Daily CEO Update

Daily CEO Update

Fellow caregivers,

Throughout our response to COVID-19, we will make the best decisions for our patients, caregivers and communities with the information available to us.

Your inspiring efforts allow us to meet new demands and lead through change.

Due to overwhelming demand for COVID-19 testing, we will now prioritize testing for high-risk patients, which includes those currently hospitalized and those age 61 and older. For patients 60 and under who already have a Cleveland Clinic physician’s order, we are reevaluating and will be reaching out to these patients to give further direction.

In the first four days of activating our public testing sites, we tested more than 2,200 patients with less than 3% of test results positive for COVID-19. We are reevaluating our testing options for all other patients.

Our clinical institutes identified nonessential surgical cases to postpone starting at 5 p.m. today, March 18. This follows guidelines from the Ohio governor’s office on postponing elective procedures. We will postpone cases that meet those guidelines until March 27, 2020, with guidance from our physicians.

At our Florida locations, drive-through testing continues as scheduled. We have postponed non-emergent bronchoscopies that are not cancer specific. We continue to evaluate this.

We will reassign some caregivers to staff critical areas through a labor pool. Temporary assignments will be made by a labor pool team and managers will communicate to their teams.

Please be patient and kind to each other — your teamwork is essential to getting through this. We appreciate your flexibility and understanding.

We will limit the number of caregivers in rooms of patients diagnosed with coronavirus. Rounding will be limited to one caregiver with appropriate personal protective equipment, and consults will be done only when necessary.

The organization is our home. Our environmental services team is working incredibly hard to further sanitize patient and common spaces. Please do your part by wiping down workspaces often and practicing good hand hygiene.

We are facing a severe shortage of blood across the country. Our next Cleveland blood drive with the American Red Cross takes place at 11 a.m.–4 p.m. on Friday, March 20, at the main campus Pathology and Laboratory Medicine building (10300 Carnegie Ave.).

We are setting up more drives throughout the community. Please consider giving if you are able. Blood donors should first review Red Cross guidelines for making safe donations.

Thank you for your hard work and support to get through these challenges.

Dr. Mijahlevic |  Cleveland Clinic

Tom Mihaljevic, MD
CEO and President

Encourage Patients’ Use of eVisits

Encourage Patients’ Use of eVisits

Cleveland Clinic’s Express Care Online has experienced intermittent bandwidth and connectivity issues due to an unprecedented increase in the volume of patients seeking advice and care related to COVID-19.

As an alternative, please encourage patients to complete an eVisit questionnaire in MyChart. eVisits are accessible from the MyChart homepage, as well as under the Messaging dropdown. The COVID-19 Symptom Specific eVisit is an online questionnaire which patients submit electronically to receive a response with instructions related to the need for follow-up care or testing. A response to patients is expected within 24 hours.

They report their medical history, recent travel, exposure and symptoms such as fever. Patients have to be a current MyChart user and in the state of Ohio. 

If you have questions about the use of eVisits, please contact the physician specialist / COA for your area.

New Visitor Guidelines, Effective March 17, 2020

New Visitor Guidelines, Effective March 17, 2020

We continue to evolve our COVID-19 precautions to ensure a safe place to work and receive care.

We are updating our guidelines for visitors, limiting our visitation policy related to our hospitals, clinics, emergency departments and family health centers.

Inpatient settings

  • Visitors who are sick, have a fever or a confirmed case of COVID-19 should not visit or accompany a patient.
  • Patients can only be accompanied by 1 person with them at any time. Visitors must be age 16 and older.
  • No visitors will be permitted with patients who have a confirmed diagnosis of COVID-19 or with patients who are a person under investigation (PUI) for COVID-19 unless there are extenuating circumstances.
  • New visitation hours are:
    • 8 a.m. to 12 p.m. (noon) and 4 p.m. to 8 p.m.
    • No visitors permitted at night.
  • Visitor exceptions will be made for pediatric and hospice patients and other patient circumstances, which will be determined by the care team.
  • Visitors must wash their hands (or use sanitizer) before and after leaving rooms and hospital buildings.

Outpatient/ambulatory settings

  • No visitors or guests will be permitted with adult patients who do not require assistance.
  • For minors or patients that need assistance (e.g. handicap, special needs, elderly), one visitor/guest will be permitted.
  • If there are multiple patients per family, a maximum of two visitors/guests will be permitted.
  • Outpatient facilities will receive a PDF file with the new visitor guidelines to post in their areas.

This situation is evolving daily and we appreciate your patience and support as we work through these complex decisions. Ultimately, all restrictions that are being put in place are for the safety of you, our patients and the communities we serve.

Personal Protective Equipment Update, Effective March 18, 2020

Personal Protective Equipment Update, Effective March 18, 2020

We currently have adequate personal protective equipment (PPE) and supplies to protect our caregivers and patients during this pandemic. Your safety is our top priority.

As the COVID-19 situation evolves, please remember the following:

  • Caregivers must only use PPE provided by Cleveland Clinic. Please do not bring your own PPE from home for use during your shift.
  • We need to continue to be good stewards of our PPE to protect our caregivers and patients over an extended period of time.
  • Follow the current recommendations our leaders have developed (see links below). These recommendations align with international and national guidelines, as well as best practices shared from healthcare leaders across the U.S. Check the intranet for updates.

Recommendations for PPE

Use the visual guides belowto know when to wear a facemask or an N95 respirator mask; protective eyewear; and a gown and gloves when in contact with patients with respiratory illness in the following settings:

How to don and doff PPE

Watch this videoto prepare yourself for patient care in isolation and the associated required PPE.View visualsfrom the Centers for Disease Control and Prevention.

Questions?Contact yourlocal infection preventionist.

Visit the COVID-19 intranet site for more information and resources.

Support for Our Caregivers During Uncertain Times

Support for Our Caregivers During Uncertain Times

Our care and efforts are needed more than ever. We understand our caregivers need support as the COVID-19 situation continues to change.

To help caregivers manage at work and at home, we have created a new page in Connect Today

Resiliency Resources provides learning resources to assist caregivers and leaders during complex, changing times.

Quick links help you learn more about:

  • Virtual meetings
  • Resiliency and stress
  • Change
  • Communication

We’ve also added a Wellness section with tips on healthy sleeping, eating, rejuvenating your mental strength and more.

Connect Today is accessible anytime, from anywhere, on any device – no Cleveland Clinic networks, VPN or device needed! Simply type ccf.jiveon.com into any browser.

Visit is an online questionnaire which patients submit electronically to receive a response with instructions related to the need for follow-up care or testing. A response to patients is expected within 24 hours.

They report their medical history, recent travel, exposure and symptoms such as fever. Patients have to be a current MyChart user and in the state of Ohio. 

If you have questions about the use of eVisits, please contact the physician specialist / COA for your area.

Support for Our Physicians During Uncertain Times

Support for Our Physicians During Uncertain Times

Our care and efforts are needed more than ever. We understand our physicians need support as the COVID-19 situation continues to change.

To help physicians manage at work and at home, we have created a new page in Connect Today

Resiliency Resources provides learning resources to assist caregivers and leaders during complex, changing times.

Quick links help you learn more about:

  • Critical skills for leading change
  • Leading through COVID-19: Finding hope and opportunity in a global calamity
  • How to keep the greater good in mind during the coronavirus outbreak
  • How to keep your team focused and productive during uncertain times
  • Communicating in times of change

We’ve also added a Wellness section with tips on healthy sleeping, eating, rejuvenating your mental strength and more.

Connect Today is accessible anytime, from anywhere, on any device – no Cleveland Clinic networks, VPN or device needed! Simply type ccf.jiveon.com into any browser.

Take a Survey About Your Childcare Needs

Take a Survey About Your Childcare Needs

During this COVID-19 situation we are seeking to understand how the closing of the schools and potential closing of childcare facilities might impact our caregivers. If you have children, or are responsible for any children, please take a few minutes to complete the quick survey that was emailed to you March 18. Thank you for your feedback.

Telehealth Services During COVID-19 Care: Provider User Guide

Telehealth Services During COVID-19 Care: Provider User Guide

As a result of the COVID-19 pandemic, we are currently experiencing increased demand for telehealth services. To meet these demands, expanded telehealth services will be available to Cleveland Clinic physicians and Advanced Practice Professionals.

Reference telehealth guidelines.

Update on Water Fountains and Water/Ice Dispensers

Update on Water Fountains and Water/Ice Dispensers

We have received many questions regarding water fountains, bottle filling stations and ice machines in clinical and non-clinical areas.

Starting March 18, all water fountains will be shut off in all North America locations. This includes any fountain in which a person can drink from directly.

At this time, bottle/cup filling stations and ice machines will remain in use. To help ensure cleanliness of these units, caregivers are encouraged to:

  • Wash their hands or, if not able to, use hand sanitizer prior to use.
  • Limit reusable cup/bottle use with these dispensers. One solution is using disposable cups to fill reusable cups and water bottles.

Our Environmental Services (EVS) teams will wipe down all bottle/cup filling stations and ice machines on a daily basis with appropriate cleaners. Caregivers can call their EVS/Service number for additional trash pickup as needed.

Questions can be forwarded to BandPBusinessSupport@ccf.org. Please include “WATER FOUNTAINS” in the subject line.

As a reminder, all cafeterias and food vendors have discontinued fountain beverage service and will only sell bottled beverages.