Make decisions and seek appropriate medical care      VISIT CDC
 

Identify Symptoms

Symptoms of COVID-19 range from mild to severe. The most common reported symptoms include: dry cough, fever and shortness of breath.

Some patients have reported aches and pains, nasal congestion, runny nose and sore throat. These symptoms appear gradually and within 2-14 days of exposure.

If you are experiencing any of the above, please contact your health care provider. In the case of a medical emergency, dial 9-1-1.

Everyone can do their part to strengthen Hawai‘i's response to COVID-19.
Learn to recognize the symptoms of the virus, protect yourself and those around you, and follow the guidance designed to keep our communities safe.

Latest Guidance

  • Practice physical distancing:
    • Keep at least 6 feet away from others when outside the home for essential activities
    • Wear a cloth mask; reserve surgical-grade masks for health care workers
  • Keep clean
    • Wash hands thoroughly with soap and water for 20 seconds. If soap and water are unavailable, use hand sanitizer that contains 60% alcohol.
    • Clean highly touched surfaces (table tops, doorknobs, phones, tablets, etc.) with a household cleaner or disinfectant wipe

 

Some populations are more susceptible to serious illness from COVD-19, but it is important to remember that all age groups can catch and spread the virus.

People who are at greater risk of getting very sick from the virus include:

  • People over 65 years of age.
  • Those with compromised immune systems or medical conditions like heart disease, diabetes or lung disease.

As of now, there is no conclusive indication that pregnant women are at a higher risk for COVID-19. Mothers who are concerned or are showing symptoms should call their OBGYN or the Queen’s COVID-19 Infoline.

Visit CDC

All travelers arriving to any Hawaiian island are now required by law to self-quarantine for 14 days, remaining in their homes, hotel rooms, or places of residence. Read the self-quarantine instructions here.

If you are under quarantine and need medical attention, contact your health care provider or try Queen’s Telehealth options. In the case of a medical emergency, call 9-1-1.

Telehealth

Department of Health

Visit CDC

Mitigation measures for COVID-19 have affected the lives of all Hawaiʻi residents. During these unusual times when our work, recreation and social activities are limited, it’s important that we stay healthy mentally, physically and emotionally. The CDC recommends the following to support yourself while following the stay-at-home order:

  • Avoid excessive exposure to media coverage of COVID-19. It can be upsetting to hear about the crisis and see images repeatedly.
  • Take care of your body. Breathe deeply, stretch or meditate. Eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol and drugs.
  • Make time to unwind and remind yourself that strong feelings fade. Do activities you enjoy to return to your normal life.
  • Connect with others. Share your concerns and how you are feeling with a friend or family member. Maintain healthy relationships.
  • Maintain a sense of hope and positive thinking.
  • Share the facts about COVID-19 and the actual risk to others.

The Queen’s ʻOhana is here to provide you additional support and resources. Please visit our Queen's Cares Blog, the CDC’s webpage on Daily Life & Coping and, for those interested in the state’s response for our behavioral health and homeless populations, visit the Behavioral Health & Homelessness Statewide Unified Response Group information center.

If you or a loved one exhibits COVID-19 symptoms, please follow the CDC’s recommended steps and procedures as follows:

If you are sick:

  • Track your symptoms. Seek medical attention immediately if exhibiting any emergency warning signs.
  • Stay home, except to get medical care.
  • Wear a cloth covering your nose and mouth.
  • Cover coughs and sneezes.
  • Wash hands often.
  • Isolate yourself from the other individuals in your household.
  • Frequently clean high-touch surfaces.

Resource: What to Do If You Are Sick; CDC

When caring for someone else:

  • Help the person who is sick follow their doctor’s instructions for care and medicine.
  • Make sure the person who is sick drinks a lot of fluids and rests.
  • Help them with grocery shopping, filling prescriptions, and getting other items they may need. Consider having the items delivered through a delivery service, if possible.
  • Have their doctor’s phone number on hand and monitor for emergency signs.
  • Protect yourself by limiting contact, eating in a separate room, wearing a facemask and gloves, and preventing the spread of germs.

Resource: Caring for Someone Sick at Home; CDC

Procedure Code Procedure Description Price
H3060739 SARS-COV-2 COVID 19 AMP PRB - NON CDC TESTING KITS - 90 $250
H3060741 VIRUS DETECT BY NUC ACID, QUAL, PCR - COVID-19 TESTING $250
H3060742 SARS-COV-2 COVID 19 AMP PRB - NON CDC TESTING KITS $250

The Queen’s Health Systems is committed to the health and safety of our patients, caregivers and community. Our #1 priority is you.

Effective June 3, 2020, The Queen’s Medical Center, The Queen’s Medical Center – West Oʻahu, Queen’s North Hawaii Community Hospital and Molokai General Hospital will be allowing one visitor per patient per day with precautions in place to maintain a safe environment.

The following visitor guidelines will be in effect:

  • Visiting hours will be from 10:00 am – 6:00 pm. Enter through the Main Lobby.
  • Visitors must undergo a temperature check and health screening. Those with symptoms of respiratory illness, such as fever, shortness of breath or cough, will not be allowed.
  • Visitors must wear a mask and follow physical distancing requirements.
  • Each visitor is permitted one entry per day and must remain with the patient.
  • Visitors must be 18 years of age or older.
  • For everyone’s safety, visitors are not permitted for patients who are confirmed or under investigation for COVID-19.

We appreciate your cooperation. If you're unable to visit, please feel encouraged to call or video chat with your family member or friend in our care. To contact a patient by phone, you may contact their location directly:

View Locations

Telehealth is a safe and easy-to-use alternative to an in-person medical appointment. Many of our health care providers can assess a number of ailments while you are in the comfort of your own home, reducing the risk of catching or spreading the COVID-19 virus within our community.

Not all medical concerns can be addressed through telehealth and at this time not all health care providers are able to participate. For these reasons, it is important to remember to CALL BEFORE YOU CLICK. Call your primary care physician or search our directory and call us with any questions.

Telehealth Providers

Getting Started; Instructions for Queen's Patients

Both you and your provider will use audio and video, so you can see and talk to one another during your visit. For this you will need:

  • A Laptop, PC, or iOS/Android smartphone or tablet with camera, microphone, and speakers
  • Internet or Wi-Fi access (Wi-Fi access is preferred over cellular, as a strong Wi-Fi signal offers a better and more stable experience)
  • If using an iOS or Android device install the free Cisco Webex Meetings App (available in the Apple App store or Google Play store)
  • If using a computer you may use Internet Explorer, Safari, or Firefox browsers to easily connect. You may also use the Chrome browser; however, it may require downloading an extension or running a temporary application
  • Make sure that you can access your email from the device you'll be using for your visit.

OTHER TIPS

  • Find a quiet place with limited distractions where you can connect to your appointment
  • Limit the use of your internet for other activities during your visit. This will help to keep the video clear.
  • This visit will be billed to your insurance company like your in-person visits

Installing The Webex App On Your Mobile Device

  1. On your mobile device (smartphone or tablet) open the App Store or Google Play Store
  2. Type Webex into the search
  3. Download the Cisco Webex Meetings App
  4. The App icon should now display on your mobile device
  5. Open the Cisco Meeting App and Accept the terms of service

Your doctor's office will either send you an email or give you a meeting number to join the visit.

Email

  1. Open the email on the mobile device you'll be using for the visit.
  2. Click the "Join Meeting" button from the email (join a few minutes prior to your scheduled appointment time).
  3. The WebEx Meeting App will open*
  4. Enter your name and email address
  5. Allow the app to use your microphone and camera
  6. Click Join

Meeting Number

  1. Open Webex application on your phone
  2. Click the "Join Meeting"
  3. Enter the Meeting Number provided by the doctor's office
  4. Enter your name and email address
  5. Click Join

*If you get this screen, the app has not been downloaded. Click Download

These buttons should show black like below so that video and sound are turned on. If they are

If you still have issues with the audio/video, in the app:
Click into Settings > Audio & Video Confirm the settings match what is circled here:

  • Use Internet for audio
  • Self Video On – Front Camera

For technical assistance with using WebEx for your telehealth visit call 808-691-8141
Download Printable Version

Getting Started; Guidance for Queen's Physicians

Using recent guidance from the CDC and The Queen's Health System we have created a brief "Quick Guide" to assist physicians in providing care at home and how to convert outpatient visits to Telehealth visits.

The following provides a brief “Quick Guide” on how to get started on providing Telehealth Visits.

Telephone (audio only) visits can be scheduled in CareLink as "Telephone Visit" and billed using the G2012 "virtual check-in" code. Verbal consent for telephone "virtual check in" visits is required to be documented in the visit note (for each visit).

"Telehealth" visits use synchronous, two-way, audio-video telecommunications. Telehealth visits can be scheduled in CareLink as "Telehealth."

Queen's Employed Physicians

For the departments of Neuroscience, Cardiology, and Pulmonary, use Cisco ExtendedCare integrated into Epic CareLink MyChart For other departments, use Cisco WebEx Meetings. Queen’s has purchased HIPAA-compliant WebEx Meetings licenses for our providers.

Queen’s-affiliated providers may use our Cisco WebEx Meetings licenses. Please sign up for a queens.org email address and a WebEx Meetings account.

Non Queen’s-affiliated physicians can use a variety of HIPAA-compliant telehealth platforms, such as Doxy.me and Zoom. These platforms are easy to launch for solo providers and small practices.

An encrypted, HIPAA-compliant telehealth platform is still recommended for telehealth visits to the patient’s home.

However, during the federal emergency, the federal government will not be enforcing HIPAA requirements for telehealth so providers are allowed to use a non-HIPAA compliant platform (like Skype, Google Hangout, or FaceTime) as a last resort.

For Queen’s-affiliated and QCIPN providers who already have a queens.org email address and who want to use our Cisco WebEx Meetings licenses, please have your manager go to the ServiceNow portal here and submit the "Request for QHS WebEx Host Account".

For QCIPN providers who do not have a queens.org email address and who want to use our Cisco WebEx Meetings licenses, fill out the Request a WebEx Account from QHS smart sheet. QCIPN and Queen’s IT will then help you sign up for a queens.org email address and a WebEx Meetings account.

There is no legal requirement to have specific written informed consent from the patient to have a telehealth visit.

Documentation for telehealth visits is similar to in-person documentation plus a statement that the visit was completed using "synchronous, two-way, audio-video telecommunications", "originating site" is the patient location, and "distant site" is the provider location.

Billing for telehealth visits uses standard E&M codes for office visits (time- or complexity-based) plus a specific modifier (95 for most payers) and place of service (POS) code (02).

In Hawai'i, all private payers and Medicaid plans are already required to reimburse for telehealth visits to the patients home, equivalent to in-person visits (based on state law).

Medicare part B has strict "originating site" requirements that have prohibited reimbursement for telehealth to the patient’s home – these requirements are now waived during the federal emergency. This means that Medicare (and all other payers in Hawaiʻi) will currently pay equivalently for telehealth visits to the patient’s home.

During the federal emergency, CMS will allow new patient evaluations to be done by telehealth (not limited to established patients). This is already allowed in Hawaiʻi for private payers and Medicaid.

 

Hawai'i statute requires all malpractice carriers in Hawaiʻi to cover providers for telehealth.

Please see Telehealth informational slides within the Queen’s COVID intranet. Call The Queen’s Telehealth Support Line: 808-691-8141

Telehealth Start Up Guide: Intro to Cisco WebEx Meetings

Download Here


Tips for Getting Started on Telehealth (QCIPN Version)

Download Here


Tips for Getting Started on Telehealth (Detailed Version)

Download Here

Is It Safe to Go to the Doctor Now? 07/01/2020

Thanks to our community’s collective sacrifices, we can now celebrate with the rest of the state that we have collectively flattened Hawai’i’s COVID-19 curve.

Read More

Our highest priority at The Queen's Health Systems is the safety and well-being of our patients, visitors and caregivers, and it's important to us to keep you informed during this challenging time. 

When this pandemic began, Queen’s acted quickly by creating a system-wide task force and adapting our processes to proactively ensure the highest level of patient care and hospital safety. In a short period of time, we've created the right environment for every patient to continue to receive exceptional care during a hospital stay. By rapidly enhancing our telehealth capabilities, high-risk individuals and seniors can now receive primary care where they will be safest - in their homes. Already, we are seeing our community utilize this increased access to care, with telehealth visits doubling in three weeks.

Our staff members have been trained in the latest CDC safety protocols and are meeting the required standards. I'm so proud of our caregivers who have shown tremendous courage and compassion during this difficult time. They remain ready to meet the needs of our patients and their families.

We also are here for the entire community and have set up resources to help you navigate through this uncertain time. Our COVID-19 Infoline is available 24/7 by calling (808) 691-2619 and choosing option #2 to speak with a registered nurse. And, we've set up this website where we will regularly provide updates on the latest guidance and information related to COVID-19. 

Mahalo to our community partners, businesses, and the entire Queen’s ‘Ohana. We’re all in this together, and together we will walk through this uncertain time. Please stay safe and well.

Aloha,
Jill Hoggard Green
President and CEO

Current symptoms reported for patients with COVID-19 have included mild to severe respiratory illness with fever, cough, and difficulty breathing.

Not everyone needs to be tested for COVID-19. Here is some information that might help you make decisions about seeking medical care or testing.

  • Most people have mild illness and are able to recover at home without medical care. They may not need to be tested.
  • There is no treatment specifically approved for people who have COVID-19.

CDC has guidance for who should be tested, but decisions about testing are at the discretion of state and local health departments and/or individual clinicians.

  • Clinicians should work with their state and local health departments to coordinate testing through public health laboratories, or work with clinical or commercial laboratories.

The process and locations for testing vary from place to place. Contact your state, local, tribal, or territorial department for more information, or reach out to a medical provider. State and local public health departments have received tests from CDC while medical providers are getting tests developed by commercial manufacturers. While supplies of these tests are increasing, it may still be difficult to find someplace to get tested.

Using the CDC-developed diagnostic test, a negative result means that the virus that causes COVID-19 was not found in the person’s sample. In the early stages of infection, it is possible the virus will not be detected.

For COVID-19, a negative test result for a sample collected while a person has symptoms likely means that the COVID-19 virus is not causing their current illness.

Many tests to diagnose COVID-19 have received an Emergency Use Authorization (EUA) from the Food & Drug Administration (FDA). All of these diagnostic tests identify the virus in samples from the respiratory system, such as from nasopharyngeal swabs.

Locations and types of testing sites may vary by state or territory (see question: Where can I get tested). Check with your testing site to learn which test it uses. You can find a patient information sheet for each test on the FDA site. Be aware that at this time, no home tests have been authorized for use. All tests must be done at a testing site. The FDA sees the public health value in expanding testing that may include home collection, and they are actively working with test developers on this goal.

Serology testing checks a sample of a person’s blood to look for antibodies to SARS-CoV-2, the virus that causes COVID-19. These antibodies are produced when someone has been infected, so a positive result from this test indicates that person was previously infected with the virus.

CDC is working with other federal agencies to evaluate the performance of commercially manufactured serology tests that are becoming increasingly available from healthcare providers. This evaluation is expected to be completed in late April.

We do not know yet if the antibodies that result from infection with SARS-CoV-2 can protect someone from reinfection with this virus or how long antibodies to the virus will protect someone. Scientists are conducting research to answer those questions.

Serology tests may not be able to tell you if you are currently infected because it typically takes 1 to 2 weeks to develop antibodies to SARS-CoV-2. To tell if you are currently infected, you would need a test that identifies the virus in samples from your upper respiratory system, such as a nasopharyngeal swab.

CDC and partners are investigating to determine if you can get sick with COVID-19 more than once. At this time, we are not sure if you can become re-infected. Until we know more, continue to take steps to protect yourself and others.

COVID-19 is a new disease and there is limited information regarding risk factors for severe disease. Based on currently available information and clinical expertise, older adults and people of any age who have serious underlying medical conditions might be at higher risk for severe illness from COVID-19.

Based on what we know now, those at high-risk for severe illness from COVID-19 are:

  • People aged 65 years and older
  • People who live in a nursing home or long-term care facility

People of all ages with underlying medical conditions, particularly if not well controlled, including:

  • People with chronic lung disease or moderate to severe asthma
  • People who have serious heart conditions
  • People who are immunocompromised
    • Many conditions can cause a person to be immunocompromised, including cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV or AIDS, and prolonged use of corticosteroids and other immune weakening medications
  • People with severe obesity (body mass index [BMI] ≥40)
  • People with diabetes
  • People with chronic kidney disease undergoing dialysis
  • People with liver disease

If you are at higher risk of getting very sick from COVID-19, you should:

  • Stock up on supplies
  • Take everyday precautions to keep space between yourself and others
  • When you go out in public, keep away from others who are sick
  • Limit close contact and wash your hands often
  • Avoid crowds, cruise travel, and non-essential travel

If there is an outbreak in your community, stay home as much as possible. Watch for symptoms and emergency signs. If you get sick, stay home and call your doctor.

This list is based on:

  • What we are learning from the outbreak in other countries and in the United States.
  • What we know about risk from other respiratory infections, like flu.

As CDC gets more information about COVID-19 cases here in the United States, we will update this list as needed.

Currently, there is no evidence to show that taking ibuprofen or naproxen can lead to a more severe infection of COVID-19.

People with high blood pressure should take their blood pressure medications, as directed, and work with their healthcare provider to make sure that their blood pressure is as well controlled as possible. Any changes to your medications should only be made by your healthcare provider.

Based on available information, adults aged 65 years and older and people of any age with underlying medical conditions included on this list are at higher risk for severe illness and poorer outcomes from COVID-19. CDC is collecting and analyzing data regularly and will update the list when we learn more. People with underlying medical conditions not on the list might also be at higher risk and should consult with their healthcare provider if they are concerned.

We encourage all people, regardless of risk, to:

  • Take steps to protect yourself and others.
  • Call your healthcare provider if you are sick with a fever, cough, or shortness of breath.
  • Follow CDC travel guidelines and the recommendations of your state and local health officials.

Generally, well-controlled means that your condition is stable, not life-threatening, and laboratory assessments and other findings are as similar as possible to those without the health condition. You should talk with your healthcare provider if you have a question about your health or how your health condition is being managed.

Severity typically means how much impact the illness or condition has on your body’s function. You should talk with your healthcare provider if you have a question about your health or how your health condition is being managed.

Most people with disabilities are not inherently at higher risk for becoming infected with or having severe illness from COVID-19. Some people with physical limitations or other disabilities might be at a higher risk of infection because of their underlying medical condition.

  • People with certain disabilities might experience higher rates of chronic health conditions that put them at higher risk of serious illness and poorer outcomes from COVID-19. Adults with disabilities are three times more likely to have heart disease, stroke, diabetes, or cancer than adults without disabilities.

You should talk with your healthcare provider if you have a question about your health or how your health condition is being managed.

Understanding Your Health Insurance Options

Your health is important to us and we want to provide you with the information you need to make decisions. During this critical time, you may be wondering what to do if you or a family member needs health care. If you are recently uninsured or are at risk of becoming uninsured, here are some avenues to explore.

Plans for Individuals and Families

Affordable Care Act (ACA) plans for individuals and families are available through the federal exchange, HealthCare.gov. You may be able to get a government subsidy to help pay for your monthly membership rate.

Med-QUEST (State Medicaid)

You may be eligible to get a health plan at no cost or low cost from the state during these difficult economic times. Learn how to apply by visiting the QUEST Integration website: https://medical.mybenefits.hawaii.gov.

COBRA

You may continue your employer-sponsored coverage for a limited time (about 18 months). You will need to pay the full plan membership bill every month and an administrative fee. Reach out to your employer for more details.

Other Group Coverage

You may be eligible for coverage as a dependent through your spouse or partner’s employer, or another organization. If you are under 26, your parents may be able to add you to their plan.

The following organizations can provide assistance in navigating your health insurance options:

Legal Aid Society of Hawaii: 808-536-4302 (option 2)

We are Oceania: 808-754-7303

Med-QUEST: 1-800-316-8005 toll-free, TTY users call 1-800-603-1201 toll-free, or 711

 

Adapted from the Centers for Disease Control (CDC)

Learn more about current guidance for prevention, treatment and recovery from COVID-19:

CDC

As the nation's health protection agency, CDC saves lives and protects people from health, safety, and security threats.

City and County of Honolulu

Accurate advice and information is critical for community resilience. This page has links to trusted sites that are continually updated.

County of Hawaii

Discover the latest notifications, resources, maps and information about the coronavirus (COVID-19) outbreak in County of Hawaii.

County of Kauai

Discover the latest notifications, resources, maps and information about the coronavirus (COVID-19) outbreak in County of Kauai.

County of Maui

Discover the latest notifications, resources, maps and information about the coronavirus (COVID-19) outbreak in County of Mauai.

Hawaii COVID-19

Hawaii State department of Health - This site is regularly updated as our experts gain new guidance and information on prevention and mitigation

Healthcare Associate of Hawaii

In a time of unprecedented change in healthcare, The Healthcare Association of Hawaii is committed to working with providers across the continuum of care toward a healthcare system that offers the best possible quality of care to the people of Hawaii.

World Health Organization

WHO began when our Constitution came into force on 7 April 1948 – a date we now celebrate every year as World Health Day. We are now more than 7000 people from more than 150 countries working in 150 country offices, in 6 regional offices and at our headquarters in Geneva.

Is COVID-19 causing an increase in island suicides?-KITV 07/08/2020

The COVID-19 crisis could be a deadly one for Hawaii. Not just because of the virus itself, but because of its impact on our mental health.

Weight-loss surgery patient a first for Queen’s-West-Star Advertiser 06/28/2020

The first patient to undergo elective bariatric weight-loss surgery at The Queen’s Medical Center­West O‘ahu faced additional concerns during the COVID-19 pandemic but she had faith in her surgeon, who previously performed the same operation on her daughter and husband at Queen’s main Punchbowl campus.

Stroke survivor’s message: Don’t delay care because of COVID-19 fears-Hawaii News Now 06/12/2020

Kaui Burgess says nothing about her health hinted at what would happen on April 20 at 1:45 in the afternoon. "The moment I knew something was wrong was when I couldn't control my eyes. My eyes crossed," she said. One side of her body weakened. Her speech slurred. The wife and mother of three knew she was suffering a stroke.