COVID-19 Safety Response Plan

Introduction

ProgressiveHealth takes the health and safety of its employees, clients, and patients very seriously and has implemented the following measures and safeguards for all ProgressiveHealth facilities and employees in order to help ensure a safe environment. Progressive is committed to applying efforts to mitigate exposure to COVID-19, lower the risk of resurgence, maintain healthy business operations, maintain a healthy work environment, and protect its employees, patients, clients, and visitors.

This Safety Response Plan is based on information currently available from the Centers for Disease Control (“CDC”), Occupational Health and Safety Administration (“OSHA”), and various state and local guidelines and will be updated as needed in accordance with changing federal, state, and local
guidelines and other operational considerations. This Plan is effective until further notice.

Employees working in partner client locations may also need to refer to and follow applicable facilitybased plans, policies, measures, and/or safeguards.

In conjunction with its COVID-19 Safety Response Plan, ProgressiveHealth has also prepared and distributed a SAFE at Work Program Guide for its partner clients that contains current best practices, safeguards, and actions to ensure the safety of the workforce at all times, but particularly in response to seasons when known communicable pathogens, such as COVID-19, are at higher risk.

Measures and Safeguards

Communicable Pathogen Response Team

ProgressiveHealth has created a Communicable Pathogen Response Team consisting of various subject matter experts focused on the development of best practices and recommendations in response to COVID-19, as well as leadership members who direct their activities. This team consists of the following team members who meet regularly to review, revise and implement best practices as well as a myriad of other contributors who assist the team:

  • Chief Operating Officer
  • Contract Performance Director
  • National Director of Market Development
  • Designated Directors of Employer Solutions
  • Industrial Solutions Implementation and Best Practices Manager
  • Employee Experience Director
  • Director of Employer Medical Solutions
  • Compliance Officer
  • Human Resources Manager

Screening Procedures

Employees
ProgressiveHealth believes that daily self-screening practices will help prevent sick or symptomatic people from coming to the workplace and spreading infection. As a result, all ProgressiveHealth employees are required to monitor their temperature and watch for symptoms identified with COVID- 19 prior to coming to work. Employees should stay home from work if they have a temperature at or above 100.4 degrees Fahrenheit, are sick, develop COVID-19 symptoms, or believe they have been exposed by direct close contact to someone diagnosed with COVID-19. By arriving at work, employees are certifying that they have a temperature below 100.4°F (without use of fever reducing medications) or any other symptoms of COVID-19, and have not been exposed by close contact to anyone with known COVID-19. Employees are also responsible for self-monitoring for symptoms throughout the day. Employees who develop symptoms while at work are required to immediately separate themselves from others, remove themselves from the premises and contact their supervisor for further instructions.

Patients
At pertinent locations, patients will be reminded prior to their appointment that if they have symptoms of COVID-19, that they should reschedule their appointment to a future date. Patients who present for treatment with any symptoms, will be asked to leave and will have their appointment rescheduled. At pertinent locations, posters will be placed on external doors reminding patients to call to reschedule if they have experienced symptoms or have been in contact with someone with known or suspected COVID-19. Other locations are or will be equipped to handle diagnostic tests for COVID- 19 for certain patient populations and safety protocols will be established in accordance with CDC and other state and local guidance for serving such patients.

Visitors
Visitors will also be screened prior to entry into the building and will be asked to verify that they do not have a fever or any other symptoms of COVID-19. Until such time as the pandemic has been determined to no longer be a local or national emergency, only the minimum number of visitors required to permit the safe operation of the business or to accompany minor children will be permitted to enter our facilities.

Screening Stations
ProgressiveHealth employees are available to assist any partner clients with screening of their employees upon request. These screening stations will allow follow CDC and local health department guidelines regarding safe practices and other pertinent details.

Social Distancing

When possible, ProgressiveHealth employees who can adequately perform their duties remotely may be permitted to work from home to encourage maximum social distancing until such time as theCOVID-19 state of emergency has subsided.

To the extent possible, employees should avoid physical contact with others (at least 6 feet). If this is not possible, face coverings are recommended. Patients, clients, and visitors should also be advised to maintain social distancing (to the extent possible) while at ProgressiveHealth facilities, or encouraged to wear appropriate face coverings.

When possible, ProgressiveHealth shall designate with signage, tape, or by other means, six foot of spacing for employees, clients, and patients to maintain an appropriate distance. Gatherings of employees is not permitted.

Physical barriers, such as plexiglass dividers, will be arranged to the extent possible when social distancing between work spaces cannot be maintained.

In patient/client areas, emphasis will be placed on limiting, removing, or rearranging equipment in treatment or exercise areas to facilitate social distancing.

Common areas, such as meeting, break, and waiting rooms, shall be closed, have access limited, or have seating arranged to accommodate social distancing guidelines, depending on location and necessity. Handshakes and other physical contact should be limited to the extent possible.

Cleaning & Disinfecting Protocols

ProgressiveHealth has increased the frequency of its cleaning and disinfecting protocols, including increased cleaning of high-traffic areas and high-touch surfaces, such as restrooms, breakrooms, workstations, countertops, railings, doors, handles, doorknobs, credit card machines, shared computers, office equipment, fitness equipment, and treatment tables. ProgressiveHealth follows CDC and OSHA high-level disinfection practices and guidelines, including the use of recommended disinfectants on all equipment and surfaces. ProgressiveHealth will administer deep cleaning measures anytime a known communicable pathogen has been significantly exposed in a work area which may pose risk to the health and well-being of its employees.

Personal Hygiene

All employees, patients, clients, and visitors will have access to hand sanitizer (with at least 60% alcohol) and/or handwashing stations.

Employees, patients, clients, and visitors are strongly encouraged to wash hands often with soap and warm water for at least 20 seconds and follow other hand-hygiene practices applicable to their scope of work. If soap and water are not available, use of an alcohol-based hand rub is permitted.

Employees, patients, clients, and visitors should avoid touching eyes, nose, and mouth with unwashed hands.

Employees, patients, clients, and visitors should use respiratory etiquette (including covering coughs and sneezes).

Office equipment and supplies should not be shared to the extent possible.

ProgressiveHealth will provide training and information to all employees regarding personal hygiene in an effort to reduce risk of exposure to COVID-19.

Personal Protective Equipment

Employees should wear face coverings when social distancing cannot be maintained, or as otherwise required in accordance with state or local law. Face coverings include cloth masks, scarfs, or surgical masks. The type of face covering used shall be dependent upon work location, job-type, and exposure risk level. ProgressiveHealth has taken steps to classify its workforce for risk of occupational exposure to COVID-19 in accordance with OSHA guidelines. The level of risk depends in part on the industry type, need for contact within 6 feet of people known to be, or suspected of being, infected with COVID-19, or requirement for repeated or extended contact with persons known to be, or suspected of being, infected with COVID-19. PPE will be made available in accordance with employees’ roles and exposure risk levels.

Patients, clients, and visitors are also encouraged to wear appropriate face coverings when interacting with ProgressiveHealth employees.

At some locations, employees will be required to wear more extensive PPE, such as gloves, gowns, goggles, and face shields, due to the nature of their exposure and job duties.

ProgressiveHealth will provide training to all employees regarding the donning and doffing of PPE and face coverings in accordance with their role and their exposure risk level.

Employees shall ensure that their PPE and/or face coverings are regularly inspected, maintained, and replaced as necessary. Employees shall also ensure that it is removed, cleaned, and stored or disposed of, as applicable, to avoid contamination of self, others, or the environment.

Education & Training

ProgressiveHealth will ensure that training, education, and informational material are provided to all employees on COVID-19 risk factors and protective behaviors. Education and training will be tailored to job functions/risk factors and will focus on employee health and safety, including proper hygiene practices, social distancing, use of PPE and/or face coverings, and other safe work practices. Posters will also be placed around ProgressiveHealth facilities to inform employees, patients, clients, and visitors regarding infection control measures, hand hygiene, and other best practices for protecting against COVID-19.

Responsibilities of Managers and Supervisors

All managers and supervisors are responsible for being familiar with this Plan and should be ready to answer questions from employees. Managers and supervisors should lead by example and follow the Plan at all times. Managers and supervisors are responsible for regularly reinforcing key messages to employees (including stay home when sick, use cough and sneeze etiquette, and practice hand hygiene, and placing posters in areas where they are most likely to be seen by employees, patients, clients, and visitors. Managers and supervisors shall also help ensure that there are adequate supplies of soap and water, hand sanitizer, tissues, PPE (when appropriate), and no-touch receptables for use by employees.

Responsibilities of Employees

  • Perform daily temperature and symptom checks prior to coming to work.
  • By arriving for work each day/shift, employees are certifying that they:
    • Have not been in close contact with a confirmed case of COVID-19.
    • Are not experiencing a cough, shortness of breath, or sore throat.
    • Have not had a fever in the last 72 hours.
    • Are not experiencing any other symptoms of COVID-19.
  • Stay home if sick.
  • Perform self-checks for symptoms throughout the work day.
  • Be familiar with COVID-19 symptoms.

    The most common symptoms of COVID-19 are:

    •  
    • Fever (>100.4 Degrees)
    • Cough
    • Shortness of breath or difficulty breathing

    Other symptoms include:

    • Chills
    • Repeated shaking with chills
    • Muscle pain, body aches
    • Headache
    • Sore throat
    • Diarrhea
    • Tiredness or fatigue
    • New loss of taste or smell

    This list is not all inclusive and is current to CDC guidelines as of the date of this publication. Employees should consult with their medical provider for any other symptoms that are severe or concerning to them.

  • If symptoms arise, seek medical care or COVID-19 testing.
  • Inform supervisor if employee has a sick family member at home with COVID-19 or have otherwise been exposed to a confirmed case of COVID-19.
  • Follow recommended personal hygiene practices.
  • Maintain appropriate social distancing, to the extent possible, when performing job duties.
  • Limit in-person meetings.
  • Routinely clean frequently touched surfaces (ie. desks, phones, work spaces, keyboards, etc.)
  • Limit sharing of office supplies, water coolers, and other equipment.
  • Use face coverings and other PPE, as appropriate based on type of position and facility best practices.
  • Wipe down commonly used surfaces with disposable wipes prior to each use.
  • Inform supervisor if employee has travel plans.

Exposure Response Protocols

ProgressiveHealth has developed exposure response protocols for when employees face various exposure situations related to COVID-19. Employees are always encouraged to consult with their healthcare provider or with their state or local health department if they have concerns regarding symptoms or possible exposure.

COVID-19 Symptoms
Sick employees are actively encouraged to stay home until they are free of fever (without the use of medication) for at least 72 hours (three full days) and symptoms have improved for at least 72 hours and at least seven to ten days have passed since symptoms first began (the number of days depends on the employee’s work location and job duties). Employees who receive negative results for COVID- 19 tests taken two times at least 24 hours apart, and who have had resolution of fever without use of fever-reducing medications, and improvement in respiratory symptoms, may thereafter return to work.

Employees who appear to have acute respiratory illness symptoms while at work will be immediately separated from other employees, patients, clients, and visitors and sent home.

Potential Exposure
A potential exposure means being a household contact or having close contact within 6 feet of an individual with confirmed or suspected COVID-19 (co-worker or otherwise). The timeframe for having contact with an individual includes the period of time of 48 hours before the individual became symptomatic.

If an employee has had a potential exposure to COVID-19 (whether community, travel, or occupational based), they must inform their supervisor and/or ProgressiveHealth’s Human Resources Manager.

Generally, an employee who has had a potential exposure will need to self-isolate for 14 days prior to returning to work, in addition to following other CDC recommended precautions associated with potential exposure.

Critical infrastructure workers, including certain health care providers, who have had a potential exposure to COVID-19, but remain asymptomatic, may be permitted to continue to work under certain conditions and in accordance with CDC guidance.

Potential exposure associated with international or other travel may require employees to self-isolate for a period of 14 days prior to returning to the workplace, in addition to following other CDC recommended precautions.

CDC precautions will be followed based on the type of exposure and worker classification. Decisions about restrictions from work will be made on a case-by-case basis in accordance with the most up-todate CDC and state and local authorities’ guidance.

Positive Result Test
If an employee receives a positive test result for COVID-19, the employee can generally return to work, in consultation with the Human Resources Manager, when they have met one of the following sets of criteria:

Option 1: If, in consultation with a healthcare provider and local public health authorities knowledgeable about locally available testing resources, it is determined an employee will not have a test to determine if they are still contagious, the employee can leave home and return to work after these three conditions have been met:

  • The employee has had no fever for at least 72 hours (that is, 3 full days of no fever without the use medicine that reduces fevers)
    AND
  • Respiratory symptoms have improved (for example, cough or shortness of breath have improved)
    AND
  • At least 10 days have passed since their symptoms first appeared

Option 2: If, in consultation with a healthcare provider and local public health authorities knowledgeable about locally available testing resources, it is determined the employee will be tested to determine if the employee is still contagious, the employee can leave home and return to work after these three conditions have been met:

  • The employee no longer has a fever (without the use of medicine that reduces fevers)
    AND
  • Respiratory symptoms have improved (for example, cough or shortness of breath have improved)
    AND
  • They received two negative tests in a row, at least 24 hours apart. Their doctor should follow CDC guidelines.

Investigations
In the event that a ProgressiveHealth employee reports a positive diagnosis of COVID-19, ProgressiveHealth, in conjunction with any partner client, if applicable, will conduct an internal assessment of potential exposures to other employees, patients, clients, and visitors, and examine other risk factors. ProgressiveHealth will implement and recommend additional precautions in accordance with CDC guidelines.

Confidentiality/Privacy

As always, ProgressiveHealth is committed to protecting the confidentiality and privacy of both patient and employee medical information. Medical information regarding employees, including but not limited to a positive diagnosis of COVID-19, will be kept confidential and will only be shared in accordance with applicable law. When it is required, ProgressiveHealth may be required to share with other employees if a co-worker has been diagnosed with COVID-19 to permit those employees to take measures to protect their own health, however, the name of the co-worker will be kept confidential and will not be disclosed.

Questions

If you have questions regarding this Plan, please contact ProgressiveHealth’s Human Resources Manager or Compliance Officer at 812-491-3856.