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

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

COVID-19 Surge (05/24/20) ▸
COVID-19Surge 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.

Key Strategies to Prepare for COVID-19 in Long-term Care Facilities (LTCFs) (05/20/20) ▸
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.

COVID – 19 Retesting Criteria – 5.20.2020 – Spectrum Health ▸
Document listing criteria for retesting patients.

Providers must act by June 3 to receive additional relief funds (05/20/20) ▸
The Department of Health and Human Services today: reminded eligible health care providers that they have until June 3 to attest to receipt of payments from the Public Health and Social Services Emergency Fund, accept the terms and conditions and submit their revenue information to potentially qualify for an additional payment from the $50 billion general distribution.

SBA releases Paycheck Protection Program loan forgiveness application (05/20/20) ▸
The Small Business Administration Friday released the
application
 that borrowers must submit to the lender servicing their Paycheck Protection Program loan to request forgiveness for some or all of the loan.
The application contains worksheets to calculate whether the borrower qualifies for loan forgiveness and, if so, how much of the loan may be forgiven based on the value of the loan received, relevant payroll and nonpayroll costs for the loan period, and any adjustments to the number of employees and compensation. The application also details the documents that borrowers must retain but are not required to submit as part of the application, including documentation supporting the necessity of the loan and the borrower’s eligibility for a PPP loan.

Managing Workplace Fatigue (5/19/20) ▸
The coronavirus disease (COVID-19) pandemic has touched all aspects of society including how we work. 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.

Amazon Gives FPs Priority Access to COVID-19 Supplies (05/15/20) ▸
Amazon Business has now opened its priority access COVID-19 Supplies store to individual physicians. As a result, AAFP members and others working on the front lines of the pandemic have direct access to hundreds of items related to PPE, disinfectants, sanitizing products, diagnostic equipment and other materials.

COVID-19: Testing Resources ▸
Information on 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 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. There is limited information on the efficacy (sensitivity and specificity) as there is a low threshold of detection studies needed to achieve FDA EUA status. Some laboratories developing tests may begin patient testing while their assays are under FDA review. Additionally, there are tests being marketed to physicians that do not have EUA status.

Hours-Long Use of N95 Respirator Likely Safer than Donning and Doffing Several Times ▸
Research and guidance on Safety of Extended Use and Reuse of N95 Respirators.

FDA Warns of Potential Accuracy Concerns with Test ▸
The U.S. Food and Drug Administration is alerting the public to early data that suggest potential inaccurate results from using the Abbott ID NOW point-of-care test to diagnose COVID-19. Specifically, the test may return false negative results.

Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic ▸
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.

Telehealth/Doxy.me

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

• HIPAA compliant
• Free unlimited audio and video with no contract required
• Personalized room URL
• Virtual waiting room and patient queue
• Real-time messaging
• Mobile friendly
• Easy to use resources and tools
• Multiple account options

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. Any inquiries about Doxy.me from providers can also be directed to erik.pye@affirmant.com.

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

Proposed Policy Discusses COVID-19 Response: Telemedicine Policy Changes, Updates to Coverage for Physical Therapy, Occupational Therapy and Speech Therapy. ▸
The public comment portion of the promulgation process is being conducted concurrently with the implementation of the change noted in this bulletin. Comments on this proposed policy are due June 9, 2020. Comments may be forwarded to Laura Kilfoyle at KilfoyleL@michigan.gov.

HHS Telehealth Resource Page ▸
Resources for Providers, helping to navigate Telehealth.

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.

Telehealth resources from American College of Physicians ▸
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.

General Provider Telehealth and Telemedicine Tool Kit ▸
Electronic links to reliable sources of information regarding telehealth and telemedicine.

New Telehealth Guidelines from CMS ▸
What services are covered, what providers are eligible for the expanded telehealth opportunities and how to bill for these services.

Notice to Reduce or Waive Beneficiary Cost-Sharing for Telehealth ▸
March 17, 2020 notice from HHS Inspector General.

Popular Applications Such as FaceTime Now Permitted for Telehealth Video Chats ▸
Covered healthcare providers may use popular applications that allow for video chats, including Apple FaceTime, Facebook Messenger video chat, Google Hangouts video, or Skype, to provide telehealth without the risk that OCR might seek to impose a penalty for noncompliance with the HIPAA Rules related to the good faith provision of telehealth during the COVID-19 nationwide public health emergency.

Inside Look at Using Telemedicine During COVID-19 Pandemic ▸
Family physicians describe their experience.

CMS Nursing Home Telehealth Toolkit (03/30/20) ▸
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.

Coding Factsheet for Telemedicine (04/1/20) ▸

Resources for Independent Physicians

Financial

Resources about government extensions and funding sources

Providers must act by June 3 to receive additional relief funds (05/20/20) ▸
The Department of Health and Human Services today: reminded eligible health care providers that they have until June 3 to attest to receipt of payments from the Public Health and Social Services Emergency Fund, accept the terms and conditions and submit their revenue information to potentially qualify for an additional payment from the $50 billion general distribution.

SBA releases Paycheck Protection Program loan forgiveness application (05/20/20) ▸
The Small Business Administration Friday released the
application
 that borrowers must submit to the lender servicing their Paycheck Protection Program loan to request forgiveness for some or all of the loan.
The application contains worksheets to calculate whether the borrower qualifies for loan forgiveness and, if so, how much of the loan may be forgiven based on the value of the loan received, relevant payroll and nonpayroll costs for the loan period, and any adjustments to the number of employees and compensation. The application also details the documents that borrowers must retain but are not required to submit as part of the application, including documentation supporting the necessity of the loan and the borrower’s eligibility for a PPP loan.

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

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

HRSA Launches New CARES Act Fund to Cover COVID-19 Testing and Treatment of the Uninsured ▸
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.

Eligible Providers Can Submit Information to Receive Additional Provider Relief Fund Payments ▸
DHHS has begun the distribution of an additional $20 billion of the $50 billion general distribution to Medicare facilities and providers impacted by COVID-19.
The Provider Relief Fund is allocated for general distribution to Medicare facilities and provider​s affected by COVID-19, based on eligible providers’ 2018 net patient revenue, not Medicare fee-for-service. Some portion of this distribution is based on cost reports, which are filed with HHS by hospitals and some other facilities. The AAFP urges physicians who own their practices to submit information via the CARES Act General Distribution portal now »(covid19.linkhealth.com). These payments will not come automatically, and practices should visit the portal and follow the instructions on how to claim the second general distribution. The grant funding could go quickly, especially given that providers with large patient revenue, including hospitals, are eligible.

Legislation Provides Additional Funding to Small Business and Health Care ▸

On April 24, President Trump signed into law a $484 billion relief package named the Paycheck Protection Program and Health Care Enhancement Act. This includes over $300 billion in additional funding for the small business Paycheck Protection Program (PPP), which had previously run out of funding.
PPP loan applications will be accepted starting Monday April 27 as early as 10 am ET and organizations will apply through approved U.S. Small Business Administration (SBA) lenders. Organizations under 500 employees, including many group practices and small hospitals and ACO corporate entities are eligible for these loans which are forgiven if employment is maintained. It is advised that interested organizations contact their bank early, as demand for the loans will be significant.

UIA Provides Resources to Help Workers Certifying Unemployment Claims (04/17/20) ▸
The Michigan Unemployment Insurance Agency has developed new resources to help Michigan workers certify their unemployment claims. Also, in order to avoid slowdowns and keep the UIA’s online system functioning properly..

CARES Act Provider Relief Fund▸
CARES Act Provider Relief Fund now open. Find additional information for providers here. 

Coronavirus Relief Options ▸
Multiple funding options from the Small Business Administration for those seeking relief.

Provider Relief Funding (04/10/20) ▸
HHS to Begin Immediate Delivery of Initial $30 Billion of CARES Act Provider Relief Funding.

PNC comparison of SBA loan programs ▸

Executive Order 2020-17 ▸
Temporary extension of the deadline to redeem property for nonpayment of delinquent property taxes.

Economic Injury Disaster Loan ▸
Apply for low-interest disaster relief loans to help businesses recover from the effects of COVID-19.

Accelerated and Advanced Payment Fact Sheet ▸
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.

Labor Options

Resources for informing decisions around temporary leave versus termination

COVID-19 Health Care Jobs Portal ▸
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.

Staffing Resources – Get and Keep America Open ▸
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.

Guidance to Michigan Employers ▸
Due to the uncertainty regarding potential congressional action on how furloughed workers will be able to access federal resources, employers are strongly urged to place employees on temporary leave as opposed to termination. There is no additional cost to employers, employees remain eligible for unemployment benefits and they may remain eligible for potential federal assistance.

Unemployment Insurance Agency Fact Sheet ▸
Claiming unemployment benefits in Michigan – COVID-19 Guide.

Work Share ▸
Michigan’s Work Share program allows you to keep your employees working with reduced hours, while employees collect partial unemployment benefits to make up a portion of the lost wages.

Other Resources

General

FDA Warns of Potential Accuracy Concerns with Test ▸
The U.S. Food and Drug Administration is alerting the public to early data that suggest potential inaccurate results from using the Abbott ID NOW point-of-care test to diagnose COVID-19. Specifically, the test may return false negative results.

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

HHS Extends Attestation Deadline for Emergency Funds ▸
The Department of Health and Human Services has extended the deadline for health care providers to attest to receipt of payments from the Public Health and Social Services Emergency Fund and accept the terms and conditions. Providers will now have 45 days, increased from 30 days, from the date they receive a payment to attest and accept the terms and conditions or return the funds. For example, the initial 30-day deadline for providers who received payment on April 10, is extended to May 24 from May 9. With the extension, not returning the payment within 45 days of receipt of payment will be viewed as acceptance of the terms and conditions.

Discontinuation of Isolation for Persons with COVID -19 Not in Healthcare Settings ▸
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 3, 2020.

Reopening Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homes ▸
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. Reopening America requires all of us to move forward together by practicing social distancing and other daily habits to reduce our risk of exposure to the virus that causes COVID-19. Reopening the country also strongly relies on public health strategies, including increased testing of people for the virus, social distancing, isolation, and keeping track of how someone infected might have infected other people. This plan is part of the larger United States Government plan external icon and focuses on cleaning and disinfecting public spaces, workplaces, businesses, schools, and can also be applied to your home.

Ethics and COVID-19: resource allocation and priority-setting (04/20/20)▸
This policy brief answers a number of questions about the ethics of setting priorities for the allocation of resources during times of scarcity. Such decisions may include access to hospitals, ventilators, vaccines and medicines. It is essential that policies and practices are ethically justified in such contexts. The document provides a high-level ethical framework that can be used to guide decision-making and complements WHO’s technical guidance.

Updated Testing Prioritization Requirements (04/13/20) ▸
The Michigan Department of Health and Human Services (MDHHS) issued updated COVID-19 testing prioritization requirements. 

Blue Cross Complete COVID-19 Updates (04/16/20) PDF attached to email▸
Updates from the State of Michigan on Medicaid coverage expansion, testing criteria expansion, hospital transfers and Medicaid beneficiary co-pay.

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

How to use ICD-10-CM, new lab testing codes for COVID-19▸
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.

Health Insurers Agree to Provide COVID-19 Treatment at No Cost to Patients ▸
The Michigan Department of Insurance and Financial Services (DIFS) announced that the state has received agreements from nearly all of the state’s health insurance companies to waive cost-sharing, including copays, deductibles, and coinsurance for COVID-19 testing and treatments.

CDC Update–Interim Additional Guidance for Outpatient and Ambulatory Care Settings ▸
Responding to Community Transmission of COVID-19 in the United States.

Probability of COVID-19 Outbreaks in US Counties ▸
Given the low testing rates in the US, researchers assume that one in ten cases are tested and reported.  If a county has detected only one case of COVID-19, there is a 51% chance that there is already a growing outbreak underway.

Telephone Response Guide (03/30/20) ▸
Guidelines for children (2-17) or adults (18 years and over) with possible COVID-19.

N95 Decontamination Research ▸
Fact sheets on decontamination using heat and humidity, UV-C, hydrogen peroxide vapor, and hydrogen peroxide gas plasma.

FDA to Allow Use of KN95 Masks (04/04/20) ▸
The FDA announced on April 3, 2020, that it will allow use of a more widely available mask that meets Chinese standards instead of American one.

Coronavirus Resources for Health Professions from the CDC ▸
Links to guidance for evaluating persons under investigation, evaluating and testing persons for coronavirus, infection control and frequently asked questions.

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

Michigan Executive Order No.2020 (03/10/20) ▸
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.

Ventilator Sharing Protocol ▸
Dual-patient ventilation with a single mechanical ventilator for use during critical ventilator shortages.

CARES Act Appropriations Summary ▸
Provisions of particular interest to healthcare providers.

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

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

Evidence-Based Treatment Options

COVID-19: Testing Resources ▸
Information on 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 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. There is limited information on the efficacy (sensitivity and specificity) as there is a low threshold of detection studies needed to achieve FDA EUA status. Some laboratories developing tests may begin patient testing while their assays are under FDA review. Additionally, there are tests being marketed to physicians that do not have EUA status.

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.”

LitCOVID Systematic Review Daily Report (04/21/20) ▸
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.

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

Assessment of Evidence for COVID-19 Related Treatments (04/15/20) ▸
Evidence table to help practitioners better understand current approaches related to treatment and care.

Healthcare Worker Well-Being

Managing Workplace Fatigue (5/19/20) ▸
The coronavirus disease (COVID-19) pandemic has touched all aspects of society including how we work. 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.

Hours-Long Use of N95 Respirator Likely Safer than Donning and Doffing Several Times ▸
Research and guidance on Safety of Extended Use and Reuse of N95 Respirators.

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

Counterfeit Respirators / Misrepresentation of NIOSH-Approval (04/17/20)
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.

Assessment of N95 respirator decontamination and re-use for SARS-CoV2 (04/15/20)
In general, N95 respirators are designed for single-use prior to disposal. Here, we have analyzed four readily available and often used decontamination methods.

Risk Assessment and Management of Exposure of Healthcare Workers in the Context of COVID-19 ▸
Healthcare workers in contact with patients with COVID-19 are at high risk of infection. Understanding how HCW exposure to COVID 19 virus translates into risk of infection is critical for informing infection prevention and control (IPC) recommendations. 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.

Guidance for Health Workers ▸
Publications, tools, templates and resources for health workers from the WHO.

Waivers

Summary of CMS Guidance on Blanket Waivers (04/13/20) (PDF) ▸
Summary of regulations relating to hospitals and hospice care.

Payment Rule Waivers and Additional Flexibilities (03/31/20) ▸
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.

CMS Flexibilities to Fight COVID-19 (04/01/20) ▸
Provider specific fact sheet on new waivers and flexibilities.

COVID-19 Emergency Declaration Waivers & Flexibilities for Healthcare Providers (04/01/20) ▸
Summary of waivers and flexibilities for providers.

For Physicians

Amazon Gives FPs Priority Access to COVID-19 Supplies (05/15/20) ▸
Amazon Business has now opened its priority access COVID-19 Supplies store to individual physicians. As a result, AAFP members and others working on the front lines of the pandemic have direct access to hundreds of items related to PPE, disinfectants, sanitizing products, diagnostic equipment and other materials.

Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic ▸
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.

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) ▸
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).

Clinical Questions about COVID-19: Questions and Answers (updated 05/12/20) ▸
The CDC developed a webpage dedicated to answering most frequently asked clinical questions about COVID-19.

Considerations on Re-opening Your Practice ▸
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.

Proposed Medicaid Policy Changes for your Public Comment Review ▸
The proposed policy discusses COVID-19 Response:  Non-Emergency Medical Transportation (NEMT). The public comment portion of the policy promulgation process is being conducted concurrently with the implementation of the changes noted in this bulletin. Comments on this proposed policy are due June 3, 2020.

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..

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

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

For Hospitals

COVID – 19 Retesting Criteria – 5.20.2020 – Spectrum Health ▸
Document listing criteria for retesting patients.

New Tool Connects Hospitals With Compounders Who Can Provide Drugs in Shortage ▸
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.The hospital access page is password protected but hospitals can log on using info@iacprx.org as the user name, and compounding1 as the password. Hospital representatives will be asked to share basic contact information before they can access the page in question.

New IFDHE resource helps hospitals address health disparities during COVID-19 crisis ▸
The AHA’s Institute for Diversity and Health Equity today released a new resource highlighting steps hospitals can and are taking to address disparities that arise during the fight against COVID-19.

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

New Study Presents Strategies for Managing Critical Care Surge in US Hospitals ▸
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 ▸
An Excel-based model for helping hospitals respond to the COVID-19 crisis.

New online job board for sharing staffing needs among hospitals▸
The MHA encourages hospitals to use this site to broadcast needs to other facilities, and/or search for opportunities to allow  staff to work elsewhere.

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.

Comprehensive Hospital Preparedness Checklist for COVID-19 from the CDC ▸
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.

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

Post-Acute Care

Key Strategies to Prepare for COVID-19 in Long-term Care Facilities (LTCFs) (05/28/20) ▸
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.

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.

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

Upcoming Requirements for Notification of Confirmed COVID-19 (or COVID19 Persons under Investigation) Among Residents and Staff in Nursing Homes (04/19/20)
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). 

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.

Modeling

COVID-19 Surge (05/24/20) ▸
COVID-19Surge 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.

COVID Modeling Compendium Update ▸
The AHA recently released an updated version of its “COVID-19 Models: Forecasting the Pandemic’s Spread” report that analyzes five new COVID-19 models, including two free AHA MetricVu™ data visualization tools. The AHA’s COVID-19 Bed Occupancy Projection Tool documents the nation’s intensive care unit (ICU) capacity and potential bed shortages. Users will be able to visualize total hospital bed and adult ICU-bed capacity by state, Health Referral Region and Health Service Area; identify potential bed shortages by state according to three different scenarios; view the percentage of non-COVID patients occupying beds; and layer individual health care facility locations onto the interactive map, tailoring results by poverty rate and the uninsured rate. The People Per Hospital Bed Map shows population per bed as a measure of capacity for all adult beds and for adult ICU beds.

A Compendium of Models that Predict the Spread of COVID-19 ▸
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.

University of Pennsylvania Model ▸
A statistical model for predicting individual hospital impacts related to COVID-19 under varying assumptions.

Personal Protective Equipment (PPE) Burn Rate Calculator (04/1/20) ▸
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).

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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