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HomeMy WebLinkAbout03A ProposalP R O P O S A L F O R C O V I D -1 9 C O M M U N I T Y T E S T I N G P R O G R A M M A Y 1 2 , 2 0 2 0 P R E P A R E D B Y T H E C I T Y O F C O T T A G E G R O V E 1 2 8 0 0 R A V I N E P A R K W A Y , C O T T A G E G R O V E M N 5 5 0 1 6 6 5 1 -4 5 8 -2 8 0 0 C I T Y O F C O T T A G E G R O V E TABLE OF CONTENTS City o f C o t t a ge Grov e COV I D -1 9 Co m m u n i t y T e s t in g S i t e R F P R e s p o n s e C o v e r L e t t e r T e s t i n g P l a n U n d e r s t a n d i n g a n d A p p r o a c h L o c a t i o n a n d C o m m u n i t y O v e r a l l P r o j e c t T i m e l i n e /S c h e d u l e T e s t i n g S e r v i c e s D r i v e -t h r u S i t e M o b i l e R a p i d R e s p o n s e T e a m s T e s t i n g T i m e l i n e s a n d S c h e d u l e E m p l o y e e T e s t s a n d B e n e f i t s S t a f f i n g (C o s t s ) S u p p l i e s a n d E q u i p m e n t (C o s t s ) P r o j e c t T e a m O r g a n i z a t i o n C h a r t T e a m B i o g r a p h i e s L e t t e r s o f S u p p o r t A p p e n d i x B u d g e t R e q u e s t O v e r v i e w U o f M (M e d i c a l ) A n t i b o d y T e s t i n g A r t i c l e TEST ING P LA N: UND E RSTA NDING AND APPRO ACH The City of Cottage Grove's goal is to execute a 28-day antibody COVID-19 testing plan, obtaining more than 8,000 blood and molecular samples to help determine the virus' spread in our community and within the South Washington County region. The State of Minnesota has produced a data-driven response to the spread of the coronavirus and COVID-19. It has proven to be an effective, prudent and responsible model balancing the health and safety of Minnesotans with the daily needs of families and businesses. Governor Tim Walz has been adamant that testing capacity must increase significantly before the data shows the spread of the virus is slowing down allowing everyone the opportunity to safely, and slowly, begin to return to a sense of normalcy. Time is of the essence. Our businesses and manufacturers need accurate and reliable data to reopen and our residents continue to struggle to maintain the high quality of life they're accustomed to. The City of Cottage Grove is fully supportive of the measures that have led us to the present day, when the need to exponentially increase the testing of Minnesotans remains. Our research shows we can offer a sample size capacity for 8,400 people in the Southeast Metro Area under this proposal, which will also include data points for several congregate care facilities and large employers. The City of Cottage Grove’s mission is firmly in line with the MN Department of Health. Our goal is to ensure accessible, equitable and convenient COVID-19 antibody testing that is accurate and cost effective for our residents, eliminating the undue burden of payments of “hidden fees” that may be associated with tests through the traditional healthcare system. We offer a model for widespread testing, in an underserved area, that will help move the state’s dial on understanding the spread of the coronavirus. Project team leaders firmly believe we have produced a model that can be quickly replicated in communities throughout Minnesota. May 12, 2020 MN Dept. of Health Commissioner Jan Malcolm 85 East 7th Place St. Paul, MN 55101   RE: Proposal for City of Cottage Grove COVID-19 Community Testing Program   Commissioner Malcolm and Selection Committee:   The City of Cottage Grove is ready to work for you, and our engaged community stands willing to do what it takes to help our residents, neighbors, business owners and state fill a critical void in COVID-19 data collection. We also want to do our part to help put our residents, and workers throughout the state, back to work through a re-opened and reinvigorated economy.   The City is in a unique position. We will mobilize quickly and efficiently to serve the state through an ambitious and attainable 28-day antibody COVID-19 testing plan. Our team estimates we can safely and equitably obtain COVID-19 samples from approximately 8,400 residents by offering drive-thru testing and deploying mobile rapid response “backpack” teams to congregated care facilities and large employers in the cities of Cottage Grove, Newport and St. Paul Park. To help meet the state’s mission of offering accessible and equitable testing, our communities reside in a region where there is currently a large void in testing sites. Our goal is to become the first community-focused and widespread antibody testing operation and rapid response mobile team in the state while producing a model that communities throughout Minnesota can replicate in the coming weeks and months.    Our team offers several unique assets including: ·         A robust plan capable of testing more than 300 residents or workers per day, with a deliberate and intense focus on social, geographic and demographic equity ·         More than 60 highly skilled and trained Cottage Grove Firefighter/Paramedic/EMTs who are well versed in mobile health care and supported by Region’s Hospital and Washington County ·         A Fire/EMS Deputy Chief/Project Manager with a master’s degree in Nursing, extensive emergency, critical care and EMS experience, certification as a Public Health Nurse and experience in community epidemiology studies. The team is also led by a Police Captain with a PhD in Emergency Management and our Medical Director, Dr. Aaron Burnett, who is the State of Minnesota’s Emergency Medical Services Regulatory Board Medical Director ·         An engaged, close-knit and compassionate community totaling 52,913 people within a 10-minute drive of our two thoroughly vetted and identified testing locations   A couple of weeks ago, alongside Governor Walz, we asked our community to make and donate cloth masks, and we gave them less than a week of lead time. Lo and behold, we collected 1,700 when we only needed 600 for our congregate care facilities. Our community is willing, prepared and capable of coming together to help the state meet rigorous daily testing targets and achieve everyone’s end goal of re- opening our local and state economies.   Sincerely, Mayor Myron Bailey, City of Cottage Grove Park High School Site (8040 80th Street, Cottage Grove, MN 55016) 10-minute drive for 54,556 people 20-minute drive for 405,000 (excluding people in Wisconsin) Oltman Middle School site (6625 Goodview Ave, Cottage Grove, MN 55016) 10-minute drive for 66,809 people 20-minute drive for 505,000 (excluding people in Wisconsin) Cottage Grove (population 38,000) is a suburb of St. Paul, located in the Southeast metro area, occupying the southern portion of Washington County. We share borders and a number of services with our immediate neighbors, and for the purpose of this plan, are proud to include the Cities of Newport (population 3,500) and St. Paul Park (population 5,400). Through our research and Geographic Information System (GIS) mapping, we are located in a geographical void between sites in Stillwater, Downtown St. Paul and Red Wing that only offer symptomatic testing. Our plan will offer antibody testing to an economically diverse population. Our sites are well positioned in the Southeast Metro area and are accessible to large populations. With our “Mobile Rapid Response Backpack Teams” we offer the ability to bring testing to neighborhoods and care facilities where travel to and from the testing site may be challenging. While our drive-thru sites will focus on antibody testing with the ability to obtain samples for molecular testing, we will offer both molecular and antibody testing through our Mobile Rapid Response Team. L OCATION AND COM MUNITY 54,556 people within a 10-minute drive of Park High School 66,809 people within a 10-minute drive of Oltman Middle School Hiring and training of volunteer and operational staff in partnership with Washington County, nursing networks and organizations within Cottage Grove/Newport/St. Paul Park Procurement of equipment Execution of Citywide Communication Plan focused on education and zone scheduling 21 days to conduct drive-thru testing at two accessible school sites Seven days for Mobile Rapid Response Backpack teams to conduct both antibody and molecular testing Congregate Care Facilities Large employers in Cottage Grove Fully mobile and operational testing capabilities can be produced within three to four weeks of grant approval. Funding would be used to supplement a six-week, 28-day testing period. Upon completion of the testing schedule the project team will conduct a full-scale debriefing noting successful measures and challenges overcome to refine program model for future test communities OVE R AL L PR OJECT TIMELINES AND SCHEDULE Location One: Park High School (8040 80th Street) – already identified as one of two dispensing sites in Washington County, where regular emergency preparedness drills are conducted. Features large parking lot with separate ingress and egress points Location Two: Oltman Middle School (6625 Goodview Avenue South) – another large and recognizable community hub with an enormous parking lot amenable to traffic flowing directly through a separate entrance and exit Both provide easy access off of major roadways in or near the geographic center of Cottage Grove, with Oltman Middle School being extremely close to both Newport and St. Paul Park Highly trained Paramedics/EMTs and other health care providers can obtain at least 300 samples per day at our High-Volume Drive-Thru Sites. The majority of our testing will be done through the creation and set-up of sites at two highly recognized and centralized locations. The two drive-thru/drive-up testing centers allow us to maximize individual service (and eliminate group gathering scenarios) and efficiency will minimize the time on site AND the time it takes to register, screen, test and deliver results. TEST ING SERVICES DR IV E -THRU SITES Traffic Queue Screening Test Results Follow Up Traffic queue > Screening (determine testing needs) > Test > Results Follow Up Goal is to provide follow-up to molecular testing within 36 hours Goal is to provide follow-up to antibody testing within 48 hours Two traffic control points prior to individuals pulling up to one of two screening stations (with significant distance between them) For our drive-thru testing, we will be screening for acute symptoms. The goal of antibody testing is to test asymptomatic individuals in the community to evaluate previous community spread yet we will have the ability to offer molecular testing to those who present to the site with symptoms (to not waste a valuable opportunity to access testing) Screening will incorporate questionnaires, as determined by public health partners, to gather important epidemiology data on testing participants such as, but not limited to, age, sex, risk factors, etc. Screening for drive-thru testing evaluate where a person resides. For drive-thru testing, we will target populations (mostly by area of residence) for antibody testing and will admit those who are in the selected group. For those not scheduled for testing, we will provide them other sites to visit or schedule them for another testing day We will only test those 18 years of age or older due to consent concerns and the complexity of pediatric phlebotomy. We will keep a list of contacts (parents or guardians) for those that would like their children to receive antibody testing for future testing of this population. We will offer molecular testing for symptomatic individuals under 18 with parental consent Process Map for Drive-thru/Drive-up model DR IV E -THRU SITES Two testing stations for antibody testing After screening and registration, the participant will drive-up (or walk-up) to the testing tent. The goal is to keep all participants in their vehicle to avoid exposure to other participants. The samples will then be obtained by those in the vehicles or chairs (for walk-up participants) We will obtain samples based on best evidence from public health and medical experts using phlebotomy to obtain blood samples to send to MDH, University of Minnesota or Mayo, based on public health guidance. We will have the ability to provide temperature control, centrifuge and process lab samples prior to lab delivery. The plan also includes courier service to deliver samples to the appropriate labs We have reviewed the University of Minnesota’s proposal offered to the State for testing funding. In their protocol, it appears they would administer molecular and antibody testing to individuals. We would follow best practices and public health recommendations for testing and offer molecular testing for participants as well We will collect samples for molecular testing for any participant with acute symptoms All samples for both molecular and antibody testing will be sent to local laboratories for testing We will provide test results and proper education to all participants with a goal of providing follow-up for molecular testing within 36 hours and antibody testing within 48 hours An additional traffic control point where staff can point residents toward the exit Both mobile sites will also feature a walk-up screening and testing area as Cottage Grove has an extremely large number of walkers and bicyclists who access a trail system that connects the entire City The City will offer “walk-up testing” for those who don’t arrive by vehicle Repeatable and Adaptable Site Plan This is a highly adaptable site plan where a drive-through testing site can be structured and built quickly The only major requirement is a large amount of space and a dedicated team of experts to execute high-volume testing           The Cottage Grove Fire Department is unique in its ability to mobilize quickly and efficiently, with thousands of hours of training in emergency response procedures. Through the Mobile Rapid Response Teams we’ve created, Paramedic/EMTs and support staff can enter either congregate care facilities or large employer facilities and conduct high- volume antibody and/or molecular testing on site. The team, and the equipment it will be using, is durable, flexible and built to be moved with immediacy. Quick Mobilization in Case of an Emergency: Through existing community relationships built over dozens of years, we trust notification will come immediately should an outbreak of the virus occur within a building in our City. The Rapid Response Teams is built with on-call personnel and paramedics who remain at our Central Fire Station 24/7. Paramedics can arrive, set-up and begin administering tests in a matter of hours, should an immediate need arise. MOBILE RAPID RESPONSE T E AMS 21 drive-thru community antibody testing 7 mobile “backpack” testing days to focus on outbreaks at a congregate care facility/business and planned antibody testing at congregate care/employer facilities 8 a.m. to 6 p.m. for typical testing operations (10 hours) 2 hours per day for set-up and tear-down Testing sites will be offered on evenings and weekends, including every Saturday during the six-week period to offer “non-traditional” opportunities Our goal is to safely and effectively obtain as many samples as possible over the course of 28 days. We also want to ensure we produce a safe and convenient experience for residents, employees and those who live in care facilities. That means minimizing time spent away from homes and minimizing the time spent interacting “face to face” with people outside of households. We’ve created and mapped out 20 zones (graphic on next page) in Cottage Grove, Newport, St. Paul Park and Grey Cloud Township that will be assigned a specific day to schedule appointments to visit either the Park or Oltman School testing sites. This involves a robust communications notification plan via social media and through the distribution of print materials. Zones also ensure organized data collection to help the MN Department of Health determine the location(s) where COVID-19 is present Information technology staff members are currently researching software for scheduling and exploring several options Washington County has used “Sign Up Genius” in the past and has offered subject matter experts for support 28 testing deployments performed over six weeks Drive-thru testing site operations Identified testing hours allow equitable access for residents and creates workable staffing model for Cottage Grove Fire Department Paramedic/EMTs Flexible plan offers the opportunity for site-specific testing on non-clinic days. Hours and days of the week will be identified by the needs of the facility Pre-registration TEST ING SCH E DULE AND TIMELINES Cottage Grove is one of the fastest growing communities in the metro area.  Its robust expansion has included its business park, which supports thousands of jobs in the manufacturing, wholesale trade, and logistics sectors. As a result of the COVID-19 pandemic, the community's businesses are looking for a way to properly plan for COVID-19 outbreaks in order to minimize reduction in production capabilities and lower the loss of business. As such, the partnerships with our business community to ensure their continuity of operations is key in moving Cottage Grove’s local economy forward. Businesses that can accurately understand which employees have antibodies present versus the employees that have yet to be infected can make plans on how to address the impacts of COVID-19. If a business has widespread antibodies present throughout their workforce it can begin to lower social distancing requirements for those employees while maintaining distancing for those employees who do not have antibodies present, ramping up production and minimizing closures as a result.  Further, businesses can get a better sense of potential loss of workforce hours in regard to employees getting COVID-19 as a result of a lack of antibodies.  If a business finds there is a lack of antibodies across all of its employees, the business can use the data to maintain strict social distancing requirements and develop a plan for a potential widescale outbreak in the future.   Data and information drives businesses decisions and learning about the health of our labor force is a key metric in the City’s testing and sampling plan.  Cottage Grove has a very collaborative business community and our economic development team is currently identifying potential partners for off-site testing. EMPLOYEE TESTI NG AN D BUSINESS BENEFITS STA FFING Site Manager (Incident Command) Safety Officers Logistics Officers Operations Officers (medical operations) Registration Screening  Testing Results Review Site Set-Up and Operations Traffic Control This proposal is based upon a two testing-team model structured under the protocols of an Incident Command System (ICS) and includes the following: In addition to the officers outlined above, our testing team and drive-thru and on-site testing centers would include employees int he following sectors: We have determined 27 staff members on 12-hour shifts will enable us to reach our goal of 300 daily sample collections with the capacity to obtain 8,400 samples over the 28 testing days. Positions will be filled with paid and volunteer staff. *Because of the worldwide pandemic, an emergency management team is already active within the City of Cottage Grove and has met regularly for the past two months. It includes representatives from all 7 departments serving the City. The team is well-versed and trained to lead a large-scale emergency response operation and remains willing, ready and able to facilitate our ambitious and attainable antibody testing plan. We also have strong support from non-profit organizations, local businesses, neighboring cities, and Washington County; all stand willing to help us with staffing needs. The team is also exploring the possibility of using our Project Manger’s connections to hire nurses who may be furloughed due to COVID-related economic hardships. Estimated personnel costs represent the greatest portion of the operations budget; approximately 44% of the total project cost. $381,600 in estimated labor expenses includes $369,600 in daily labor for testing site operations and $12,000 in training. Generalized labor includes staff to coordinate operations, register people, screen, collect and deliver samples, follow up with testing subjects, conduct traffic control and facilitate site set-up and tear-down. Personnel Protective Equipment (PPE) for testing site staff: $25,550 Cost covers 28 clinic days to provide proper PPE including, but not exclusive, to N95 or higher respirator, gowns and gloves Sample Collection: $136,976 Cost covers sample collection of 8,400 molecular detection tests (e.g. nasopharyngeal swabs) and 8,400 blood samples collected through traditional phlebotomy Lab Processing Fees: $420,000 The estimated cost to pay laboratories to run samples from the testing site. The number is based on the University of Minnesota’s proposal for increased testing where the cost was “quoted” at $25- 30 per person. We have used a quote of $50 per patient to calculate the cost, however, if we can deliver samples to laboratories (U of M, Mayo or MDH) and we don not have to pay per test, this cost would be eliminated in our proposal. We have used $50 per participant (assuming $25 per molecular test and $25 per serological test) as an estimated cost based on the high variability in what type of testing will be performed and our access to testing Lab Sample Processing: $3,300 Labels and Armbands: $2,500 Medical Equipment: $1,500 Sharps and Biohazards Waste: $2,800 Registration System: $20,000 Trailer: $10,000 Temporary and Mobile Site Equipment: $33,600 Cost represents needs for the temporary site including tents, traffic barriers, portable lights, transportation containers (to protect equipment) and tables Information Technology Infrastructure: $20,900 Portable Power and Temperature Control: $5,960 To realize our capacity to collect 8,400 localized samples in six weeks requires a significant operation. While we remain extremely confident the City of Cottage Grove has the right team in place to execute the plan, $503,680 will be need for supplies, equipment and technical infrastructure. o   Cost covers centrifuges and aliquoting supplies if on-site blood process is required. It includes coolers, dry ice or refrigerators for sample temperature control o   Cost covers consumable supplies not related production equipment for lab sample labeling, paper and printing supplies (for sample follow-up mailings) o   Cost covers thermometers and pulse oximeter as screening protocols require these readings on any symptomatic patients o   Cost covers sharps containers, bio-hazardous waste collection and disposal o   Cost is based upon a quote produced by Identisis for a rapid registration, database, armband, and lab sample printing system. We request two stations based upon site plans calling for 2 screening, registration and testing teams o   Cost covers the purchase of a trailer needed to transport all mobile testing equipment o   Cost covers laptops, registration tablets, printers, mobile internet and phone, power strips and electrical cords o   Cost covers needs for portable generators, portable air conditioning/heating units, fans and carbon monoxide monitors for work areas power by generators SUPPLI E S AND EQU IPMENT Residents of South Washington County Minnesota Department of Health L E AD E R SHI P T E AM ORGAN IZA T I ONAL CHART Executive Sponsors Project Manager Deputy Project Managers Deputy Fire Chief Jon Pritchard Mayor Myron Bailey City Administrator Jennifer Levitt Police Captain Gwen Martin Public Safety Director Pete Koerner Fire Chief Rick Redenius Section Managers Community Partnerships Communications Logistics Finance, Grants and IT Coordinators (5) Econ. Development Dir. Christine Costello Public Works Dir. Ryan Burfeind Finance Dir. Robin Roland Communications Mgr. Scott Seroka Cottage Grove Deputy Fire Chief Jon Pritchard , Project Manager Deputy Chief Pritchard recently joined the team to oversee the City’s EMS operations, bringing a wealth of nursing, public health and emergency/critical care experience. He is a certified Public Health Nurse (holding multiple nursing certifications) and most recently led Regions Hospital Emergency Care teams. He has worked at various mobile testing sites as an employee for the University of Minnesota School of Public Health Department of Epidemiology, overseeing and coordinating efforts to obtain blood samples and data for the National Institutes of Health (NIH) Minnesota Heart Study, focusing on reaching underserved populations. Using his decades of medical experience, Pritchard developed the City’s antibody testing plan and protocols as a passionate advocate for collaborative, widespread data collection. PROJECT TEAM Cottage Grove Fire Department (CGFD) More than 60 Firefighter/EMTs serve the residents of Cottage Grove, St. Paul Park, Newport and Grey Cloud Island Township, operating an Advanced Life Support (ALS) and licensed ambulance service under the standards of the Minnesota Emergency Medical Service Regulatory Board. The scope of practice falls under the jurisdiction of medical director Dr. Aaron Burnett of Region’s Hospital. The CGFD’s paramedics and EMTs are trained and authorized to obtain nasopharyngeal swabs and collect blood samples through phlebotomy.  The team has also earned CLIA-waived status, allowing members to perform low-complexity lab testing as well. PROJECT TEAM Cottage Grove Police Captain Gwen Martin (PhD), Deputy Project Manager Captain Martin holds a PhD in Public Safety with a specialization in Emergency Management and a master’s degree in Police Leadership. She leads the City’s emergency management planning and execution efforts, serving a critical role in our COVID-19 and spring flooding responses. Martin is a licensed peace officer and  she also remains a nationally registered Emergency Medical Technician. She provides her expertise and leadership skills within command enters across the state, answering the calls of countless communities responding to natural disasters and hazardous incidents. Captain Martin will help lead the City’s antibody testing proposal and efforts. Public Safety Director Pete Koerner, Deputy Project Manager Chief Koerner began his career with the Cottage Grove Police Department in 1992, earning every rank and just about every title available within the agency. His roles as Community Service Officer, School Resource Officer, Detective and Crisis Negotiator, alongside his lifelong residency in the City, have allowed the Chief to build strong partnerships and relationships throughout the community and region. Relative to the project, he has decades of experience planning for large-scale events and responding to crisis. Koerner is currently the President of the Washington County Chiefs of Police Association and remains active in several service organizations, including board member experience for the Lion’s Club and Friends in Need Food Shelf. Fire Chief Rick Redenius, Deputy Project Manager Service and dedication mark the professional career of Chief Redenius, who has lived and worked in Cottage Grove his entire adult life. He began his public safety career in the Cottage Grove Police Department in 1993 and served concurrently with the Cottage Grove Fire Department for many of those years. He was a Deputy Fire Chief for ten years before being appointed Chief in 2012. He has led teams through large scale events and crisis response over the course of his tenure, including the UpNorth Plastics Fire of 2002. PROJECT TEAM Mayor Myron Bailey, Executive Sponsor Myron Bailey has been the Mayor of Cottage Grove for 12 years and served the residents of the City for many years prior to being elected to lead the City. Known as a responsive communicator and engaged leader, Bailey continues to spearhead Cottage Grove’s response and progress regarding PFAS contamination found in the city’s water supply a few years ago. Mayor Bailey was recently elected as President of Metro Cities (the Association of Metropolitan Municipalities). City Administrator Jennifer Levitt P.E., Executive Sponsor Administrator Levitt was appointed to lead the City’s 7 departments and its $34 million annual operating budget in 2018. As a certified engineer for the City, she developed the state’s first six-legged, dual lane roundabout system in the late 2000s and led the City’s process of designing and building an emergency water treatment facility in record time while responding to a PFC contamination crisis a few years ago. Last year Levitt was honored as the Engineer of the Year by the City Engineers Association of Minnesota based upon a long list of professional accomplishments on behalf of the residents of Cottage Grove. Public Works Director and City Engineer Ryan Burfeind Logistics Lead Director Burfeind has been a Civil Engineer for the City for 7 years and was recently promoted to Public Works Director. He holds the position concurrently with his City Engineer title. Burfeind is a registered Professional Engineer and his project management experience has helped him lead $10 million worth of projects from the planning phase to implementation. He will lead our logistics section as Director Burfeind brings years of leadership experience in the area of emergency management and large-scale event planning, including spring flooding mitigation and wildfire management. PROJECT TEAM Finance Director Robin Roland Finance, Grant and Information Technology Lead Robin Roland brings 30 years of municipal government finance experience to the project, having been the Finance Director in Cottage Grove for the past 10 years. She holds a master’s degree in Public and Non-Profit Administration and has served the Minnesota chapter of the Government Finance Officers Association for several years, including time as President of the state organization. Roland will lead all financial and grant application aspects of the testing proposal and project. Economic Development Director Christine Costello Community Partnerships Lead Director Costello has been helping cities plan, develop, redevelop and grown for almost two decades, including record-setting commercial and residential growth within the City of Cottage Grove in 2017. She holds a master’s degree in Urban Planning and through a previous role in Richfield worked as a liaison to the Metropolitan Airports Commission. Her years of project planning and leadership, combined with her long list of local business, retail and industry contacts, will be valuable assets as the City continues to collaborate with employers on the economic effects of COVID-19 and identify potential, larger-sized employers for anti-body site testing. Communication Manager Scott Seroka Communications Lead Scott Seroka was a network-affiliated television journalist for 17 years before beginning his career as a municipal communications leader, first with the Minneapolis Police Department, and now with the City of Cottage Grove. He will lead the project’s community engagement and outreach efforts. Seroka holds communication certifications from the FBI’s Law Enforcement Executive Development Association, FEMA’s Emergency Management Institute and the National Information Officers Association. L E TTERS OF S UPPORT L E TTERS OF S UPPORT APPEN DIX : BUDGET REQUEST OVERVIEW BUDGET CATEGORY SUBCATEGORY TOTAL Staff and Personnel Supplies (<5,000) Equipment (>5,000) Construction Other Total $503,568 $582,526 $20,000 $0 $76,260 $1,182,354 Total Cost for 8,400 Samples and 28 Days BUDGET CATEGORY SUBCATEGORY TOTAL Sampling Daily Labor (28)$491,568 Training Labor (1)$12,000 Daily Obtaining Samples/Phlebotomy (28)$139,976 Testing/lab charge (8,400)$420,000 Daily PPE (28)$25,550.28 Logistics and IT (1) Total Request ($140.29/sample)$1,182,354 Total Request (no fees for samples)($89.96/sample)$762,354.30 $96,260.00 APPEN DIX : BUDGET REQUEST OVERVIEW Daily Labor SUBCATEGORY RATE PER HOUR TOTAL IC/Site Manager (1)60 720 PIO (as needed)0 0 Liaison (as needed) Safety Officer (1)) Ops Chief (1) Screeners (2) Testing Medic (6) Testing EMT (4) Registration (2) Logistics Chief (1) Site Set Up Coordinator (1) Courier/Equip/PPE (1) Traffic/Security (3) Provider-NP (1) Test Follow Up (1) 100% Variance Total (27) (Covers Underestimates in Rates) Daily Labor Total  60 100 60 30 60 60 30 30 60 60 60 60 0 720 720 0 1,440 1,440 4,320 720 720 720 360 2,160 1,200 720 15,960 1,596 17,556 APPEN DIX : BUDGET REQUEST OVERVIEW Logistics SUBCATEGORY COSTQUANTITY iPads/Registration 3 3Laptops for Testing Operation/Command Laptops Printer Identisys System Mobile Access (IT) Power Strips, Extension Cords Total 2 1 2 1 4,500 6,000 4,000 400 20,000 5,000 1,000--- 40,900 APPENDIX: BU DGET REQUES T OVERV I E W Site Costs Command Tent Drive-Thru Tent 10 X 10 Tents Trailer Lab Equipment Traffic Barriers Portable Lighting Transport Boxes Tables Portable AC Units Fans Generators CO Monitors Freezers/Refrigerator Office Supplies Totals SUBCATEGORY QUANTITY COST Centrifuge Label Armbands 2,000 2 1 3 8 1 --- 20 --- --- 12 4 6 3 4 1 --- 2,000 2,000 2,500 7,500 2,400 10,000 500 10,000 5,000 5,000 1,200 2,000 960 3,000 500 300 500 55,360 APPEN DIX : U OF M ANTIBODY T E ST AR T I CLE U-developed Antibody Test, Key Component in Reopening Minnesota Author: Angel Mendez, Communications Manager | APRIL 23, 2020 Add a subheading A second test for COVID-19, developed by University of Minnesota Medical School researchers, will play a role in the state’s plan to reopen Minnesota. This test looks for antibodies generated after exposure to the virus, and combined with the University’s diagnostic (PCR) test, helps categorize those tested into four categories—information that will equip the state to confidently send Minnesotans back to work. Together, they are informative if you do them both in the same person,” said Amy Karger, MD, PhD, an assistant professor in the Department of Laboratory Medicine and Pathology. She leads the team at the University’s Advanced Research and Diagnostic Laboratory (ARDL) that brought the test from a research setting into clinical use. “If both tests are negative, then there’s no current or past infection. If the PCR test is positive and antibody test is negative, then they have a current infection but just haven’t mounted an immune response yet. If both tests are positive, then they have an active infection with the start of an immune response. If the PCR test is negative and antibody test is positive, that’s a sign of a past infection, but there’s no active virus,” Dr. Karger explained. “We’re really trying to get providers and clinicians to view this antibody test more as a tool for determining if someone has been exposed.” APPEN DIX : U OF M ANTIBODY T E ST AR T I CLE It’s also a test not vulnerable to today’s supply chain issues. The collection process involves drawing blood into vials (no need for low-supply nasal swabs), and the procedure itself uses routine laboratory supplies not in high demand. The Minds Behind the Antibody Test The antibody test, known as an ELISA (enzyme-linked immunosorbent assay), developed rapidly from the lab bench to the clinic with the help of a unique group of collaborators—Dr. Karger, Marc Jenkins, PhD, and Fang Li, PhD.  In March, Medical School leadership tasked Dr. Karger, who is M Health Fairview’s system director for point-of-care testing, with reviewing the validity of the emerging, commercially- available antibody tests.  “And, the answer every time was no. None of the tests that were coming out looked like they were reputable,” Dr. Karger said. “We were getting calls and emails daily, sometimes from companies we’d never heard of before.” Around that same time, Dr. Jenkins, a Regents and Distinguished McKnight University professor in the Department of Microbiology and Immunology and director of the Center for Immunology, proposed an idea to Medical School Dean Jakub Tolar. “I told him that the University should develop its own test to avoid supply chain bottlenecks,” he said. APPEN DIX : U OF M ANTIBODY T E ST AR T I CLE Dr. Jenkins had learned of a new antibody test created by a group at the Icahn School of Medicine at Mount Sinai in New York City and was also aware that Dr. Fang Li, an associate professor in the College of Veterinary Medicine, a coronavirus expert, had the expertise needed to produce a key ingredient—a SARS-CoV-2 protein. “If we did not have Fang Li’s protein-production capabilities online here, where he can make us many milligrams of protein very rapidly, this would be a non-starter,” Dr. Karger said. “For other institutions who don’t have Dr. Li, that piece can take months, frankly, if you don’t already have the set-up to make the protein, so this is very unique for the University.” From the Research Lab to Bethesda Hospital Once Dr. Jenkins and his lab had validated the antibody test in a research setting, he relied on Dr. Karger to translate the test into clinical use. As a principal investigator associated with ARDL, she recommended housing the antibody test there—a nationally-renowned clinical trials laboratory, specializing in more manual tests. “The reason I suggested ARDL, and why that was quickly supported, is because ARDL does so much already with research and innovation in testing, and they are very experienced in doing this type of thing where they bring a test in and validate its performance,” Dr. Karger said. “It’s a manual test, whereas most of our clinical labs deal with very automated testing.” The team worked tirelessly to bring up the test in ARDL, receiving training from the researchers in Dr. Jenkins’ lab, who had, for the last few weeks, built the test from scratch. “The lab staff are really the engine behind this whole process, and they were putting in 12- to 14-hour days, seven days a week to accomplish this. I have been so impressed to see the dedication of these people who are willing to just give it their all and work well beyond what would normally be expected for their work hours,” Dr. Karger said. Dr. Jenkins added, “It was incredible how quickly ARDL got the test up and running.” On April 16, now with the antibody test set up in ARDL, the research team began testing samples from employees at Bethesda Hospital—M Health Fairview’s designated COVID-19 care facility. Starting the tests with this group, who have regular exposure to COVID-19 patients, will provide valuable information as the ARDL team develops a larger plan to scale-up the test for statewide use. “Right now, because the test is new, we are only using the antibody test to determine who is positive in Bethesda and may need to get a PCR test to check for current infection,” she said. “This information is useful while we formulate a final plan for how to really roll this out in a more broad sense.” APPEN DIX : U OF M ANTIBODY T E ST AR T I CLE Scaling-up for Statewide Testing On April 22, Gov. Tim Walz announced the state would allocate $36 million to the University of Minnesota and the Mayo Clinic in support of a plan to begin testing 20,000 Minnesotans per day, starting with all of those who are symptomatic. “This allows us to purchase much larger-scale automation that can complete tests at a rapid rate, as well as hire on and train a larger staff,” Dr. Karger said. She says the next steps will be planning for how and where to set up collection sites, how those samples get to ARDL and then, how to get those results to hundreds of thousands of people in an efficient way. “I don’t know what the crystal ball will show, but I do think testing is going to help us have a better sense of what the future will hold,” Dr. Karger said. “If we can get a handle on how many people have truly been infected, we can go from there in terms of planning and what we can expect for the future.” Deputy Fire Chief Jon Pritchard Cottage Grove Fire Department 8641 80th Street South Cottage Grove, MN 55016 651-458-2859 jpritchard@cottagegrovemn.gov Project Contact