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Additional information on COVID-19 key community health indicators and metrics

Jul 17, 2020

Earlier this week, we promised to release additional information on key metrics and community health indicators that we will use to establish thresholds for alert level assessment given the specifics of Flagler College’s campus operations, as well as an "operations table" that explains what various alert levels mean for those operations.

The following information was developed by a sub-group of the COVID-19 Reopening Task Force and will allow the College to determine our operational status based on the most current and relevant data about the pandemic as the start of the fall semester approaches. 

This is part of our commitment to not only create a healthy environment for students, faculty and staff to return to, but to also keep you abreast of the many steps we are taking to study all relevant data, understand what it means for our campus and adjust College operations accordingly.

The tables below include key environmental and campus metrics, ​thresholds or key factors for use in determining our campus alert level, and tables which list corresponding operations by alert level. These metrics, based on recommendations in the Johns Hopkins “COVID-19 Planning Guide and Self-Assessment for Higher Education,” will be monitored by the College daily. We will begin posting alert levels in early August.

​Though individual metrics are listed with corresponding thresholds for various alert levels, ​the guidance directs that this information must be interpreted holistically ​when determining our status as a College.  ​There is no simple formula for weighing or prioritizing metrics, and environmental factors throughout the state and local community ​must be weighed relative to internal factors at the College.  Flagler’s size ​and the nature of its campus and classes, along with the rigorous safety protocols planned, give us the opportunity to better mitigate the effects of the pandemic ​and to manage our risk more effectively than larger institutions.  ​For that reason, closely monitoring, openly communicating, and swiftly responding as an entire campus to the available data will be essential to our safety and success.

Flagler College COVID-19 Key Assessments and Alert Levels:

KEY ENVIRONMENTAL ASSESSMENTS

Key Question

Key Metric

Thresholds/Keys for Alert Level Assessment

What Phase is the state in?

*State Reopening Phase

L 4 = Phase 1

L 3 = Phase 2

L 2 = Phase 3

 

Are there signs of a resurgence in cases?

Influenza-like illness or COVID  19-like illness (syndromic data)

Alert shifting higher = above avg

Neutral/lower = avg or below

Can the local hospital(s) absorb additional cases?

Available beds/ventilators/staff

No direct correspondence to levels, but should be monitored

What are the local disease conditions?

Daily new cases/100,000 people

(7-day rolling average)

L 4 = >25

L 3 = 10-25

L 2 = 1-9

Testing capacity (are we testing enough to detect cases?)

Percentage of positive tests (7-day rolling average)

L 4 = >15%

L 3 = 10-15%

L 2 = 5-9%

 

Trends in daily infection rate

Alert shifting higher = increasing over 7-day period

Shifting lower = decreasing over 14-day period

*unless otherwise noted as “State” data, all environmental data reported here are for St. Johns County.  Alert level assessments will use primarily this data, but may draw from surrounding counties and/or more state-level data, as appropriate.

Data Sources:

1 – All data from Florida Dept of Health unless otherwise noted (links: https://floridahealthcovid19.gov/ & http://ww11.doh.state.fl.us/comm/_partners/covid19_report_archive/county_reports_latest.pdf

2 – Agency for Health Care Administration (AHCA)  (link: Hospital Beds Census)

3 – Harvard Global Health Initiative (link: https://globalepidemics.org/key-metrics-for-covid-suppression/)

 

KEY INTERNAL/CAMPUS ASSESSMENTS

Key Question

Key Metric

Thresholds/Keys for Alert Level Assessment

Are we protecting students, faculty, and staff?

Number of infections (Flagler College)

Monitor weekly and two-week trends.

Available number of contact tracers/case load

Is there sufficient capacity for quarantine and isolation?

 

 

Number of available rooms

Monitor sufficiency of our capacity relative to trends above.

Are there sufficient cleaning supplies, PPE, and testing available?

Inventory levels

No direct correspondence to levels, but should be monitored

Are stakeholders complying with restrictions and safety measures?

 

 

 

Compliance with health app

No direct correspondence to levels, but should be monitored

Data Sources: All internal data reported from Student Affairs in conjunction with the Reopening Task Force. 

OPERATIONAL STATUS RELATIVE TO ALERT LEVELS

 

(Most restrictive) Very High Alert Level Only Essential Ops

 

High Alert Level Low Density Operations

 

Moderate Alert Level Medium Density Operations

(Least restrictive) Low Alert Level High Density Operations

Residence Life

N/A, Residence Halls closed except for essential students

Residence Halls open with reduced occupancy, common space closed, no visitors

Residence Halls open with reduced occupancy, common space accessible with physical distancing measures and reduced occupancy, no visitors

Residence Halls open with traditional occupancies, policies and procedures in place

Dining Services

N/A, Closed

To-go options only, controlled entry to pick up meals

Dining facilities are limited to 50% capacity with physical distancing maintained. Employees must take meals to go

Dining facilities at or near room occupancy levels.

Student Support Facilities

N/A - Closed

Limited access utilizing scheduled appointments for services

Facilities open but with reduced occupancy and physical distancing. Some restrictions regarding access of facilities still in place.

All facilities may return to full occupancy and service.

Classrooms, Class enrollment/size

N/A, students not on campus. Instruction is fully remote/virtual.

Classes should be held in classrooms where physical distancing is possible such as large lecture halls. Classes unable to adhere to physical distancing should convert to hybrid delivery.

Classes should be held in classrooms where physical distancing is possible such as large lecture halls. Classes unable to adhere to physical distancing should convert to hybrid delivery.

All classes may return to full occupancy.

Events (Assemblies, Info Sessions, Meetings, etc.)

Virtual only.

Virtual or in small groups abiding by health safety protocols. No contact or sharing between individuals.

Large events may be held outside or in venues that allow for appropriate social distancing practices. Clear guidance on entry and dismissal is established.

No restrictions on event size or cadence.

Shared Office Spaces

Essential workers may continue work in shared spaces with health safety measures observed.

Capacity limitations are established. Most work remains remote and essential use of shared spaces is planned to not exceed capacity limitations.

Capacity limitations are established. Most work remains remote and health safety practices are honored for those in the workspace.

No restrictions on shared office spaces.

NB: These operational descriptions are taken directly from Johns Hopkins OpenSmartEDU:Covid-19 Planning Guide for Higher Education, published by the Johns Hopkins Center for Health Security, et al.

As we approach the beginning of the fall semester, Flagler will remain vigilant in monitoring the rapidly evolving conditions surrounding the COVID-19 pandemic, and transparent as we look at how new data and the changing situation impacts our community. As always, our priority will continue to be ensuring the health and safety of everyone within the Flagler Family, and we believe that these new metrics and community health indicators will allow us to do this in the most effective way possible.

Additional Information:

• For answers to our most Frequently Asked Questions, please visit: www.flagler.edu/coronavirusfaqs  

• Please continue monitoring Flagler College email or visit the College’s coronavirus information page: www.flagler.edu/coronavirus

• To view the College’s Reopening Task Force Report, click here.

• Questions, comments or suggestions can be emailed to reopening@flagler.edu

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