guidance for re-opening and maintaining safe gym and
TRANSCRIPT
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Guidance for Re-opening and Maintaining Safe Gym and Fitness Center Operations
Amid the COVID-19 Pandemic
The Medical Fitness Perspective
Robert (Bob) D. Boone, FACHE, FMFA
President and CEO
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Medical Fitness Risk Model
1:1 Coaching / Care
Management
Intervention
Prevention
Healthy / Low
Risk
Manage Costs and
Provide Dignity
Rising
Risk
At Risk
Combat Disease
Progression
Keep from
Becoming Chronic
Encourage Healthy
Lifestyle
Physician Role Medical Fitness Role
Apparently
Well
High
Risk
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Medical Fitness Risk Model
Rising Risk
At Risk
Apparently
Well
High Cost
How does this relate to healthcare costs?
3-5 %
% of Population % of Healthcare Costs
35-49%
40 – 45 %
50 %
45 - 48%
~ 3%
Firewall
Sweet Spot For Medically Based Fitness
Intensive Case Management
Community Fitness Providers
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Differences with Clinically Based Programs
• Typically Higher Risk – Older
– Deconditioned
– One or more chronic diseases
– Pre- or Post-procedure
• Clinically Based Programs – Cardiac/Pulmonary Rehab
– Physical Rehab
– Step Down Programming
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Differences with Clinically Based Programs
• Most Physician Referred or Disease Specific
– Tracking Referrals
– Measuring Baseline and Clinically Relevant Outcomes
– Reporting Outcomes to Referrer/ EMR
– HIPAA
• Enhanced Distancing
• Focus on the Experience of the End User
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Things to Consider Prior to Opening
• Policy Decisions
– How to Manage Aquatics and Wet Areas
– Track Usage
– Group Ex Classrooms
– Cleaning Routines
– Front Desk Operations
– Mask and Gloves?
– Static versus Dynamic Motion
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Things to Consider Prior to Opening
• Staff Training
– Standard and Transmission Based Precautions (Infection Control)
– Screening Procedures (Temp, Verbal Screening)
– New Staff Responsibilities to Monitor and Enforce Physical Distancing Requirements
– Delivering a Consistent Message of Safety
– Touchless Check-in/out Procedures
– Sanitizing/Disinfecting Process
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Things to Consider Prior to Opening
• Facility – Negative Pressure – Personal and Facility Sanitizing – Sneeze Guards and Cleaning Procedures – Equipment Reorientation/Use/Relocation – Lounge Area Spacing – Directional Signage – Spacing Aids (dots, lines, etc) – Development of Checklists – Which TV Stations – Non-political; non-COVID – Towel Service – Locker Rooms Open? How to Manage?
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Things to Consider Prior to Opening
• Communications
– Staff
– Members
– Guests
– Potential Members
– Referrers
– Corporate Accounts
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Things to Consider Prior to Opening
• Program – Clinical versus Non-Clinical – Designated time/space – Capacity – How to determine? – Separation by Type? Time? – Child Care – Personal Training – Swim Lessons – Massage/Spa – Combination of Virtual and On-site – Aquatics and Wet areas – Food Service
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Progression and On-Going Operations
• On-going Screening
• Conspicuous Cleaning a New Normal
• Enhanced Physical Distancing by Functional Area
• Equipment Spacing
• Combination of Virtual and On-site Programming
• Limited Numbers at Gatherings
• Encourage Members to Wear Masks Prior to Exercise, when not exercising (locker rooms) and to/from Facility
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How Long?
• Expect these to be maintained until either definitive treatment or vaccine is readily available
• This is the new normal.