Virtual Toolkit - Governor Whitmer Amends MI Safe Start Order

Last night, Michigan Governor Gretchen Whitmer signed Executive Orders 2020-160 and 2020-161, amending Michigan’s “Safe Start” order and issuing some revised requirements. Under the Safe Start order (2020-160), statewide indoor gatherings will be limited to 10 people and bars will be closed for indoor service across the state, including in northern Michigan and the Upper Peninsula, starting tomorrow, July 31, 2020.

EO 2020-161 lists the safeguards that Michigan outpatient health care facilities, including chiropractic clinics, must take. Again, these safeguards have not changed from previous executive orders, including the last “Safeguards to Protect Michigan’s Workers from COVID-19” order, Executive Order 2020-145, and remain as follows:

Section 9. Outpatient health-care facilities, including clinics, primary care physician offices, or dental offices, and also including veterinary clinics, must:

(a) Post signs at entrance(s) instructing patients to wear a face covering when inside.
(b) Limit waiting-area occupancy to the number of individuals who can be present while staying six feet away from one another and ask patients, if possible, to wait in cars for their appointment to be called.
(c) Mark waiting rooms to enable six feet of social distancing (e.g., by placing X’s on the ground and/or removing seats in the waiting room).
(d) Enable contactless sign-in (e.g., sign in on phone app) as soon as practicable.
(e) Add special hours for highly vulnerable patients, including the elderly and those with chronic conditions.
(f) Conduct a common screening protocol for all patients, including a temperature check and questions about COVID-19 symptoms.
(g) Place hand sanitizer and face coverings at patient entrances.
(h) Require employees to make proper use of personal protective equipment in accordance with guidance from the CDC and OSHA.
(i) Require patients to wear a face covering when in the facility, except as necessary for identification or to facilitate an examination or procedure.
(j) Install physical barriers at sign-in, temperature screening, or other service points that normally require personal interaction (e.g., plexiglass, cardboard, tables).
(k) Employ telehealth and telemedicine to the greatest extent possible.
(l) Limit the number of appointments to maintain social distancing and allow adequate time between appointments for cleaning.
(m) Employ specialized procedures for patients with high temperatures or respiratory symptoms (e.g., special entrances, having them wait in their car) to avoid exposing other patients in the waiting room.
(n) Deep clean examination rooms after patients with respiratory symptoms and clean rooms between all patients.
(o) Establish procedures for building disinfection in accordance with CDC guidance if it is suspected that an employee or patient has COVID-19 or if there is a confirmed case.

Sources:
Text of Executive Order 2020-161
Text of Executive Order 2020-160
Governor Gretchen Whitmer Press Release, “Governor Whitmer Amends MI Safe Start Order to Limit Indoor Gatherings, Save Lives,” July 29, 2020

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The Michigan Association of Chiropractors is a professional association advocating for the rights of chiropractors and their patients across the state of Michigan. We are NOT a state agency or regulatory body. We are merely informing our membership regarding what they are allowed to do during this difficult and confusing time.

The information we provide during this pandemic is derived in conjunction with our governmental relations and legal experts, developed after examination of all official releases of information from the State of Michigan, the federal government, and in consultation with said experts and representatives from state government. Please refer to our emails and website for the latest information, free from speculation and the rumors currently circulating in the wake of official state actions.

Rest assured that we will continue to advocate for the profession at the highest levels, with the health and well-being of you and your patients, as well as the overall stability of the health care system, foremost in our efforts.