While you and your organization are dealing with the challenges of the COVID-19 pandemic, your Affirmant team is here to support you. On this page you will find information, resources and tools to help you address critical clinical, financial and operational issues specific to this crisis.

New Content

CDC Issues Guidance on Immunizations During Pandemic: FP Experts Provide Insights, Vaccination Tips (06/30/20) ▸
To help ensure that patients continue to receive needed vaccines while safeguarding clinicians and staff, the CDC has issued new interim guidance(www.cdc.gov) for immunization services during the pandemic.

Donning and Doffing N95 (06/30/20) ▸
The intent of this video is to show team members how to Don/Doff appropriately when caring for patients when and severe respiratory precautions such as those who have tested positive for or are suspected to have COVID-19. This video will show you how to Don or Doff your PPE if you are entering a patient’s room with a surgical mask or N95 mask.

Donning and Doffing PAPR (06/30/20) ▸
The intent of this video is to show team members how to Don/Doff appropriately when caring for patients when and severe respiratory precautions such as those who have tested positive for or are suspected to have COVID-19. This video will show you how to Don or Doff your PPE if you are entering a patient’s room with a PAPR.

Training for Healthcare Professionals (06/30/20) ▸
Comprehensive training information for healthcare professionals in clinical care and infection control, PPE, NPIs, Emergency Preparedness and Response and additional topics.

Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19) (06/30/20) ▸
This interim guidance is for clinicians caring for patients with confirmed infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19). CDC will update this interim guidance as more information becomes available.

Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic (06/30/20) ▸
As the pandemic continues, healthcare systems must balance the need to provide necessary services while minimizing risk to patients and healthcare personnel (HCP). Because the effects of COVID-19 vary among communities, healthcare systems will also need to consider the local level of COVID-19 transmission when making decisions about the provision of medical services. This document provides a framework for the delivery of non-COVID clinical care during the COVID-19 pandemic. Given the dynamic nature of the pandemic, considerations may change over time and vary by practice type and setting.

Infection Prevention and Control During Health Care When Coronavirus Disease (‎COVID-19)‎ is Suspected or Confirmed (06/29/20) ▸
This document provides interim guidance on infection prevention and control (IPC) strategies during health care when coronavirus disease (COVID-19) is suspected or confirmed. It is intended for health workers, including health-care managers and IPC teams at the facility level, but it is also relevant for the national and district/provincial levels. In this updated version, the scope and structure of the earlier guidance have been expanded with several new or revised sections, bringing together other interim recommendations as well as considerations and advice from international experts.

Multisystem Inflammatory Syndrome in U.S. Children and Adolescents (06/29/20) ▸
Understanding the epidemiology and clinical course of multisystem inflammatory syndrome in children (MIS-C) and its temporal association with coronavirus disease 2019 (Covid-19) is important, given the clinical and public health implications of the syndrome.

Strategies for Optimizing the Supply of Facemasks (06/28/20) ▸
These considerations are intended for use by federal, state, and local public health officials; leaders in occupational health services and infection prevention and control programs; and other leaders in healthcare settings who are responsible for developing and implementing policies and procedures for preventing pathogen transmission in healthcare settings.

Management of Visitors to Healthcare Facilities in the Context of COVID-19: Non-US Healthcare Settings (06/28/20) ▸
This document provides guidance to healthcare facilities on the management of visitors to reduce the risk of transmission of SARS-CoV-2, also known as COVID-19 virus, to visitors of patients with suspected or confirmed COVID-19. This document also considers preventing introduction of SARS-CoV2 into healthcare facilities by visitors during periods of community transmission; the risk of introduction into facilities increases as community transmission becomes more widespread. Facilities should establish policies and procedures for managing, screening, educating, and training all visitors.

Standardized Procedure for Broad-Based Testing for SARS-CoV-2 in Congregate Settings: Considerations for Health Departments and Healthcare Providers (06/27/20) ▸
This document is intended to help public health departments and healthcare providers prepare for broad-based viral testing in facilities after known or suspected SARS-CoV-2 exposure or when there is moderate to substantial transmission in the community, based on guidance for specific settings.

COVID 19 Testing – Guide for Physicians (06/26/20) ▸
The number and types of available tests vary widely based on geographic region and health care facility. If a patient is suspected of having COVID-19 and tests aren’t available, clinicians should work with local and state public health offices to determine where and how patients can access coronavirus tests in the community.

COVID-19 Practice Financial Assistance (06/26/20) ▸
There are several mechanisms in the CARES Act to assist in mitigating financial shortfalls due to COVID-19.

Rapid Hospital Readiness Checklist: Tool (06/26/20) ▸
The Rapid hospital readiness checklist for COVID-19 assesses hospital governance, structures, plans and protocols to help countries rapidly determine current capacities and gaps of hospitals to respond to the COVID-19 pandemic and to identify major areas that require investment and action and to develop hospital readiness improvement plans. The tool can be used periodically to monitor hospital emergency operational readiness capacity development.

Evidence Used to Update the List of Underlying Medical Conditions that Increase a Person’s Risk of Severe Illness from COVID-19 (06/25/20) ▸
Updates to the list of underlying medical conditions that put individuals at increased risk for severe illness from COVID-19 were based on published reports, articles in press, unreviewed pre-prints, and internal data available between December 1, 2019 and May 29, 2020.

CDC Updates, Expands List of People at Risk of Severe COVID-19 Illness (06/25/20) ▸
Based on a detailed review of available evidence to date, CDC has updated and expanded the list of who is at increased risk for getting severely ill from COVID-19.

CMS: Clinicians Can Apply for COVID-19 MIPS Exception (06/25/20) ▸
Clinicians participating in the Quality Payment Program Merit-based Incentive Payment System in 2020 whose practice was significantly impacted by the COVID-19 public health emergency may apply for an  exception  to reweight the MIPS performance categories, the Centers for Medicare & Medicaid Services announced yesterday.

Telehealth/Doxy.me

Our team looked into multiple platforms and considered feedback from healthcare providers with telehealth expertise. Doxy.me is our recommendation.

A 20% discount for the Professional service for up to one year is available to Affirmant providers by using the coupon code: Affirmant. Providers can try the Professional version for one month and request a full refund online if they are not satisfied.

Please note all support for this service is provided through Doxy.me only and providers should not call their Chapter or health system for information or assistance.

Doxy.me Video Archive ▸
Doxy.me has short video tutorials on everything from “Clinical Account Overview” to “Setting up Payments” to “How to Start a Call”

Doxy.me – Account Features Comparison ▸
Learn about features of the free, professional and clinic subscriptions

Resources to Market Your Practice ▸
Resources to help you market to your telemedicine practice to your patients

Telehealth – Toolkits, Guidelines and Insights Into Telehealth

CDC – Using Telehealth to Expand Access to Essential Health Services during the COVID-19 Pandemic (06/10/20) ▸
This guidance describes the landscape of telehealth services and provides considerations for healthcare systems, practices and providers using telehealth services to provide virtual care during and beyond the COVID-19 pandemic.

Telehealth Resources from American College of Physicians (06/05/20) ▸
The ACP supports the expanded role of telemedicine in the primary care setting and has put together the following resources breaking down a physician’s telehealth options, the applicable billing codes, and ACP policy guidance.

HHS Telehealth Resource Page (04/30/20) ▸
Resources for Providers, helping to navigate Telehealth.

Coding Factsheet for Telemedicine (04/13/20) ▸

Wireline Competition Bureau provides guidance on the COVID-19 Telehealth Program Application Process (04/08/20) ▸

Interested health care providers must complete several steps to apply for funding through the COVID-19 Telehealth Program. This Public Notice is aimed at assisting applicants.

CMS Nursing Home Telehealth Toolkit (03/27/20) ▸
The Centers for Medicare & Medicaid Services (CMS) has broadened access to Medicare telehealth services so that beneficiaries can receive a wider range of services from their doctors without having to travel to a healthcare facility.

General Provider Telehealth and Telemedicine Tool Kit (03/20/20) ▸
Electronic links to reliable sources of information regarding telehealth and telemedicine.

Resources for Independent Physicians

Financial

Resources about government extensions and funding sources

COVID-19 Practice Financial Assistance (06/26/20) ▸
There are several mechanisms in the CARES Act to assist in mitigating financial shortfalls due to COVID-19.

CMS Provides Eligibility Relief for Hospitals (06/25/20) ▸
The Centers for Medicare & Medicaid Services recently provided hospitals with new Medicare blanket waivers to address the COVID-19 public health emergency.

COVID-19 State and Private Payer Policies (06/17/20) ▸
Many payers, both public and private, have adjusted many rules related to payment, prior authorization, cost sharing, and enrollment. This  CMS Summary provides information about all the flexibilities during the COVID-19 public health emergency.

AAP – Provider Relief Fund: Information and Resources (06/11/20) ▸
On June 9, the Department of Health and Human Services (HHS) announced that pediatricians, pediatric medical subspecialists and pediatric surgeons will finally be able to access financial relief from the CARES Act Provider Relief Fund. Pediatricians, pediatric medical subspecialists, and pediatric surgeons can apply for a new Medicaid and CHIP targeted allocation of approximately $15 billion.

Coronavirus Relief Options (06/09/20) ▸
Multiple funding options from the Small Business Administration for those seeking relief.

HHS Updates FAQs Related to CARES Act Emergency Funds (06/08/20) ▸
The Department of Health and Human Services today released updated FAQs
related to payments from the Public Health and Social Services Emergency Fund.

MWF Michigan Entrepreneur Resilience Fund (06/07/20) ▸
New Grant/Micro-Loan program for businesses affected by COVID-19.

HRSA Launches New CARES Act Fund to Cover COVID-19 Testing and Treatment of the Uninsured (06/04/20) ▸
HRSA launched a new CARES mandated fund to reimburse health care providers for COVID-19 related testing and treatment of the uninsured. The HRSA application portal will begin accepting patient information and claims for payment starting May 6.

 New CMS Payment Model Flexibilities For COVID-19 (06/03/20) ▸
The table describes adjustments that have been made or that CMS will be making to certain Centers for Medicare & Medicaid Services (CMS) Innovation Center Models to address the COVID-19 public health emergency.

Accelerated and Advanced Payment Fact Sheet (04/26/20) ▸
In order to increase cash flow to providers of services and suppliers impacted by the COVID-19 pandemic, CMS has expanded its Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers.

Executive Order 2020-17 (04/18/20) ▸
Temporary extension of the deadline to redeem property for nonpayment of delinquent property taxes.

CARES Act Appropriations Summary (03/27/20) ▸
Provisions of particular interest to healthcare providers.

Labor Options

Resources for informing decisions around temporary leave versus termination

Staffing Resources – Get and Keep America Open (06/09/20) ▸
Strengthening the public health workforce. Enhancing frontline public health capacity in state, local, tribal, and territorial health departments to intensify the coordinated response to COVID-19 is critical.

COVID-19 Health Care Jobs Portal (05/07/20) ▸
The MDHHS and LEO teamed up to launch a new portal on Pure Michigan Talent Connect that makes it easier for health care professionals to apply for jobs that provide lifesaving care to COVID-19 patients.

Unemployment Insurance Agency Fact Sheet (03/27/20) ▸
Claiming unemployment benefits in Michigan – COVID-19 Guide.

Other Resources

General

Multisystem Inflammatory Syndrome in U.S. Children and Adolescents (06/29/20) ▸
Understanding the epidemiology and clinical course of multisystem inflammatory syndrome in children (MIS-C) and its temporal association with coronavirus disease 2019 (Covid-19) is important, given the clinical and public health implications of the syndrome.

Standardized Procedure for Broad-Based Testing for SARS-CoV-2 in Congregate Settings: Considerations for Health Departments and Healthcare Providers (06/27/20) ▸
This document is intended to help public health departments and healthcare providers prepare for broad-based viral testing in facilities after known or suspected SARS-CoV-2 exposure or when there is moderate to substantial transmission in the community, based on guidance for specific settings.

CDC Updates, Expands List of People at Risk of Severe COVID-19 Illness (06/25/20) ▸
Based on a detailed review of available evidence to date, CDC has updated and expanded the list of who is at increased risk for getting severely ill from COVID-19.

Medicare COVID-19 Data Snapshot (06/19/20) ▸
This fact sheet gives you aggregate data and visuals from Medicare Fee-for-Service claims data, Medicare Advantage encounter data, and Medicare enrollment information. COVID-19 cases and hospitalizations are based on ICD-10 diagnosis codes:
B97.29 from 1/1-3/31/20
U07.1 starting 4/1/20

COVID-19 FAQs on Medicare Fee-for-Service Billing (06/19/20) ▸
CMS updated FAQs that supplement the following previously released FAQs: 1135 Waiver FAQs and Without 1135 Waiver FAQs.

End-Stage Renal Disease Quality Incentive Program (ESRD QIP) (06/17/20) ▸
Frequently Asked Questions: Exceptions for Dialysis Facilities Affected by COVID-19.

General Contact Tracing and Case Investigation Training Modules (06/09/20) ▸
The trainings listed below are for public health professionals or the general public who are interested in becoming a contact tracer, case investigator or public health professional who already serve in these roles and are seeking to improve their knowledge.

Discontinuation of Isolation for Persons with COVID -19 Not in Healthcare Settings (05/29/20) ▸
Healthcare providers and public health officials managing persons with coronavirus disease 2019 (COVID-19) under isolation who are not in healthcare settings. Page has been updated as of May 29, 2020.

CMS gives broad COVID-19 test payment-setting authority to MACs (05/19/20) ▸
The Centers for Medicare & Medicaid Services said on May 19 that until Medicare sets national payment rates for COVID-19-related testing claims, its Medicare Administrative Contractors have the authority to set payment amounts in their respective jurisdictions.

Reopening Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homes (05/07/20) ▸
This guidance is intended for all Americans, whether you own a business, run a school, or want to ensure the cleanliness and safety of your home.

Michigan Executive Order No.2020 (03/30/20) ▸
Executive Order relaxes scope of practice laws to give hospitals and other healthcare facilities the flexibility they need to successfully deploy qualified physician assistants, nurses and other healthcare providers to combat COVID-19.

Joint Antitrust Statement Regarding COVID-19 (03/24/20) ▸
How health systems can collaborate to respond to COVID-19 in their communities.

How to use ICD-10-CM, new lab testing codes for COVID-19 (03/12/20) ▸
The introduction of COVID-19 in the US has produced an influx of patients into the health care system. While knowing how to diagnose and treat these patients is vital, being able to appropriately capture this information for data tracking and payment also is important.

Evidence-Based Treatment Options

Evidence Used to Update the List of Underlying Medical Conditions that Increase a Person’s Risk of Severe Illness from COVID-19 (06/25/20) ▸
Updates to the list of underlying medical conditions that put individuals at increased risk for severe illness from COVID-19 were based on published reports, articles in press, unreviewed pre-prints, and internal data available between December 1, 2019 and May 29, 2020.

FDA Cautions Against Use of Hydroxychloroquine or Chloroquine for COVID-19 Outside of the Hospital Setting or a Clinical Trial Due to Risk of Heart Rhythm Problems (06/16/20)▸
Based on ongoing analysis and emerging scientific data, FDA has revoked the emergency use authorization (EUA) to use hydroxychloroquine and chloroquine to treat COVID-19 in certain hospitalized patients when a clinical trial is unavailable or participation is not feasible. For more information please visit the following link: Frequently Asked Questions on the Revocation of the Emergency Use Authorization for Hydroxychloroquine Sulfate and Chloroquine Phosphate.

Low-Cost Dexamethasone Reduces Death by up to One Third in Hospitalised Patients with Severe Respiratory Complications of COVID-19 (06/16/20)) ▸
In March 2020, the RECOVERY (Randomised Evaluation of COVid-19 thERapY) trial was established as a randomised clinical trial to test a range of potential treatments for COVID-19, including low-dose dexamethasone (a steroid treatment). Over 11,500 patients have been enrolled from over 175 NHS hospitals in the UK.

CDC Consolidates Testing Guidance (06/13/20) ▸
The Centers for Disease Control and Prevention has consolidated its recommendations for COVID-19 testing, which it will update as additional information becomes available. The agency also released testing strategy options for high-density critical infrastructure workplaces, such as law enforcement, agriculture and critical manufacturing.

COVID 19 Testing – Guide for Physicians (06/12/20) ▸
Information on coronavirus testing options and availability is changing rapidly. Tests and specimen collection components remain in short supply and are being directed to areas of greatest need. To date, no coronvirus tests have been approved by the FDA. But tests are available under Emergency Use Authorization (EUA), which means the FDA has not thoroughly vetted these tests to grant full approval.

LitCOVID Systematic Review Daily Report (06/12/20) ▸
This is a subset of the PubMed LitCovid curated list of articles relating to COVID-19. The articles were critically assessed by researchers, faculty, and graduate students from Spectrum Health West Michigan, Van Andel Institute, Michigan State University, Ferris State University, Simmons University, and Henry Ford Health System. They were systematically selected from 3439 papers reviewed by our volunteers based on their scientific merit, impact, or perceived importance. See the About section for details on methods and scoring.

Assessment of Evidence for COVID-19 Related Treatments (06/11/20) ▸
Evidence table to help practitioners better understand current approaches related to treatment and care.

Medical Operations Coordination Cells Toolkit (05/13/20) ▸
Learn to establish Medical Operations Coordination Cells (MOCCs) to ensure load-balancing across health care facilities and systems.

Panel develops NIH treatment guidelines for COVID-19 (05/12/20) ▸
A panel of U.S. physicians, statisticians, and other experts have developed a “living document” treatment guidelines for COVID-19.

FDA Authorizes Propofol Emulsion for Emergency Use for COVID-19 Ventilator Sedation (05/08/20) ▸
The Food and Drug Administration May 8 authorized  the emergency use of Fresenius Propoven 2% Emulsion, which the agency says “may be effective to maintain sedation via continuous infusion in patients greater than 16 years old with suspected or confirmed COVID-19 who require mechanical ventilation in an ICU setting.”

Innovation Transforms Bi-level Positive Airway Pressure Machines into Ventilators (03/31/20) ▸
New York’s Northwell Health develops protocol to turn bi-level positive airway pressure (BiPAP) machine into a functional invasive mechanical ventilator.

Ventilator Sharing Protocol (03/26/20) ▸
Dual-patient ventilation with a single mechanical ventilator for use during critical ventilator shortages.

Modeling

Rapid Hospital Readiness Checklist: Tool (06/26/20) ▸
The Rapid hospital readiness checklist for COVID-19 assesses hospital governance, structures, plans and protocols to help countries rapidly determine current capacities and gaps of hospitals to respond to the COVID-19 pandemic and to identify major areas that require investment and action and to develop hospital readiness improvement plans. The tool can be used periodically to monitor hospital emergency operational readiness capacity development.

COVIDTracer 1.0 (06/16/20) ▸
COVIDTracer is a spreadsheet-based tool that allows state- and local-level public health officials and policy makers to compare three different contact tracing/monitoring strategies. The tool allows you to vary estimates of the potential effectiveness of each strategy, the average number of contacts per case, and the time needed for case interviews and contact follow-up activities.

University of Pennsylvania Model (06/12/20) ▸
A statistical model for predicting individual hospital impacts related to COVID-19 under varying assumptions.

CDC – COVID-19 Forecasts: New Hospitalizations (06/10/20) ▸
CDC works with partners to bring together weekly forecasts for new COVID-19 hospitalizations. These forecasts make different assumptions about social distancing measures and use different methods and data sets to estimate the number of new hospitalizations.

A Compendium of Models that Predict the Spread of COVID-19 (06/09/20) ▸
A growing number of models have been developed by health care systems, academic institutions, consulting firms and others to help forecast COVID-19 cases and deaths, medical supply needs, including ventilators, hospital beds and intensive care unit (ICU) beds, timing of patient surges and more.
The American Hospital Association (AHA) offers this resource in response to members’ interest in tools and resources that can help them make decisions that are consistent with their organizations’ values and community needs.

Study estimates impact of various social distancing scenarios (06/05/20) ▸
Social distancing interventions started earlier in the COVID-19 epidemic appear to delay the epidemic curve while interventions started later appear to flatten it, according to a new study published in the Centers for Disease Control and Prevention’s Emerging Infectious Diseases Journal.

COVID-19 Surge (05/24/20) ▸
COVID-19 Surge is a spreadsheet-based tool that hospital administrators and public health officials can use to estimate the surge in demand for hospital-based services during the COVID-19 pandemic. A user of COVID-19 Surge can produce estimates of the number of COVID-19 patients that need to be hospitalized, the number requiring ICU care, and the number requiring ventilator support. The user can then compare those estimates with hospital capacity, using either existing capacity or estimates of expanded capacity.

RAND Critical Care Surge Response Tool (04/21/20) ▸
An Excel-based model for helping hospitals respond to the COVID-19 crisis.

Personal Protective Equipment (PPE) Burn Rate Calculator (04/07/20) ▸
This spreadsheet-based model provides information for healthcare facilities to plan and optimize the use of PPE for response to coronavirus disease 2019 (COVID-19).

Allocation of Scarce Mechanical Ventilation During Disasters (03/21/20) ▸
A framework to guide allocation of scarce mechanical ventilation during disaster.

Healthcare Worker Well-Being

When the Dust Settles: Preventing a Mental Health Crisis in COVID-19 Clinicians (06/09/20) ▸
The ACP shares a foundational set of principles to use as guidance for building internal support for the trauma caused by the pandemic: looking past the illness, fostering community, promoting vulnerability, and establishing boundaries and limitations.

Guidance for Health Workers (06/05/20) ▸
Publications, tools, templates and resources for health workers from the WHO.

Managing Workplace Fatigue (5/19/20) ▸
While there is no one solution to fit everyone’s needs, here are some general strategies that workers and employers can use to manage workplace fatigue and work safely.

Risk Assessment and Management of Exposure of Healthcare Workers in the Context of COVID-19 (updated 05/07/20) ▸
This data collection form and risk assessment tool can be used to identify IPC breaches and define policies that will mitigate HCW exposure and nosocomial infection.

PPE

Donning and Doffing N95 (06/30/20) ▸
The intent of this video is to show team members how to Don/Doff appropriately when caring for patients when and severe respiratory precautions such as those who have tested positive for or are suspected to have COVID-19. This video will show you how to Don or Doff your PPE if you are entering a patient’s room with a surgical mask or N95 mask.

Donning and Doffing PAPR (06/30/20) ▸
The intent of this video is to show team members how to Don/Doff appropriately when caring for patients when and severe respiratory precautions such as those who have tested positive for or are suspected to have COVID-19. This video will show you how to Don or Doff your PPE if you are entering a patient’s room with a PAPR.

Strategies for Optimizing the Supply of Facemasks (06/28/20) ▸
These considerations are intended for use by federal, state, and local public health officials; leaders in occupational health services and infection prevention and control programs; and other leaders in healthcare settings who are responsible for developing and implementing policies and procedures for preventing pathogen transmission in healthcare settings.

Use of N95, Surgical, and Cloth Masks to Prevent COVID-19 in Health Care and Community Settings: Living Practice Points From the American College of Physicians (Version 1) (06/18/20) ▸
Evaluation of different PPE to reduce transmission of SARS-CoV-2 infection in healthcare and community settings.

Counterfeit Respirators / Misrepresentation of NIOSH-Approval (06/05/20) ▸
Counterfeit respirators are products that are falsely marketed and sold as being NIOSH-approved and may not be capable of providing appropriate respiratory protection to workers. NIOSH has provided a webpage to help users identify a NIOSH-approved respirator.

Strategies to Optimize the Supply of PPE and Equipment (05/18/20) ▸
CDC’s optimization strategies for PPE offer options for use when PPE supplies are stressed, running low, or absent.

N95 Decontamination Research (04/27/20) ▸
Fact sheets on decontamination using heat and humidity, UV-C, hydrogen peroxide vapor, and hydrogen peroxide gas plasma.

Waivers

Payment Rule Waivers and Additional Flexibilities (06/10/20) ▸
CMS is relaxing or foregoing several reporting requirements such as discharge planning or transfer policies. The agency will also take steps to allow healthcare organizations to expand their workforce and patient capacity. The agency issued “blanket waivers” of sanctions under the physician self-referral law for COVID-19 purposes. The waivers are effective March 1, 2020 and may be used without notifying CMS.

COVID-19 Emergency Declaration Waivers & Flexibilities for Healthcare Providers (06/05/20) ▸
Summary of waivers and flexibilities for providers.

COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing (06/02/20) ▸
CMS released new and updated frequently asked questions (FAQs) on recent COVID-19-related waivers to help providers, including physicians, hospitals, and rural health clinics, with Medicare fee-for-service billing.

CMS Flexibilities to Fight COVID-19 (04/29/20) ▸
Provider specific fact sheet on new waivers and flexibilities.

Summary of CMS Guidance on Blanket Waivers (04/08/20) (PDF) ▸
Summary of regulations relating to hospitals and hospice care.

For Physicians

Coronavirus Resources for Health Professions from Michigan.gov (07/01/20) ▸
Links to guidance for self-monitoring and work restriction, COVID-19 PUI case report form and guidance for substance use disorder during COVID-19.

CDC Issues Guidance on Immunizations During Pandemic: FP Experts Provide Insights, Vaccination Tips (06/30/20) ▸
To help ensure that patients continue to receive needed vaccines while safeguarding clinicians and staff, the CDC has issued new interim guidance(www.cdc.gov) for immunization services during the pandemic.

Training for Healthcare Professionals (06/30/20) ▸
Comprehensive training information for healthcare professionals in clinical care and infection control, PPE, NPIs, Emergency Preparedness and Response and additional topics.

Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19) (06/30/20) ▸
This interim guidance is for clinicians caring for patients with confirmed infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19). CDC will update this interim guidance as more information becomes available.

COVID 19 Testing – Guide for Physicians (06/26/20) ▸
The number and types of available tests vary widely based on geographic region and health care facility. If a patient is suspected of having COVID-19 and tests aren’t available, clinicians should work with local and state public health offices to determine where and how patients can access coronavirus tests in the community.

CMS: Clinicians Can Apply for COVID-19 MIPS Exception (06/25/20) ▸
Clinicians participating in the Quality Payment Program Merit-based Incentive Payment System in 2020 whose practice was significantly impacted by the COVID-19 public health emergency may apply for an  exception  to reweight the MIPS performance categories, the Centers for Medicare & Medicaid Services announced yesterday.

COVID-19 Practice Management Issues (06/17/20) ▸
Managing supplies, testing, personnel, medico-legal concerns, and looking toward re-opening.

American Academy of Family Physicians COVID-19 Page (06/10/20) ▸
Links to a member community of more than 600 physicians, AAFP advocacy and physician office preparedness checklist.

Clinical Questions about COVID-19: Questions and Answers (06/04/20) ▸
Clinical Q&A related to risk, transmission, testing, treatment, management, etc. of COVID-19.

Information for Healthcare Providers about Multisystem Inflammatory Syndrome in Children (MIS-C) (05/29/20) ▸
Healthcare providers who have cared or are caring for patients younger than 21 years of age meeting multisystem inflammatory syndrome in children (MIS-C) criteria should report suspected cases to their local, state, or territorial health department.

Michigan Medical Group Management Association (05/28/20) ▸
Links to COVID-19 webinars, billing/coding resources, and information about advocacy.

Clinical management of COVID-19 (05/27/20) ▸
This guidance document is intended for clinicians caring for COVID-19 patients during all phases of their disease (i.e. screening to discharge).

A Checklist for Reopening Your Practice for “Non-Essential” Face-to-Face Visits (05/04/20) ▸
The decision to reopen a practice for in-person visits depends on many factors, including the availability of personal protective equipment, the availability of COVID-19 testing, and the prevalence of COVID-19 cases in your area (covidtracking.com). When your practice decides to reopen, the following checklist can help ease the process and keep everyone safe. This resource was adapted from the AAFP resource Considerations on Re-opening Your Practice. and CDC guidance for ambulatory care settings(www.cdc.gov).

Criteria for Return to Work for Healthcare Personnel with Suspected or Confirmed COVID-19 (Interim Guidance) (05/02/20) ▸
Who this is for: Occupational health programs and public health officials making decisions about return to work for healthcare personnel (HCP) with confirmed COVID-19, or who have suspected COVID-19 (e.g., developed symptoms of a respiratory infection [e.g., cough, sore throat, shortness of breath, fever] but did not get tested for COVID-19).

Considerations on Re-opening Your Practice (04/29/20) ▸
As more states ease restrictions, the AAFP is aware of the growing pressure on practices to reopen. Conflicting information is causing confusion as practices carefully weigh resuming in person visits. This guidance is meant to help you weigh these decisions. As more evidence becomes available, the Academy will update its guidance.

Medical Provider Letter Disparities from the Department of Health and Human Services ( 04/20/20) ▸
A message from Dr. Joneigh S. Chaldum, Chief Medical Executive for the Michigan Department of Health and Human Services.

For Hospitals

Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic (06/30/20) ▸
As the pandemic continues, healthcare systems must balance the need to provide necessary services while minimizing risk to patients and healthcare personnel (HCP). Because the effects of COVID-19 vary among communities, healthcare systems will also need to consider the local level of COVID-19 transmission when making decisions about the provision of medical services. This document provides a framework for the delivery of non-COVID clinical care during the COVID-19 pandemic. Given the dynamic nature of the pandemic, considerations may change over time and vary by practice type and setting.

Infection Prevention and Control During Health Care When Coronavirus Disease (‎COVID-19)‎ is Suspected or Confirmed (06/29/20) ▸
This document provides interim guidance on infection prevention and control (IPC) strategies during health care when coronavirus disease (COVID-19) is suspected or confirmed.

Keep Children Healthy During the COVID-19 Outbreak (06/14/20) ▸
Based on available evidence, children do not appear to be at higher risk for COVID-19 than adults. While some children and infants have been sick with COVID-19, adults make up most of the known cases to date.

Healthcare Emergency Preparedness Information Gateway:(asprtracie.hhs.gov) (06/12/20) ▸
This resource from HHS, which includes COVID-19 information, offers technical assistance on health emergency preparedness to health care organizations and physicians.

General Contact Tracing and Case Investigation Training Modules (06/09/20) ▸
The trainings listed below are for public health professionals or the general public who are interested in becoming a contact tracer, case investigator or public health professional who already serve in these roles and are seeking to improve their knowledge.

ACS Funding Summary: Establishment and Operationalization (05/22/20) ▸
Funding options for establishing Alternative Care Sites (ACS), including operation, ongoing administration, and direct patient costs.

New Study Presents Strategies for Managing Critical Care Surge in US Hospitals (05/04/20) ▸
Researchers present a list of strategies for creating critical care surge capacity based on a review of literature on experiences during past outbreaks and the current COVID-19 pandemic, a survey of frontline clinicians conducted in collaboration with the American College of Emergency Physicians (ACEP), and two telephone roundtables with leading emergency and critical care physicians and public health and preparedness experts from around the country.

New Tool Connects Hospitals With Compounders Who Can Provide Drugs in Shortage (04/29/20) ▸
The Alliance for Pharmacy Compounding has launched a free tool for connecting hospitals with 503B outsourcing facilities, or alternatively, 503A sterile compounding pharmacies, that can supply shortage drugs to treat COVID-19.

 Five Actions to Promote Health Equity During the COVID-19 Pandemic (04/27/20) ▸
Hospitals and health systems are working to address the health equity challenges highlighted by this crisis in different ways. This document highlights five areas where you are making a difference in your community.

Coronavirus Support Product Equivalents (04/24/20) ▸
Best matches for the three most popular air clearance units, breathing circuits, disinfecting wipes, HME filters, IV solutions and universal transfer media.

Comprehensive Hospital Preparedness Checklist for COVID-19 from the CDC (03/25/20) ▸
The CDC, with input from partners, has developed a checklist to help hospitals (acute care facilities) assess and improve their preparedness for responding to a community-wide outbreak of COVID-19.

Post-Acute Care

CMS Announces New Actions Regarding Nursing Home Infection Control (06/01/20) ▸
The Centers for Medicare & Medicaid Services yesterday implemented several new infection control actions to combat COVID-19 in nursing homes. One action addresses the inconsistent rate of nursing home inspections mandated by CMS on March 4, which currently range from 11% to 100% across the states.

COVID-19: Senior Care Compendium (05/28/20) ▸
The following resources provide essential information for hospital and health system executive
leaders as they continue to provide care to older adults during the COVID-19 crisis.

Key Strategies to Prepare for COVID-19 in Long-term Care Facilities (LTCFs) (05/21/20) ▸
Given the high risk of spread once COVID-19 enters a LTCF, facilities must act immediately to protect residents, families, and staff from serious illness, complications, and death.

Upcoming Requirements for Notification of Confirmed COVID-19 (or COVID19 Persons under Investigation) Among Residents and Staff in Nursing Homes (04/21/20) ▸
CMS is committed to taking critical steps to ensure America’s health care facilities are prepared to respond to the 2019 Novel Coronavirus (COVID-19) Public Health Emergency (PHE). 

Michigan Executive Order on Long Term/Skilled Nursing Facilities (04/20/20) ▸
Executive Order 2020-50 limits the acceptance of residence.

Policy for Designated COVID-19 Regional Hubs (04/16/20) ▸
To minimize the impact and spread of COVID-19, the Michigan Department of Health and Human Services (MDHHS) will work with Medicaid certified nursing facilities to establish COVID-19 Regional Hubs to care for the affected residents.

COVID-19 Long-Term Care Facility Guidance (04/02/20) ▸
CMS and the CDC are issuing new recommendations to State and local governments and long-term care facilities to help mitigate the spread of COVID-19.

Hospital to Post-Acute Care Transfer Form for COVID-19 ▸
Tool to facilitate communication between providers during the transition from the hospital to the post-acute care setting.

Q&A

The State of Michigan has published guidance for employers who need to reduce their headcount. This resource provides insights into the pros and cons or layoffs, furlough and work share. Click here for more information.

CMS has created a telehealth and telemedicine tool kit with electronic links to reliable sources of information. Click here for more information.

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