Reopening Chicago


Phase IV Gradually Resume

Industry Guidelines for Reopening

 

View Guidelines

 

Where we are 

Throughout the COVID-19 crisis, we have been committed to basing our decisions on the science and data related to this disease and communicating our actions to the public in an open and transparent way. This chart shows how we plan to return to work and life as well as protecting our health during each phase.

 

How we determine the current phase

The details for each phase are being informed by economic and health data, and a combination of input from industry working groups, health experts and the public. The specific health criteria for transition between the latter phases will be established and released over the coming weeks to ensure the City is open and responsive to new data and information as it arises. 

PHASE I
STRICT STAY-AT-HOME

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Goal is to limit interactions to rapidly slow the spread of COVID-19

Limit the amount of contact with others

WORK
Essential workers go to work; everyone else works from home
LIFE
Stay at home and limit going out to essential activities only

HEALTH
Physically distance from anyone you do not live with, especially vulnerable friends and family

PHASE II
STAY-AT-HOME

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Goal is to continue flattening the curve while safely being outside

(Guard against unsafe interactions with others)

WORK
Essential workers go to work; everyone else works from home

LIFE
Stay at home as much as possible

HEALTH
Wear a face covering while outside your home

Physically distance from anyone you do not live with, especially vulnerable friends and family

PHASE III
CAUTIOUSLY REOPEN

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Goal is to thoughtfully begin to reopen Chicago safely

Strict physical distancing with some businesses reopening

WORK
Non-essential workers begin to return to work in a phased way

Select businesses, non-profits, city entities open with demonstrated, appropriate protections for workers and customers

LIFE
When meeting others, physically distance and wear a face covering

Non-business, social gatherings limited to ≤10 persons

Phased, limited public amenities begin to open​

HEALTH
Stay at home if you feel ill or have come into contact with someone with COVID-19

Continue to physically distance from vulnerable populations

Get tested if you have symptoms

PHASE IV
GRADUALLY RESUME

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Goal is to further reopen Chicago while ensuring the safety of residents

Continued staggered reopening into a new normal

WORK
Additional business and capacity restrictions are lifted with appropriate safeguards

LIFE
Additional public amenities open

Continue to wear a face covering and physically distance

HEALTH
Continue to distance and allow vulnerable residents to shelter

Get tested if you have symptoms or think you have had COVID-19

PHASE V
PROTECT

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Goal is to continue to maintain safety until COVID-19 is contained

Continue to protect vulnerable populations

WORK
All businesses open

Non-vulnerable individuals can resume working

LIFE
Most activities resume with health safety in place

Some events can resume

HEALTH
Sign up for a vaccine on the COVID Coach web portal

Phase IV: Gradually Resume

Goal: Declining rate of new citywide cases over 28 days and/or less than 200 new cases per day over 14 days

GO: Cautious Progress

Indicator

Goal

Current State

Sub-Phase

COVID-19 Case Incidence

 

 

 

Citywide

Stable or Declining

Stable or Declining >28 days

Daily New Cases:169

GO: Advanced Progress

Black

Stable or Declining

Stable or Declining >28 days

GO: Advanced Progress

Latinx

Stable or Declining

Stable or Declining >28 days

GO: Advanced Progress

White

Stable or Declining

Declining 6/12-6/17

Increasing 6/17–6/26

CAUTION: Monitor

Asian

Stable or Declining

Declining > 28 days

GO: Advanced Progress

Phase IV: Gradually Resume

Goal: Stable or declining rates of cases resulting in hospital admissions and deaths (over 28 days)

GO: Advanced Progress

 

Indicator

Goal

Current State

Sub-phase

COVID-19 Hospital Admissions

 

 

 

Citywide

Stable or Declining

Stable or Declining >28 days

GO: Advanced Progress

Black

Stable or Declining

Stable or Declining >28 days

GO: Advanced Progress

Latinx

Stable or Declining

Stable or Declining >28 days

GO: Advanced Progress

White

Stable or Declining

Stable or Declining 28 days

GO: Advanced Progress

Asian

Stable or Declining

Near-zero incidence for 28 days

GO: Advanced Progress

       

COVID-19 Deaths

Stable or Declining

Stable or Declining >28  days

GO: Advanced Progress

Phase IV:Gradually Resume

Goal: Stable or declining emergency department visits for influenza-like illness and/or COVID-like illness over 21 days

GO: Cautious Progress

 

Indicator

Goal

Current State

Sub-Phase

Influenza-like Illness ED Visits

Declining

Stable or Declining  (6/9 – 6/26)

GO: Continued Progress

COVID-like Illness ED Visits

Declining

Stable or Declining >28 days

GO: Advanced Progress

Phase IV: Gradually Resume

Goal: Maintain less than 5.0% positivity

GO: Cautious Progress

 

Indicator

Goal

Current State

Sub-phase

Percent Positivity

<5.0%

4.6%

GO: Cautious Progress

Phase IV: Gradually Resume

Goal: Ensure adequate citywide hospital capacity to maintain normal operations and handle an increase in COVID admissions

GO: Cautious Progress

 

Indicator

Goal

Current State

Sub-phase

Non-ICU Hospital Bed Occupancy

<1000 beds occupied

397

GO: Cautious Progress

ICU Bed Occupancy

<400 beds occupied

136

GO: Cautious Progress

Ventilator Utilization

<300 being utilized

83

GO: Cautious Progress

Phase IV: Gradually Resume

Goal: Maintain testing >4,500 diagnostic tests conducted per day

GO: Cautious Progress

 

Indicator

Goal

Current State

Sub-phase

COVID Testing Capacity

>=4500 tests per day

5452 tests per day

GO: Cautious Progress

Phase IV: Gradually Resume

Goal: Initiate 90% of case investigations within 24 hours of assignment

GO: Advanced Progress

CDPH is in the process of reassigning and training staff members and partnering with local organizations to expand contact tracing and case investigation capabilities across the city.

 

CDPH COVID-19 Moving from Phase III to Phase IV starting June 3 2020

  Stop: May need to delay moving ahead Caution: Pause and monitor Go: Cautious progress Go: Continued progress Go: Advanced progress

Cases
7-day rolling daily average

Sustained increase >14 days

Increase 0-14 days

Stable or decrease   0-13 days

Stable or decrease 14-28 days

Stable or decrease >28 days

and/or sustained  <200 new cases per day

(1 case per 10,000 persons)

Hospitalizations
7-day rolling daily average

Deaths
7-day rolling daily average

COVID Emergency department visits
7-day rolling daily average

Positivity rate
7-day rolling daily average

>15% citywide

13-15%

10-13%

7-10%

<7%

Hospital system capacity
7-day rolling daily average

>1280 non-ICU beds

>480 ICU beds

>360 ventilators

>1000 non-ICU beds

>400 ICU beds

>300 ventilators

<1000 non-ICU beds occupied by COVID patients

<400 ICU beds occupied by COVID patients

<300 ventilators occupied by COVID patients

Testing capacity
7-day rolling daily average

Unexplained decline in testing <4500 tests/day

Explained decline in testing <4500 tests/day

Stable testing >5% of residents per month (>4500 tests/day);

or increase to >6500 diagnostic tests/day

Response capacity

N/A

N/A

Initiate case investigation within 24h of assignment for

    50% of cases           75% of cases        90% of cases


How we move between phases

Chicago is monitoring the answers to these four questions in order to decide when and how to reopen.

01 - Is the rate of disease spread across the city and surrounding counties decreasing?

three people standing with masks on

  • Tracking cases, hospitalizations, ICU admissions, testing, and deaths across city and region
  • Monitoring cases over time by zip code, age, sex, race, and ethnicity (and direct resources where they are most needed)

02 - Does the city have the testing and contact-tracing capacity to track the disease and limit spread?

a lab worker at her desk

  • Scaled-up testing across the city
  • Tracking percent of positive tests

03 - Are there enough support systems in place for vulnerable residents?

a senior walking outside a store

  • Shelters and housing for vulnerable populations
  • Increased testing at nursing homes
  • Food delivery and specific store times for senior citizens
  • Food security for CPS students and meals through Greater Chicago Food Depository

04 - Can the healthcare system handle a potential future surge (including beds, ventilators, PPE)?

 

three people setting up hospital beds

  • Adequate ventilator and PPE supply
  • Surge capacity for hospital and ICU beds
  • McCormick ready for overflow