COVID-19 Information & Resources for CCFMG Employees & Providers

Staff washing hands

At Central California Faculty Medical Group, our top priority is the health and safety of our patients, providers, and staff.

We are working closely and diligently with the Fresno County Department of Public Health, UCSF Fresno, and Community Medical Centers to ensure we are following the latest recommendations and continuing to reevaluate and reassess our response to the COVID-19 pandemic. We are actively watching mandates and legislation on the federal, state, and local levels and working to adhere to any and all new information.

We understand that in this time of great uncertainty, there is heightened concern and understandable anxiety, surrounding this situation, there are things we can all do to help the slow the spread of COVID-19. We strongly encourage all providers and staff to continue practicing good hygiene, staying home when you’re sick, participating in social distancing, and practicing common-sense infection prevention at home and in the office.

The information below regarding policies and procedures is specific to the employees and providers of Central California Faculty Medical Group.

If you have any questions that are not listed on this page, please contact your direct supervisor or medical director.

Informational Resources

U.S. Centers for Disease Control and Prevention
Updates for schools, businesses, travel and more.
U.S. Centers for Disease Control
Fresno County Dept. of Public Health
Local updates and important resources.
Fresno Co. Dept. of Public Health
CDC COVID-19 Information for Health Care Professionals
Information and guidance for health care professionals.
CDC COVID-19 Info for Health Care Professionals
California Department of Public Health
State and local public health information.
California Dept. of Public Health

Local Health Care Partners

UCSF Fresno COVID-19 Resources
Updates, resources, and policies.
UCSF Fresno Resources
Community Medical Centers
COVID-19 Information for patients and families.
Community Medical Centers

State of California Employee Benefits Resources

Disability & Family Leave Benefits FAQs
FAQs and resources.
Employment Development Department
Benefits for Workers Impacted by COVID-19
Resources for employees impacted by COVID-19
Labor & Workforce Development Agency

Resources, Policies & Recommendations

The policies and resources listed below are subject to change based on available information regarding the COVID-19 outbreak and response.

Both of the policies listed below are effective March 13, 2020, and are subject to change based on available information.

University Centers of Excellence Practice Sites

At this time, visitors in the University Centers of Excellence practice sites will be limited to one caregiver per patient. All unnecessary visitors will be asked to wait outside or elsewhere. A list of all University Centers of Excellence practice sites can be found here.

Central California Faculty Medical Group Corporate Office

The corporate office for Central California Faculty Medical Group will be limiting visitors and non-essential personnel. Anyone who is not an employee must call (559) 453-5200 prior to their visit. Some visitors will be asked to reschedule their business for a later date.

Resources: 

 

The following policy is effective March 13, 2020, for any current administrative employee that qualifies for paid time off and is subject to change based on available information.

In response to the COVID-19 Pandemic CCFMG has temporarily modified the PTO policy for Administration staff by making accommodations to assist employees in the event there is a need for the employee to stay home. This interim policy applies only to employees effected by COVID 19 and does not apply to non-COVID-19 circumstances. Please note, this is a quickly evolving situation and our policies may change accordingly.

  • If I am required to self-quarantine and it is determined I am not able to work from home, will I be required to use available sick or PTO?
    • Yes, employees will need to use all available CA Sick Time and/or PTO.
  • If an employee has been employed for less than 90 days, can they use their sick and PTO?
    • For employees out due to COVID-19 related absences, CCFMG is temporarily suspending the 90- day waiting period to use CA Sick Time and PTO.
  • Do I have to apply for CA State Disability if I am out for COVID-19?
    • CCFMG will follow state and federal guidelines for time off due to COVID-19. Should state or federal disability become available for time off of work due to COVID-19 we will update you on any change in requirements.
  • What happens when I’m out more than 3 workdays? Do I have to provide a return to work note
    from my healthcare provider to return to work?

    • During this time, CCFMG is suspending our requirement to complete LOA paperwork for time out due to COVID-19. CCFMG is following the CDC guidelines which state: Do not require a healthcare provider’s note for employees who are sick with acute respiratory illness to validate their illness or to return to work, as healthcare provider offices and medical facilities may be extremely busy and not able to provide such documentation in a timely way. Employees needing time off due to their illness or to take care of a family member in their care will need to complete a separate form.
  • If I do not have PTO or CA Sick Time will I have to take the time unpaid?
    • CCFMG will temporarily allow employees employed for 90-days or more to utilize future PTO hours up to 10 workdays. Employees utilizing this option will have a negative balance in their PTO bank until they have accrued back the balance.
  • If I give notice and have to take time off due to COVID-19 will I be paid for my time?
    • Employees in their notice period may utilize CA Sick Time and any accrued PTO. No other advancement of PTO will be available.
  • If I have to take time off due to COVID-19 and I have an approved, planned vacation coming up,
    am I required to use my PTO/CA Sick Time or can it be unpaid?

    • No, employees will need to use all available CA Sick Time and/or PTO while out. If at the time of the planned vacation employees do not have enough PTO accrued, the additional time will be unpaid. 
  • I am an employee that does not accrue PTO, can I utilize the negative balance if I am sick due to
    COVID-19?

    • No, only employees who accrue PTO will be eligible to have a negative PTO balance.

The following policy is effective March 16, 2020, and is subject to change based on available information.

Due to CCFMG’s commitment to employee safety in light of the COVID-19 (coronavirus) outbreak, effective immediately, all nonessential business travel will be suspended until further notice for all Administration Staff. Providers will follow UCSF Fresno travel guidelines.  Any meeting already scheduled to take place off-site should be changed to video or audio conference to minimize exposure.  CCFMG will continue to monitor the situation and provide guidance as more information on the extent and severity of the outbreak becomes available.

Travel Cancellation Procedures
If nonessential business travel has already been booked, please work with your manager to cancel properly to receive an airfare and hotel refund or credit if applicable. Set up phone or online conferencing with clients or other business units to replace the in-person meetings, if possible. Please make sure your manager knows the status of all meetings canceled due to this temporary suspension.

Essential Travel
Essential business travel should be limited to those situations where business cannot reasonably be conducted without face-to-face interaction or visits to specific locations including in town meetings. Your manager must approve all travel (including trips or meetings that were previously approved for both in or out of town) until further notice.

International – Personal
CCFMG strongly recommends against personal travel out of the country. If you travel out of the country, be aware that changing circumstances may require self- isolation for 14 days upon your return. There is also a risk that you may subject to air or governmental restrictions affecting your return.

Domestic – Personal
Staff should consider their own health status and travel advisories regarding their destination before making plans for personal domestic travel, especially by air. Please keep up to date with the status of COVID-19 infections in the U.S. as the situation continues to change.

Procedures Upon Return from Travel
Employees who become ill during or upon returning from travel with virus-like symptoms will need to contact a health care provider as well as their supervisor for direction as soon as possible.

Employees returning from travel who do not exhibit virus-like symptoms must still contact their supervisor upon return and may be directed to remain away from the workplace for fourteen days to determine whether or not they have been exposed.

The following policy is effective March 16, 2020, and is subject to change based on available information.

Due to CCFMG’s commitment to employee safety in light of the COVID-19 (coronavirus) outbreak, effective immediately, all nonessential business travel will be suspended until further notice for all Administration Staff. Providers will follow UCSF Fresno travel guidelines.  Any meeting already scheduled to take place off-site should be changed to video or audio conference to minimize exposure.  CCFMG will continue to monitor the situation and provide guidance as more information on the extent and severity of the outbreak becomes available.

Travel Cancellation Procedures
If nonessential business travel has already been booked, please work with your manager to cancel properly to receive an airfare and hotel refund or credit if applicable. Set up phone or online conferencing with clients or other business units to replace the in-person meetings, if possible. Please make sure your manager knows the status of all meetings canceled due to this temporary suspension.

Essential Travel
Essential business travel should be limited to those situations where business cannot reasonably be conducted without face-to-face interaction or visits to specific locations including in town meetings. Your manager must approve all travel (including trips or meetings that were previously approved for both in or out of town) until further notice.

International – Personal
CCFMG strongly recommends against personal travel out of the country. If you travel out of the country, be aware that changing circumstances may require self- isolation for 14 days upon your return. There is also a risk that you may subject to air or governmental restrictions affecting your return.

Domestic – Personal
Staff should consider their own health status and travel advisories regarding their destination before making plans for personal domestic travel, especially by air. Please keep up to date with the status of COVID-19 infections in the U.S. as the situation continues to change.

Procedures Upon Return from Travel
Employees who become ill during or upon returning from travel with virus-like symptoms will need to contact a health care provider as well as their supervisor for direction as soon as possible.

Employees returning from travel who do not exhibit virus-like symptoms must still contact their supervisor upon return and may be directed to remain away from the workplace for fourteen days to determine whether or not they have been exposed.

Resources:

Order of the Health Officer March 27, 2020 

Fresno County Department of Public Health Screening Tool

CCFMG Employee Screening Procedure

Frequently Asked Questions:

  • Why am I being screened for febrile respiratory illnesses?
    • On Thursday, March 26, Rais Vohra, MD, Interim Health Officer for the Fresno County Department of Public Health announced an Order of the Health Officer. This order mandates that all employers must screen any employee entering their offices for febrile respiratory illnesses.
  • How will I be screened?
    • Prior to clocking in and prior to clocking out, each employee will be asked a series of questions by their supervisor and/or will have their temperature taken.
  • What happens after I am screened?
    • Based on the screening results, employees will either will be able to remain at work and continue their day with or without certain previsions based on the FCDPH Screening Checklist, or they will be asked to go home and monitor their symptoms.
  • If I am asked to go home, do I have to take PTO?
    • At this time, employees must use their sick days and PTO first. If an employee is out of PTO or sick days, at this time and for this reason, they are able to utilize the Temporary PTO Policy. Please see the Temporary Paid Time Off Policy & FAQs section of this page for more information. If an employee is already set up to work from home, they may choose to work from home during this time with approval and in coordination with their supervisor.

Frequently Asked Questions

CCFMG is working and communicating closely with UCSF Fresno, Community Medical Centers, and the Fresno County Department of Public Health (FCDPH) to ensure we are taking all precautionary and preventative measures that the local, state, and federal organizations are recommending. We will be posting new information on this page as it becomes available to us.

The Fresno County Public Health Department is actively monitoring individuals who have been tested for COVID-19 and is working closely with health care partners in the community to provide the most up to date information and recommendations.

  • Have supplies on hand.
  • Talk to your health care provider to see if you can get extra necessary medications to have on hand in case there is an outbreak and you need to stay home for an extended period. Consider mail-ordering medications if this isn’t possible.
  • Take stock of what over-the-counter medicines you have at home to treat fevers or other symptoms.
  • Have enough household necessities and groceries on hand so you can be prepared to stay home for an extended period.
  • Wash your hands for at least 20 seconds with soap and warm water, especially after you sneeze, cough, blow your nose, or have been in a public space.
  • If soap and water are not available, use hand sanitizer that contains at least 60% alcohol.
  • Avoid touching high-touch surfaces in public places like elevator buttons, door handles, handrails, shaking hands, etc. Use a tissue or your sleeve to cover your hands if you must touch something.
  • Avoid touching your eyes, nose, face, etc.
  • Clean and disinfect your home and work station to remove germs.
  • Avoid crowds, especially in poorly ventilated spaces.
  • Know your risk. For more information, watch this video from Rais Vohra, MD, Interim Health Officer at the Fresno County Department of Public Health.

As CCFMG is in the health care industry, we are exempt from the City of Fresno's "shelter in place" order to ensure the continuity and high-level of patient care. We understand that this situation will be both personally and professionally challenging for staff. We are continually reassessing the situation as information becomes available to ensure we are taking the necessary steps to keep the safety of patients, providers, and staff our highest priority.

We are in the process of rolling out work from home options for select employees and staff. This decision is managed at the department level, so please contact your direct supervisor with questions.

At this time, University Centers of Excellence clinical operations will remain unchanged. All screening protocols will continue as is.

University Centers of Excellence Specific Information

  • Routine practice: Mask EVERY patient with respiratory infection symptoms (fever, cough, shortness of breath, and sneezing.) Signs posted at entrance to notify front office staff of respiratory infection symptoms and of recent travel.
  • Screen any patient with respiratory infection symptoms:
    • Did they travel to China, Iran, Italy, Japan, or South Korea in the last 14 Days?
      • If yes, where & when? Get exact dates.
    • Were they exposed to a confirmed COVID-19 (coronavirus) case?
      • If so, when & where? Get the exact date of symptom onset, and description of their symptoms.
  • What to do for different scenarios:
    • When a patient arrives to your site in person:
      • Screen patients using questions in Step 2.
      • If a patient screens positive for signs & symptoms of respiratory illness:
        • Put a regular face mask on yourself
        • Give the patient a face mask to wear if they don’t already have one.
      • If a patient screens positive for signs & symptoms of respiratory illness AND has traveled to any of the affected geographic areas listed above:
        • Put a regular face mask on yourself
        • Give the patient a mask to wear if they don’t already have one
        • Isolate the patient. Do not allow the patient to wait among other patients seeking care. Options for Isolated Patients:
            • Place the patient in a designated exam room and notify the provider and Lead for further assessment, OR
            • Collect the patient’s cell phone number and have the patient wait in their vehicle. Notify the provider and lead for further assessment
        • Initiate Communication Tree as Described in Step 4
        • Follow the recommendations made.
    • If the patient calls the office and wants to come in to be seen:
      • Screen the patient as in Step 2. Use the script below.
        • Sir/Ma’am, due to the current outbreak of the Coronavirus, our facility has implemented an Infection Control Protocol for any patients with respiratory infection signs or symptoms. As part of our protocol, I will need to ask the following 
          • Ask the patient the questions under Step 2.
            • If the patient screens negative, THANK the patient for their patients and resume with normal patient care.
            • If the patient screens positive, get a call back number and ask the patient to hold until you can verify the next steps. Initiate the Communication Tree and follow the recommendations made.
  • Initiate Communication Tree: 
    • To determine if any case is a true Rule-Out COVID-19 case:
      • Preferred Method: Contact the Clinical Quality Manager at (559) 453-5200 ext. 11225 with the above screening details.
        • The CQM will contact the Public Health Department and determine if it is a true Rule-Out COVID-19
        • The CQM will call you back with the determination & next steps.
      • Alternative Method: Contact the Public Health Department Directly at (559) 600-3332 during business hours or (559) 600-3111 during after hours to determine if any case is a true Rule-Out COVID-19case.
        • If it isn’t a true Rule-Out Case, resume with normal patient care.
        • If it is a true Rule-Out Case, follow the Public Health Department’s recommendations and notify your manager and the Clinical Quality Manager immediately.
    • Inform your Medical Director, Office Manager, and Clinical Quality Manager of the potential case.
    • Complete a detailed incident report for any true Rule-Out case and email it to the Clinical Quality Manager and CC Valerie Araki with the Human Resources Department.

For any questions, please contact the Clinical Quality Manager at (559) 453-5200 Ext. 11225 or (559) 239-5380.