Coronavirus

 

What You Need To Know

Has Mosaic had any suspected cases of COVID-19?

Yes. Mosaic has had individuals who have met CDC and state criteria to test for COVID-19 and who have tested positive. We continue to follow CDC and DHSS guidelines for screening and testing cases of COVID-19. If your Mosaic health-care provider thinks your symptoms and health history qualify you to receive a test, they will order a test. There are enough testing supplies available to hospitals across the country, including Mosaic, to meet testing needs within current criteria. However, the supplies are not unlimited and that is the reason testing is not available for everyone, including those with mild symptoms.

For the most updated information see our daily updates.

Is Mosaic testing for COVID-19?

Yes. Mosaic is closely following DHSS and CDC guidelines for testing. If a person meets this criteria, Mosaic has the ability to test. While testing access and guidelines continue to change, it is still necessary to base testing on the most up-to-date guidelines in our direct service area. Mosaic is working with the state, commercial labs and our internal lab to ensure we have tests available when needed.

Available tests does not mean we will test everyone who wants a test. We will continue to follow the DHSS and CDC testing guidelines in order to ensure we have supply for those who need it most. Having tests available should the virus spread, is an important priority for our organization. If we test everyone displaying mild symptoms, like some hospitals across the country, the current supply of testing supplies would quickly be exhausted and create a greater public health risk.

Please understand, proper treatment does not require a positive test result. If you need treatment, we will ensure best practices as recommended by DHSS and CDC are followed to provide the right care for what you are experiencing based on your personal health status and history. According to the CDC, most people who get sick with COVID-19 will have only mild illnesses and should recover at home.

Testing is also not a reliable way to identify exposure nor predict future symptoms. Testing negative one day, does not mean you are not at risk of contracting COVID-19 in the following days, weeks or months.

What are the priorities for testing?

According to the CDC as of now, the priorities for testing patients is as follows:

Symptoms must be present: Fever (100.4+), cough and shortness of breath

  • Priority 1: Hospitalized patients; Healthcare facility workers (direct patient care)
  • Priority 2: Patients in long-term care facilities; Patients 65 years of age and older; Patients with underlying conditions; First responders
  • Priority 3: Critical infrastructure workers; Individuals with symptoms but no other criteria; Individuals with mild symptoms in communities with HIGH numbers of COVID-19 hospitalizations
  • Non-Priority: Individuals without symptoms

How do you get what is needed for a COVID-19 test?

A nasal swab is needed for the test. The test uses specific supplies to protect the specimen taken for successful lab testing.

How long does it take for tests to come back?

The amount of time it takes for a test result to return may vary based on which lab is doing the testing and what their current capacity is and their current demand.

State and commercial lab turnaround time based on demand is approximately 48 hours.

How many tests for COVID-19 has Mosaic run?

Please see daily testing updates below.

Why aren’t there drive-thru testing options?

Unfortunately, testing supplies available in our area are limited and must be saved to test those who meet the current Missouri Department of Health and Senior Services (DHSS) and CDC guidelines. Federal, state and local elected and public health officials are working to expand testing availability. As those guidelines expand, Mosaic also expands testing.

Will Mosaic report COVID-19 cases to the MO Department of Health?

Yes. When Mosaic receives a positive test result, the department of health will work with the local health department to notify the community. This is the standard process followed for all reporting of infectious diseases even beyond COVID-19 in Missouri. Local health departments are the entity responsible for announcing positive tests in their respective counties and/or cities, as well as notifying and monitoring potential close contacts surrounding those positive cases.

All COVID-19 tests for patients are sent to the state lab for confirmation.

How is Mosaic prepared for handling COVID-19?

Mosaic’s top priority is to do what we have always done – put the needs of our patients and community first.

  • We are closely following the guidance of the Missouri Department of Health and Senior Services (DHSS) and the Centers for Disease Control and Prevention (CDC). Our leadership and caregivers are participating in daily conversations with experts from federal, state and local health-care authorities, as well as elected officials in our communities, state and nation.
  • Teams across the Mosaic health system have been meeting regularly to prepare not for if, but when someone presents seeking diagnosis and treatment for COVID-19.
  • Our staff and facilities are equipped to safely treat patients who may have COVID-19. We have also put safeguards in place to protect our guests and caregivers.
  • We are continuously reviewing and updating our visitor policy to ensure we are doing everything we can to reduce the risk of spreading the virus.
  • We offer a 24/7 Community Nurse Line that you can call if you are not sure if you need to be seen at (816) 271 – 4000.

Mosaic caregivers are trained and prepared to serve our communities – COVID –19 is no exception.

How is Mosaic handling a suspected case in one of its hospitals?

Mosaic is closely following the DHSS and CDC’s screening recommendations. If someone suspects they may have COVID-19 and are at one of our medical centers, they will be screened in a designated screening area, to limit exposure to other patients and guests.

Screening questions evolve as the DHSS and CDC guidelines expand based on testing supply and capability. As of now, screening includes questions about travel history, potential exposure to COVID-19 and recent symptoms. There may also be more questions regarding your health history, current status and underlying health issues. If a person meets current testing criteria, or their provider determines a test is needed based on your health history, status and risk factors, Mosaic will follow traditional quarantine and isolation procedures while tests are performed.

How does Mosaic handle a suspected case in one of its clinics?

In line with current DHSS and CDC recommendations, Mosaic clinics are screening all people who are seeking care. Screening questions may take place before the patient arrives in the clinic and includes travel history, potential exposure to COVID-19, recent symptoms, health history and status. If someone meets testing criteria and has not arrived in the clinic, the clinic will contact the hospital for next steps. If the patient is already in the clinic, the clinic will isolate the patient, contact the hospital and determine next steps. As testing supplies become more available and DHSS and CDC guidelines expand based on that availability, Mosaic will adjust accordingly.

Is Mosaic using Virtual Visits to help triage and treat patients?

Yes. Our doctors and care teams have been reviewing their schedules and are offering patients the ability to have an appointment by phone or video if appropriate. Virtual House Calls are also available for patients who have a myMosaic Portal account and patients can use myMosaic Portal to send their care team a message.

Is Mosaic still doing non-emergent surgeries?

At this time, it is best to talk to your surgeon to determine together whether your non-emergent surgery should still happen. Decisions will be made on a case-by-case basis as a shared decision between you and your surgeon. Patients may request to have their surgery rescheduled if they are not comfortable moving forward at this time.

Our providers may suggest rescheduling based on your health status and history. If you are unsure about your surgery, please contact your doctor to work on a plan that is right for you.

Can I visit someone at the hospital?

For the safety of our patients, caregivers and community, we have limited guests in our hospitals, clinics and other care areas. See the most updated version of our visitor policy.

Are visitors being screened at the doors?

Yes, every patient, guest and even our own caregivers are screened for COVID-19 symptoms as they enter designated entrances. Visitors experiencing symptoms, will be asked to return home, unless an exception is granted due to the wellbeing of the patient. Caregivers experiencing symptoms will be asked to return home and contact their leader for further direction. Effective March 27, 2020 at 7 p.m., all patients, visitors and guests will have their temperatures taken upon entry to any Mosaic facility as part of the screening process. See screening details.

Effective April 10, 2020, all individuals on site at any Mosaic facility will be required to wear a mask. If you have a personal cloth mask/face cover, we ask that you please wear it, if you do not have a personal mask/face cover, an ear loop mask will be provided during the screening process when you enter a Mosaic facility.

If you or someone who know, would like to help us supply cloth masks to patients and our non-clinical support caregivers, visit mlcfoundation.org/covid-19.

What is Mosaic doing to sanitize the clinics and hospitals?

Safety is our priority and Mosaic follows the recommended guidelines from the Centers for Disease Control and Prevention (CDC) regarding sanitation best practices surrounding COVID-19.

How is Mosaic treating patients with COVID-19?

Patients with a positive COVID-19 diagnosis, are assessed to determine if they can manage their symptoms and recover at home under self-isolation or if they need further monitoring in the hospital. There are only a small number of patients who require hospitalization for COVID-19. If someone requires hospitalization, we will follow quarantine and isolation procedures.

Does Mosaic have enough beds to handle a COVID-19 patients and how is Mosaic prepared for keeping positive patients isolated?

Yes. As long as our community does their part to flatten the curve, Mosaic is prepared to serve the needs. The more people who follow public health directives and COVID-19 prevention practices, the better we can care for patients through this pandemic event.

Mosaic Life Care at St. Joseph currently has 48 negative pressure beds ready to care for and isolate COVID-19 patients, with additional plans should that be necessary. Our intensive care unit (ICU) can also be modified and made to be negative pressure if needed.

Mosaic Medical Center – Maryville has three negative pressure rooms and is prepared to expand if necessary.

Mosaic Medical Center – Albany has two negative pressure rooms with capacity to expand if needed.

Does Mosaic have a shortage of Personal Protective Equipment (PPE)?

No. At this time, Mosaic is in a strong supply position to manage times of crisis and high demand. It is important to note, in order for us to remain in a strong position, we need the communities we serve to do everything they can to help us flatten the curve by sheltering-in-place and practicing social distancing. The more we can do to stop the spread of COVID-19 the better positioned we are to treat those who do need help.

How long after exposure does a +/- result show up?

Symptoms of COVID-19 may appear anywhere from 2 - 14 days after exposure. It is currently unknown how soon after being infected test results will show as positive.

My doctor’s office called and asked me if I wanted to change my appointment to a ‘virtual visit.’ Why?

The safety of our patients, caregivers and community is our top priority. We understand that access to health care is important and want to offer a way for our patients to keep their appointments without having to be physically at one of our locations. Virtual Visits can be done by phone or video depending on what you as the patient and what your provider need. Based on direction from the federal government, we have every reason to believe these visits will be covered by insurance. If you do not have insurance or cannot afford an office visit, that will not be a factor to receiving care. 

I was recently at one of your locations. How do I know if I’ve been exposed to COVID-19?

At this time, the likelihood of exposure from visiting one of our locations is low. The best way to protect yourself while you are in one of our locations is to maintain social distancing to the best of your ability and to frequently wash your hands.

As always, we would like to remind you how important it is to recognize any symptoms and call your doctor’s office immediately if you have developed symptoms that are consistent with COVID-19. Please visit www.cdc.gov to learn more about symptoms and when to call for care.

I have an appointment scheduled, should I cancel?

At this time, appointments are continuing as scheduled. Our care teams are reviewing their schedules and making decisions on a case-by-case basis. If your care team decides a change in your appointment is needed, they will let you know as soon as possible.

A top priority for Mosaic is having our patients be comfortable with their care. If you feel it is best to cancel your appointment, we understand and ask you to please call your doctor’s office directly. They may even have options for you to keep your appointment without having to come into the location.

If you are experiencing symptoms consistent with COVID-19, please stay home, limit your exposure to other people and monitor symptoms. If symptoms progress, please call your doctor’s office or the 24/7 Community Nurse Line at (816) 271-4000 before visiting a Mosaic location.

Is it safe for me to deliver my baby at Mosaic Life Care?

Yes. We continue to care for all of our patients with the highest safety and quality standards. We are aligning all of our care with the recommendations provided by the Missouri Department of Health and Senior Services (DHSS) and the Centers for Disease Control and Prevention (CDC). COVID-19 may be new to our community, but caring for those with serious illness is not new to Mosaic. Mosaic cares for patients with complex illnesses, including infectious diseases on a daily basis, while protecting the health of our other patients.

Patients with serious infections are isolated and cared for in spaces appropriate for both their needs and the safety of others. We follow best practices for safety and quality to prepare for these patients while protecting others – including those in labor, babies, guests and our caregivers.

What is Mosaic doing to ensure patients and guests are safe?

Mosaic is actively monitoring the COVID-19 situation both globally and locally. Our focus is on prevention and strict enforcement of CDC guidelines. We have established a visitor policy which is updated as needed with safety as a priority.

Is Mosaic doing anything to help with billing during this time?

To help ease financial burdens during these uncertain times, Mosaic has implemented temporary changes to our billing and financial assistance process and has paused outbound collection calls and legal suits.

Our financial assistance policy has not changed, however for the next 90-days we will be working with those impacted by COVID-19 to suspend billing or extend payment plans as needed.

If your job has been impacted by COVID-19 and you receive a bill, please call (844) 261-7266. If you have not received a bill but you are on an existing payment plan or have future visits planned and need support, please call (816) 271-7524 or (800) 447-1095. Proof of employment will be requested for support – last paycheck stub.

Other steps being taken to help reduce financial stress include:

    • Appointments to discuss financial assistance will still take place but will be done over the phone. We will also allow patients the ability to mail-in or securely drop off financial assistance applications in order to comply with social distancing requirements.
      • Mail-in applications may be mailed to:
        • St. Joseph
          Attention: Financial Counseling Department
          Mosaic Life Care at St. Joseph
          5325 Faraon Street
          St. Joseph, Mo 64506
        • Maryville
          Attention: Financial Counseling Department
          Mosaic Medical Center – Maryville
          2016 Main Street
          Maryville, Mo 64468
        • Albany
          Attention: Financial Counseling Department
          Mosaic Medical Center – Albany
          705 N College Street
          Albany, Mo 64402
      • Drop-off applications can be brought to any of the medical center’s main entrances – attention Financial Counseling Department
  • We are working with independent billing groups who bill our patients separately from Mosaic (Radiology, Orthopedic Surgery, Phoenix Urology, etc.) and requesting they follow our new billing process during this time. As we receive their responses, we will update this section.

We will continue to monitor the situation and make adjustments as needed.

 

Visitor Policy

For your safety and the safety of our patients, caregivers and community, our visitor policy is as follows:

One visitor per patient

  • No visitors under the age of 18
  • Patients younger than 18:
    • 1 parent or guardian
  • Maternity (labor and delivery):
    • 1 support person
  • Patients with disabilities or impairments needing assistance:
    • 1 support person
  • Patients having outpatient surgery or procedures:
    • 1 support person
  • Patients at end of life:
    • Support persons determined on a case-by-case basis

Effective Monday, March 23, 2020, all approved visitors will be screened as they enter any location. If experiencing any symptoms, visitors will be asked to leave.

What can I expect from the screening process?

We are taking extra precautions to keep everyone safe by modifying access to our medical center entrances. Please note the following for visitor access and use the entrances listed below.

 

Campus Entry

Click a map image to see a larger view.

Mosaic Medical Center – Albany

Mosaic Medical Center – Maryville

Mosaic Medical Center – St. Joseph

St. Joseph

Medical Center Campus

  • Main Entrance – 5 a.m. – 8 p.m.
  • Emergency Department (ED) Entrance – Open 24/7
  • Maternity Entrance (only for expecting moms and one guest) – Open 24/7
  • Plaza 1 – 7 a.m. – 5 p.m.
  • Plaza 2 – 7 a.m. – 5 p.m.
  • Plaza 3 – 7 a.m. – 5 p.m.
  • Parking Garage Link – 6 a.m. – 7 p.m.

Maryville

Medical Center Campus

  • Main Entrance – Open 24/7
  • Healing Garden Entrance (chemo patients only) – 7 a.m. – 3:30 p.m.
  • Specialty Clinic West Main Entrance – 7 a.m. – 5 p.m.

Albany

Medical Center Campus

  • Emergency Department (ED) – Open 24/7
  • Main Entrance – 7 a.m. – 5 p.m.

At each entrance, patients and visitors will be screened. The screening process will be as follows:

Patients

  1. Caregivers at the entrance will ask the patient if he/she has a cough, shortness of breath, sore throat or fever.
  2. If the patient has any of the symptoms noted above, the patient will be given a mask and asked to go directly to their destination. The patient will then have their temperature taken at the clinic or in the service area.

Visitors

  1. Caregivers at the entrance will ask the guest if he/she has a cough, shortness of breath or a sore throat.
  2. The caregiver will then take the guest’s temperature.
  3. If the guest passes the screening (no active symptoms), the guest will receive a “Visitor” sticker. These stickers will change daily. Guests must wear the sticker at all times while in any of our facilities. Once the guest has a sticker, the caregiver will allow the guest to go to their destination.
  4. If the guest FAILS the screening, e.g., has a fever higher than or equal to 100 degrees OR has a cough, shortness of breath or sore throat related to respiratory illness, the following will take place:

a. If the guest is visiting a clinic or an outpatient visit, they will be asked to return to his/her car, or

b. If the guest is visiting a patient in one of our medical centers, ask them to return home, or

c. If the guest MUST accompany the patient, e.g. the parent of a patient under the age of 18 years of age, they will be given a mask and allowed to go with the patient to their destination.

 

Daily Testing

Represents testing results from Mosaic facilities only. Last updated: July 14, 2020 at 9:14 a.m.

  • Number of tests Mosaic issued: 14,407
  • Number of tests pending results: 247
  • Number of Mosaic positive tests: 627 (current inpatients: 10 – St. Joseph)
  • Number of negative tests: 13,533

For positive results by state/county please visit:

 

Information About Coronavirus

Mosaic wants to assure our patients and our community that the system is working closely with local, state and federal health officials to prepare to and respond to potential needs surrounding the novel coronavirus (COVID-19). Safety is our top priority for our patients, visitors and caregivers.

Hospitals and health systems, including Mosaic, treat patients with respiratory illnesses on a daily basis. We also train, practice and prepare for the unexpected. Mosaic caregivers have the education, training, tools and processes in place to isolate and care for patients who are potentially at risk for COVID-19. We follow best practice medicine as well as guidelines identified by the Centers for Disease Control and Prevention.

What is a Coronavirus?

Coronaviruses are a large family of common viruses that can cause illnesses that may range from the common cold to severe respiratory infections like pneumonia. COVID-19 or the novel (new) coronavirus that is causing concern, is a respiratory illness which includes not only an upper respiratory tract infection, but also a lower respiratory tract infection. These infections can then lead to pneumonia and breathing issues, especially for those individuals with chronic health conditions or weakened immune systems. The best way to avoid contracting COVID-19, is to use the recommended best practices of social distancing, hand washing, staying home if you are sick and covering your cough and sneezes with a tissue.

How is COVID-19 spread?

Coronaviruses, including the new COVID-19, spread much like the flu or common cold:

  • Coughing or sneezing causing droplets to travel through the air
  • Close personal contact, i.e. shaking hands, touching, being closer than 6 ft.
  • The virus can exist on surfaces for a period of time
  • It is not likely that the virus spreads through feces

Symptoms can be like those of a common cold or flu. Most common symptoms include a fever of 100.4 or higher, cough and shortness of breath. Just because you have symptoms, does not mean you have COVID-19. There are many different types of coronaviruses.

What do I need to know about the symptoms?

Symptoms have been known to appear as early as 2 days after being exposed or as late as 14 days. Symptoms are like a cold or flu and include fever, cough and shortness of breath.They usually last up to 14 days.

A majority of people will fully recover and only experience minimal symptoms, some even show few to no symptoms at all. There are however higher risks for complications for those with underlying health conditions, especially if you are over the age of 60. Underlying health conditions may include:

    • Patients under 36 months
    • On immunosuppressive therapy
    • Cancer
    • End-stage renal disease and are on dialysis
    • Diabetes
    • Hypertension
    • Coronary artery disease
    • Heart failure reduced ejection fraction
    • Lung disease
  • Contact with a known COVID-19 patient
  • HIV/AIDS
  • Solid organ transplants

Who is most at risk to get COVID-19?

Anyone can get COVID-19, but, as of right now, the most severe cases have been those who are over the age of 60 and those who have chronic health conditions like heart disease, cancer, diabetes and respiratory disease.

While persons younger than 60 generally appear less at risk, it does not mean you should not take COVID-19 seriously and not comply with public health measures such as shelter-in-place directives and best practices to avoid getting or spreading COVID-19.

What about children and COVID-19?

For the majority of children, COVID-19 causes only mild symptoms. However, recent reports of a rare inflammatory condition in children linked with the coronavirus is becoming increasingly alarming for parents. 

This new syndrome is thought to be linked to COVID-19 and can develop two to six weeks after the infection. The majority of these children have tested positive for COVID-19 or have antibodies suggesting exposure. Many of these children had only minimal symptoms prior to the onset of the condition. 

The syndrome is like other serious inflammatory conditions such as Kawasaki disease and toxic shock syndrome. Children can have problems with their heart and other organs and need to receive medical care in a hospital.

Signs and symptoms

  • Fever of 100.4 F or greater for more than 24 hours
  • Serious abdominal pain that gets progressively worse
  • Vomiting
  • A red rash on hands, forearms and chest, but can appear anywhere
  • Red eyes
  • Red, cracked lips
  • Red, bumpy tongue that looks like a strawberry
  • Swollen hands and feet which may also be red
  • Muscle soreness
  • Racing heart or chest pain
  • Poor feeding

If your child develops a persistent fever of 100.4 F or above and any of the above symptoms, immediately contact your primary care provider by phone or take your child to the emergency room. A doctor will assess the symptoms to determine treatment.

You can take steps to prevent your child from getting this rare inflammatory condition by limiting exposure to COVID -19. Wear face masks, use good hand hygiene and maintain physical distancing. Children with underlying health conditions can be at higher risk, making prevention even more important.

How can we prevent the spread of COVID-19?

You can help prevent the spread of COVID-19 by following the same steps you would take to help prevent the flu:

  • Wash your hands regularly – wash your hands for at least 20 seconds using soap and water, especially after sneezing, coughing or going to public places.
  • Use hand sanitizer – in addition to washing your hands, alcohol-based sanitizers and wipes with at least 60% alcohol help keep hands clean.
  • Social Distancing – Don’t shake hands, avoid crowds and keep at least 6 feet between you and other people.
  • Cover your mouth and nose – cough and sneeze into your elbow.
  • Don’t touch your face – keep your hands away from your mouth, nose and eyes.
  • Clean and disinfect surfaces

Above all else, if you are not feeling well or have any symptoms, avoid going into public and call your health-care provider.

Is there a vaccine for COVID-19?

At this time, there is not a vaccine for COVID-19. The best way to protect yourself, is to avoid contact and follow prevention practices.

Does the flu shot protect me from COVID-19?

No. However, having the flu shot can help you from getting influenza, which has similar symptoms to COVID-19 and can be confused for the virus. It is still highly recommended that everyone gets a flu shot. The best protection is social distancing, washing your hands, staying home if you are sick and covering your cough or sneeze with a tissue.

Should I wear a mask/face cover?

Yes. On April 6, 2020 the CDC updated their recommendation to include covering your mouth and nose with a cloth face cover when around others. For detailed information about the CDC’s recommendation please visit https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html.

If you visit any Mosaic facility, you will be required to wear a mask or face cover starting April 10, 2020. If you have a personal cloth mask/face cover, we ask that you please wear it, if you do not have a personal mask/face cover, an ear loop mask will be provided during the screening process when you enter a Mosaic facility.

If you or someone who know, would like to help us supply cloth masks to patients and our non-clinical support caregivers, visit mlcfoundation.org/covid-19.

What should I do if I have cold or flu symptoms?

First and foremost, if you are not feeling well, stay home, rest and drink lots of fluids. Be aware of your symptoms and if you notice them getting worse, call your doctor’s office. If you do not have a doctor, call the 24/7 Community Nurse Line at (816) 271 – 4000.

If you think your symptoms may be related to COVID-19, before you go to any doctor’s office, urgent care or emergency department, please call ahead. You can also call the 24/7 Community Nurse Line, (816) 271 – 4000 for information on what to do.

Is it true lab results that will come back positive for coronavirus, but are different from COVID-19?

Yes, that is true. Coronaviruses are actually a large group of viruses that are very common in people and different species of animals. In humans, coronaviruses are known to cause respiratory infections which can range from the common cold to more severe diseases like Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS). The most recently discovered coronavirus is what we now know as coronavirus disease 2019 or COVID-19.

According to the National Foundation of Infectious Disease, most people get infected with human strains of coronavirus at some point or even multiple points during their lifetimes. The symptoms of the coronavirus family may include: runny nose, headache, cough, sore throat and/or fever. Human coronaviruses can cause other illnesses, such as pneumonia or bronchitis.

If you receive lab results that indicate positive for coronavirus, please know, this does not mean you are positive for COVID-19. COVID-19 requires very specific testing and will be identified clearly on results. There are many types of coronaviruses, please make sure you ask your doctor for clarification if you are unclear about a result you receive.

Screening vs. Testing for COVID-19

Mosaic is currently SCREENING all patients, visitors (please see the visitor policy before coming to any location) and caregivers at all Mosaic facilities.

Screening:

  • Mosaic has limited entrances for the safety of our patients, caregivers and visitors. Public and caregiver entrances can be found at myMLC.com/corona and are well marked.
  • You’ll be asked questions about symptoms related to COVID-19 and if you’ve been exposed to anyone who has COVID-19.
  • Temperatures will be taken for all patients, visitors and caregivers upon entering. If a patient is experiencing any symptoms but does not qualify for testing, they will be provided a mask and asked to go directly to their appointment and not anywhere else. If a visitor or caregiver is experiencing any symptoms, particularly a fever but does not qualify for testing, the will be asked to return home. Caregivers will be asked to contact their leader for further direction.

Testing:

  • Testing occurs only IF the screening process indicates someone meets the Missouri Department of Health and Human Services (DHHS) and CDC guidelines and directives. The decision to test is made on a case-by-case basis.

Not being tested does not mean we are not taking your health seriously. In an ideal situation, we would test anyone who requested it. However, our region still has very limited tests available. While we are working to increase access to testing, we need to manage our resources carefully.

We are currently using both state and commercial labs. We are in the process of working on options with our internal lab. Even with that work, it has not significantly increased the supply of tests or the amount of time it takes to get results back. DHSS and CDC guidelines evolve as testing supplies and lab processing capabilities expand. Mosaic follows these guidelines as appropriate.

For a majority of individuals, even if they test positive, they are sent home to self-quarantine according to CDC guidelines. Unless, there are significant health risks, most people do not need to be treated in a hospital setting. We encourage everyone to call if they have symptoms and be less concerned about testing and more concerned about following the recommendations of the CDC to reduce the spread.

For more information on the CDC’s guidelines for testing and care, please visit https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html.

Steps to Protect Yourself and Others

Remember the everyday basics from the Centers for Disease Control and Prevention (CDC) to limit the transmission of respiratory diseases, including the flu and COVID-19:

  • Wash your hands often with soap and water for at least 20 seconds, or use alcohol-based sanitizer
  • Avoid touching your eyes, nose and mouth
  • Avoid close contact with anyone who is sick
  • Clean and disinfect regularly
  • Stay home when you are sick

The CDC does not recommend people who are well wear facemasks to prevent exposure to COVID-19 or other respiratory diseases. Masks should be worn by people who show signs of the disease, so they can prevent the spread of the disease to others.

Things to Consider if Planning a Visit to the Hospital

To prevent the spread of seasonal flu, intestinal viral illnesses and other infectious diseases, please follow these guidelines:

  • Do not visit the hospital if you or members of your household are sick, especially from upper respiratory infection (coughing, sneezing, congestion) or gastrointestinal illness (vomiting, nausea, diarrhea).
  • Note that intensive care, maternity units and other areas of the hospital have specific visiting guidelines.
  • Wash your hands or use hand sanitizer before and after visiting patients.

Thank you for helping us keep our patients, visitors and communities healthy.

What to Do if You Are Feeling Ill

Call your doctor's office or urgent care center if you think you have symptoms or have been exposed.

  • Call before you arrive at your doctor's office or urgent care center
  • Let your doctor's office know about your symptoms. COVID-19 symptoms include
    • Fever
    • Coughing
    • Shortness of breath
  • Also let your doctor know if you have:
    • Been in close contact with a person known to have COVID-19
    • Have traveled to an area with sustained transmissions.

For the latest information on COVID-19, please consult the CDC resources.