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LIVE STREAM Will Start Momentarily Thank you for joining us. Find additional resources and past live stream recordings at bbinsurance.com/covid19.
An Educated Reopening Considerations for Returning to School During a Pandemic PART 2 Hosted by Brown & Brown Insurance
Discussion Topics 1 2 3 Clinical and Medical A Child-Centered Approach Building Your Safety Net Response Update bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 2
How We Can Support Resource Center • Find more information on other insurance implications at bbinsurance.com/covid19 • Resource Links: • WHO - www.who.int/health-topics/coronavirus • CDC - www.cdc.gov/coronavirus/2019-ncov/index.html • National Business Group on Health - https://www.businessgrouphealth.org/topics/blog/the-evolving- situation-of-coronavirus-what-we-know-and-what-we-dont • OSHA – www.osha.gov Q&A • Please submit any questions in the Live Chat feature of this webinar or direct them directly to your service team. bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 3
Brown & Brown Relief Center Available to Anyone in Need Online Portal with Access to Discounts On: • Health & Behavioral Health Services • Family Care & Child Learning • Financial Wellness offered by Prudential • Pet Care • Home & Home Office Discounts • Food & Food Delivery Services • General Household & Office Supplies Questions or Issues? Email the Brown & Brown Employee Benefits Technology Center at bbreliefsupport@bbebtech.com. bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 4
COVID-19 Return to the Workplace Toolkit Contact Your Service Team for Access bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 5
Employment Law Helpline Available to Current Customers at Deeply Discounted Rate Provided by FordHarrison LLP Contact Your Service Team for Additional Information bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 6
Disclaimer The information in this program is based upon the very dynamic and evolving outbreak of seeking legal, tax, or medical advice from a professional in your area. Only your individual respiratory disease caused by a novel (new) coronavirus that was first detected in China attorney, tax advisor, or health care professional can provide assurances that the and which has now been detected in more than 100 locations internationally, including in information contained herein – and your interpretation of it – is applicable or appropriate to the United States. The virus has been named “SARS-CoV-2” and the disease it causes has your particular situation. Use of, and access to, this live stream program or any of the links been named “coronavirus disease 2019” (abbreviated “COVID-19”). The information or resources contained within this program do not create an attorney-client relationship, or presented is current as of the date of this program, but it may change in the coming hours doctor-patient relationship, between the participant, user, or browser and program and days ahead. Participants are encouraged to refer to information from the U.S. Centers presenters, authors, contributors, contributing third party organizations, or their for Disease Control and Prevention (“CDC” at www.cdc.gov). employees/agents. All liability with respect to actions taken or not taken based on contents of this site are hereby expressly disclaimed. The content on this presentation is provided “as The information provided in this live stream does not, and is not intended to, constitute is;” no representations are made that the content is error-free. legal, tax, or medical advice; instead, all information, content and materials available in this program are for general informational purposes only. Information on this live stream may Please be advised that any and all information, comments, analysis, and/or not constitute the most up-to-date legal, tax, medical or other information. This program recommendations set forth relative to the possible impact of COVID-19 on potential contains links and references to other third-party websites. Such links are only for the insurance coverage or other policy implications are intended solely for informational convenience of the participant, users or browser; Brown & Brown, Inc. and its teammates purposes and should not be relied upon as legal or medical advice. As an insurance broker, are not responsible for the contents of the third-party sites. we have no authority to make coverage decisions as that ability rests solely with the issuing carrier. Therefore, all claims should be submitted to the carrier for evaluation. The positions Participants in this live stream program should contact their attorney or tax advisor to obtain expressed herein are opinions only and are not to be construed as any form of guarantee or advice with respect to any particular legal matter or tax issue. Likewise, participants in this warranty. Finally, given the extremely dynamic and rapidly evolving COVID-19 situation, the live stream program should contact their health care professional to obtain advice with commentary herein does not take into account any applicable pending or future legislation respect to any particular medical question. No participant, user, or browser of this program introduced with the intent to override, alter or amend current policy language. should act or refrain from acting on the basis of information in this program without first bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 7
Today’s Presenters Nick Karls Louise J. Short, MD, MSc Vice President, National Clinical Leader Regulatory & Legislative Strategy Dr. Deborah Kerr Stuart Sutley President & CEO Corporate On-Site Health Director Lead Greatly, LLC Johns Hopkins HealthCare Solutions bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 8
Clinical and Medical Response Update With Dr. Louise Short bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 9
Q&A with Dr. Louise Short Which metrics and sources can be used by school districts and higher education institutions to guide reopening strategies? bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 10
Q&A Trusted Sources of Data dsd.c19hcc.org rt.live covidexitstrategy.org cdc.gov/covid-data-tracker/index.html#cases arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6 nytimes.com/interactive/2020/us/coronavirus-us-cases.html?action=click& module=Top%20Stories&pgtype=Homepage bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 11
Q&A Epidemiological Indicators Background: School A’s State County catchment area is County A. Indicator --- A B Various work and social networks connect County A Percent positivity 11% 3% 2% to County B. Case Counts Decreasing for >13% Decreasing for 7-13 days Decreasing for >13% Deaths Decreasing for 7-13 days Decreasing for >13% Decreasing for >13% Interpretation: At the state level, the percent positivity indicator is in the red zone, while the other two indicators are in the yellow zone. In contrast, at the county level, for both counties, all indicators are in the green zone. This would suggest that in Counties A and B, the virus spread is being well controlled with the prevention and control measures being implemented. Source: https://c19hcc.org/static/catalog-resources/k12-guidance.pdf bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 12
Q&A with Dr. Louise Short What scientific information do we have to date regarding the transmission of COVID-19 by children? bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 13
Q&A Transmission of COVID-19 by Children bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 14
Q&A with Dr. Louise Short What is pooled testing and how could it be used by schools? bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 15
Q&A Pooled Testing 300 employees = 60 pooled tests Number of Tests Performed • 30 pools of 10 tests • 3 pools positive • 30 individuals tested • 30 + 30 = 60 total Source: InHouse Physicians bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 16
Q&A with Dr. Louise Short Can you update us on the decisions that school districts and higher education institutions have made for the Fall? bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 17
Q&A Reopening Plans for the Top 20 School Districts 2018-2019 Enrollment # School District State Last Verified Reopening Plan Start Date (Students) 1 New York City NY 960,484 08/06/2020 Hybrid/Partial N/A 2 Los Angeles Unified CA 495,255 08/06/2020 Remote learning only 8/18/2020 3 City of Chicago (SD 299) IL 359,476 08/06/2020 Remote learning only 9/8/2020 4 Miami-Dade FL 350,434 08/06/2020 Remote learning only 8/31/2020 5 Clark County NV 330,225 08/06/2020 Remote learning only 8/24/2020 Puerto Rico 6 PR 307,282 08/06/2020 Remote learning only 08/17/2020 Department Of Education 7 Broward FL 270,978 08/06/2020 Remote learning only 8/19/2020 8 Hillsborough FL 220,252 08/06/2020 Remote learning only 8/24/2020 9 Houston ISD TX 209,772 08/06/2020 Remote learning only 9/8/2020 10 Orange FL 208,203 08/06/2020 Remote learning only 8/10/2020 Source: https://www.edweek.org/ew/section/multimedia/school-districts-reopening-plans-a-snapshot.html bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 18
Q&A Reopening Plans for the Top 20 School Districts 2018-2019 Enrollment # School District State Last Verified Reopening Plan Start Date (Students) 11 Palm Beach FL 192,533 08/06/2020 Remote learning only 08/31/2020 12 Fairfax County VA 187,797 08/06/2020 Remote learning only 09/08/2020 Hawaii Department 13 HI 181,278 08/06/2020 Hybrid/Partial 08/17/2020 of Education 14 Gwinnett County GA 179,758 08/06/2020 Remote learning only 08/12/2020 15 Montgomery County MD 162,680 08/06/2020 Remote learning only 08/31/2020 16 Wake County NC 161,784 08/06/2020 Remote learning only 08/17/2020 Full in-person reopening 17 Dallas ISD TX 155,119 08/06/2020 08/09/2020 available for all students 18 Charlotte-Mecklenburg NC 147,638 08/06/2020 Remote learning only 08/17/2020 Prince George's County 19 MD 132,657 08/06/2020 Remote learning only 08/31/2020 Public Schools 20 Philadelphia City PA 132,520 08/06/2020 Remote learning only 09/02/2020 Source: https://www.edweek.org/ew/section/multimedia/school-districts-reopening-plans-a-snapshot.html bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 19
Q&A Reopening Plans for Higher Education Source: https://www.chronicle.com/article/heres-a-list-of-colleges-plans-for-reopening-in-the-fall/ bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 20
A Child-Centered Approach With Dr. Deborah Kerr bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 21
Topics Covered: 1. COVID-19 Update 2. Top Priority of Health & Safety 3. Guiding Principles 4. Instructional Beliefs 5. Social-Emotional & Mental Health Supports 6. Silver Linings 7. Final Thoughts for School Reentry 22
A Different Ending to the School Year bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 23
A Different Ending to the School Year bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 24
A Different Ending to the School Year bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 25
Data Changing Daily bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 26
Top Priority: Health & Safety bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 27
Decision Making bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 28
Guiding Principles 29
CDC Guidelines Masks Matter Social Distancing Handwashing Safe At Home 30
Increased Costs to School Systems 31
Social Emotional & Mental Health bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 32
Meaningful Academic Engagement During Remote Learning Quadrant 2 Quadrant 1 Students Engaged Students Engaged Pre-COVID 19 Pre-COVID 19 Students NOT Students Engaged in Engaged in Remote Remote Learning Learning Parent Quadrant 4 Quadrant 3 Involvement Students NOT Students NOT Engaged Pre-COVID Engaged Pre-COVID 19 19 Students NOT Students Engaged in Engaged in Remote Remote Learning bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. Learning 33
Engaging Academic Experiences bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 34
Consistency & Stability bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 35
Professional Learning for All 36
Instructional Beliefs bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 37
Phased in Approaches - Keys to Success Phase 1 - (Virtual) Phase 2 - (2-1-2) Phase 3 - (2-1-2) Starts Sept 1 Starts Sept 21 Starts Nov 9 ● 100% Virtual for all ● Grades K4-5th Grades ● 2-1-2- Model for all ● Transition Grades - 6th & 9th students & staff ● Mon/Tues & Thurs/Friday Cohorts Grades & Staff • Parents who choose of student grade levels • Parents who choose the 100% virtual ● Days a Cohort does not attend are the 100% virtual option will remain in VIrtual learning days. option can return ● Grades 7th-8th, 10th-12th continue the virtual cohort for virtually. during this phase the first quarter. ● Wednesdays are Virtual Learning Days for all staff and students, building cleaning, professional learning, planning, and student & family communication. 38
Better Remote Learning for ALL ● Personalized and Child Centered ● Based upon Needs of Students and their Interests ● Engaging 39
Silver Linings bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 40
Final Thoughts Resources ● Center for Disease Control (CDC School Decision Tree) ● CDC Planning Tools: CDC released a planning tool for schools aligned with their “considerations for schools” document, that can be used to assess and then monitor recommended practices. ○ Readiness and Planning Tool: https://www.cdc.gov/coronavirus/2019- ncov/downloads/community/School-Admin-K12-readiness-and-planning-tool.pdf ○ Considerations: https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/schools.html ● Social-emotional learning resources provided by (CASEL) ● AASA COVID-19 Recovery Task Force Guidelines For REOPENING SCHOOLS: An Opportunity to Transform Public Education ● COVID-19 Costing Estimates- ASBO and AASA ● Pediatricians, Educators and Superintendents Urge a Safe Return to School ● Chiefs for Change Report in collaboration with John Hopkins University 41
Want to Know More? Contact Dr. Deborah Kerr leadgreatlyllc@gmail.com (416) 236-6008 bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 42
Building Your Safety Net With Stuart Sutley bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 43
Creativity and Flexibility Rules the Day! § About Johns Hopkins HealthCare Solutions – Analytics – Mental health and chronic condition management programs – Onsite clinics § Return to Campus/Return to Work Meetings – Estimated 90+ meetings with K-12, Higher Ed institutions, municipalities and corporations – Have heard ideas ranging from: • Test everybody every 3 days • Create cohorts and they participate together in every activity • Bring all students, faculty and towns people together to build herd immunity • One school is considering teaching classes on riverboats • Renting hotels for dorm use 44
Guidelines for Safe Reopening § Risks can be managed – Follow government and public health guidelines for infection prevention, transmission, contact tracing – Establish policies and procedures for monitoring all constituencies before and during their return to campus, while protecting privacy – Provide easy access to rapid diagnostic tests for those at high risk for COVID-19 exposure – Provide easy access to serological testing, when available and accurate § Obtain leadership buy-in – Workforce and student management – Change management – Required adherence to testing protocols – Consistent communications to faculty, staff, students, parents and the local community 45
Elements for Reopening 46
Retooling Retooling for the future involves a significant planning effort to manage the present environment as well as the opportunity to envision new ways to fulfill institutional missions § Plans need to address the: – Safety of students, faculty, and staff – Financing of our colleges and universities – Preservation of equity and diversity § They will also need to address short- and long-term investment in academic tools that will be essential for education in the period of COVID-19 – Adding instructional and enterprise technologies – Expanding the range of capabilities of faculty – Improving the nature of the curriculum – Strengthening the network of student support 47
Retooling Open Smart EDU encourages institutions that choose to seek new pathways to begin the process with four guiding principles: 1. Acknowledge that all major dimensions of higher education will benefit from being reimagined to address the impact of the COVID-19 pandemic and beyond 2. The health and safety of all members of the community are paramount - special care and attention must be given to the needs of vulnerable populations 3. The commitment to academic excellence must not wavier under these challenging circumstances - this commitment crosses all instructional modalities in-person, online, and hybrid instructional modes 4. Equity and inclusion are critical components of institutional responses - it is incumbent upon institutions to engineer responses that serve and support the entire community 48
Use Available Tools • Medical and Rx data analytics advisory support from Brown & Brown and Hays population health experts • Publically available RTW planning tools and documents: • https://coronavirus.jhu.edu/ • https://www.opensmartedu.org/ 49
Build Your Safety Net § Mobile app symptom monitoring § Contact tracing https://www.coursera.org/learn/covid-19-contact- tracing?edocomorp=covid-19-contact-tracing https://emocha.com/employee-remote-monitoring-service-for- return-to-work/ 50
Get Specific 51
Focus on Behavioral Health & Chronic Conditions PMPY By Condition with and without Mental Health Need $60,000 $50,000 $40,000 PMPY ($) $30,000 $20,000 $10,000 $0 Asthma Hypertension Cancer Cardiovascular Disease Diabetes No MH Moderate MH Serious MH Substance Use Johns Hopkins ACG Population Health data 52
Want to Know More? Contact Stuart Sutley ssutley1@jhmi.edu bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 53
LIVE CHAT Questions & Answers bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 54
Thank You For Joining Us Save the Date Friday, August 21st 2pm ET | 11am PT Register today at bbinsurance.com/covid19. Please contact your service team for any additional information and visit bbinsurance.com/covid19. bbinsurance.com/covid19 | August 7, 2020 © 2020 Brown & Brown, Inc. All rights reserved. 55
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