Advocate Aurora hospital system struggles with highest numbers of COVID-19 pandemic

Hospitals in the Advocate Aurora Health system are seeing the highest number of COVID-19 patients at any point during the pandemic, hospital officials said Monday.

With cases of the delta and omicron variants rapidly spreading through the population, hospital officials say severe COVID-19 cases in largely unvaccinated people are pushing hospitals throughout the Chicago region and Wisconsin to their limits, forcing some care for other patients to be delayed.

“These are very concerning numbers, not just numbers but people who are so ill that they require hospitalization,” Advocate Aurora chief nursing officer Mary Beth Kingston said.

As of Monday morning, Advocate Aurora had 1,491 patients with COVID-19. That includes 70 at Advocate Condell Medical Center in Libertyville, which ranked seventh out of 26 Advocate hospitals for most hospitalizations. Advocate Sherman Hospital in Elgin followed closely behind with 62 patient and then by Advocate Good Shepherd Hospital in Barrington with 61. Christ Medical Center in Oak Lawn leads the region with 269 patients.

These numbers have doubled in the last month and quadrupled in the last two months, Kingston said.

The fast rise in cases forced many hospital systems, including Advocate Aurora, to postpone many elective surgeries and procedures.

“We’re not delaying cancer diagnosis, cancer treatment or life-saving, limb-saving surgeries and procedures,” said Advocate’s chief medical group officer, Jeff Bahr. “At the same time, we are postponing or delaying – not canceling but rescheduling – certain procedures to times and places where there is appropriate staffing and spacing and capacity to perform those procedures safely.”

The hospital system also paused allowing visitors to hospitals for now, Bahr said.

On Monday, the Illinois Department of Public Health reported 6,294 people were hospitalized in Illinois with COVID-19, which is the most seen during the pandemic. In the region made up of McHenry and Lake counties, 284 people were hospitalized as of Monday with the virus, which is the most since Dec. 23, 2020. Intensive care unit availability in the region has also dropped to 15%.

Northwestern Medicine’s McHenry County hospitals began reaching capacity levels in December, filling up beds throughout the county’s hospitals and forcing hospitals to create alternative care spaces, Kim Armour, chief nurse executive at Northwestern Medicine Huntley Hospital, said last month. New data from Northwestern Medicine was not available Monday.

The McHenry County Department of Health reported Monday that hospitalizations in McHenry County has increased two of the last 10 days.

Despite some data showing omicron may be less severe than other variants, Kingston said the number of people getting COVID-19 overall is continuing to push hospitals to the brink.

Advocate Aurora has been able to rearrange its staff to provide care and additional employees at hospitals hit hardest by the rise in COVID-19 hospitalizations, Bahr said.

The hospital system was already dealing with a staffing shortage prior to the latest surge, Kingston said. Burnout is one reason for the staffing surge and Advocate is working to incentivize employees to work extra hours.

“Right now we’re focused very much on how do we staff during this short-term crisis, but we’ve got to keep our eye on that longer (term). How do we ensure that we have a healthy, engaged workforce for the future?” Kingston said.

To manage staffing issues, Advocate is offering extra compensation for employees who work more hours. It’s also reducing non-essential work, such as meetings, to allow employees more time to focus on patient care.

Advocate CEO Jim Skogsbergh said more than 1,000 employees at hospitals have volunteered to help with new roles to address some staffing issues.

Kingston said addressing staffing issues is “our top priority in addition to caring for patients.”

To help hospitals prioritize the sickest COVID-19 patients and others in the hospital who need care, Bahr says asymptomatic people should avoid going to the hospital for testing. Instead, they should coordinate a test with their doctor or do an at-home test.

“We want to promote testing, but we want to promote right care, right place, right time. Our health care facilities and venues of care are so overwhelmed with patients who are seeking care for symptomatic issues, both [COVID-19- and non-COVID-19-related],” he said.

However, Bahr said people who come to the hospital will get treatment and will not be turned away.

Advocate officials also said they are seeing flu cases begin to rise and expect they will begin treating more people for the flu.