COVID-19 Quick Reference Resources

Scroll down entire page for daily, comprehensive updated resources and videos available from

CDC/CMS/IHI, as well as independent PPE and Stress Relief resources

 

 

NHSN LTCF Users,

Please be aware that new testing questions will be deployed to the NHSN LTCF COVID-19 Module Resident Impact and Facility Capacity pathway over this upcoming weekend. Specifically, new questions will be added about the availability and use of point-of-care testing within your LTCF. The updated data collection form, form instructions, and CSV templates for facilities and groups are now posted to the NHSN LTCF COVID-19 Module webpage.

Furthermore, additional modifications were made to the Table of Instructions for the Resident Impact and Facility Capacity pathway to improve clarity, as well as address frequently asked questions. These modifications are not meant to change definitions or reporting criteria. Please see below for a preview of the additional modifications made to the Table of Instructions document.

Lastly, an e-mail was sent on Thursday to inform LTCF users of two upcoming Open Office Hour webinars in which recent updates and frequently asked questions will be discussed. Please plan to join us on Tuesday September 1 or Thursday September 3 from 1:00-2:00 ET. The registration link is available on the NHSN LTCF COVID-19 Module webpage. Space is limited, so please register early.

New Test Questions to be Added:

IN-HOUSE, POINT-OF-CARE COVID-19 TESTING
Does the LTCF have an in-house point-of-care test machine (capability to perform COVID-19 testing within your facility)? ?? YES       ?? NO
**Since the last date of data entry in the Module, how many COVID-19 point-of-care tests has the LTCF performed on residents?  _________________
**Since the last date of data entry in the Module, how many COVID-19 point-of-care tests has the LTCF performed on staff and/or facility personnel?  _________________
**Based on this week’s inventory, do you have enough supplies to test all staff and/or facility personnel for COVID-19 using the point-of-care test machine?   ?? YES       ?? NO

 

 

 

CONSIDERATIONS FOR INTERPRETING ANTIGEN TEST RESULTS IN NURSING HOMES

RURAL HEALTH INFORMATION HUB
Key and essential resources, tools, and training to prepare for and respond to COVID-19 in your community

 

The Federal Healthcare Resilience Working Group would like to make you aware of a newly released Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care from the National Academies of Sciences, Engineering, and Medicine’s Standing Committee on Emerging Infectious Diseases and 21st Century Health Threats (NASEM).

The rapid expert consultation is attached and can be found here. The press release can be found online here. We would love for you to share this important new resource with your networks and stakeholders, and our hope is that you will find it useful for your COVID-19 response effort.

Additionally, the NASEM will be holding three webinars on July 31, August 4, and August 5 to brief stakeholders on the consultation document and to provide an opportunity for Q&A. Further information on the webinars is below.

Overview of the Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic: A Webinar Series

A new rapid expert consultation from a standing committee of the National Academies of Sciences, Engineering, and Medicine outlines considerations for clinical staffing needs during the implementation of Crisis Standards of Care (CSC), including adjusting staff responsibilities, providing “hazard pay” to staff, ensuring adequate time off, offering child care and other benefits, and leveraging health care coalitions to ensure appropriate transfer of patients between hospitals. Over the course of the next week, The National Academies will host several webinar offerings to brief stakeholders on the consultation document and provide an opportunity for Q/A.

Dates and Times (all shown in Eastern)

Jul 31, 2020 03:30 PM
Aug 4, 2020 03:30 PM
Aug 5, 2020 04:00 PM

Details and registration link: https://www.nationalacademies.org/event/07-31-2020/standing-committee-on-emerging-infectious-diseases-and-21st-century-health-threats-overview-of-the-rapid-expert-consultation-on-staffing-considerations-for-crisis-standards-of-care-for-the-covid-19-pandemic-webinar-1

 

How to Properly Wash Your Hands

 

COVID-19 Rapid Response for Nursing Homes

Free Call Series Every Weekday, 12:00 noon ET
Began May 4, 2020
Register once to gain access to the entire call series.

Register Now ​​​​
Please note:

  • Register at least one hour before the start of the next scheduled call to ensure you receive connection information.
  • Please log in to ihi.org before registering on our new system. If you have technical difficulties, use Google Chrome for the best experience or try clearing your browser cache to access registration

Precautions to Take When Admitting Visitors During the COVID-19 Pandemic

Changes to Nursing Programs’ Clinical Requirements in Response to COVID-19

Supporting Staff in Long-Term Care as They Grieve the Deaths of Their Residents from COVID-19

Pioneer Network Contributes To New Recommendations for Family Presence
During a Pandemic

Guidelines on Preserving Family Presence During Challenging Times 5.28.20

 

These are the questions surveyors are asking when they go to a facility for an Infection survey.

These come directly from the CMS directive for surveyors. The surveyor did not deviate from these questions. Please make sure you share with your staff and that they know the answers.

1.  When do you perform hand hygiene?
2.  If ABHR is not available, who do you contact?
3.  Are residents helped with hand hygiene before meals and after toileting?
4.  When do you use PPE?
5.  Is PPE adequately available and provided?
6.  Any current transmission-based precautions?
7.  Describe standard, contact and droplet precautions.
8.  If res b/c COVID +, what is procedure?
9.  Any COVID at this time?
10.  What is procedure for monitoring for COVID?
11.  Who watches where diseases occur in the facility?
12.  What is screening for entering the facility?
13.  Can visitors enter the facility?
14.  Have you been educated on COVID?
15.  If staff develop s/sx when at work, what is procedure?
16.  When can employee return to work?
17.  Does facility have p/p to ensure adequate staffing?

 

COVID-19 State and Local Policy Dashboard

Pandemic Risk Insurance Act to Be Introduced in House

U.S. Department of Labor Issues Alert to Keep Nursing Home and Long-Term Care Facility Workers Safe During Coronavirus Pandemic 

 

CDC’s NHSN provides healthcare facilities, such as long term care facilities (LTCF) with a customized system to track infections and prevention process measures in a systematic way.  LTCF COVID-19 Module

COVID-19 Module for LTCFs consists of four pathways

Tracking this information allows facilities to identify problems, improve care, and determine progress toward facility and national healthcare-associated infection goals.

The NHSN Long-term Care Facility Component is supporting the nation’s COVID-19 response by introducing a new COVID-19 Module for Long Term Care Facilities. Facilities eligible to report into the COVID-19 Module include nursing homes/skilled nursing, long-term care for the developmentally disabled, and assisted living facilities.

COVID-19 Module Overview for LTCFs – May 2020
YouTube Link [Video – 84 min]
Slideset pdf icon[PDF – 7 MB]

COVID-19 Module Enrollment Guidance for LTCFs – May 2020
Slideset pdf icon[PDF – 4 MB]

 

CDC has released a “Frontline Staff Toolkit for Outpatient Hemodialysis Facilities.” This new resource highlights the importance of infection prevention and control practices in outpatient dialysis facilities to slow the spread of Coronavirus Disease 2019 (COVID-19).  Staff who are having frequent patient interactions and providing direct care in outpatient hemodialysis facilities are encouraged to watch and learn more about everyday infection prevention practices, as well as some additional practices that are essential during COVID-19. These brief educational videos can be viewed as a set or in segments as time allows:

Tips for Outpatient Hemodialysis Facilities during COVID-19:

Video #1 – Infection Prevention Basics: Hand Hygiene & Environmental Disinfection
Video #2 – Personal Protective Equipment (PPE)
Video #3 – Screening & Patient Placement

This toolkit is intended to be used along with other COVID-19 dialysis specific resources and ongoing activities within your clinic. A list of CDC key documents and practical tools is below for your reference.

  1. Interim Additional Guidance for Infection Prevention and Control for Patients with Suspected or Confirmed COVID-19 in Outpatient Dialysis
  2. COVID-19 Outpatient Dialysis Facility Preparedness Assessment Tool
  3. Factsheet for Patients – Keeping Patients on Dialysis Safe
  4. Factsheet for Facilities – How our facility is keeping patients safe from COVID-19
  5. Presentation for Facilities- Preparing Outpatient Hemodialysis Facilities for COVID-19
  6. COVID-19 Outpatient Dialysis Cleaning and Disinfection Webpage
  7. Considerations for Patients on Home Dialysis Webpage
  8. Screening Dialysis Patients for COVID-19 Webpage
  9. Dialysis in Acute Care Webpage

Thank you for your work and the lifesaving care you provide to patients on dialysis. Please feel free to share these resources widely within the dialysis community.

 

COVID-19: Using the CR Modifier and DR Condition Code

CMS revised MLN Matters Special Edition Article SE20011 on Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) to clarify when you must use modifier CR (catastrophe/disaster related) and/or condition code DR (disaster related) when submitting claims to Medicare. The update includes a chart of blanket waivers and flexibilities that require the modifier or condition code.

Toolkit on State Actions to Mitigate COVID-19 Previmage of Coronavirus Disease 2019 (COVID-19)alence in Nursing Homes

CMS letter to Clinicians participating in MIPS (PDF) (4/28/20)CMS Provider Toolkit with call schedules/dial-in, and important announcements, updated weekly. This link does not change. 

Mental Health Resources:  Supporting Healthcare Workers and First Responders During COVID-19

Medicaid Chip Telehealth Toolkit

COVID-19 Offers for Nurses, Doctors and First Responders

Medical professionals working on the front lines should not have to worry about housing, transportation and other essentials. This site will give nurses, doctors and other frontline workers one place to view the freebies, deals and offers available to them.

Please help by helping us keep this page up to date. You can submit deals and offers here. If you have any questions, email us at hello@healthjob.org

IHI’s COVID-19 Rapid Response Network for Nursing Homes  This group is funded by The John A. Hartford Foundation and includes top experts from around the country. They have daily 20 minute huddles at noon ET that are open to all nursing homes and stakeholders.

The Difference Between Alternative Masks and Surgical Masks for COVID-19

Trump Administration Launches New Toolkit to Help States Navigate COVID-19 Health Workforce Challenges

Briggs Healthcare Complimentary COVID-19 Resources available for download

COVID Testing Vendor Resources

CDC LTCF COVID-19 Module

CDC Additional Resources and Webinars

CMS Top Resources

 

When President Trump declared a national emergency on March 13, 2020, CMS took action nationwide to aggressively respond to COVID-19. See all that we’ve accomplished (PDF) since then in the fight against COVID-19.

Secretary Azar used his authority in the Public Health Service Act to declare a public health emergency (PHE) in the entire United States on January 31, 2020 giving us the flexibility to support our beneficiaries, effective January 27, 2020

General information & updates:

  • Coronavirus.gov is the source for the latest information about COVID-19 prevention, symptoms, and answers to common questions.
  • USA.gov has the latest information about what the U.S. Government is doing in response to COVID-19.
  • CDC.gov/coronavirus has the latest public health and safety information from CDC and for the overarching medical and health provider community on COVID-19.

Read our Coronavirus disease 2019 press releases

Telehealth guidance:

Clinical & technical guidance:

For all clinicians

For all health care providers

For health care facilities

For labs

For Programs of All-Inclusive Care for the Elderly (PACE) Organizations

Billing & coding guidance:

Survey & certification guidance:

Coverage guidance:

Provider enrollment guidance:

Medicaid & CHIP guidance:

Marketplace plan guidance:

Medicare Advantage plan guidance:

Open Payments guidance:

Partner & stakeholder resources:

 

HealthcareSource COVID-19 Resource Hub (45 videos available)

 

Pathway Health Resources

Leadership Strategies for Preparation and Response
Interim Policy for Suspected or Confirmed Coronavirus
Optimizing PPE Eye Protection Face Shield
Optimizing PPE Face Mask
N95 Interim Covid-19 Policy
Interim Guidancee Death of Resident and DC to Funeral Home
Nasopharyngealoropharyngeal Swab Collection
Leadership T.H.I.N.K. Ahead Strategy Guide
DON and Doffing of PPE for Covid-19
Pandemic Competency Tool – Basic Nursing Skills – Non-Certified Caregiver
Interim Policy for Daily Wellness Checks al General

 

Telehealth and Online Mental Health Resources During COVID-19 Pandemic

 

Stress Relief

Isha Foundation is grateful to all the healthcare providers who have been making remarkable
sacrifices to keep us safe during this challenging time. In gratitude and appreciation, Sadhguru is
offering for free, to all frontline healthcare providers, Inner Engineering Online – a powerful
program to improve physical health, enhance mental stability, and promote well-being. This
program consists of 7 modules, approximately 90-minute each. This offer is available until May 31, 2020.

Benefits:
– Reduced stress (per a study by Harvard Medical School)
– Enhanced mental clarity, emotional balance & productivity
– Relief from chronic ailments

To learn more and access the Inner Engineering Program for free, visit
www.innerengineering.com/thankyou.
If you have limited time, Isha Foundation also offers simple yet powerful 5 to15-minute
practices which you can learn here –
https://www.innerengineering.com/free-yoga-and-meditation

Sadhguru, a yogi, visionary, and founder of the Isha Foundation has dedicated his life to
enhancing the wellbeing of all. He is a New York Times bestselling author and invited speaker at
Harvard, Stanford, Yale, Wharton, Rice, Emory, MIT, Dartmouth, Oxford, Google, Microsoft,
General Electric, and many others.

Isha Foundation is an International, non-religious, not-for-profit public service organization that
addresses all aspects of human wellbeing. Isha’s activities are supported by over 9 million
volunteers in 300 city centers worldwide, of which over 51 are located in North America. From
its powerful yoga programs to its inspiring projects for society and the environment, Isha’s
activities are designed to create an inclusive culture that is the basis for global harmony and
progress. Isha has gained worldwide recognition and is reflected in the Isha Foundation’s special
consultative status with the Economic and Social Council (ECOSOC) of the United Nations.

To support the information needs of nurses caring for COVID-19 patients in the acute, post-acute, and community settings, the Hospice and Palliative Nurses Association (HPNA) has developed a series of Primary Palliative Nursing COVID-19 Patient Care Guides.

These guides are written by national nursing experts in the hospice and palliative nursing field and highlight key information about:

  • Anxiety
  • Communication
  • Pain
  • Delirum
  • Dyspnea
  • Nausea
  • Terminal secretions
  • Nursing care and support at end-of-life

Access the Primary Palliative Nursing COVID-19 Patient Care Guides here:

https://advancingexpertcare.org/HPNAweb/Education/COVID19_PrimaryPalliativeNursing.aspx

For additional resources related to COVID-19, please visit the HPNA COVID-19 Resource Page here:

https://advancingexpertcare.org/covid-19-resources

 

PPE Resources

Treating Patients in Place During Emergency Situations – Hospi’s Macy Catheter Can Help

 

Mobile Self-Contained Isolation Intensive Care Units – iSOSuitesTM 4-18-2020

 

AXIAL3D SWAB and Face Shields for COVID19

 

Below is Medical Material PPE – N95 and 3 ply surgical masks, gowns, gloves, face shields, ventilators, COVID-19 test kits, etc ready for immediate delivery from our fully licensed medical device and pharmaceutical whole distributor.

Medical Material – PPE

Interested parties should send your formal RFQ clearly detailing the item(s) requested and quantity. We will respond quickly for your review. I may be reached on my cell at 248-939-2646.

John T. Crane
RCR Development LLC / International Trade & Finance
248-430-4398 MI Headquarters
jtcrane@rcrintl-finance.com
347-688-4398 NY Office
EFax: 248-480-7130
Skype: jt.crane
Website: http://rcrintl-finance.com
ReferralKey: referralkey.com/rcrB2Bfinance

Proud Member of the Michigan Economic Development Corporation

We have found a source for PPE
You all know Think Healthcare Resources as an Executive Search Firm and we have probably spoken in the past. As you know during this crisis many business’s have been shut down or it has severely impacted them. We are no exception. We have been recruiting in the Nursing Home Industry for almost 20 years and our space has been hit very hard as you know.

What we kept hearing was that our clients could not find PPE. So I started to connect with our vast network of resources and we have been able find companies that are importing the badly needed gear.

We are offering access to this gear to our Long Term Care clients first. 

We have personally inspected the products so they are here in the US and we have access to them. They do not last long once they are here in the US. We can help source; Masks, Gowns, Hand Sanitizer and some other items as they become available. Masks are both high quality 3 ply and we have others that are FDA approved.

We can help your organization with masks immediately. Please contact me at info@thinkhcr.com and I will give you call to discuss your needs.

We are getting orders in constantly so if we do not have them available now, they will be in very soon.

You can call me directly at 323-776-3338.

 

 

I work for a card manufacturing company (library cards, loyalty cards, etc). We are rapidly converting to produce simple plastic face shields to help with the current PPE crisis. We can sell them for $1.04 each ($.75 without the foam pad). These are disposable. If you are interested, I’d be happy to send you some samples.

To answer some questions I’m getting:

We’re looking to sell them in boxes of 50 with a bag of adhesive-backed foam pads in side. Box will cost $52. Roughly $15 dollars to ship depending on location. If you have a large order we can arrange to ship on a pallet and reduce shipping costs. Also, with larger orders (over 5,000) our cost, and your price, would go down.

Shields are made of 10 mil PET film. The same thing we make our library cards and loyalty cards out of.

Disclaimer:

These face shields have not been FDA cleared or approved.

These face shields have been authorized by FDA under an EUA for use by healthcare providers as PPE.

These face shields are only authorized for the duration of the declaration that circumstances justifying the authorization of emergency use is terminated.

Michael Blake
Manufacturing Systems Manager

mblake@lucascolorcard.com

Office:  405-524-1811 x202
Fax: 405-524-3323

4900 North Santa Fe
Oklahoma City, OK 73118

 

Polymer Technologies Inc., a leading manufacturer of material solutions for energy management, is switching focus to address the demand for personal protective equipment (PPE) resulting from the COVID-19 outbreak.

At the request of a local hospital, Polymer Technologies has created a face shield that can be worn over a mask. The face shield is composed of .007 to .01” of PET (Polyester Film), an elastic band, and a foam cushion for the forehead.

When asked to provide a medical face shield solution, Polymer quickly created a prototype and began manufacturing the final product within a week.

“We are honored to help keep healthcare workers safe so that they can continue to provide life-saving care,” says Jeremy Dayton, Executive VP. “As this situation evolves, we can adapt to develop and manufacture new solutions that are needed to get us through COVID-19.”

Classified as an essential critical infrastructure company, Polymer Technologies has a business continuity plan for remaining operational throughout the COVID-19 pandemic. The company’s noise, vibration, and temperature control materials are used in medical equipment including ventilators, oxygen concentrators, and CPAPs.

“If you are currently ramping up production in response to the pandemic, we’re here to provide supply chain support,” says Jeremy. “Polymer is fully equipped to meet any surges in demand you experience.”

To learn more about the medical face shield, visit https://www.polytechinc.com/products/face-shields or call 1-800-850-9001.

ABOUT POLYMER TECHNOLOGIES
Robert Prybutok founded Polymer Technologies in 1989. In the years since its inception, Polymer Technologies has grown to become a leading manufacturer and supplier of noise control and energy management composites within the United States. Products are sold to a wide range of industries including aerospace, military, medical, power generation, and transportation. Polymer Technologies employs over 110 full-time employees at its 87,000 square foot headquarters and manufacturing facility in Newark, DE.

The mission of Polymer Technologies is to develop close relationships with customers while serving as an invaluable manufacturing resource. The Polymer team includes experts with years of applied industry experience who work diligently to help customers find new ways to employ material technology. The result: more efficient solutions that improve performance and bottom-line margins.

For more information, visit www.polytechinc.com or call (800) 850-9001.

 

In light of your critical need for PPE, I thought you would like to know about a company I’m advising, Physicians Wellness Group (PWG).  If you are interested in what I’ve presented below, I can connect you with one of my knowledgeable colleagues at PWG.

PWG has been in the healthcare and wellness industry for 5 years.  For most of that time, its focus has been on providing nutritional supplements.  Six months ago, the company began building a PPE distribution business based in Dallas, and it has established a reputable supply chain capable of producing large volumes of top quality PPE.  In order to ensure that quality standards are met and that products are constructed consistent with the certifications they bear, PWG has a full team of QC inspectors overseeing its international supply chain.

PWG offers a wide range of PPE to assist in your battle against SARS-CoV-2.  All of these items are of the highest quality and have the requisite certifications.  Long term, most of these products will be distributed from PWG’s warehouse in Dallas.  But in order to reduce lead times and shipping expense in the near term, many products are now shipping directly to the end user from their factories in Asia and Europe.

This is a list of PWG’s most in-demand items:

  • N95 and KN95 Masks
  • Protective Face Shields
  • Disposable Surgical Masks
  • Sterile and Non-Sterile Surgical Gowns, Level 2 and 3
  • Hand Sanitizer
  • Infrared Thermometers
  • Ventilators

Currently, there are very large quantities available, except for ventilators, which are limited.  If interested, please reply to this email with the products and quantities for which you would like details and pricing.  Or let me know a good time for you to have a phone conversation with PWG.  Thanks.  Stay safe!

Joe Weber
joeweber@alum.mit.edu
786-857-6844

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