Citywide Reopening Plan

COVID-19

RE-OPENING PLAN

Introduction

The COVID-19 pandemic is a challenge unlike anything seen in Greeneville.  The response to the virus by local, state and federal officials to counter the spread of the virus has been unprecedented.  While not clear of the immediate threat, this plan phases in an approach to open the Greeneville town government and offers suggestions to open up the community at large following a phased data driven approach.

This plan is divided between Greeneville Town government functions and suggestions to begin opening up businesses, non-profits and other organizations in Greeneville.  The phasing herein provides a framework for opening up Greeneville Town government and the community at large.

COVID-19 Background

Reducing the spread of COVID-19 required significant action from local, state and federal levels mitigating the spread of the virus.  Governor Bill Lee used measures such as social distancing parameters, a stay at home order, and closure of non-essential businesses as a means to reduce the spread. As the number of new cases plateaued, leveled out, and dropped it indicated these measures are working. 

Johns Hopkins University Bloomberg School of Public Health released guidance through the Public Health Principals for a Phased Reopening During COVID-19: Guidance for Governors.  The guidance provides a phased-in approach meeting certain benchmarks in re-opening states.  The guidance sets broad base lines but recognizes each state (and community) will be different in their approach. Below is an outline using the same concept in re-opening Greeneville.  Furthermore, Greeneville shall follow the direction of the State of Tennessee, and the Governor’s orders on re-opening.  The recommendations below are simply that; all businesses and other organizations should follow the directives and orders of the State of Tennessee.

Benchmarks

A three-phase re-opening approach allows Town and other organizational functions to open back up, while monitoring virus mitigation within the community.  As mitigation occurs, Greeneville can advance through the phases to eventually fully re-open.  However, at any time during these phases, indicators may dictate a lengthening or even a regression to a previous stage to stop virus spread. Moving through the phases is dependent on three factors: COVID-19 bed capacity in the Ballad hospital system, percentage of active cases in Greene County, and consecutive days of zero new positive COVID-19 cases. 

  • Bed capacity – The Ballad Regional Health system is the main caregiver for Greeneville citizens with the COVID-19 virus. Maintaining sufficient capacity to treat an outbreak of positive cases will be critical as Greeneville advances through the three-phase process.  Prior to advancing to the next stage, Greeneville officials will contact Ballad leadership to determine the capacity to advance to the next stage of re-opening.
  • Percentage of active cases – The percentage of active cases is the total number of positive cases minus deaths and minus recovered cases. The active cases represent the citizens capable of spreading the virus.  One word of caution; research is still uncertain as to the point a carrier is no longer contagious.  The TN Department of Health uses 21 days from positive test as a recovered patient.  Ideally, Greene County should have less than .01% of the population with active cases.
  • Consecutive days of zero new cases – The federal guidelines suggest 14 consecutive days of reduced positive cases. Greene County’s numbers are simply too small to correlate for 14 consecutive days.  However, a benchmark showing success in reducing the infection rate is consecutive days with zero positive tests.  Ideally, Greene County would go 7 or more days without a positive COVID-19 test. 

Phasing

Phase I.  Measures have been taken to reduce the number of COVID-19 cases.  The situation warrants easing of restrictions.  In the current situation, Governor Lee noted May 1, 2020 as a date to re-open functions across Tennessee.  Beginning April 27, the Town of Greeneville will enter phase I

  • Community-wide testing continues
  • Bed capacity – Ballad Health officials determine sufficient capacity for Phase I
  • Consecutive days of zero new cases – zero new cases for three consecutive days
  • The number of active COVID-19 cases in Greene County is below .025%

 

Phase I Town Actions to include following all State recommendations

Town buildings remain locked but providing services, and available for planned in-person meetings

PPE and other equipment worn by employees for up-close interactions with the general public

Town staff will continue positional rotations, employees will continue to work from home as able

Meetings can happen in person attendees will maintain social distancing of at least 6 ft

Travel restrictions removed, but employees must still notify supervisor if traveling outside of the 1st Congressional district

Municipal parks open with the exception of playgrounds, basketball courts and swimming facilities

Roby Center closed but still serving meals

 

Phase I Recommended Business Actions to include following all State recommendations

Restaurants (if allowed by executive order) open with social distancing allowing only 50% of dining capacity at one time

Restricted businesses (if allowed by executive order) open under strict social distancing requirements (ie use of gloves, face masks, sanitation stations, appointment only, etc)

Nail salons, beauty parlors, barbershops, tattoo parlors, massage businesses, etc (if allowed by executive order) open to appointment customers only, and only with protective equipment

Fitness facilities (if allowed by executive order) open with enforced social distance requirements and sanitizing of equipment every two hours

Retail stores (if allowed by executive order) open with limited customer access – 5 customers per 1,000 square foot

Banks lobbies (if allowed by executive order) open to 5 people at a time; keeping social distancing requirements

Sanitization stations for all grocery carts

Religious services (if allowed by executive order)  and events with large crowds should not occur

 

Phase II.  Continued reduction of COVID-19 cases and the hospital system has a good capacity to treat new cases.  Conditions to move to Phase II include:

  • Community wide testing continues
  • Bed capacity – Ballad Health officials recommend sufficient capacity for Phase II
  • Percentage of active cases – active cases in Greene County are between .02% - .01% of Greene County residents
  • Consecutive days of zero new cases – five consecutive days of zero new cases

 

Phase II Town Actions to include following all State recommendations

Town buildings open with social distance practices in place

Full staffing of Town departments; ceasing work at home for employees

PPE and other equipment worn by employees for up-close interactions with the general public

Meetings can happen in person and attendees will maintain social distancing of at least 6 ft

Travel restrictions removed

Municipal parks open; public events and recreational activities limited to only those that can happen under social distancing guidelines

Roby Center open with social distancing requirements in place

 

Phase II Recommended Business Actions to include following all State recommendations

Restaurants open (if allowed by executive order) with social distancing in place

Restricted businesses (if allowed by executive order) open under strict social distancing requirements (ie use of gloves, face masks, sanitation stations, etc)

Nail salons, beauty parlors, barbershops, tattoo parlors, massage businesses, etc (if allowed by executive order) open with protective equipment

Fitness facilities (if allowed by executive order) open with enforced social distance requirements and sanitizing of equipment every two hours

Banks lobbies (if allowed by executive order) open for up to 10 customers: keeping social distancing requirements

Retail stores (if allowed by executive order) open with up to 10 customers per 1,000 square foot

Sanitization stations for grocery carts

Religious services (if allowed by executive order) under 100 people with social distancing can occur

Allow gatherings of up to 100 people (if allowed by executive order); practicing social distancing

 

Conditions requiring move back to Phase I

  • Bed capacity – Ballad Health determines officials insufficient bed capacity
  • Percentage of active cases – active cases in Greene County increases to above .02% of Greene County residents
  • Consecutive days of zero new cases – three consecutive days of new cases

 

Phase III.  Reduced cases of COVID-19 cases and the hospital system has a large capacity to treat new cases.  Conditions to move to Phase III include:

  • Community wide testing continues
  • Bed capacity – Ballad Health officials recommend sufficient capacity for Phase III
  • Percentage of active cases – active cases in Greene County less than .01% of Greene County residents
  • Consecutive days of zero new cases – seven consecutive days of zero new cases

Phase III Town Actions to include following all State recommendations

Town buildings open with social distance practices in place

Full staffing of Town departments; ceasing work at home for employees

Meetings can happen in person and attendees will maintain social distancing of at least 6 ft

Travel restrictions removed

Municipal parks open

Park and Rec programming, special events can take place; enforcing social distancing requirements as necessary

Roby Center open with social distancing requirement in place

Track PPE levels for first responder to ensure supplies available for moving back to a previous phase

 

Phase III Recommended Business Actions to include following all State recommendations

Restaurants (if allowed by executive order) open with social distancing in place

Restricted businesses (if allowed by executive order) open under social distancing requirements

Nail salons, beauty parlors, barbershops, tattoo parlors, massage businesses, etc (if allowed by executive order) open with protective equipment

Fitness facilities (if allowed by executive order) open with enforced social distance requirements and routine sanitizing of equipment

Banks (if allowed by executive order) fully open; practicing social distancing requirements

Retail stores (if allowed by executive order) open with up to 20 customers per 1,000 square foot

Religious services (if allowed by executive order) can occur

Allow gatherings of up to 500 people

 

Conditions requiring move back to Phase II 

  • Bed capacity – Ballad Health officials determines insufficient bed capacity
  • Percentage of active cases – active cases in Greene County increases to above .01% of Greene County residents
  • Consecutive days of zero new cases – five consecutive days of new cases

Normal Operations

Eventually Greeneville will return to normal operations; most likely after a vaccine or treatment is found to eradicate rapid infection.  Following these phases assists Greeneville meeting the necessary conditions to avoid a re-occurrence of a COVID – 19 outbreak.  Conditions may warrant an immediate return to one of the phases noted above, depending on the outbreak severity.  Furthermore, Town staff, first responders, and emergency management leaders should always be updating plans and equipment for a future outbreak of COVID – 19 or a similar virus requiring a similar response.