Issue: April 20, 2020

Published on April 20, 2020

Articles in this issue:

DOH DAL: Guidance for Resident and Family Communication in Adult Care Facilities and Nursing Homes

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

NYSHFA/NYSCAL is working with the Department of Health on further clarification of the memo issued regarding compliance with the Executive Order 202.18 requiring nursing homes and adult care facilities to report confirmed cases of COVID-19 to residents and families within 24 hours if any resident tests positive for COVID 19 and/or if a resident suffers a COVID-19 related death. Currently we are working on identifying existing mechanisms of communications in the facilities such as posting on websites and other acceptable approaches to ensure the best way to streamline this directive in order to address compliance.

The New York State Department of Health recognizes that COVID-19 has presented unique challenges and has created a need for adult care facilities and nursing homes to develop innovative ways to keep residents connected to their families and communities. See attached DAL.

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Upcoming Requirements for Notification of Confirmed COVID-19 (or COVID19 Persons under Investigation) Among Residents and Staff in NHs

Author: Jackie Pappalardi and Lisa Volk* Published in Clinical & Quality

On April 19, 2020 CMS released the attached memo outlining requirements for the notification of confirmed COVID-19 (or COVID19 Persons under Investigation) among residents and staff in Nursing Homes. CMS expects to release the requirements by the end of this week. NYSHFA is working closely on the implementation details with American Healthcare Association who expects to release guidelines and templates as soon as possible.

https://www.cms.gov/files/document/qso-20-26-nh.pdf 

NYSHFA/NYSCAL CONTACTS:

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Medicaid Update Special Edition: Medicaid Program Launches Online Medicaid Provider Enrollment

Author: Carl J. Pucci

Attached please find a Medicaid Update Special Edition, issued on April 20, 2020 by the New York State Department of Health, featuring “New York State Medicaid Program Launches Online Medicaid Provider Enrollment During COVID-19 Public Health Emergency.” 

This Medicaid Update Special Edition is available on the Medicaid Update webpage. 

It is also be posted on the COVID-19 Guidance for Medicaid Providers webpage, which is updated regularly with guidance and information. 

Thank you.

NYSHFA/NYSCAL CONTACTS:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36

CMS COVID-19 Stakeholder Engagement Calls – Week of 4/20/20

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. Call details are attached.

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

DOH: Guidance for Nursing Homes on Managing Resident Deaths During the COVID-19 Outbreak

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

Due to the COVID-19 public health emergency, the New York State Department of Health (DOH) is distributing the following guidance to assist nursing homes in processing the removal of decedents. This guidance is intended for nursing homes that may be experiencing an increase in resident deaths, as well as nursing homes that may be relying upon new staff to perform this sensitive responsibility.

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

AHCA: COVID-19 Update #44 | CMS Announces New Requirements for Reporting Confirmed Cases

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

In This COVID-19 Update:

CMS Announces New Requirements for Reporting Confirmed Cases 

At a White House briefing late today, Administrator Seema Verma announced that the Centers for Medicare and Medicaid Services (CMS) will be requiring skilled nursing care centers to report confirmed cases of COVID-19 to residents and families. SNFs will also be required to report confirmed cases directly to the Centers for Disease Control (CDC). Details on how to do this will be forthcoming later this week from CMS.  

This announcement is similar to AHCA/NCAL guidance released last weekend (in Update #38 ) on reporting confirmed cases to stakeholders and to the state survey agency, if providers were not already doing so. The announcement by CMS late today applies only to nursing homes, so assisted living communities and facilities that serve the ID/DD population should continue to follow AHCA/NCAL’s guidance on notifications.

Nebulizing Guidance 

AHCA/NCAL has developed new guidance that outlines when and what to do with COVID-19 residents with severe respiratory symptoms who need nebulizer treatments. CDC considers nebulizer treatments to be an aerosol generating procedure. This may increase risk of infection due to aerosols generated by the procedure or due to increased contact between health care providers and patients. Facilities should review the guidance and consider whether they can care for a resident who requires nebulizer treatment. 

Please email COVID19@ahca.org for additional questions, or visit ahcancal.org/coronavirus for more information.

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

DOH Health Advisory: Discontinuation of Isolation for Patients with COVID-19

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

Please see the attached health advisory on the Discontinuation of Isolation for Patients with COVID-19 Who Are Hospitalized or in Nursing Homes, Adult Care Homes, or Other Congregate Settings with Vulnerable Residents.

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

CMS: Trump Announces Nursing Homes COVID-19 Transparency Effort; CMS Issues Recommendations to Re-Open Health Care Systems

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

Trump Administration Announces New Nursing Homes COVID-19 Transparency Effort

Agencies partner with nursing homes to keep nursing home residents safe 

Today, under the leadership of President Trump, the Centers for Medicare & Medicaid Services (CMS) announced new regulatory requirements that will require nursing homes to inform residents, their families and representatives of COVID-19 cases in their facilities. In addition, as part of President Trump’s Opening Up America, CMS will now require nursing homes to report cases of COVID-19 directly to the Centers for Disease Control and Prevention (CDC). This information must be reported in accordance with existing privacy regulations and statute. This measure augments longstanding requirements for reporting infectious disease to State and local health departments. Finally, CMS will also require nursing homes to fully cooperate with CDC surveillance efforts around COVID-19 spread. 

CDC will be providing a reporting tool to nursing homes that will support Federal efforts to collect nationwide data to assist in COVID-19 surveillance and response. This joint effort is a result of the CMS-CDC Work Group on Nursing Home Safety. CMS plans to make the data publicly available. This effort builds on recent recommendations from the American Health Care Association and Leading Age, two large nursing home industry associations, that nursing homes quickly report COVID-19 cases. 

This data sharing project is only the most recent in the Trump Administration’s rapid and aggressive response to the COVID-19 pandemic. More details are available in the Press Release and Guidance Memo.  

CMS Issues Recommendations to Re-Open Health Care Systems in Areas with Low Incidence of COVID-19 

Today, the Centers for Medicare & Medicaid Services issues new recommendations specifically targeted to communities that are in Phase 1 of the Guidelines for President Trump’s Opening Up America Again with low incidence or relatively low and stable incidence of COVID-19 cases. The recommendations update earlier guidance provided by CMS on limiting non-essential surgeries and medical procedures. The new CMS guidelines recommend a gradual transition and encourage health care providers to coordinate with local and state public health officials, and to review the availability of personal protective equipment (PPE) and other supplies, workforce availability, facility readiness, and testing capacity when making the decision to re-start or increase in-person care. 

The new recommendations can be found here: https://www.cms.gov/files/document/covid-flexibility-reopen-essential-non-covid-services.pdf 

The Guidelines for Opening Up America Again can be found here: https://www.whitehouse.gov/openingamerica/#criteria

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

DOH: Influenza Surveillance Report for the week ending 4/11/2020

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

This Informational Message is being sent to you by the NYSDOH Bureau of Communicable Disease Control (BCDC), which produces a weekly statewide influenza surveillance report from October through May. Attached is the influenza surveillance report for the week ending April 11, 2020.

This surveillance report is also available on the NYSDOH's public website at: http://www.health.ny.gov/diseases/communicable/influenza/surveillance/ as well as on the NYSDOH's password-protected Health Commerce System (HCS). To access the report on the HCS, log onto the HCS using your HCS password, select "Content" from the menu bar, then "Documents by Group">"NYSDOH">Diseases and Conditions">"Influenza"> "Surveillance">"Weekly Reports 2019-20 Season." 

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Last Chance to Register-Audio Conference Food Safety Overview

Author: * Published in Education

Join NYSHFA/NYSCAL for our upcoming Audio Conference "Food Safety Overview: Principles of Safe Food Handling in the Long-Term Care Setting" on April 23th. Useful information during this Covid-19 Crisis and earn CEUs conveniently! The audio is approved for 2.0 CEUs by NAB for LNHAs & ALAs. In addition to NAB this program has been approved by CBDM for Dietary CEs!

Click here for additional program details and registration options.