photo by: Associated Press

The exterior of the Lansing Correctional Center is seen Thursday, Feb. 2, 2017, in Lansing, Kan.

TOPEKA — Three Kansas prison workers have contracted the coronavirus in the first cases reported in the state’s prison system amid an outbreak that has one cash-strapped health system slashing pay.

The Department of Corrections announced Tuesday night in a news release that the three employees at the Lansing Correctional Facility are recovering at home. Residents who had close contact with the workers have been moved to medical isolation where they will be monitored for symptoms.

“With a virus that moves and changes as quickly as the coronavirus we anticipated that this day may come,” said Jeff Zmuda, secretary of the corrections department.

Meanwhile, health care providers in Kansas are facing financial strains as the outbreak leads to an increase in the cost for supplies and a sharp drop in the number of patients seeking routine and non-emergency care.

Topeka-based Stormont Vail Health CEO Robert Kenagy said in a statement Tuesday that cuts in wages are necessary so all staff can continue getting paid. Staff working face-to-face with patients in acute care and emergency settings are exempt from pay cuts. Others will see reductions ranging from 10% to 50%.

“Our goal is to preserve our team,” said Kenagy, who is taking a 35% pay cut. “When sacrifice is required, we have vowed to share it equitably.”

All kinds of providers — from hospitals to community health centers — are feeling the strain. The number of confirmed cases grew Tuesday to 428, up from 369 a day earlier. Johnson County, the state’s most populous county, reported a third death from the virus, pushing the state’s total to 10.

Providers make a lot of their money from routine and ordinary care, such as physicals, child checks and management of chronic conditions like diabetes.

“All of those to a certain extent are on hold right now,” said physician Chad Johanning, who is a partner at Lawrence Family Practice Center and the president-elect of the Kansas Academy of Family Physicians. Even with telehealth visits, he has seen a 50% drop.

Advocates for physicians and providers are asking Gov. Laura Kelly to provide some form of assistance to the state’s health care industry. While the $2 trillion federal relief package signed into law last week will make a total of about $117 billion available nationwide to rural and urban health systems, health officials say more help is needed.

Ideas range from a bridge loan program for practices to advancing scheduled grant payments for community health centers.

“They’re not talking about a month from now. Many of these practices are looking a week to 10 days out and know they can’t meet payroll based on current circumstances,” said Rachelle Colombo, director of the Kansas Medical Society, a physician advocacy group.