Scarlet fever, the Black Plague, smallpox, the flu… over the course of centuries, these diseases spread, taking millions of lives and causing wide-spread hysteria and panic. On December 31, 2019, COVID-19, more commonly known as Coronavirus, was reported in Wuhan, China. Within weeks, international travel would allow the virus to spread to dozens of countries around the world, and on January 21, 2020, the first confirmed case was reported in the United States. As of the publishing of this article, there are currently confirmed instances of the virus in Washington state, California, Arizona, Illinois, Massachusetts and Wisconsin. A total of 53 cases have been confirmed in the US and no deaths have been reported.


In an effort to help facilitate better management of diagnosis and treatment, all U.S. hospitals are strongly encouraged to be prepared for patients with suspected or confirmed cases of the virus. Training and guidance are being provided and continuously updated by the CDC. 

Centers for Disease Control and Prevention

Saint Joseph Mercy- Ann Arbor (SJMAA), one of six Michigan hospitals supporting the Special Pathogen Response Network within the Michigan Department of Health and Human Services, has developed a workflow to monitor care providers on the frontline of the Coronavirus outbreak. Partnering with the care automation tool Twistle, SJMAA’s workflow check-ins with special pathogen response teams to monitor symptoms during the caregiving phase and three weeks post-exposure. Twistle’s automated care solutions enable hospitals to send push notifications via secure text messaging and track responses, which allows monitoring administrators to obtain real-time feedback. SJMAA’s special pathogen workflow was developed to include the guidelines as required by the CDC. In addition, education, resources, and surveillance are included to better triage and further inform caregivers on options or necessity for further follow-up.  

In partnership with Twistle, SJMAA would like to make this pathway available to hospitals and the staff on the frontlines of the Coronavirus outbreak. Contact us at or visit our Special Pathogens page and download our fact sheet for more information.