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

Guidance for Reopening Buildings After Prolonged Shutdown or Reduced Operation (09/22/20) ▸
The temporary shutdown or reduced operation of a building and reductions in normal water use can create hazards for returning occupants.  Check for hazards before reopening after a prolonged period of building inactivity.

PPE and COVID-19 Supplies through Amazon Business (09/22/20) ▸
The AAP partnered with Amazon to offer a special business account to AAP members. This account offers access to Amazon’s wide product selection, competitive prices, and free shipping on orders over $25.

COVID-19 Coding (09/18/20) ▸
The CMS Fact Sheet and FAQ provides detailed information about Medicare Fee-for-Service billing, cost-sharing waivers, and more for various healthcare settings, including physician offices, RHCs, FQHCs, hospital in- and outpatient settings, and telehealth.

N95 and Other Respirators (09/16/20) ▸
Summary of respirators and how to best optimize supply of N95 respirators.

Interim Operational Considerations for Public Health Management of Healthcare Workers Exposed to or with Suspected or Confirmed COVID-19: non-U.S. Healthcare Settings (09/12/20)▸
Early reports indicate that person-to-person transmission most often occurs during close contact with an individual infected with SARS-CoV-2, the virus that causes COVID-19. Healthcare workers (HCWs) are not only at higher risk of infection but can also amplify outbreaks within healthcare facilities if they become ill.

ACP: Update Alert 4: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers (09/11/20) ▸
This is the fourth monthly update alert for a living rapid review on the epidemiology of and risk factors for coronavirus infection in health care workers (HCWs). Searches were updated from 25 July to 24 August 2020 using the same search strategies as the original review.

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

A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice (09/08/20) ▸
This resource offers you steps for navigating scenarios when you implement or expand your telehealth program.

Updated: Risk Adjustment Telehealth and Telephone Services During COVID-19 FAQs (08/03/20)▸
CMS has updated their FAQ on Risk Adjustment Telehealth and Telephone Services.

Qualitative Assessment of Rapid System Transformation to Primary Care Video Visits at an Academic Medical Center (07/06/20) ▸
Video visits were a key part of the overall response to the pandemic. Researchers at Stanford Health Care sought to understand facilitators and barriers to program adoption as well as the long- and short-term implications of this dramatic shift for ongoing medical care. Beginning in the third week of video visit implementation at Stanford, we conducted a primary care–wide evaluation of our video visit program through qualitative interviews with key stakeholders. There were critical issues identified to sustaining video visits long-term. Specifically, technology ease of use, role clarity, physical exam training, triage system, insurer reimbursement, patient access to smartphones or internet, and licensing jurisdictions.

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) ▸

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

BREAKING NEWS:The US DHHS Provider Relief Fund Application Deadline Has Been Extended to September 13, 2020 (08/26/20) ▸
Through the Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program and Health Care Enhancement Act (PPPCHE), the federal government has allocated $175 billion in payments to be distributed through the Provider Relief Fund (PRF).  These payments do not need to be repaid to the US government, assuming providers comply with the terms and conditions.

IRS Issues Initial Guidance on Deferral of Employee Portion of Social Security Tax (08/28/20) ▸
The Department of Treasury’s Internal Revenue Service recently issued guidance for implementing the White House’s Aug. 8 executive order on payroll taxes, which applies to wages paid Sept. 1 through Dec. 31, 2020.

AHA | CMS Issues New Guidance on COVID-19 Relief Funds’ Cost Reporting (09/01/20) ▸
As urged by the AHA, the Centers for Medicare & Medicaid Services (CMS) recently issued guidance stating that COVID-19 Provider Relief Fund (PRF) payments and Small Business Administration (SBA) Paycheck Protection Program loan forgiveness funds should not be recorded as offsets to expenses on the Medicare cost report.

COVID-19 Practice Financial Assistance (08/04/20) ▸
There are several mechanisms in the CARES Act to assist in mitigating financial shortfalls due to COVID-19.

Second Chance to Receive Targeted Payments to Medicaid, CHIP, and Dental Providers (08/03/20) ▸
Starting the week of Aug. 10, HHS will allow Medicare providers who missed the previous opportunity to apply for additional funding from the $20 billion portion of the $50 billion Phase 1 Medicare General Distribution.

Extension to apply for Federal COVID-19 relief dollars (7/31/20) ▸
MDHHS is urging Medicaid providers that are struggling financially as a result of the COVID-19 pandemic to apply for federal funds intended to assist them by August 28.

HHS extends deadline to apply for certain Provider Relief Funds (07/31/20) ▸
The Department of Health and Human Services Friday extended to Aug. 28 the deadline for eligible Medicaid, Children’s Health Insurance Program and dental providers to apply for $15 billion in Provider Relief Funds available through the Phase 2 general distribution to these providers.

Coronavirus Relief Options (07/31/20) ▸
Multiple funding options from the Small Business Administration for those seeking relief.

HHS Updates FAQs Related to CARES Act Emergency Funds (07/30/20) ▸
The Department of Health and Human Services today released updated FAQs related to payments from the Public Health and Social Services Emergency Fund.

COVID-19 State and Private Payer Policies (07/30/20) ▸
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.

CMS Provides Eligibility Relief for Hospitals (07/29/20) ▸
The Centers for Medicare & Medicaid Services recently provided hospitals with new Medicare blanket waivers to address the COVID-19 public health emergency.

AAP – Provider Relief Fund: Information and Resources (07/24/20) ▸
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.

Application Deadline Extended to August 3, 2020 for the Provider Relief Fund (07/23/20) ▸
The U.S. Department of Health and Human Services has extended the application deadline for the Provider Relief Fund to Monday, August 3. The linked PDF provides details of this extension via email from Michigan Department of Health and Human Services (MDHHS).

ACP – Private Payer Coverage During COVID-19 (07/16/20) ▸
Chart summarizing recent policy announcements by some of the major insurance companies regarding testing, cost sharing, prescriptions and provider enrollment.

New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE)  (07/14/20) ▸
To provide as much support as possible to RHCs and FQHCs and their patients during the COVID-19 PHE, both Congress and the Centers for Medicare & Medicaid Services (CMS) have made several changes to the RHC and FQHC requirements and payments.

HHS announces over $4 billion in additional relief payments (07/10/20) ▸
The Department of Health and Human Services today announced that it will distribute over $4 billion in additional funds from the Public Health and Social Services Emergency Fund to rural hospitals and hospitals that serve a high number of Medicaid patients and provide large amounts of uncompensated care. 

Private Payer Coverage During COVID-19 (07/10/20) ▸
Chart breaking down different coverage accepted by providers related to COVID-19.

Investing in and building longer-term health emergency preparedness during the COVID-19 pandemic (07/06/20) ▸
This document is to help Member States build on actions taken during the COVID-19 pandemic to improve national medium- to long-term preparedness for future threats.

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.

Labor Options

Resources for informing decisions around temporary leave versus termination

COVID-19 Health Care Jobs Portal (08/05/20) ▸
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 (07/07/20) ▸
Claiming unemployment benefits in Michigan – COVID-19 Guide.

Other Resources

General

Guidance for Reopening Buildings After Prolonged Shutdown or Reduced Operation (09/22/20) ▸
The temporary shutdown or reduced operation of a building and reductions in normal water use can create hazards for returning occupants.  Check for hazards before reopening after a prolonged period of building inactivity.

COVID-19 Coding (09/18/20) ▸
The CMS Fact Sheet and FAQ provides detailed information about Medicare Fee-for-Service billing, cost-sharing waivers, and more for various healthcare settings, including physician offices, RHCs, FQHCs, hospital in- and outpatient settings, and telehealth.

HHS Updates Resources for Hospitals via Workforce Virtual Toolkit (08/28/20) ▸
The Department of Health and Human Services  released its COVID-19 Workforce Virtual Toolkit, which includes updated resources for hospitals. The toolkit provides a curated set of resources and tools for decision-makers managing health care workforce challenges in response to the COVID-19 emergency.

Gov. Gretchen Whitmer COVID-19 Executive Orders (08/25/20) ▸
The MHA has compiled a list of healthcare-related Executive Orders issued by Gov. Gretchen Whitmer as part of the state’s response to the COVID-19 outbreak.

FDA Updates on Hand Sanitizers Consumers Should Not Use (08/07/20) ▸
FDA issued updated guidances to provide additional clarification on testing of alcohol used in hand sanitizers manufactured under FDA’s temporary policies to help ensure that harmful levels of methanol are not present in these products. This will help ensure widespread access to alcohol-based hand sanitizers that are free of contamination.

Temporary Policy on 2020 Premium Credits Associated with the COVID-19 Public Health Emergency (08/04/20) ▸
CMS is exercising discretion to adopt a temporary policy of relaxed enforcement in connection with the several standards under the conditions outlined in this bulletin.

Antibody Testing Interim Guidelines (08/01/20) ▸
Information that might impact serologic recommendations is rapidly evolving, particularly evidence of whether positive serologic tests indicate protective immunity or decreased transmissibility among those recently ill. These recommendations will be updated as new information becomes available.

COVID-19 FAQs on Medicare Fee-for-Service Billing (07/29/20) ▸
CMS updated FAQs that supplement the following previously released FAQs: 1135 Waiver FAQs and Without 1135 Waiver FAQs.

Medicare COVID-19 Data Snapshot (07/26/20) ▸
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

Discontinuation of Isolation for Persons with COVID -19 Not in Healthcare Settings (07/20/20) ▸
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.

End-Stage Renal Disease Quality Incentive Program (ESRD QIP) (07/14/20) ▸
Frequently Asked Questions: Exceptions for Dialysis Facilities Affected by COVID-19.

Member Toolkit Available from the MHA (07/13/20) ▸
The MHA has released a toolkit for Michigan hospitals as they prepare for and respond to community questions related to COVID-19.

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.

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.

Evidence-Based Treatment Options

Corticosteroids for COVID-19 (09/02/20) ▸
This guideline reflects an innovation from the WHO, driven by an urgent need for global collaboration to provide trustworthy and living COVID-19 guidance informing policy and practice worldwide during an outbreak of an emerging infectious disease, such as this pandemic. For this purpose, WHO has partnered with the non-profit Magic Evidence Ecosystem Foundation (MAGIC) for methodologic support, to develop and disseminate living guidance for COVID-19 drug treatments.

COVID-19 Update: FDA Broadens Emergency Use Authorization for Veklury (remdesivir) to Include All Hospitalized Patients for Treatment of COVID-19 (08/28/20) ▸
On August 28, as part of its ongoing efforts to fight COVID-19, the U.S. Food and Drug Administration broadened the scope of the existing emergency use authorization (EUA) for the drug Veklury (remdesivir) to include treatment of all hospitalized adult and pediatric patients with suspected or laboratory-confirmed COVID-19, irrespective of their severity of disease.

Considerations for Selecting Respirators for Your Health Care Facility (08/18/20) ▸
The FDA has released two flowcharts and information on respirators.

Duration of Isolation and Precautions for Adults with COVID-19 (08/16/20) ▸
At this time, we do not know if someone can be re-infected with COVID-19. Data to date show that a person who has had and recovered from COVID-19 may have low levels of virus in their bodies for up to 3 months after diagnosis. This means that if the person who has recovered from COVID-19 is retested within 3 months of initial infection, they may continue to have a positive test result, even though they are not spreading COVID-19.

Interim Guidance for Rapid Antigen Testing for SARS-CoV-2 (08/16/20) ▸
Antigen tests are relatively inexpensive and can be used at the point-of-care. The currently authorized devices return results in approximately 15 minutes. Antigen tests for SARS-CoV-2 are generally less sensitive than viral tests that detect nucleic acid using reverse transcription polymerase chain reaction (RT-PCR).

Ventilators and Ventilator Accessories EUAs (08/10/20) ▸
This EUA authorizes the emergency use of certain ventilators, anesthesia gas machines modified for use as ventilators, positive pressure breathing devices modified for use as ventilators, ventilator tubing connectors, and ventilator accessories that the FDA determines meet specified criteria for safety, performance, and labeling. The devices that are eligible for inclusion under the EUA are those that are not currently marketed in the U.S., or those that are currently marketed in the U.S. but a modification is made to the device that would trigger the requirement that a manufacturer submit a new premarket notification (510(k)) to the FDA, as discussed in the agency’s Ventilator Enforcement Policy.

LitCOVID Systematic Review Daily Report (08/06/20) ▸
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 (08/05/20) ▸
Evidence table to help practitioners better understand current approaches related to treatment and care.

Multiplex Assay for Flu and COVID-19 & Supplies​ (08/02/20) ▸
The U.S. Food and Drug Administration (FDA) granted Emergency Use Authorization (EUA) for this test on July 2, 2020. Test kits are in production and will be shipped to public health laboratories once production, including quality control and assembly, has been completed.

FDA Authorizes Propofol Emulsion for Emergency Use for COVID-19 Ventilator Sedation (document updated 7/28/20) ▸
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.”

COVID 19 Testing – Guide for Physicians (07/28/20) ▸
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.

Evidence Used to Update the List of Underlying Medical Conditions that Increase a Person’s Risk of Severe Illness from COVID-19 (07/28/20) ▸
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 July 10, 2020, 2020.

Duration of Isolation and Precautions for Adults with COVID-19 (07/22/20) ▸
This update incorporates recent evidence to inform the duration of isolation and precautions recommended to prevent transmission of SARS-CoV-2 to others, while limiting unnecessary prolonged isolation and unnecessary use of laboratory testing resources.

CDC Consolidates Testing Guidance (07/17/20) ▸
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.

Panel develops NIH treatment guidelines for COVID-19 (07/17/20) ▸
A panel of U.S. physicians, statisticians, and other experts have developed a “living document” treatment guidelines for COVID-19.

An mRNA Vaccine against SARS-CoV-2 — Preliminary Report (07/14/20) ▸
We conducted a first-in-human phase 1 clinical trial in healthy adults to evaluate the safety and immunogenicity of mRNA-1273. Here we report interim results of the trial.

Authorization of Emergency Use of Certain Medical Devices During COVID-19; Availability (07/14/20) ▸
The Food and Drug Administration (FDA) is announcing the issuance and reissuance of Emergency Use Authorizations (EUAs) (the Authorizations) for certain medical devices related to the Coronavirus Disease 2019 (COVID-19) public health emergency. FDA has issued, and in some cases reissued, the Authorizations listed in this document under the Federal Food, Drug, and Cosmetic Act (FD&C Act). These Authorizations contain, among other things, conditions on the emergency use of the authorized products.

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 (07/01/20)▸
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.

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.

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

University of Pennsylvania Model (09/23/20) ▸
A statistical model for predicting individual hospital impacts related to COVID-19 under varying assumptions.

CDC – COVID-19 Forecasts: New Hospitalizations (09/17/20) ▸
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.

COVID-19 Pandemic Planning Scenarios (09/10/20) ▸
CDC and the Office of the Assistant Secretary for Preparedness and Response (ASPR) have developed five COVID-19 Pandemic Planning Scenarios that are designed to help inform decisions by public health officials who use mathematical modeling and by mathematical modelers throughout the federal government.  Models developed using the data provided in the planning scenario tables can help evaluate the potential effects of different community mitigation strategies (e.g., social distancing).  The planning scenarios may also be useful to hospital administrators in assessing resource needs and can be used in conjunction with the  COVID-19Surge Tool.

Characteristics and Outcomes of Contacts of COVID-19 Patients Monitored Using an Automated Symptom Monitoring Tool (08/07/20) ▸
Prompt case investigation can rapidly identify contacts and recommend quarantine, reducing additional exposures and transmission. Automated tools, available in multiple languages and formats, might improve contact tracing programs and reduce resource needs, including staffing.

Study estimates impact of various social distancing scenarios (updated 07/17/20) ▸
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.

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.

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.

COVID-19 Surge (05/25/20) ▸
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.

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.

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

Interim Operational Considerations for Public Health Management of Healthcare Workers Exposed to or with Suspected or Confirmed COVID-19: non-U.S. Healthcare Settings (09/12/20)▸
Early reports indicate that person-to-person transmission most often occurs during close contact with an individual infected with SARS-CoV-2, the virus that causes COVID-19. Healthcare workers (HCWs) are not only at higher risk of infection but can also amplify outbreaks within healthcare facilities if they become ill.

ACP: Update Alert 4: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers (09/11/20) ▸
This is the fourth monthly update alert for a living rapid review on the epidemiology of and risk factors for coronavirus infection in health care workers (HCWs). Searches were updated from 25 July to 24 August 2020 using the same search strategies as the original review.

Guidance for Health Workers (08/06/20) ▸
Publications, tools, templates and resources for health workers from the WHO.

CDC Updates Guidance on SARS-CoV-2 Testing for Health Workers (07/17/20) ▸
The Centers for Disease Control and Prevention (CDC) provided updated recommendations for testing health care personnel (HCP) for SARS-CoV-2.

Transmission of SARS-CoV-2: Implications for Infection Prevention Precautions (07/09/20) ▸
This scientific brief provides an overview of the modes of transmission of SARS-CoV-2, what is known about when infected people transmit the virus, and the implications for infection prevention and control precautions within and outside health facilities.

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.

Children and COVID-19

AAP Report: 513,415 Children Diagnosed with COVID-19 (09/09/20) ▸
More than half a million U.S. children have been diagnosed with COVID-19 and at least 103 have died, new data show. Pediatric cases increased 16% from Aug. 20 to Sept. 3, bringing the total to 513,415, according to the latest weekly report (updated September 8) from the AAP and Children’s Hospital Association.

AAP Interim Guidance Addresses Outpatient Care of Sick Children During Pandemic (08/28/20) ▸
The AAP is emphasizing the importance of the medical home as well as community partnerships as pediatricians care for acutely ill children during the COVID-19 pandemic.

Advice on the use of masks for children in the community in the context of COVID-19 (08/21/20) ▸
This document provides guidance to decision makers, public and child health professionals to inform policy on the use of masks for children in the context of the COVID-19 pandemic. It does not address the use of masks for adults working with children or parents/guardians or the use of masks for children in health-care settings. This interim guidance will be revised and updated as new evidence emerges.

AAP | Preparing for Flu Season (08/19/20) ▸
The American Academy of Pediatrics has developed a site containing advice, FAQ, webinars and other resources to help practices in preparing for flu season in tandem with COVID-19.

AAP Urges Universal Cloth Face Coverings for those Ages 2 and Up, with ‘Rare Exception’ (08/13/20) ▸
Children ages 2 years and older can and should wear cloth face coverings when not able to physically distance, including while in schools, child care and other group settings, according to AAP interim guidance.

COVID-19 Testing Guidance for Pediatric Practices (08/12/20) ▸
Testing for SARS-CoV-2 in practice can inform individual patient care, and testing at a population level helps determine what interventions may need to be put in place to control the spread of disease within a community.

COVID-19–Associated Multisystem Inflammatory Syndrome in Children — United States, March–July 2020 (08/07/20) ▸
Multisystem inflammatory syndrome in children (MIS-C) is a rare but severe condition that has been reported approximately 2–4 weeks after the onset of COVID-19 in children and adolescents. Distinguishing MIS-C from other severe infectious or inflammatory conditions poses a challenge to clinicians caring for children and adolescents. As the COVID-19 pandemic continues to expand in many jurisdictions, health care provider awareness of MIS-C will facilitate early recognition, early diagnosis, and prompt treatment.

Study: 33% of children hospitalized with COVID-19 admitted to ICU (08/07/20) ▸
One-third of children hospitalized with COVID-19 were admitted to the intensive care unit (ICU), a rate similar to adults, according to a new study.

Children and COVID-19: State-Level Data Report (08/03/20) ▸
State-level reports are the best publicly available data on child COVID-19 cases in the United States. The American Academy of Pediatrics and the Children’s Hospital Association are collaborating to collect and share all publicly available data from states on child COVID-19 cases (definition of “child” case is based on varying age ranges reported across states; see report Appendix for details and links to all data sources).

Multisystem Inflammatory Syndrome in U.S. Children and Adolescents (07/23/20) ▸
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.

Information for Pediatric Healthcare Providers for Managing Pediatric Patients with Confirmed or Suspected COVID-19 (07/17/20) ▸
Refer to this information when managing pediatric patients with confirmed or suspected COVID-19. For healthcare providers caring for neonates (≤28 days old), please refer to CDC guidance for evaluating and managing neonates at risk for COVID-19.

Infographic: Tracking MIS-C: Multi-System Inflammatory Syndrome in U.S. Children (07/16/20) ▸
By leveraging a national influenza surveillance network of pediatric ICUs72, CDC and partners conducted targeted surveillance for MIS-C from March 15 through May 20, 2020, identifying 186 MIS-C cases in 26 states.

Multisystem Inflammatory Syndrome in Children (MIS-C) Interim Guidance (07/13/20) ▸
The AAP has released new interim guidance on an inflammatory condition in children linked to COVID-19.

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.

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.

Resuming Care

AHA: Three Considerations for Restarting Surgical Service During the Pandemic (08/18/20)▸
The authors explain that most elective surgical cases fall somewhere between vital preventive measures (e.g., colonoscopy screenings) and essential surgery (e.g., cataract surgery) and that clinical research across surgical specialties demonstrates worse patient outcomes and higher costs when these treatments are delayed. They offered several strategies that health care leaders can employ to meet their clinical goals while striving for better operational efficiency and equity in access to care.

Criteria for Return to Work for Healthcare Personnel with Suspected or Confirmed COVID-19 (Interim Guidance) (08/10/20) ▸
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).

Strategies to Mitigate Healthcare Personnel Staffing Shortages (07/17/20) ▸
Healthcare facilities must be prepared for potential staffing shortages and have plans and processes in place to mitigate these, including communicating with HCP about actions the facility is taking to address shortages and maintain patient and HCP safety and providing resources to assist HCP with anxiety and stress.

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.

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).

PPE

PPE and COVID-19 Supplies through Amazon Business (09/22/20) ▸
The AAP partnered with Amazon to offer a special business account to AAP members. This account offers access to Amazon’s wide product selection, competitive prices, and free shipping on orders over $25.

Counterfeit Respirators / Misrepresentation of NIOSH-Approval (09/22/20) ▸
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.

N95 and Other Respirators (09/16/20) ▸
Summary of respirators and how to best optimize supply of N95 respirators.

ECRI Exclusive Hazard Report Cardinal Health—Sterile Pairs Exam Gloves: May Be Contaminated with Unknown Substance (09/01/20) ▸
Cardinal Health Sterile Pairs exam gloves may be contaminated with brown spots or black marks. The composition of the contamination is unknown. If used, the gloves may contaminate the procedure or compounding.

Filtration Efficiency Performance of Non-NIOSH-Approved International Respiratory Protective Devices: Phase One (08/27/20) ▸
This report summarizes the filtration performance results from the assessments that took place as a result of the initial Emergency Use Authorization (EUA) issued by the United States Food and Drug Administration (FDA) and discusses important considerations when purchasing non-NIOSH approved international respiratory devices temporarily authorized for occupational use in the United States.

COVID-19 Essential Supplies Forecasting Tool (08/26/20) ▸
The focus of this tool is to forecast essential supplies: it includes estimation of personal protective equipment, diagnostic equipment, biomedical equipment for case management, essential drugs for supportive care, and consumable medical supplies.

N95 Decontamination Research (08/18/20) ▸
Fact sheets on decontamination using heat and humidity, UV-C, hydrogen peroxide vapor, and hydrogen peroxide gas plasma.

Strategies to Optimize the Supply of PPE and Equipment (07/16/20) ▸
CDC’s optimization strategies for PPE offer options for use when PPE supplies are stressed, running low, or absent.

UVGI, VHP Appear Promising for N95 Decontamination (07/08/20) ▸
Demand for N95 filtering facemask respirators during the COVID-19 pandemic far exceeds the supply, leading to discussions about how to best decontaminate them for reuse.

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.

Racial and Ethnic Disparities in COVID-19

COVID-19 Among American Indian and Alaska Native Persons — 23 States, January 31–July 3, 2020 (08/28/20) ▸
American Indian and Alaska Native (AI/AN) persons appear to be disproportionately affected by the COVID-19 pandemic; however, limited data are available to quantify the disparity in COVID-19 incidence, severity, and outcomes among AI/AN persons compared with those among other racial/ethnic groups.

Disparities in Incidence of COVID-19 Among Underrepresented Racial/Ethnic Groups in Counties Identified as Hotspots During June 5–18, 2020 — 22 States, February–June 2020 (08/21/20) ▸
Among 79 counties identified as hotspots during June 5–18, 2020 that also had sufficient data on race, a disproportionate number of COVID-19 cases among underrepresented racial/ethnic groups occurred in almost all areas during February–June 2020. Identifying health disparities in COVID-19 hotspot counties can inform testing and prevention efforts. Addressing the pandemic’s disproportionate incidence among communities of color can improve community-wide health outcomes related to COVID-19.

AHA podcast — Tackling Health Equity: How Boards Can Do It  (07/31/20) ▸
In this two-part Trustee Insights podcast, senior health leaders discuss challenges board members can expect to encounter as they strive for health equity and how best to meet them. Maria Hernandez, president and chief operating officer of Impact4Health, and Karma Bass, senior principal at Via Healthcare Consulting, explore specific steps boards can take to address diversity and racism. 

Health Equity Considerations & Racial & Ethnic Minority Groups (07/24/20) ▸
Long-standing systemic health and social inequities have put many people from racial and ethnic minority groups at increased risk of getting sick and dying from COVID-19. The CDC provides data resources on COVID-19 and race and ethnicity.

Addressing Health Care Disparities through Race, Ethnicity and Language (ReAL) Data (07/01/20) ▸
The AHA’s Institute for Diversity and Health Equity, highlights new race, ethnicity and language (REaL) data resources and tools to help health care providers meet the needs of minority and vulnerable populations in the fight against COVID-19 and beyond.

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.

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.

Waivers

Payment Rule Waivers and Additional Flexibilities (09/22/20) ▸
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 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing (09/11/20) ▸
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.

COVID-19 Emergency Declaration Waivers & Flexibilities for Healthcare Providers (08/20/20) ▸
Summary of waivers and flexibilities for providers.

COVID-19 Release and Liability Waivers: Real Risk Mitigation or a False Sense of Security?(07/29/20) ▸
Given the high number of risks associated with the coronavirus disease (COVID-19) pandemic, service providers are using COVID-19-related liability waivers and attestation statements, asking an individual to attest to the fact that they are not experiencing COVID-19-like signs or symptoms and have not recently tested positive for SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) before the provider renders services to the individual.

For Physicians

Improving Immunization Rates during COVID-19, Flu Season (09/08/20) ▸
Fewer preventive care visits are leading to concerns about the emergence of vaccine-preventable disease. Coupled with the approaching flu season, the AAFP is developing resources and advocating for measures.

The Remote Misses of COVID-19 (08/19/20) ▸
America’s response to coronavirus disease 2019 (COVID-19) is evolving as quickly as the pandemic itself, with attitudes and actions diverging along the way. Exploring historical examples of population-wide responses to other large-scale, traumatic events may offer useful insights.

Information for Pediatric Healthcare Providers (08/17/20) ▸
This guidance is intended to inform pediatric healthcare providers of up-to-date information about children with suspected or confirmed COVID-19 and about caring for children during the pandemic. Children are defined as age 1 month to 18 years for the purpose of this document.

Coronavirus Resources for Health Professions from Michigan.gov (08/05/20) ▸
Links to guidance for self-monitoring and work restriction, COVID-19 PUI case report form and guidance for substance use disorder during COVID-19.

COVID-19 Release and Liability Waivers: Real Risk Mitigation or a False Sense of Security? (07/30/20) ▸
Given the high number of risks associated with the coronavirus disease (COVID-19) pandemic, service providers are using COVID-19-related liability waivers and attestation statements, asking an individual to attest to the fact that they are not experiencing COVID-19-like signs or symptoms and have not recently tested positive for SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) before the provider renders services to the individual.

COVID-19 Testing – Guide for Physicians (07/28/20) ▸
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.

COVID Patient Testing (07/28/20) ▸
CMS has released a series of checklists and fliers to assist with counseling of patients pre- and post- COVID test.
Provider Counseling Q&A

Provider Patient Counseling Checklist
Provider Talking Points
Key Steps When Waiting for COVID-19 Results
Contact Tracking Infographic

CMS: Clinicians Can Apply for COVID-19 MIPS Exception (07/24/20) ▸
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 (07/24/20) ▸
Managing supplies, testing, personnel, medico-legal concerns, and looking toward re-opening.

Communication Materials for COVID-19 (07/22/20) ▸
CDC offers free resources including video, handouts, flyers, fact sheets, and posters.

Training for Healthcare Professionals (07/20/20) ▸
List of training materials available for healthcare professionals relating to COVID-19.

AAFP: COVID-19 Diagnosis Coding Explained in a Flowchart (07/05/20) ▸
This source gives an in-depth explanation of ICD-10 code options for COVID-19 diagnoses along with a flow chart developed to help physicians navigate how to properly assign diagnosis codes related to COVID-19 encounters.

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.

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.

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.

Cure ID app (06/08/20) ▸
The FDA has released a repository to allow clinicians to share experiences treating COVID-19.

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.

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).

For Hospitals

Duration of Isolation and Precautions for Adults with COVID-19 (09/10/20) ▸
At this time, we have limited information about reinfections with the virus that causes COVID-19. This is a new virus, and CDC is actively working to learn more. We will provide updates as they become available. Data to date show that a person who has had and recovered from COVID-19 may have low levels of virus in their bodies for up to 3 months after diagnosis.

HHS releases Rural Action Plan (09/18/20) ▸
The HHS has released a rural action plan, including challenges faced and a four-point strategy to transform rural health.

Considerations for quarantine of contacts of COVID-19 cases (08/21/20) ▸
This document is an update of interim guidance entitled Considerations for quarantine of individuals in the context of containment for coronavirus disease (COVID-19), published on 19 March 2020. This version is restricted to the use of quarantine for contacts of confirmed or probable cases of COVID-19. It provides updated guidance for the implementation of quarantine, as well as additional guidance on ventilation and on the care of children in quarantine.

Saint Peter’s University Hospital Addresses Long-term Effects of COVID-19 (08/19/20) ▸
Saint Peter’s COVID-19 Recovery Program serves as a community-based support system and resource by providing expert medical care to COVID-19 patients as they deal with persistent symptoms. The program offers care to patients who were treated for COVID-19 at Saint Peter’s or another hospital, and to individuals who tested positive and recovered at home. The goal is to leverage Saint Peter’s clinical expertise and partnership with community physicians and specialists to manage these patients’ unique needs.

Healthcare Emergency Preparedness Information Gateway:(asprtracie.hhs.gov) (08/07/20) ▸
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 (08/06/20) ▸
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.

HHS updates COVID-19 guidance and FAQs on hospitals’ daily data reporting (08/05/20) ▸
The Department of Health and Human Services Friday updated its guidance and FAQs  regarding the agency’s request for daily COVID-19-related hospital data reporting.

Key Considerations for Transferring Patients to Relief Healthcare Facilities when Responding to Community Transmission of COVID-19 in the United States (07/30/20) ▸
This guidance outlines considerations around the transfer of patients, staff, and supplies between healthcare facilities to optimize patient care, balance resources, and minimize use of crisis care standards.

COVID-19 Hospital Resource Compilation (7/29/20) ▸
This document lists key COVID-19 guidance and resources for hospital administrators, hospital emergency planners, infection control practitioners and other healthcare system preparedness professionals in the following topical areas: hospital surge, crisis standards of care, staffing surge and resilience, workforce protection, regulatory relief, equipment supply surge, healthcare recovery and resumption of services during COVID-19, and telemedicine. Each section contains links to federal and non-federal guidance to help hospitals prepare for and respond to a COVID-19 outbreak.

Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic (07/15/20) ▸
This interim guidance has been updated based on currently available information about COVID-19 and the current situation in the United States. As healthcare facilities begin to relax restrictions on healthcare services provided to patients (e.g., restarting elective procedures), in accordance with guidance from local and state officials, there are precautions that should remain in place as a part of the ongoing response to the COVID-19 pandemic.

COVID-19 Billing Recommendations and Guidance Reference (07/06/20) ▸
The MHA has developed a reference tool for COVID-19 billing recommendations and guidance from published materials from Centers for Medicare & Medicaid Services, Blue Cross Blue Shield of Michigan, and the Michigan Association of Health Plans.

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.

ACS Funding Summary: Establishment and Operationalization (06/22/20) ▸
Funding options for establishing Alternative Care Sites (ACS), including operation, ongoing administration, and direct patient costs.

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.

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

$2Billion Provider Relief fund for SNF (09/03/20) ▸
The HHS released qualification details pertaining to the $2 Billion PRF fund for SNF and Nursing homes.

Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes (08/17/20) ▸
This toolkit catalogs the many innovative solutions designed at the state level to protect our nation’s
vulnerable nursing home residents during the Coronavirus disease 2019 (COVID-19) pandemic.

FAQ for COVID-19 Tests at SNFs (07/31/20) ▸
CMS released a FAQ for SNF COVID-19 tests.

Changes to Staffing Information and Quality Measures Posted on the Nursing Home Compare Website and Five Star Quality Rating System due to the COVID-19 Public Health Emergency (06/25/20) ▸
CMS is ending the waiver of the requirement for nursing homes to submit staffing data through the Payroll-Based Journal System.

Key Strategies to Prepare for COVID-19 in Long-term Care Facilities (LTCFs) (06/25/20) ▸
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.

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.

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 (03/27/20) ▸
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.

Ask Us

AHP will reply within 24 hours.

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