Re-Entry and Recovery Guidelines

Community Health Network remains committed to ensuring that our community is safe and healthy. We continue working with our local County officials and other entities to reintegrate asymptomatic COVID-19 patients into the general public.

As a result, Community Health Network clinical care teams will process referrals for re-entry through telemedicine procedures. This process enables us to comply with the Updated CDC re-entry and recovery option(s) guidelines for all asymptomatic COVID-19 cases.

Community Health Network will follow the CDC’s recommendation to discontinue home isolation using the time-since-illness-onset and time-since-recovery (non-test-based) strategy. With this decision, we will continue to follow priority testing: hospital referrals, first responders, healthcare workers, patients with co-morbidities, and symptomatic patients as the highest priority patients.

Below is the guidance we will begin using as of July 17, 2020:

  • Except for rare situations, a test-based strategy is no longer recommended to determine when to discontinue transmission-based Precautions.

  • For patients with severe to critical illness or who are severely immunocompromised1, the recommended duration for Transmission-Based Precautions was extended to 20 days after symptom onset (or, for asymptomatic severely immunocompromised1 patients, 20 days after their initial positive SARS-CoV-2 diagnostic test).

  • Other symptom-based criteria were modified as follows:

    • Changed from “at least 72 hours” to “at least 24 hours” have passed since last fever without the use of fever-reducing medications.

    • It was changed from “improvement in respiratory symptoms” to “improvement in symptoms” to address the expanding list of symptoms associated with COVID-19.

A test-based strategy is no longer recommended (except as noted below) because, in the majority of cases, it results in prolonged isolation of patients who continue to shed detectable SARS-CoV-2 RNA (greater than 30 days), but are no longer infectious.

 

Patients with mild to moderate illness who are not severely immunocompromised:

  • At least ten days have passed since symptoms first appeared and

  • At least 24 hours have passed since last fever without the use of fever-reducing medications and

  • Symptoms (e.g., cough, shortness of breath) have improved

Community Health Network will remain your primary avenue to health care in the community focusing on medical, dental, and behavioral health services to uplift our community during this public health crisis. Our centers located in Brazoria, Galveston, and Southeast Harris County will continue to offer COVID-19 prevention, screening, testing and recovery services.