• Updates from Graybill Medical Group
    • Expanded services
    • Enhanced safety precautions
    • Pre-check in for in-office appointments
    • Office updates
    • What to do if you are sick
    • Covid-19 testing

DEPARTMENT OF PUBLIC HEALTH NEWS
The California Department of Public Health issues daily press releases on the most recent statistics on COVID-19. The most recent press releases can be found at https://www.cdph.ca.gov/Programs/OPA/Pages/New-Release-2020.aspx.

SAN DIEGO COUNTY NEWS

San Diego County opens appointment-only COVID-19 testing sites in Chula Vista, Escondido. Patients are to call 2-1-1 Option 1 and speak to a triage nurse. Individuals must have symptoms of COVID-19 in order to be tested; a referral from a Primary Care Physician is not required.

Latest health order changes announced, including guidelines on face coverings, which types of businesses or attractions are open or closed, and more.
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RIVERSIDE COUNTY NEWS

Riverside County expands COVID-19 testing capacity in western Riverside County as part of California Community-Based Testing Program Online appointments now available for drive-up

Those living within 50 miles of Riverside, CA can now screen symptoms and risk factors online and if eligible, participate in testing at the Diamond Stadium, which has been designated as a Community-Based Testing Site (CBTS). CBTS are California state directed, and federally supported testing centers.

LATEST UPDATES FROM GRAYBILL (as of 7/13/2020)

During the COVID-19 pandemic, Graybill has deferred non-urgent health care services in compliance with County and State efforts to prevent the further spread of COVID-19.
Recently, both Gov. Gavin Newsom and the County of San Diego Department of Public Health have announced the resumption of non-emergent care. This includes primary care, specialist care, elective and non-urgent procedures at hospitals, and other areas. As prevention and early detection are key to avoiding many serious health issues, we are especially pleased to once again provide these services to you.
Expanded services
We want to reassure all of our patients that it is safe to receive your care at Graybill Medical Group facilities. If you have delayed seeking any of the following types of care due to coronavirus concerns, we encourage you to make an appointment with your Graybill Physician or Advanced Practitioner as soon as possible.
  • Well-child visits and vaccinations. To schedule an appointment please call our Pediatrics department at (760) 291-6790
  • Adult clinical preventive services. To schedule an appointment for any of the following services, call (866) 228-2236.
    • Annual preventive services may now be scheduled for all age groups.
    • If you are enrolled in Original (Fee-for-Service) Medicare, you can now schedule your free Annual Wellness Visit (AWV). The AWV can be conducted via telehealth, or your are welcome to make an appointment
  • Management of chronic conditions. If you have a chronic health condition, such as diabetes, heart disease or high blood pressure, it’s important that you see your Primary Care Provider on an ongoing basis in order to maintain good health. Call (866) 228-2236 to schedule an appointment.
  • General check-ups. If you are typically seen three or more times a year, we encourage you to make an appointment with your doctor to maintain their health status. Call (866) 228-2236 to schedule an appointment.
  • Outpatient services related to elective and non-urgent surgeries. If you need to schedule an appointment with a Graybill Specialist concerning services related to an elective or non-urgent procedure, please call the Specialist’s office directly.

Enhanced safety precautions

We have taken several measures to enhance your safety during your office visit. To protect everyone who enters our facilities, all patients, staff, physicians and advanced practitioners are screened at waiting room entries. In addition, to minimize risks to our patients and team members, we have established the following safeguards in our facilities:
  • Spacing chairs and limiting the number of people in waiting areas
  • Adding signage regarding social distancing
As a reminder, 1) we must take your temperature before you enter our waiting area; 2) you must wear a mask; 2) you must not bring anyone with you to your appointment (exception: pediatric patients or those who need assistance may bring one companion or attendant).
Pre-check in for in-office appointments
To minimize your time in our waiting rooms, some of our offices have implemented pre-check in. The goal of pre-check in is to expedite our normal check-in process as much as possible. On the day of your appointment, the office staff will attempt to call you in advance to verify basic information such as your name, physical and email addresses, and phone number(s). They will also collect any copayments or deductibles required by your health insurance. You may also be given additional instructions.
As the COVID-19 pandemic continues to evolve, our policies and procedures will be adjusted as needed. We are committed to caring for our patients in the safest, most compassionate manner possible, and we thank you for continuing to trust your health to Graybill Medical Group.
Office updates
Most Graybill Offices are now open. The current hours are shown below; please check www.graybill.org in case further changes are made.

Office Name/Location Current hours:
Urgent Care Monday through Friday 2 p.m. to 8 p.m. Saturday/Sunday 10 a.m. to 4 p.m.
Escondido (Second Avenue) Primary care: Monday through Friday 8 a.m. to 5 p.m.

Specialist care: Varies by department

Escondido (Grand Avenue, El Norte), Oceanside, Melrose, San Marcos Monday through Friday, 8 a.m. to 5 p.m.

 

Temecula, Murrieta Monday through Friday, 8 a.m. to 5 p.m.

 

Fallbrook Monday through Thursday 8 a.m. to 6 p.m., Friday 8 a.m. to 5 p.m.
Sabre Springs Monday/Tuesday/Thursday 8:30 an to 5 p.m. Wednesday/Friday CLOSED
Ramona, Valley Center Temporarily closed*

*Patients who normally go to Ramona or Valley Center may ask to see their Graybill physician at another location. Alternatively, they can request a telehealth appointment and have a virtual visit with their doctor.

What to do if you are sick
If you suspect that you have been infected with the coronavirus or have COVID-19, PLEASE CALL AHEAD. DO NOT come directly to a Graybill Office. Instead, call our Patient Customer Service Center at 866-228-2236 and tell them your symptoms. Our Representative will connect you to an Advanced Practitioner (Physician Assistant or Nurse Practitioner) who can evaluate your situation and advise you on the most appropriate arrangements for your care and on how to keep others safe as well.

COVID-19 Testing
At this time, Graybill is not conducting either diagnostic (genetic) or antibody (serological) COVID-19 testing.

Many commercial labs are advertising their ability to do antibody (also called serology) testing. Currently, the Food and Drug Administration states that it is not aware of an antibody test that has been validated for diagnosis of COVID-19 infection. The FDA states that, “while FDA remains open to submissions of these tests for such use, based on the underlying scientific principles of antibody tests, we do not expect that an antibody test can be shown to definitively diagnose or exclude COVID-19 infection.”

Due to this Graybill is not promoting any antibody testing for our patients at a commercial lab. In the future, this may potentially be used to help determine, together with other clinical data, whether these individuals may be less susceptible to infection.

 

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