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June 5th, 2020 COVID-19 Physician Town Hall

COVID-19 Physician Town Hall - AMITA Health

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1

June 5th, 2020

COVID-19 Physician Town Hall

2

ReflectionDave Hurter, VP of Governmental Programs and Alternative Payment Methods

Mark Collins, CIN Medical Director

3

In the stillness of your presence, you can feel your own formless and timeless reality as the

unmanifested life that animates your physical form. You can then feel the same life deep within

every other human and every other creature. You look beyond the veil of form and separation.

This is the realization of oneness. This is love. ~ Eckhart Tolle

4

9 Minutes of SolidarityCheck with your local CMO to see where the gathering is occurring.

5

Opening RemarksDon Franke, SVP, Population Health and CEO, AMITA Health Care Networks

6

These physician town halls are offered for all

AMITA Health physicians —independent, CIN and

Medical Group.

The content for each session is developed in

conjunction with AMITA physician leaders.

Topics are identified based on calls to the AMITA

COVID physician hotline and through contact with

AMITA physician leadership.

Please let us know what topics you would like

covered in future sessions and encourage your

colleagues to join.

7

Meeting Agenda

ReflectionDave Hurter - VP, Governmental Programs and Alternative Payment Methods

Dr. Mark Collins - CIN Medical Director

Opening RemarksDon Franke

SVP, Population Health and CEO, AMITA Health Care Networks

AMITA COVID-19 Command CenterDr. Stuart Marcus

EVP, Chief Clinical Officer

Lab Testing UpdateDr. Janis Atkinson

VP Medical Affairs, Alverno Lab for AMITA Health

Physician WellnessDr. Harry Karydes

Vice Chairman and Medical Director, Department of Emergency Medicine, AMITA Health Adventist Medical Center-Bolingbrook

COVID-19 Treatment and Vaccine UpdateSun Lee-Such

Vice President Pharmacy Services

Patient Communications Template for Independent

Providers

Dr. Maninder Kohli

ACO Board Chair

Open time for Q&AModerated by Dr. Reinhold Llerena

President, AMITA Health Medical Group; AMITA Chief Population Health Officer

Closing RemarksDr. Joseph Lagattuta

CIN Board Chair

8

Physician Hotline Phone Number

224.273.3900 from 8am to 5pm weekdays for the foreseeable future

Physician Hotline Email

[email protected]

Additional Resources & Playbooks Online

AMITAhealth.org/covid-19-AMITA

AMITA Health COVID-19 Physician Resources

9

Submit Questions Via WebEx Q&A BoxUtilize the Q&A functionality through WebEx on your computer or through the mobile app to submit questions

for the Q&A portion of the agenda.

Computer WebEx App Mobile WebEx App

10

AMITA COVID-19 Command Center Dr. Stuart Marcus, EVP, Chief Clinical Officer

11

AMITA Health COVID-19 Daily Dashboard

Updated: June 4th, 2020

12

Re-emergence Trends Week 1-4Data through June 3rd, 2020, with re-emergence having begun May 11th.

ED Visits Trend IP Surgery Trend

OP Surgery TrendAcute IP Admissions

13

Reemergence Weeks 1-3Weekly procedural volume from May 11-31, 2020, as compared to an average week in May 2019.

*Week 3 actuals may be missing some data for pain and Endo/GI

1963

988

475423

252

627

362

230 209302

970

196 197243 288

918

406

242 245327

1164

488

208 250298

953

524

257 302 333

1034

363

200143

282

OR Endo/GI IR Pain Cath Lab

Procedural Areas

May 2019 Week Projected Week 1 Actual Week 1 Projected Week 2 Actual Week 2 Projected Week 3 Actual Week 3

14

Lab Testing UpdateDr. Janis Atkinson, VP Medical Affairs, Alverno Lab for AMITA Health

15

Turn Around Times: COVID 19 PCR Hours

0

10

20

30

40

50

60

70

25-May 26-May 27-May 28-May 29-May 30-May 31-May 1-Jun 2-Jun 3-Jun

Missed Reagent Delivery Due to Road Blockage

(Historical Note: Our TAT was 4-6 days from ARUP /IDPH on March 16)

1616

Alinity M

Now Online

17

New Test at Core Lab

• Interleukin-6 (IL-6)• A cytokine which is often elevated in severe cases of

COVID-19

• Correlates with pulmonary involvement, fever, CRP,

Ferritin and D-Dimer

• Can be used in the assessment of patients for Actemra

therapy

• Will be available next week at the Core Lab with a 12-24

hour Turn around time

18

Update on R and D Team Studies at Alverno

• Nasal collection method has been validated

• Either Nasal or NP Swabs acceptable for testing

• With this change, outpatient labs and Alverno service centers can support current drive-

through NP collections

Nasal swab versus NP swab for High Sensitivity COVID-19 PCR:

19

AMITA Health Regional Drive-Thru Test and Respiratory CentersAMITA Health is offering drive-through COVID-19 testing, as well as comprehensive respiratory assessments

in a safe, controlled environment for physicians, support staff, associates, and patients who have been

screened and deemed appropriate for testing or evaluation. Orders are required.

Mount Prospect1754 W. Golf Rd.

Mt. Prospect, IL 60056

Phone: 224.265.9000 or

224.265.9010;

press 2 (for Immediate Care)

Fax: 224.265.9041

Lincolnwood7380 N. Lincoln

Lincolnwood, IL 60712

Phone: 847.568.7400

Fax: 847.568.7440

Chicago / Archer6084 S. Archer Ave., Floor 1

Chicago, IL 60638

Phone: 224.273.6000

Fax: 224.273.6099

7

8

9

Note: AHMG PCPs should schedule internally through their Epic or Athena EMRs

1

2

9

7

9

3

Respiratory CentersDrive-Thru Test Centers

Hoffman EstatesAMITA Health St.

Alexius Medical Center

Hoffman Estates

EvanstonAMITA Health Saint

Francis Hospital

Evanston

JolietAMITA Health Saint

Joseph Medical Center

Joliet

1

2

3

ChicagoAMITA Health Saints

Mary and Elizabeth

Medical Center

La GrangeAMITA Health Adventist

Medical Center La

Grange

ChicagoAMITA Health

Resurrection Medical

Center Chicago

4

4

New Center

6

5

6

5

20

Studies in progress . . .

• COVID-19 IgG Antibody Cross Reactivity Study

• Patients with non-COVID-19 coronaviruses have been identified and will be donating samples this week

• Study anticipated to be completed soon

• Study results will provide test specificity

• ID Now in the Asymptomatic population

• Due to the temporary shortage of ID Now kits, study is taking more time than anticipated

• By FDA, the ID Now is not recommended for asymptomatic patient groups so a study to contradict this

would have to be powered by a large # of patients

21

COVID-19 PCR Prevalence Asymptomatic

COVID-19 PCR for Risk Assessment

DATE REPORTED Detected Indeterminate Not Detected Grand Total Percent Positive

29-May 5 226 231 2.16%

30-May 8 427 435 1.84%

31-May 6 274 280 2.14%

1-Jun 1 136 137 0.73%

2-Jun 9 1 473 483 1.87%

3-Jun 9 488 497 1.81%

4-Jun 2 183 185 1.08%

TOTAL 40 1 2,207 2,248 1.78%

22

COVID-19 PCR

COVID-19 BY PCR

DATE REPORTED Detected Indeterminate Not Detected Grand Total Percent Positive

29-May 174 2 1077 1253 13.91%

30-May 96 2 1020 1118 8.60%

31-May 96 974 1070 8.97%

1-Jun 65 1 673 739 8.81%

2-Jun 148 7 1643 1798 8.26%

3-Jun 145 1 1435 1581 9.18%

4-Jun 111 2 889 1002 11.10%

TOTAL 835 15 7711 8561 9.77%

TOTAL TESTING

AT ALVERNO

SINCE MARCH 23

13,096 217 56,624 69,937 18.78%

23

Physician WellnessDr. Harry Karydes, Vice Chairman and Medical Director, Department of Emergency Medicine,

AMITA Health Adventist Medical Center-Bolingbrook

24

25

26

www.medicinerevived.com

27

28www.medicinerevived.com/apple

29

Podcast

• Episode 27: 5 Ways to Ease Stress Amid Crisis

• Episode 28: Doctor, Are You At Risk for Second Victim Syndrome?

• Episode 29: 6 Ways to Cope after a Patient Death

• Episode 31: Compassion Fatigue? There is a Better Way

• Episode 38: Growth Begins When You Embrace Uncertainty

30

COVID-19 Treatment and Vaccine UpdateSun Lee-Such, Vice President Pharmacy Services

31

COVID-19 Treatment: What do we know?

• Currently, there are NO FDA-approved

therapies for COVID-19 treatment or

prophylaxis

• ~ 600 active clinical treatment trials underway

with 421 including some type of drug or

biologic therapy

• Main COVID-19 pharmacologic therapies

• Hydroxychloroquine/ Chloroquine

• Remdesivir

• Tocilizumab

Sanders JM, et al. Pharmacologic treatments for Coronavirus disease 2019 (COVID-19) –

a review. JAMA. Published online April 13, 2020. doi:10.1001/jama.2020.6019

32

Hydroxychloroquine (HCQ)/Chloroquine (CQ)

Key Comments/Notable Events

COVID-19

Treatment

History

• Feb-March 2020: Some studies from China and France show improved virologic clearance while others show no

clinical benefit

• March 29: Emergency use authorization (EUA) is issued by FDA

• April 2020: Safety warnings about QT prolongation and risk of cardiac arrest heightened – FDA Safety Warning

released on 4/24 – Brazilian trial is suspended (no benefit, increased risk)

Recent Clinical

Evidence

• Multinational registry analysis of HCQ or CQ use with or without a macrolide for COVID-19 treatment

(96,032 study vs 81,144 control): no confirmed benefit, increased risk of mortality, vent arrhythmia

• 6/4: Lancet article recalled due to quality of data

• Randomized Trial of Hydroxychloroquine as Postexposure Prophylaxis for Covid-19 (414 HCQ vs. 407

placebo)

• After high-risk or moderate-risk exposure to Covid-19, HCQ did not prevent illness

• HCQ experienced increased side effects

Mehra MR, et al. Hydroxychloroquine or chloroquine with or without a macrolide for treatment of COVID-19: a multinational registry analysis.

Lancet. Published online May 22, 2020. doi: https://doi.org/10.1016/S0140-6736(20)31180-6

Boulware DR, et al. Randomized Trial of Hydroxychloroquine as Postexposure Prophylaxis for Covid-19. NEJM. Published online Jun 3, 2020.

https://www.nejm.org/doi/full/10.1056/NEJMoa2016638

33

Hydroxychloroquine (HCQ) /Chloroquine (CQ)

Key Comments/Notable Events

AMITA

Historical Use

• Mid-March to mid-April: 150-200 patients on HCQ system-wide daily

• End of April to mid-May: 30-50 patients on HCQ system-wide daily

• Current use: ≤ 15 patients on HCQ system-wide daily

National Guideline

Statements

• NIH: Insufficient clinical data to recommend either for or against use; Recommends against

using high-dose HCQ/CQ therapy

• WHO: Should not be administered as treatment or prophylaxis outside of the context of

clinical trials

• IDSA: Should only be used in the context of a clinical trial

AMITA

COVID-19 Treatment

Recommendation from

CDTF

• AVOID USE – Risks outweigh benefit

34

Remdesivir: What is it?

• Inhibits viral duplication by inhibiting

RNA-dependent RNA-polymerase

• Was initially being studied for

management of an Ebola virus

outbreak

• Has potent activity in vitro against

Coronaviruses including SARS-CoV-2

– shown to be effective vs. MERS and

SARS

35

Remdesivir in COVID-19 Treatment – Timeline

Remdesivir

available

through

Compassionate

Use Program

•Results from China

showed that

remdesivir can

efficiently inhibit

SARS-CoV-2 in vitro

•Manufacturer Gilead

allows

compassionate use

program based on

severity of disease

for COVID-19

patients

Compassionate

Use Program

Halted for

Expanded Use

Program

NIH NIAID Trial

Preliminary

Results

Released

HHS notification

Of Distribution

Through

State

Departments –

IDPH Memo

IDPH

Releases

Phase 2 & 3 of

Remdesivir EUA

Distribution

Jan-

Feb

2020

Mid-late

May 2020

March

22,

2020

April

29,

2019

May 1,

2020

May 9,

2020

FDA Grants

Emergency

Use

Authorization

•COVID-19 activity surges in the US and overwhelms Gilead

•Decision to change to Expanded Access Program

•Compassionate use ceases EXCEPT for pregnant patients and children < 18 years old

•Release of NIH NIAID preliminary results showing decreased LOS of 11 days vs. 15 days in remdesivir patients

•No published article available on the details

•FDA grants

emergency use

authorization (EUA)

for remdesivir for

use in hospitalized

COVID-19 patients

•Gilead announces

they will donate 1.5

million doses

worldwide for

COVID-19 pandemic

efforts

•Government will be

in charge of

distribution plans

•After initial week of distribution, FEMA and HHS determine that state depts will determine distribution

• IDPH does not receive any supply until Phase 2 - gets 150 cases

•AMITA receives 8 cases – CDTF sets initial criteria – 10 patients start treatment

• IDPH releases Phase 2 & 3 where 668 total cases were given to IL

•AMITA receives shipments at ALL hospitals – now have supply for overall total of 740 treatment courses

•CDTF relaxes criteria

36

Remdesivir

Key Comments/Notable Events

Recent

Clinical

Evidence

NIH/National Institute for Allergy and Infectious Diseases (NIAID) Adaptive COVID-19 Treatment Trial

(ACTT-1)

• Double-blind, randomized, placebo-controlled clinical trial of remdesivir on 1,063 hospitalized patients in

US, Europe, and Asia

• Results suggest remdesivir patients experienced reduced time to recovery of 11 days (RDZ) vs. 15 days

(placebo) (95% CI, p<0.001)

• Patients randomized within 10 days of symptom onset had rate ratio of recovery of 1.28 vs. those

who were randomized more than 10 days after symptom onset of 1.38 (95% CI)

• No statistical difference in mortality

Phase 3 Clinical Trial evaluating 5‐day and 10‐day Dosing

• Hospitalized patients with severe COVID‐19 disease

• Patients receiving 10‐day treatment course achieved similar improvement as those taking 5‐day treatment

course (non-vented)

Beigel JH, et al. Remdesivir for the treatment of COVID-19 – Preliminary report. NEJM. Published online on May 22, 2020. doi:

10.1056/NEJMoa2007764

Goldman JD, et al. Remdesivir for 5 or 10 days in patients with severe COVID-19. NEJM. Published online on Mary 27, 2020. DOI:

10.1056/NEJMoa2015301

37

RemdesivirKey Comments/Notable Events

AMITA

Historical Use

• January to early-May: Used in 4 patients via compassionate use

• May: 132 patients prescribed remdesivir system-wide

• Current use: 5-10 patients daily initiated on remdesivir system-wide

National Guideline

Statements

• NIH: On the basis of preliminary data, recommends remdesivir for the treatment of

COVID-19 in hospitalized patients with severe disease defined as SpO2 ≤94% on

ambient air, requiring supplemental oxygen, mechanical ventilation, or ECMO (B1)

• IDSA: Awaiting randomized controlled trials to formalize recommendation

AMITA

COVID-19

TreatmentRecommendation

from CDTF

• Must follow all EUA procedures:

• Patient/caregiver communication (documented)

• Prescribing restricted to Infectious Diseases & Pulm/Critical Care

• Rapidly worsening gas exchange requiring doubling of oxygen requirements in 12 hours

OR

• On supplemental oxygen to maintain SpO2 > 90% OR

• Respiratory failure on mechanical ventilation for less than 72 hours

38

AMITA Health – Preliminary DataRemdesivir EUA

Total = 165 patients

39

Tocilizumab (Actemra): What is it?

• Binds to the IL-6 receptor to prevent activation and inhibit signaling – leads to a reduction in

cytokine and acute phase reactant production

• FDA-approved for rheumatoid arthritis, giant cell arteritis, juvenile idiopathic arthritis

• Black Box Warning: Serious infections leading to hospitalization or death including

tuberculosis (TB), bacterial, invasive fungal, viral, and other opportunistic infections have

occurred in patients receiving tocilizumab

40

Tocilizumab (Actemra)Key Comments/Notable Events

COVID-19

Treatment

History

• Feb-March 2020: Reports from China that tocilizumab was part of clinical treatment protocols, especially in severe

and critical patients

• April 2020: Small studies from China and Italy showing improved clinical outcomes as an effective treatment to

reduce mortality; severity and progression of inflammatory response seen in COVID-19 made tocilizumab an

attractive option in critical COVID-19 cases

Recent

Clinical

Evidence

Unclear

Benefit

• Retrospective study in severe COVID-19 non-ICU patients with hyper-inflammatory features with 28 day follow-up

• Review of 65 patients: 32 received tocilizumab vs. 33 who did not

• No statistically difference in clinical improvement and mortality:

• Clinical improvement reached in 22 (69%) of tocilizumab group vs. 20 (61%) in control group

• 4 (13%) tocilizumab patients (1 candidemia) vs. 4 (12%) in control group

• 5 (16%) of toclizumab group died vs. 11 (33%) of control group

• Authors’ conclusion: At day 28, clinical improvement and mortality were not statistically different when given

tocilizumab vs. standard care

Corrado Campochiaro, et al., Efficacy and safety of tocilizumab in severe COVID-19 patients: a single-centre

retrospective cohort study. Eur J Int Med. doi: https://doi.org/10.1016/j.ejim.2020.05.021.

41

Tocilizumab (Actemra)

Key Comments/Notable Events

Recent Clinical

Evidence

Increased Risk

• Observational study at U of Chicago/Rush in COVID-19 ICU patients

• Review of 60 patients: 28 received tocilizumab vs. 32 who did not

• Tocilizumab was associated with higher incidence of secondary bacterial infections including

hospital-acquired pneumonia & ventilator-associated pneumonia (64.3% vs. 31.3% p=0.010).

• 2 tocilizumab patients with fungal infections (mucor PNA and sinusitis) vs. none in control group

• No evidence of benefit was seen

• Authors’ conclusion:

• While there may be a subset of patients who may potentially benefit from tocilizumab, current

evidence does not support its routine use for COVID-19.

• Findings raise concerns about the use of tocilizumab in the presence of an infection to attenuate

cytokine release syndrome

Kimmig LM, Wu D, Gold M, et al. IL6 Inhibition in critically ill COVID-19 patients is associated with increased secondary

infections. Prepublication. https://www.medrxiv.org/content/10.1101/2020.05.15.20103531v1.

42

Tocilizumab (Actemra)

Key Comments/Notable Events

AMITA

Historical Use

• Mid-March to early-April: 47 doses (avg 3 doses daily) dispensed daily

• Mid-April to mid-May: 276 doses (avg 9 doses daily) dispensed daily

• This week’s use: ≤ 2 doses dispensed daily

National Guideline

Statements

• NIH: Insufficient clinical data to recommend either for or against use

• WHO: Should not be administered as treatment or prophylaxis outside of the context of clinical

trials

• IDSA: Should only be used in the context of a clinical trial

AMITA

COVID-19 Treatment

Recommendation

from CDTF

• AVOID USE – Risks outweigh benefit

43

COVID-19: First Do No Harm

Editorial in the American Thoracic Society

“[W]e believe that the widespread use of clearly

experimental therapies being reported in patients with

SARS CoV-2 is dangerous and unjustified. There is a real

risk that mortality rates are higher than they need to be

because of toxic, ineffective therapy. Clinicians must not

succumb to the impulse to “do something else” but instead

stick to evidence-based therapies and, if possible, enroll

their patients into adaptive clinical trials”

https://www.atsjournals.org/doi/full/10.1164/rccm.202004-1153ED

44

SARS-CoV-2 Prevention: Vaccine Development

• Genome sequence of SARS-CoV-2 published on 1/11/2020

• More than 100 projects internationally are working on potential vaccines for SARS-CoV-2

• As of 6/2/2020, ten candidate vaccines tested in clinical trials in human

• Current state of clinical evaluation/regulatory status range from Phase 1 to Phase 2b/3

• Additional 123 candidate vaccines undergoing preclinical evaluation

• First human trial started in early March in China

• Phase 1 trial results were published on the safety of the adenovirus type 5 vectored COVID-19 (Ad5-

nCoV) vaccine in 108 patients

• Tolerable and immunogenic at 28 days post-vaccination

• Efficacy and further published data are pending

https://www.who.int/who-documents-detail/draft-landscape-of-covid-19-candidate-vaccines

Zhu F, et al. Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-

escalation, open-label, non-randomized, first-in-human trial. Lancet. Published online on May 22, 2020. https://doi.org/10.1016/S0140-

6736(20)31208-3

45

SARS-CoV-2 Prevention: Vaccine Development

Lurie N, et al. Developing COVID-19 vaccines at pandemic speed. NEJM. Updated online on May 21, 2020. doi: 0.1056/NEJMp2005630

46

SARS-CoV-2 Vaccine Development

Lurie N, et al. Developing COVID-19 vaccines at pandemic speed. NEJM. Updated online on May 21, 2020. doi: 0.1056/NEJMp2005630

47

Vaccine Development Timeline

• Many efforts to fast-track by the FDA, still unknown when a vaccine may be available for

widespread use

• Most optimistic report (out of the University of Oxford) suggests vaccine may be ready by

September

• Many experts caution vaccine in 12 to 18 months may be difficult to achieve without

pandemic paradigm model

48

Communications Template for Independent ProvidersDr. Maninder Kohli, ACO Board Chair

49

Patient Communications Template for Independent Providers

Microsoft Word

Document

Double click icon to view document in Microsoft Word →

AMITAhealth.org/covid-19-AMITA

50

Open Q&AModerated by Dr. Reinhold Llerena, President, AMITA Health Medical Group; AMITA Chief Population Health Officer

51

Open Q&A

AMITA COVID-19 Command CenterDr. Stuart Marcus

EVP, Chief Clinical Officer

Lab Testing UpdateDr. Janis Atkinson

VP Medical Affairs, Alverno Lab for AMITA Health

Physician Wellness

Dr. Harry Karydes

Vice Chairman and Medical Director, Department of Emergency Medicine,

AMITA Health Adventist Medical Center-Bolingbrook

COVID-19 Treatment and Vaccine UpdateSun Lee-Such

Vice President Pharmacy Services

Computer WebEx App Mobile WebEx App

Submit Questions Via WebEx Q&A Box

Presenters

52

Closing RemarksDr. Joseph Lagattuta, CIN Board Chair

53

Updated for June: Extending Help to Our Providers and AssociatesAMITA Health Behavioral Medicine and Spiritual Care teams continue to provide internal virtual peer support groups. These

groups provide psychological and spiritual support, as well as self-care recommendations in a safe, confidential forum.

Therapists facilitate and assist with steering participants to additional resources. Open sharing and interaction is encouraged.

Weekly

Through JuneTopic Time Facilitator Call 331.303.8777

Monday Medical Resident (and all others) Support 7:30-8:30am Dr. Arianna Timko Passcode: 179391585

Monday Anxiety, Grief and Exhaustion Support 3-4pm Chris McCarthy Passcode: 117075094

Tuesday Surviving to Thriving 3-4pm Fr. Jim Swarthout Passcode: 449311082

Wednesday Providers Dealing with Death, Dying and Difficult Decisions 7-8amDr. Cliff Saper and Victoria

Storm, Music TherapistPasscode: 6978305272

Wednesday Anxiety, Grief, and Exhaustion Support 9-10amDr. Brenda Papierniak and Dr.

Tricia Mckinney Passcode: 216779082

Wednesday Facing the Pandemic When You are Living Alone 4:30-5:30pm Christina Lobraco and Lisa Tamez Passcode: 565011744

Thursday Anxiety, Grief and Exhaustion Support 7:30-8:30am Lisa Tamez Passcode: 981274379

Thursday Anxiety, Grief and Exhaustion Support 12-1pm Lauren Bantner Passcode: 621911086

Friday Parenting During the Pandemic: Finding a Work/Life Balance 9-10am Jackie Rhew and Dr. Cece Horan Passcode: 66929398

Friday Anxiety, Grief, and Exhaustion Support 12-1pmChristina Lobraco and Victoria

Storm, music therapist Passcode: 593396039

If your work group, program, unit, or department staff wish to have your own virtual peer support group at a time you designate,

contact Clifton.saper@amitahealth for a request form.

54

CME Credit for AMITA Health COVID-19 Physician TownhallsThe evaluation survey needs to be completed for each session attended for credit dating back to 3/27. GME

will issue certificates each month, stating the total CME awarded for said month.

Evaluation Link: https://www.surveymonkey.com/r/MedStaffTownHall

AMITA Health Resurrection Medical Center designates this Activity for a

maximum of 1 AMA PRA Category 1 credit(s)TM. Physicians should only claim credit commensurate

with the extent of their participation in the activity

AMITA Health Resurrection Medical Center is accredited by the Illinois State

Medical Society to sponsor continuing medical education for physicians.

None of our speakers today have any sponsorship disclosures to report

55

Level 1 CME Credit Evaluation LinkThe CME evaluation link can be found in (1) the daily COVID-19 Leader and Physician update email, (2) on

the AMITA COVID-19 website, or (3) at the bottom of the email reminder for this event.

31 2

Evaluation Link: https://www.surveymonkey.com/r/MedStaffTownHall

56

Thank you!

AMITA COVID-19 Physician Hotline Phone Number

224.273.3900 from 8am to 5pm weekdays for the foreseeable future

AMITA COVID-19 Physician Hotline Email

[email protected]

AMITA COVID-19 Resources & Playbooks AMITAhealth.org/covid-19-AMITA