Another Michigan hospital system is changing its visitor policies as the number of coronavirus cases skyrocket.

Spectrum Health says effective today, adult patients will not be allowed to have family members or visitors with them unless they have cognitive impairment or need significant assistance with day-to-day activities.

Staff at the hospitals will work with those patients to develop virtual visits. Exceptions include labor and delivery patients who will be allowed one visitor, ICU patients can have one visitor between 6 a.m. and 9 p.m., surgical patients can have one visitor in the waiting room and pediatric patients are allowed two adult family members.