Local COVID-19 Decision-Making Dashboard

The Local COVID-19 Decision Making Dashboard provides criteria and associated data to be considered by local officials when making decisions related to addressing impacts associated with the ongoing COVID-19 pandemic.  LCPH consults with public health officials from neighboring Broadwater and Jefferson Counties, local emergency managers, local school leadership, and leadership within the local hospital/health care system routinely to establish and evaluate these criteria.  These criteria may be used to inform decisions regarding movement between phases of the Governor’s Reopening the Big Sky strategy, decisions made under the requirements of local Orders of the Health Officer, and/or to inform other processes such as business and school reopening plans. These criteria coupled with the best professional judgment of LCPH, and other local officials, will serve to inform safe and healthy decisions for our community during the pandemic.

DISCLAIMER: COVID-19 is a novel disease caused by a novel coronavirus.  As such, the approach to evaluating and understanding the impact of available data and local conditions related to COVID-19 will continue to change.  Therefore, Lewis and Clark Public Health must continually evaluate current local conditions and consider such information when making decisions impacting the communities and people we are charged with protecting.  Due to the ever-changing status and our collective understanding of COVID-19, it is not uncommon for a decision, or even the criteria on which a decision is made, to require review and change.  NOTE: DECISIONS MADE TODAY, AND BASED ON THE CRITERIA CONTAINED IN THE DECISION MAKING DASHBOARD, ARE SUBJECT TO CHANGE BASED UPON CURRENT COVID-19 CONDITIONS AND THE EVOLVING APPLICATION OF RELEVANT AND AVAILABLE DATA. 

Criteria in Greater Detail


 Have met criterion

Still some concerns

 Have not met criterion

 

Decision Making Criteria

  Health Department Capacity

Baseline Measurement
  (as of June 1, start of Phase 2)

Current  Measurement
(as of Oct 14)

Status

Ability to manage work related to COVID-19 pandemic without additional staffing 

Public health nurses: 4
Technical assistance team: 7
Quarantine/isolation team: 0

Contact tracers: 30
Technical assistance team: 9
Quarantine/isolation team: 3
Support team: 6

  Healthcare System Capacity

Ability of hospital to treat all patients safely, those with COVID-19 and those with other ailments, without additional staffing

ICU capacity: Y
Sufficient staffing: Y
Personal protective equip.: Y
ICU capacity: Y
Sufficient staffing: Variable 
Personal protective equip.: Y

  Testing Capacity

Baseline Measurement
  (as of June 1, start of Phase 2)

Current  Measurement
(as of Oct 14)

Status

Sufficient staff and supplies to screen and test all local residents with COVID-19 symptoms

Testing kits: Y
Sampling supplies: Y
Staffing: Y
Testing kits: Y
Sampling supplies: Y
Staffing: Y

Ability of the Health Department to get local positive test results in timely manner (within 2 days or less)

YesNo


  Case Investigation

No significant increase in confirmed COVID-19 cases

16 positive cases
0 active cases

L&C Co. COVID19 Data

Type of disease exposure

 Travel-related: 11
Exposure to known case: 1
Unknown: 4

Exposure to known case: 26%
Travel-related: 2%
Unknown: 72%


Average number of direct contacts per positive case

4.1 per case

3 per case

  Disease Surveillance

Baseline Measurement
  (as of June 1, start of Phase 2)

Current  Measurement
(as of Oct 14
)

Status

Evidence of coronavirus in wastewater 

Helena: Not detected
East Helena: Not detected

Helena: Detected
East Helena: Detected


Technical bulletin for wastewater testing


Sentinel screening of populations with no symptoms

Long-term care, asstd living: Y
Other group living: N
Health professionals: N
General population: N

Long-term care, asstd living: Y
Other group living: Y
Health professionals: Y
General population: Y
Tourist communities: N


  Community Compliance

Total number and nature of complaints related to non-compliance with orders and directives 

Total complaints: 174 
Educational call: 174
Corrective Action Order: 3
Citation: 0

 Total complaints: 673 (+28/week)
Educational calls: 552
Corrective Action Order: 14
Citation: 2


 

Local COVID-19 Decision-Making Dashboard

The Local COVID-19 Decision Making Dashboard provides criteria and associated data to be considered by local officials when making decisions related to addressing impacts associated with the ongoing COVID-19 pandemic.  LCPH consults with public health officials from neighboring Broadwater and Jefferson Counties, local emergency managers, local school leadership, and leadership within the local hospital/health care system routinely to establish and evaluate these criteria.  These criteria may be used to inform decisions regarding movement between phases of the Governor’s Reopening the Big Sky strategy, decisions made under the requirements of local Orders of the Health Officer, and/or to inform other processes such as business and school reopening plans. These criteria coupled with the best professional judgment of LCPH, and other local officials, will serve to inform safe and healthy decisions for our community during the pandemic.

DISCLAIMER: COVID-19 is a novel disease caused by a novel coronavirus.  As such, the approach to evaluating and understanding the impact of available data and local conditions related to COVID-19 will continue to change.  Therefore, Lewis and Clark Public Health must continually evaluate current local conditions and consider such information when making decisions impacting the communities and people we are charged with protecting.  Due to the ever-changing status and our collective understanding of COVID-19, it is not uncommon for a decision, or even the criteria on which a decision is made, to require review and change.  NOTE: DECISIONS MADE TODAY, AND BASED ON THE CRITERIA CONTAINED IN THE DECISION MAKING DASHBOARD, ARE SUBJECT TO CHANGE BASED UPON CURRENT COVID-19 CONDITIONS AND THE EVOLVING APPLICATION OF RELEVANT AND AVAILABLE DATA. 

Criteria in Greater Detail


 Have met criterion

Still some concerns

 Have not met criterion

 

Decision Making Criteria

  Health Department Capacity

Baseline Measurement
  (as of June 1, start of Phase 2)

Current  Measurement
(as of Oct 14)

Status

Ability to manage work related to COVID-19 pandemic without additional staffing 

Public health nurses: 4
Technical assistance team: 7
Quarantine/isolation team: 0

Contact tracers: 30
Technical assistance team: 9
Quarantine/isolation team: 3
Support team: 6

  Healthcare System Capacity

Ability of hospital to treat all patients safely, those with COVID-19 and those with other ailments, without additional staffing

ICU capacity: Y
Sufficient staffing: Y
Personal protective equip.: Y
ICU capacity: Y
Sufficient staffing: Variable 
Personal protective equip.: Y

  Testing Capacity

Baseline Measurement
  (as of June 1, start of Phase 2)

Current  Measurement
(as of Oct 14)

Status

Sufficient staff and supplies to screen and test all local residents with COVID-19 symptoms

Testing kits: Y
Sampling supplies: Y
Staffing: Y
Testing kits: Y
Sampling supplies: Y
Staffing: Y

Ability of the Health Department to get local positive test results in timely manner (within 2 days or less)

YesNo


  Case Investigation

No significant increase in confirmed COVID-19 cases

16 positive cases
0 active cases

L&C Co. COVID19 Data

Type of disease exposure

 Travel-related: 11
Exposure to known case: 1
Unknown: 4

Exposure to known case: 26%
Travel-related: 2%
Unknown: 72%


Average number of direct contacts per positive case

4.1 per case

3 per case

  Disease Surveillance

Baseline Measurement
  (as of June 1, start of Phase 2)

Current  Measurement
(as of Oct 14
)

Status

Evidence of coronavirus in wastewater 

Helena: Not detected
East Helena: Not detected

Helena: Detected
East Helena: Detected


Technical bulletin for wastewater testing


Sentinel screening of populations with no symptoms

Long-term care, asstd living: Y
Other group living: N
Health professionals: N
General population: N

Long-term care, asstd living: Y
Other group living: Y
Health professionals: Y
General population: Y
Tourist communities: N


  Community Compliance

Total number and nature of complaints related to non-compliance with orders and directives 

Total complaints: 174 
Educational call: 174
Corrective Action Order: 3
Citation: 0

 Total complaints: 673 (+28/week)
Educational calls: 552
Corrective Action Order: 14
Citation: 2