Army Corps of Engineers Helping Arizona Double Hospital Capacity As Virus Surges

double capacity

Mary Azelton, left, resident engineer of the project from the U.S. Army Corps of Engineers, and Susie McCann, from the Arizona Department of Health, tour the currently closed St. Luke's Medical Center hospital to see the viability of reopening the facility for possible future use due to the coronavirus Wednesday, March 25, 2020, in Phoenix. (AP Photo/Ross D. Franklin)

By Associated Press

March 26, 2020

As coronavirus cases in Arizona continue to surge, the state is looking to open closed hospitals and convert recovery rooms and other areas to double capacity.

PHOENIX (AP) — Officials from Arizona’s health department and the U.S. Army Corps of Engineers spent hours Wednesday scouring a shuttered Phoenix hospital to see how quickly it could be running if an expected surge of coronavirus cases hits.

The state is looking to reopen two closed Phoenix hospitals and convert a specialty hospital. The review of the closed St. Luke’s Medical Center is part of an effort to nearly double hospital capacity from the current 16,900 to the nearly 30,000 officials say might be needed by May. 

The quickest way to boost capacity is if existing hospitals convert other areas to patient care, something they are already planning to do. Hospitals are planning to convert recovery rooms, unused surgical suites and other areas to boost capacity.

“Even if they can do that by 50%, that would be another 8,000 beds potentially and another 700 ICU beds,” Health Services Department Director Dr. Cara Christ said. The state currently has about 1,500 intensive care unit beds. 

Susie McCann, right, of the Arizona health department, assess a room in the emergency area with a member of the U.S. Army Corps of Engineers as they tour the currently closed St. Luke’s Medical Center hospital to see the viability of reopening the facility for possible future use due to the coronavirus Wednesday, March 25, 2020, in Phoenix. (AP Photo/Ross D. Franklin)

Christ said her projections for new beds range from 7,000 to 13,000. The agency is also scouring the state’s outpatient surgical centers for bed space and equipment like ventilators that the most critically ill patients may need, and looking to anesthesia and CPAP machines used for sleep apnea that can be converted into ventilators.

A state request to the federal government to provide 5,000 ventilators has been approved, but is unlikely to be fully met, at least quickly. New York, now the nation’s hotspot for COVID-19 cases caused by the new virus, asked for 30,000 but is getting just 4,000. 

Christ is also asking the Army Corps to look at large facilities that could be set up for patients no longer needing acute hospital care but still too ill to go home. Those might include the Coliseum at the state fairgrounds in Phoenix. 

“We expect our surge of illness and infections to really increase by the mid- to end of April, with hospitalizations peaking in May, per our modeling,” Christ said.

Patricia Vasquez, middle, from the U.S. Army Corps of Engineers, takes notes as she and fellow colleagues join staffers from the Arizona health department as they tour the currently closed St. Luke’s Medical Center hospital to see the viability of reopening the facility for possible future use due to the coronavirus Wednesday, March 25, 2020, in Phoenix. (AP Photo/Ross D. Franklin)

The dire predictions come as the number of cases statewide reached 508. Mohave County saw its first two cases and implemented state-mandated business restrictions and closings Wednesday.

Just three small counties — Gila, Greenlee and La Paz — are not yet subject to the restrictions. State health officials confirmed late Tuesday a sixth virus-related death — a Coconino County man in his 50s with an underlying health condition. 

Gov. Doug Ducey ordered closures of bars, theaters, indoor gyms and fitness clubs in affected counties last week. The order also prohibits dining at restaurants but allows them to provide pick-up, delivery and drive-thru service. Schools statewide are also closed.

Corrections officials said Wednesday they stopped sending inmate work crews into communities, though about 140 female inmates will be temporarily housed at a chicken egg production facility that has hired prison labor for more than 20 years. The inmates will be guarded by corrections officers. 

For most people, the new coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia and death. 

Michael T. McGuire, Adjutant General for Arizona and Director of the Arizona Department of Emergency and Military Affairs, Arizona Governor Doug Ducey, R, and Arizona Department of Health Services Director Dr. Cara Christ hold a press conference to update Arizona’s preparedness for COVID-19 coronavirus outbreak at the Arizona State Public Health Laboratory Wednesday, March 25, 2020 in Phoenix. (Rob Schumacher/The Arizona Republic via AP, Pool)

At St. Luke’s in Phoenix, about two dozen staff from the Army Corps, health department and hospital engineering went through the nine-story building, checking air conditioning, electrical, plumbing and oxygen systems. The 240-bed facility closed last year and looks eerily empty, with surgical suites at the ready, an entire floor packed with beds and whiteboards at nurses stations still covered with names and room numbers.

Army Corps liaison officer Robert Klein said the hospital appeared to be in pretty good shape. Christ said staffing would be provided by a local management company.

The state has been using federal funding to help hospitals plan for “surge capacity” for two decades, including $18 million in the last two years, Christ said. 

The Mayo Clinic in north Phoenix has been planning for the virus outbreak since shortly after it first appeared in China late last year and stopped elective surgeries to conserve resources like masks and gowns even before Ducey ordered them halted last week, CEO Dr. Dr. Richard Gray said Tuesday. The specialty hospital has about 300 beds but could nearly double capacity if needed and is retraining doctors and others who normally do elective surgeries to help with virus care.

Gray hopes the huge outbreaks in New York and other states help Arizona. He said the most important thing isn’t necessarily hospital capacity, but the public’s ability to slow the virus spread by using good hygiene and social distancing.

“Arizona is fortunate to be a little later in this process so that all of us can learn and plan on others’ experiences,” Gray said. “And the most important thing as to whether we’ll have enough staff, beds, ventilators, whatever the case may be, is how responsibly the public acts in being able to slow the spread of it.”


Associated Press photographer Ross D. Franklin and writers Terry Tang, Paul Davenport and Jonathan J. Cooper contributed. For all your latest coronavirus news, sign up for our Courier Daily Coronavirus Updates newsletter.


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