At MUSC Health, the safety of patients, families, care team members, students, faculty and staff remains the number one priority. The MUSC Public Affairs and Media Relations (PAMR) department issues regular COVID-19 updates on Monday and Thursday of each week. Please read the report in its entirety; information can change quickly.
The Path Forward / Recovery
ICYMI: The MUSC COVID-19 Epidemiology Intelligence Project is a digital dashboard that provides leading indicators related to the COVID-19 epidemic to enable informed decisions. An Institute for Health Metrics and Evaluation (IHME) chart from the website illustrates the level of the expected impact in South Carolina, and experts will continue to monitor the data and make adjustments to operations, as needed. MUSC’s goal is to deliver health care in a safe and reliable environment, while pushing forward to enable a rapid and successful revitalization of the economy. Current situation assessments for MUSC Health – Charleston (Charleston, Berkeley and Dorchester counties), MUSC Health Florence, and MUSC Health Lancaster divisions are available on this site.
MUSC COVID-19 diagnostic testing
Rural and underserved communities experience disparities in access to COVID-19 screening, testing, prevention and treatment in South Carolina and nationally. MUSC Health, in partnership with the state legislature, is setting up mobile screening and collection sites in rural and underserved areas. Tents will be set up outside in designated locations to collect COVID-19 respiratory specimens from both walk-up and drive-through patients. Prescreening is not required, and the cost is free to patients. Patients will be contacted within 5 -7 days with the results of their test, if not sooner. Patients are asked to bring photo identification and an insurance card if they have one. Insurance is not required to be seen, however, the CARES Act does require MUSC to bill insurance providers if patients do have insurance. Patients may email [email protected] if they have questions regarding their results. If they do not have an email address, they may call 843-985-8888.
The mobile setup allows care providers to rotate sites, reaching underserved and rural populations experiencing barriers to health care access for COVID-19 screening. Collectively, the MUSC Health ambulatory, telehealth, information solutions, emergency management and operations, finance, laboratory and leadership teams were first in the nation to launch a combined virtual urgent care platform and drive-through specimen collection site; now, they’re taking a version of this successful model to more communities that need it.
The following locations will offer sites at these dates and times:
ANDERSON- This site will open Thursday, June 11, from 10 a.m. to 3 p.m. at Welfare Baptist Church, 2176 Bolt Dr, Belton, S.C. 29627.
CHARLESTON TRI-COUNTY AREA: The next location in the tri-county area will be confirmed as soon as details have been finalized.
CHESTER: MUSC Health will offer mobile specimen collection on Wednesday, June 3, from 10 a.m. to 3 p.m. at “The Backlot” located at 139 Cadz St., Chester, S.C. 29706.
COLUMBIA: More information about future sites will be provided when it becomes available.
FLORENCE: MUSC Health Florence Medical Center’s mobile specimen collection site location is open Monday through Friday (June 1 – 5) from 9 a.m. to 3 p.m. at Iola Jones Park, 800 Oakland Ave., Florence, S.C. 29506.
LAKE CITY – This site will open from 10 a.m. to 3 p.m. on Wednesday, June 3, at The Continuum, 208 W. Main St, Lake City, S.C. 29560.
JOHNSONVILLE- This site will open from 10 a.m. to 3 p.m. on Friday, June 5 at Johnsonville High School, 237 S. Georgetown Hwy, Johnsonville, S.C. 29555.
SPARTANBURG: More information about the next location in the Spartanburg area will be provided when details are finalized and become available.
ORANGEBURG: In partnership with Rep. Gilda Cobb-Hunter and the Orangeburg Regional Medical Center, the mobile site will be located at Orangeburg County Fairgrounds, 350 Magnolia St., Orangeburg, S.C. 29115, on Tuesday, June 2, and Thursday, June 4 from 10 a.m. to 4 p.m.
WINNSBORO: This site will be located at Fairfield Middle School, 728 US-321 BYP, Winnsboro, S.C. 29180, and open from 10 a.m. to 3 p.m. on Wednesday, June 3.
In reporting on these important developments for these local communities, individuals (elected officials, community leaders, city employees, etc.) and media outlets are asked to adhere to these basic rules while engaging with these locations during operational hours:
NO FILMING OR PHOTOGRAPHY INSIDE THE SITE while patients are present (10 a.m. to 3 p.m.). This is to protect patient privacy while undergoing specimen collection and for the safety of our care team members. The team needs to perform this service safely when vehicles are present.
The Office for Civil Rights (OCR) at the U.S Department of Health and Human Services (HHS) issued additional guidance on May 5 to covered health care providers (such as MUSC Health) that the HIPAA Privacy Rule does not permit them to give media and film crews access to facilities where patients’ protected health information (PHI) will be accessible without the patients’ prior authorization. The guidance explains that even during the current COVID-19 public health emergency, covered health care providers are still required to obtain a valid HIPAA authorization from each patient whose PHI will be accessible to the media before the media is given access to that PHI. Due to the complicated logistics and potential safety issues involved in trying to obtain this kind of consent in real-time at a walk-up or drive-through mobile collection site, there will be NO PHOTOGRAPHY OR VIDEO ALLOWED “INSIDE THE FENCE” DURING HOURS OF OPERATION AT ANY MUSC-AFFILIATED MOBILE COLLECTION SITE.
We ask that every effort be made to consider patient privacy, and request that photography or video taken from outside the site not involve real-time aerial, close-up/identifying or magnified lens use while patients are present.
We ask that every effort be made to follow all security protocols for the site so that patients, care team members and media professionals stay safe. Those who cannot follow these protocols will be asked to leave the area as appropriate.
We ask that all MUSC Health team member interviews related to this topic take place when the site is not in operation (before opening, during an individual’s lunch break or after closing via phone or Zoom at a later time) so that our team can focus on safety, patient care and making sure that things are going as smoothly as possible. All interviews should be coordinated through MUSC PR offices and are dependent on site location and care team member availability.
MUSC Health antibody testing
MUSC Health is offering voluntary COVID-19 serologic testing to care team members, first responders in Charleston, Florence and Lancaster divisions and within those local communities. This service is expected to expand for broader community access in the next week.
The serology test is a blood test that looks for the presence of antibodies, which are specific proteins made in response to infections. Antibodies can be found in the blood and in other tissues of those who are tested after an infection. The antibodies detected by this test indicate that a person had an antibody response to SARS-CoV-2 (the virus that causes COVID-19), whether symptoms developed from the infection or the infected person was asymptomatic. These antibodies may help provide protection from future infection as well as identify those still at risk.
Antibody testing for COVID-19 is in its early phases. Hundreds of companies have developed these tests and more are coming on the market every day. There is no perfect test, but MUSC Health is committed to offering the best ones available. As MUSC Health validates and makes COVID-19 antibody testing widely available, it is important to make sure individuals and the media understand what the test results mean.
At this time, MUSC Health currently recommends the Abbott ARCHITECT SARS-CoV-2 IgG antibody test. There are some limitations to this test/serological testing at this time, specifically:
- The Abbott ARCHITECT SARS-CoV-2 IgG Antibody Test has been validated by MUSC labs to have a 96% sensitivity and 99% specificity. A positive result means that there is a high chance that an individual had a previous COVID-19 infection.
- Positive results do not establish proof of long-lasting immunity for any future COVID-19 infection. It is likely that an individual may have some immunity, but we do not yet know the level of immunity given the presence of antibodies. We also do not know how individual characteristics might influence this immunity.
- Therefore, positive results should NOT be considered a reason for individuals to stop protecting themselves from COVID-19 (at work or home) in terms of social distancing practices when possible, good health hygiene, use of PPE in high-risk environments, etc.
For populations, the test is very useful to measure how much COVID-19 is occurring locally by comparing how many people have antibodies now versus later, as COVID-19 becomes more common in South Carolina.
For individuals, it is difficult to make firm conclusions and work-home decisions, based on a single antibody test. However, it is important to start testing now, knowing that tests will improve over time. In addition, our knowledge will improve on which antibodies protect people from getting COVID-19, and how long these antibodies are likely to last in the body. As we are able to document who has had prior exposure to COVID-19, we will be able to understand whether individuals are at risk for developing a second infection and its severity.
Care team members or first responders who wish to be tested can use MUSC Virtual Urgent Care (musc.care) to complete a COVID-19 (coronavirus) visit. Select “yes” on the additional information question and enter #covidimmunity in the comments section. Virtual Care will determine medical eligibility for serologic testing.
Candidates for the serology test should schedule blood draw appointments through MUSC MyChart. Results will be available in MyChart within 48-72 hours. Testing is available at select locations in the Charleston, Florence, and Lancaster divisions and by appointment only. Repeat testing, for those who test negative, will be offered no more than every 30 days for qualified candidates. The cost of the test will be billed to insurance carriers. Based on the recent CARES Act, insured patients will not have an outstanding balance for this test.
Basic stats / COVID-19 positive cases
Previously reported data points, such as the number of telehealth screenings, total number of specimens collected at the West Ashley specimen collection site, or the number of COVID-19 positive MUSC care team members are available upon request.
- Total number of COVID-19 community screening tests completed by MUSC Health-Charleston: 32,126
(MUSC Health system-wide: 37,970)
- Total Number of COVID-19 positive greater Charleston community screening tests: 1,073
(MUSC Health system-wide: 1,636)
- It is important to understand, and to avoid duplication in reporting, that these cases are reported to, and included in, the DHEC statewide COVID-19 numbers.
- The majority of these individuals may not require hospitalization in a South Carolina hospital.
- Number of COVID-19 inpatients currently in the hospital (MUSC Health-Charleston): 6
- MUSC Health monitors this number to determine that we have current and future capacity in terms of health care providers, supplies, ventilators and PPE. Please see the IHME graph here. These numbers are consistent with the modeling and expectation that MUSC Health will have appropriate resources to manage these patients.
- Of the 6 patients currently in the MUSC Health-Charleston location, 1 are in MUSC Health COVID-19 intensive care, with 1 of the 5 total inpatients receiving ventilator care for disease progression at this time.
COVID-19 capacity, supplies and equipment statuses have remained “GREEN” since April 13 (more than 30 days).
For a current list of supply requests, please visit https://muschealth.org/patients-visitors/coronavirus-information/donations-to-musc-health.