IDPH Guidances Relating to the COVID-19 Outbreak

Household Preparedness

The COVID-19 outbreak may last for an extended period.  The Illinois Department of Public Health has recommended community actions designed to keep people healthy, reduce exposures to COVID-19, and slow the spread of the disease. Local health department officials also have made recommendations appropriate to the COVID-19 situation in your community. Creating a household plan can help protect your health and the health of those you care about during the COVID-19 pandemic. The details of your household plan should be based on the needs and daily routine of your household members.

Audience:

Individuals Undergoing COVID-19 Testing

What should you do about work while you wait for test results?

  • Please inform your supervisor at work that you have been tested for COVID-19 and note the date of testing.
  • If you are experiencing symptoms: Notify your supervisor and stay home.
  • If you are not experiencing symptoms: Request guidance from your supervisor on any potential work and patient care restrictions until you know your test results.
  • Avoid using public transportation, rise-sharing, or taxis when commuting.

What should you do to protect yourself while you wait for test results?

  • Wash your hands often with soap and water for at least 20 seconds. Clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available.
  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.

Intimate Partner Violence, Sexual Violence, and Child Abuse and Neglect Prevention/Support Resources

The COVID-19 Equity Team’s Intimate Partner Violence and Child Abuse Prevention Workgroup has compiled this list of available resources for wide circulation and it will be updated as new information becomes available.

Intimate Partner/Domestic Violence Hotlines

Illinois Domestic Violence Hotline

(877) TO END DV or (877) 863-6338 (Voice)
(877) 863-6339 (TTY Hours: 24/7 /365)

Languages: Website available in English, Español, Arabic, Chinese, Dutch, French, German, Italian, Portuguese, Russian. For calls, the language line can accept calls in almost any language. Last year, they had calls in Arabic, Cantonese, Creole, English, Farsi, French, Gujurati, Hindi, Japanese, Korean, Lithuanian, Mandarin, Pashtu, Persian, Polish, Portuguese, Romanian, Russian, Serbian, Tagalog, Ukrainian, Urdu, Vietnamese, and others.
Different Forms of Contact: Phone call or text message

LHD Guidance Disclosure of COVID-19 Persons to Law Enforcement

This guidance is intended to clarify guidance issued April 1, 2020 that may have caused confusion regarding the disclosure of COVID-19-positive persons to law enforcement and address questions that have been raised.

Guidance from the Illinois Attorney General

The Office of the Illinois Attorney General (OAG) was asked to address whether the Health Insurance Portability and Accountability Act (HIPAA) allows local health departments to provide information to law enforcement regarding individuals with positive tests for COVID-19. In response, on March 27, 2020, during a presentation to state’s attorneys, the OAG advised such disclosure is permissible because of a HIPAA exception. Specifically, the OAG  affirmed the exception applies because “disclosure to first responders will enable them to use personal protective equipment (PPE) to reduce the risk of COVID-19 transmission.”

Local Health Departments with Open Oral and Dental Care Programs

Bond County Health Department

City: Greensville
Phone: (618)664-1442
Contact: Sean Eifert
Emergencies Oral and Dental Care only: Yes
Qualifiers/Hours: Patients of all ages accepted

Cass County Health Department

City: Virginia
Phone: (217)452-3057
Contact: Teresa Armstrong
Emergencies Oral and Dental Care only: Yes
Qualifiers/Hours: Patients of all ages accepted  7:30 a.m.- 5:30 p.m. Mon.-Thurs.; closed each day 12 p.m. – 1 p.m. for lunch.

Long -Term Care COVID-19 Testing Requirements

This interim guidance provides updated guidelines and criteria for COVID-19 testing in licensed long-term care (LTC) facilities, as defined by the Nursing Home Care Act, 210 ILCS 45, primarily focusing on skilled nursing and intermediate care facilities.

Given their congregate setting and resident populations served (e.g., older adults often with underlying chronic medical conditions), nursing home populations are at the highest risk of being affected by COVID-19. If infected with SARS-CoV-2, the virus that causes COVID-19, residents are at increased risk of serious illness. The Illinois Department of Public Health (IDPH) is committed to working proactively with LTC facilities to prevent illnesses.

Long Term Care Facilities Guidance

This interim guidance provides updated guidelines for nursing homes and other long-term care (LTC) facilities regarding restrictions that were instituted to mitigate the spread of COVID-19. The guidance in this document is specifically intended for facilities as defined in the Nursing Home Care Act (210 ILCS 45), and also applies to Supportive Living Facilities, Assistive Living Facilities, Shared Housing Establishments, Sheltered Care Facilities, Specialized Mental Health Rehabilitation Facilities (SMHRF), Intermediate Care Facilities for the Developmentally Disabled (ICF/DD), State-Operated Developmental Centers (SODC), and Medically Complex/Developmentally Disabled Facilities (MC/DD). Modifications for specific categories of LTC facilities and programs are provided in the Appendix.

Long Term Care Facility Resident Monitoring Protocol

Long-Term Care Facility Residents/Patients

All Patients

Obtain vitals (temperature, heart rate, respirations) AND pulse oximetry every eight hours (Q8 hours). Blood pressure can be taken once a day.

Symptom screening to be performed every shift (Q8H) and should include questions about and/or observations of the following:

  • Fever 
  • Shortness of breath (SOB) 
  • Cough 
  • Sore throat
  • Chills or shaking w/chills
  • Muscle pains
  • Headache
  • New loss of taste or smell

Contact the clinical supervisor for any of the following: new-onset fever, SOB, cough, sore throat, or for any decrease in pulse oximetry from resident baseline level or any pulse oximetry reading < 92%. If these symptoms are present, providers should strongly consider transfer to a higher level of care. Monitoring every four hours is appropriate for patients with evidence of clinical deterioration.

Long-term care Frequently Asked Questions

Q: What is being done to protect long-term care (LTC) residents from COVID-19?

A: Administrators have been instructed to restrict visits, cancel group activities, close dining rooms, and screen residents and staff for fevers and respiratory diseases.

Q: Are LTC residents and staff required to be tested for COVID-19?

A:  Yes.  The Illinois Department of Public Health (IDPH) requires every skilled and intermediate LTC facility to test all residents and staff for COVID-19 (starting May 28, 2020).  Each facility must collect specimens and arrange for laboratory testing.  The number of residents and staff tested, and the number of positive, negative, and indeterminate test results are to be reported to public health officials.

Medical Care for Sexual Assault Survivors

Illinois Hospitals Are Ready and Safe for Sexual Assault and Domestic Violence Survivors to Receive Medical Care

Sexual assault and domestic violence survivors come to hospitals to seek important medical and forensic care in their most vulnerable moments. During these tumultuous times, it is imperative that survivors know hospitals remain committed to providing these essential services to survivors who seek them. Hospitals work in collaboration with Illinois Coalition Against Sexual Assault rape crisis centers, the Illinois Coalition Against Domestic Violence, and other advocacy organizations to assist survivors.

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