH Notification to “Yes” to clear out this workflow. If you are retaining ownership then complete Steps 2 (Investigation Started) & 3 (LBOH Investigator (name, lboh, phone number)When you are done then complete Steps 4 (CRF Complete) & 5

(Final Review)6

“COVIDAssistanceSettoNoWorkflow– Contacts”

NEW Workflow Identifies your contacts where COVID Assistance Requested is not Yes/No (contacts within the past 24 hours) Open each contact event an if you would like CTC to perform contact tracing and monitoring then select the question as Yes You can use the Bulk Action functionality in the workflow to keep your contacts at your LBOH The contact will move over to the CRM The contact monitoring will be managed in the CRM The contact information will come back to MAVEN once completed in the CRM by the CTC.

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• Cluster Event: functionality that allows for linkages of cases associated with a known outbreak/cluster• allows collection of aggregate information specific to a situation

• Umbrella Cluster: Refers to an organizational institution (higher ed) and will be used to track the number of associated epi clusters by institution• each higher education intuition will have a single umbrella cluster (Event IDs will be distributed)

• Epi Cluster: Refers to a suspected or known exposure setting with multiple cases and contacts. Risk based epi clusters are defined by MDPH epidemiologists• Epi Clusters will be created by MDPH protocol• Epi Clusters will be linked to an umbrella cluster• COVID individual events will be linked to an epi cluster if appropriate

HowHigherEdCOVIDeventsarelinkedtoclusters

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UmbrellaClusterOverview

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Example:  Clusters at Williams College and Smith College

Williams College  Smith College

Williams soccer team cluster

Williams dorm cluster (Agard House)

Note that only epi clusters (not cases) are linked to umbrella clusters.

Umbrella clusters

Epi clusters

Cases

Key

Smith journalism club cluster 

Smith on‐campus party cluster (Parsons House)

Abby Smith

Jessica Rodriguez

Evelyn Pham

Sally Tucker

Ayana Washington

MJ Edwards

Stephen Robinson

Chip Bublé

Eleanor Alvarez

Chip is linked to both clusters as he is on the soccer team and lives in 

Agard House.

MJ is a Williams student who attended the Parsons party while 

visiting a friend at Smith.

Sarah Goldstein

Zhang Wei

Dean Jones

Other Williams student cases are not known to be part of any epi clusters and are therefore not linked.

***Names of folks on this slide are fake names for demonstration purposes

***Names of folks on this slide are fake names for demonstration purposes

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Umbrella clusters have been created for all higher education and boarding schools in Massachusetts A line list of clusters will be added to the MAVEN Help Section to use as a reference Umbrella clusters will be searchable under the following general naming convention:  SCHLU_[School Name]_[City/Town] Example_SCHLU_BOSTONCOLLEGE_BOSTON

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UmbrellaClustersCreatedinMAVEN Note: Umbrella Cluster event was created for the purpose of data management and does not represent a cluster or outbreak of illness. Any Epi Cluster events associated with this school should be linked to this Umbrella Cluster for tracking purposes. Individual COVID cases should not be linked to this Umbrella Cluster event; school association is captured in individual case events through the variable “Education Institution” in the Risk Question Package.  Please call (617) 983‐6800 with any questions. You will only see Umbrella Clusters that you have jurisdictional access to see A Cluster/Outbreak Webinar will be happening this week – stay tuned 12

AdditionalchoicesforLBOH/Agency

• MAEDSS‐1278813

• Boarding Schools• Community Tracing Collaborative• Higher Education

Update“LBOHNotificationforImmediateDisease(COVIDOnly)”,MAEDSS‐12795

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Added Specimen Date of First Positive Test Result Added Ordering Facility of First Positive Test Result The Ordering Facility field will allow the primary investigator (designated by the 

LBOH selection – LPH Prime, CTC Prime, etc.) know which cases are associated with higher ed

“UpdateCOVIDAssistancetoNo”workflow,MAEDSS‐12796

15 Added Specimen Date of First Positive Test Result Added Ordering Facility of First Positive Test Result

OrderingFacility– HigherEducation

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The Ordering Facility field will allow the primary investigator (designated by the LBOH selection – LPH Prime, CTC Prime, etc.) know which cases are associated with higher ed

EducationInstitutionFieldinQP#5Ordering facility from higher education institution will populate this field

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Cluster/OutbreakUpdatesCreated new reference code to better capture exposure settings at schools, MAEDSS‐12748

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Outbreak/ClusterUpdatesCreated an option in the Standard Question Package to capture different campuses among larger colleges/ universities, MAEDSS‐12752

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UpdatedQuestioninRiskQP#5 In QP #5, updated several 

questions in order to better capture exposures at schools and daycares in addition to healthcare settings. MAEDSS‐12737  

New question: “Did case expose others in this setting”

Updated label for “Is Case a Healthcare Worker” to “Employee of facility listed above” to capture employees at additional types of settings

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Additionalvariablesforlabinformation• Created four new fields in Clinical QKPG #3 for EPI/IMM model. These are not editable by users, MAEDSS‐12737

1. Specimen Date of First Positive Test Result2. Test of First Positive Test Result3. Ordering Facility of First Positive Test Result

4. Lab Facility of First Positive Test Result

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TuesdayWebinars forCOVID‐19CaseInvestigationandFollow‐up

• IsolationofCasesandQuarantineofContactsisthegoaluntilthatstrategychanges/evolves.

• MAVENisthemainreportingsourceandwhereyoushoulddocumentyourwork.

• FocusingonPriorityActivities

• ClustersinFacilitiesinyourcommunityneedyourhelp.

• CallEpiProgramtocreateclusterevents.

Tuesdays@11am

MAVENHelphasGuidanceDocumentsandPreviousWebinars:

http://www.maventrainingsite.com/maven‐help/toc.html

MDPH Epi Program:  617‐983‐6800MDPH MAVEN Help Desk:  isishelp@mass.govMDPH Food Protection Program:  617‐983‐6712 CTC Help Desk: 857‐305‐2828COVID19CommunityTracingCollaborativeQuestions@mass.gov

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SummaryofKeyGuidance&Tools• Date:8/22/2020:‐ COVID‐19PCRandAntibodyTestingPublicHealthResponseRecommendations

• TabledescribesdifferentPublicHealthActionsbasedupondifferenttestingresults.• Bigtakehome:PCR&Antigenpositivepatientsshouldbetreatedlikecases.• Serology+casesnolongerrequirepublichealthfollow‐up.• http://www.maventrainingsite.com/maven‐help/pdf/COVID‐

19%20PCR%20and%20Antibody%20Testing%20Public%20Health%20Response%20Recommendations%20for%20LBOH%20Ver4.0_Aug22.pdf

• UpdatedCOVID‐19CaseClassificationManual• Serologypositivelabsarenowclassifiedas“suspect”cases.• http://www.maventrainingsite.com/maven‐help/pdf/case‐classification‐manual/COVID19__08242020_FINAL.pdf

• Date8/10/2020:Follow‐upforPositiveAntigenTestResults• http://www.maventrainingsite.com/maven‐help/pdf/Antigen%20Results%20Follow‐up%20Guidance_ver1.0_August_10.pdf.

• Date:8/9/2020:UpdatedIsolation&QuarantineGuidelinesDocuments• http://www.maventrainingsite.com/maven‐help/pdf/COVID19‐Isolation‐information‐and‐guidance_ver2.0_August9.pdf• http://www.maventrainingsite.com/maven‐help/pdf/COVID‐19‐Quarantine‐information‐and‐guidance_ver2.0_August9.pdf• Translations Pending

• Date:8/7/2020:UpdatedMATestingGuidance• https://www.mass.gov/doc/covid‐19‐testing‐guidance/download• UpdatesaystogetaPCRwithANYAntigentest• Alsosaysnoneedtotestagainin90daysafterinitialdiagnosis.

New last week!

New Last Week!

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SummaryofKeyGuidance&Tools• Date:7/24/2020‐ Gov.BakerissuedCOVID‐19OrderNo.45 whichissuesamandatory14dayquarantineperiodfortravelerstoMA(includingMAresidentswhotraveledoutsideofMAandarereturning).• Iftravelers(includingreturningMAresidents)don’tfitintooneofthe3ExemptionCategories,mustquarantine.• Thereisaformtofilloutonline.https://www.mass.gov/forms/massachusetts‐travel‐form• AnegativePCRtestwithin72hoursoftravelcanexcuseyoufromquarantine.• https://www.mass.gov/guidance/guidance‐for‐travelers‐arriving‐in‐the‐commonwealth‐of‐massachusetts• UpdatedFAQs:https://www.mass.gov/info‐details/covid‐19‐travel‐order#potential‐other‐traveler‐scenarios‐

• Date:Aug16,2020– UpdatedCDCGuidanceonDurationofIsolation&PrecautionsforAdultswithCOVID‐19• 10DayIsolationPeriodnowhasmoredatasupportingit.• IgnoremostadditionalPCRtestsupto3monthsafterinitialillnessonset.• Noneedtoquarantineupto3monthsafterinitialillnessonset.• https://www.cdc.gov/coronavirus/2019‐ncov/hcp/duration‐isolation.html

• Date:May7,2020– OccupationalExposure&ReturntoWorkGuidance• https://www.mass.gov/doc/healthcare‐personnel‐occupational‐exposure‐return‐to‐work‐guidance/download• https://www.mass.gov/doc/non‐healthcare‐workers‐occupational‐exposure‐return‐to‐work‐guidance/download

A bit outdated after the new CDC 

guidance.

We do not yet have an updated State Doc reflecting this.  But you should use this CDC updated guidance 

for follow‐up.

More Updated FAQs. Check them out!

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Updates– Aquickrecapfor9/1.• 8/25– lastweekwediscussedthenewcasedefinitions(Serology+casesarenowSuspecteventsandlocalfollow‐upisatthediscretionoftheLBOH.)• NewPublicHealthFollow‐upGuidanceTable• http://www.maventrainingsite.com/maven‐help/pdf/COVID‐

19%20PCR%20and%20Antibody%20Testing%20Public%20Health%20Response%20Recommendations%20for%20LBOH%20Ver4.0_Aug22.pdf

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IntheNews– CDCupdatestestingguidance• ManyofyousawCDChasupdatedwordingonsomeofitstestingguidance.https://www.cdc.gov/coronavirus/2019‐ncov/hcp/testing‐overview.html

• RevisionsmadeonAugust24,2020• Diagnostictestingcategorieshavebeeneditedtofocusontestingconsiderationsandactionstobetakenbyindividualsundergoingtesting.

• Keyissuesinthenews:• Ifyouhavebeeninclosecontact(within6feet)ofapersonwith aCOVID‐19infection foratleast15minutesbutdonothavesymptoms:

• YoudonotnecessarilyneedatestunlessyouareavulnerableindividualoryourhealthcareproviderorStateorlocalpublichealthofficialsrecommendyoutakeone.

• IfyoudonothaveCOVID‐19symptomsandhavenotbeeninclosecontactwithsomeoneknowntohaveaCOVID‐19infection:

• Youdonotneedatest.

• MDPHhasmadenochangestoourstaterecommendationsfortesting,whichincludetestingallidentifiedcontacts.AsymptomaticindividualscanalsoberecommendedfortestingviaLocalhealth,MDPH,medicalprovider,etc.Theymayneedtocheckoninsurancecoverage.

• https://www.mass.gov/doc/covid‐19‐testing‐guidance/download

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Wherecanpeoplefindoutaboutvaccinetrials?

• Q.HowdoIfindatrial?*

• Anumberofsitesmaintainlistsofcoronavirusvaccinetrials.The Covid‐19PreventionNetworksite, createdbytheNationalInstituteofAllergyandInfectiousDiseasesattheNationalInstitutesofHealth,helpsconnectvolunteersto Phase3studies.

• Rightnow,forexample,Moderna islookingto enrollaround30,000volunteers.

• ClinicalTrials.govalsolists Covid‐19vaccinestudiesatdifferentphases and COVIDDash,aportalmanagedbyagroupofdoctors,clinicaltrialprofessionalsandstudentswhowanttoencouragepeopletovolunteer,featuresstudiesacrosstheworld.

• https://www.nytimes.com/2020/08/05/health/volunteer‐coronavirus‐vaccine‐trial.html

*PleasenotethisispubliclyavailableinformationandnotMDPH‐endorsedinanyway. 27

YourQuestions:• Q.SomepeoplearetestingPCR+,areasymptomatic,retest,andarePCR‐sotheirPCPstellthemtheycanendisolation.Isthiscorrect?

• A.No,atthistime,weconsideraPCR+apositive.AsubsequentnegativePCRtestsdoesnotrevokeacaseatthistime.Casesshouldcompleteisolation.

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MAVEN Help

Section

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