Learn helpful guidelines to follow to get back to business from Community Health Centers Chief Medical Officer, Dr. Jocelyn Pichardo. Also, helpful stress management information during challenging times from Community Health Centers Dr. Vintee Narang.

1. Debra Andree, MD
President & Chief Executive Officer
Jocelyn Pichardo, MD
Chief Medical Officer
Vintee Narang, MD
Psychiatrist
COVID-19
Preparing for
Business

2. FIND OUT MORE ONLINE @ WWW.CHCFL.ORG

3. • Federally Qualified Health Center.
• 13 Health Centers in Orange & Lake
counties.
• Accepts most insurances including Medicaid
& Medicare.
• Serve the uninsured, under-insured, &
under-served.
• We do not refuse care due to inability to pay.
About Us

5. Our New Center in Four Corners

6. Coronavirus Disease 2019 (COVID-19)
COVID-19 is a respiratory illness caused by
new coronavirus (SARS-CoV-2) that can
spread from person to person. It spreads
between people who are in close contact
with one another (within about 6 feet) and
through respiratory droplets produced
when an infected person coughs or
sneezes.

7. The virus that causes COVID-19 is spreading very easily and
sustainably between people.
Symptoms can include fever, cough, or difficulty breathing, which
may appear 2-14 days after exposure.
COVID-19 is a new disease and we are still learning about how it
spreads and the severity of illness it causes.
Coronavirus Disease 2019 (COVID-19)

8. Preparing Your Workplace
• Staying Informed
• Increase Communication
• Reduce Transmission Among Employees
• Maintain Healthy Operations
• Maintain Healthy Work Environment
• Emotional Well-Being and Coping
During COVID-19

9. Staying Informed
Center for Disease Control
https://www.cdc.gov/
Florida Department of Health
https://floridahealthcovid19.gov/
Lake County Health Department
http://lake.floridahealth.gov/
Occupation Safety and Health Administration
https://www.osha.gov/SLTC/covid-19/
Lake County
https://www.lakecountyfl.gov/COVID-19/
Report from the Re-open Florida Task Force
https://www.flgov.com/wp-content/uploads/covid19/Taskforce%20Report.pdf

10. Increase Communication
• Business Partners
• CEO Rounds
• Leadership Touchpoint Calls
• CHC News Now
• COVID-19 E-mail

11. Reduce Transmission
Among Employees
• Actively encourage sick employees to stay home.
• Screen employees for symptoms.
• Identify where and how workers might be
exposed to COVID-19 at work.
• Separate sick employees.
• Educate employees about how they can reduce
the spread of COVID-19.

12. Maintain Healthy Operations
• Identify a workplace coordinator.
• Implement flexible sick leave and supportive policies and practices.
• Assess your essential functions and the reliance that others and the
community have on your services or products.
• Determine how you will operate if absenteeism spikes.
• Consider establishing policies and practices for social distancing.
• Be prepared and plan for employees working remotely.

13. • 3M Floor Non Slip Stickers
• Easy to Install on carpet or tile
• Removable with no residue
• Durable
• $7.50/per (11”x17”)
Maintain
Healthy Operations

14. Maintain Healthy Work Environment
• Consider improving the engineering controls.
• Support respiratory etiquette and hand hygiene for employees,
customers, and worksite visitors.
• Perform routine environmental cleaning and disinfection.
• Perform enhanced cleaning and disinfection after persons
suspected/confirmed to have COVID-19 have been in the facility.
• Consider using videoconferencing or teleconferencing when possible for
work-related meetings.

15. Emotional Well -Bein g an d
Coping During COVID -19
• Employee Assistance Program (EAP)
• Team Member Community Resources
• Share articles and tips from the healthcare community

16. Managing Stress
• Manageable or positive stress can lead to:
• Enhanced brain functioning
• Boosted immune system
• Better prep for future situations

17. • Unmanaged or chronically unaddressed
stress can lead to:
• Insomnia
• Loss of libido
• Depression
• Headaches
• Unmanaged stress may manifest in the
form of mental health symptoms.
Managing Stress

18. ABC Method
• Awareness/Acknowledgement of stress – One first step to
tackling stress is to identify the source or cause.
• Balance – Find the balance between positive and negative stress.
• Control – Keep the negative effects managed so they are less
likely to build up and manifest into larger more chronic issues.

19. The Key to Maintaining Better Control
• Altering maladaptive behaviors
• Changing an unhealthy thought process
• Changing damaging lifestyles

20. Behavioral Changes
1) Organizational techniques –we can make lists to separate essential and required
priorities to those non-essential. Set plans/goals for each day.
2) Assertion – avoid toxic buildup -voice things that are on your mind to family,
coworkers, rather than letting it sit and build up over time.
3) Anger Management – Walk away when angry. Before reacting, take time to regroup
by counting to ten and reconsider an impulsive reaction.
4) Physical Exercise – exercise increases the production of endorphins, a natural mood-
booster.

21. 5) Reframing a negative thought process – Try writing down the problem causing stress
and come up with as many solutions as possible.
6) Stress Diary – This can help identify the causes of stress. Keep a record of the date,
time, and place when you feel stressed and give a stress rating.
7) Develop a Support Network – Try to turn to friends, colleagues, coworkers for help,
perhaps join an interest group (book club, running club). Negative self-talk is damaging.
8) Healthy Distraction – Find a hobby (music, exercise, etc.) Taking a reprieve from daily
life, listen to some relaxing music or gardening. The break will allow you to return to a
stressful situation with a different take and a more refreshed state of mind.
Behavioral Changes

22. 9) Lifestyle Changes – Regulate sleep, diet, exercise (aerobic exercise-jogging,
swimming, bike-riding), relaxation, limit smoking/alcohol.
Diet – Healthy eating – (more organic, non-processed, whole grain foods), Decrease
salt intake, fast food. A healthy, nourishing, and well-balanced diet can help us be
better equipped to handle the stress.
Relaxation techniques – yoga, meditation, religious outlets, massage, aromatherapy,
biofeedback, psychotherapy, breathing exercises.
Rest your mind – To help ensure you get the recommended seven or eight hours of
sleep, sleep hygiene is important.
Behavioral Changes

23. Questions
& DISCUSSION
WWW.CHCFL.ORG
Jocelyn Pichardo, MD
Chief Medical Officer
Vintee Narang, MD
Psychiatrist
Debra Andree, MD
President & CEO