Zoom Logo

Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
rleboeuf
17:58
How do you document the results of the Binax tests?
Anne Purington
18:06
Can Kristie comment on definition of Outbreak?
Carole Boutin
20:28
Can you please clarify: The county is in the red zone. Do they test once or twice per week and how is that decided? Thanks!
jnormand
20:44
What is the confidence level of the Binex cards? Any problems being reported?
Luanne Rogers
21:02
where do you find training for Binox now to demonstrate competency
John Whittemore
21:06
Do you need to document PCR tests in the same way as antigen tests? Is the reporting the same?
Alex
21:15
When can we expect a standing order to perform Binexnow test without having to obtain a physicians order for each individual?
Matt Gatzke
21:19
https://www.dhhs.nh.gov/dphs/cdcs/alerts/documents/covid-19-update23.pdf
Michelle Pelham
21:46
Can you post the link to order additional Binex kits please
Abigail.Marrero
23:40
how long are we halting admissions when there is a new case? Is it until there are no more positive cases or until you have found the source of transmission and implemented interventions?
Kaitlin Inman
24:03
Does county rates effect admission restrictions at all?
Carole Boutin
24:53
If the positivity rate is greater than 10%, there is no outside visitation- is that correct? Does that apply to LTC and ALF?
BPaquin
25:46
If the Administrator gets trained and signed off on proper procedure are they allowed to do Binax testing for staff? OR does it have to just be nursing staff?
Taylor Selembo
25:48
@Kaitlin, no. There are no state or CMS restrictions about new admissions based on county transmission.
Brendan Williams
26:57
Preliminary question on vaccines posed to me from a member re: vaccines: Who from state would I contact if I chose Omni?
Taylor Selembo
31:10
@Carole, if transmission is above 10% there is no INDOOR visitation. And yes, it applies to nursing homes and ALF both.
Linda Crawford
33:12
Should facilities stop giving, specifically, pneumonia and shingrix vaccines until resident has received COVID vaccines given?
Lara Shea
33:21
Hillsborough county has moved to phase 0. Is the whole county 0, or for the rest of the county has Manchester and Nashua been excluded and there for are still in phase 1?
Heidi Forrence
34:12
county positivity rate above 10% does not effect Dinging Room or group activities (10 or less people) correct?
Taylor Selembo
34:32
@Lara, Going to phase 0 is based on the individual facility, not a whole county.
Kristen Schmidt
34:47
@Lara, the only facilities in Phase 0 are those in outbreak. Facilities NOT in outbreak are in Phase 1.
Kristen Schmidt
35:03
covidvaccine@dhhs.nh.gov
Taylor Selembo
36:43
@Heidi, correct. Limited communal dining/activities are still allowed. Continue to follow the guidance in the table for phase 1 here. https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/ltcf-visitation.pdf
Karl Singer 1
37:30
Can you clarify the recommendation from England today that people with a history of severe allergy should not receive the Pfizer vaccine
bbelanger’s iPhone
37:31
I apologize if this is redundant. if they are mRNA vaccines, once administered, does that mean PCR testing would be contraindicated?
joan.klebes
38:56
Are we reserving two doses of the same vaccine for each individual? Since if Pfizer is received first dose, only Pfizer must be used for second dose?
Beth Daly
39:47
@Joan- No you do not need to hold back any vaccine for second doses. That is all accounted for in the federal allocation plan.
Lauri De Witt
39:57
if you wanted to assist with vaccine distribution/delivery would it be best to contact pharmacies like CVS/Walgreens to work directly with them?
Brendan Williams
43:11
Thank you Commissioner Shibinette and DHHS staff!
Summit
43:19
Do you have informational materials available that would be good to provide to residents and staff about the vaccine?
Paul Drager
43:29
Will "informed consent" be necessary to administer the vaccine?
Sarah.E.Stanley
43:53
Thank you, Commissioner!
Paul Drager
44:08
How will DHHS keep track of who received the 1st dose?
Karen Cusano
45:30
Thank you to the entire DHHS team they are responsive, knowledgeable and helpful!
Michelle Pelham
45:33
DHHS asks annually how many staff/residents have recieved the flu vaccine, will we be needing to do similar reporting for Covid vax so that we catch those residents who may change from one LTC to another?
maryellen dunham
47:02
We had an outbreak and now have 1 positive staff who is not working. When can we resume therapy for residents who have finished their quarantine.
Lara Shea
48:53
will staff under 18 years old be included in phase 1?
Beth Daly
49:23
I have to sign off. A few operational vaccine questions I see. You will get information materials coming to you. We are waiting on feds for this. We are using a Vaccine Administration Management System (VAMS) to track doses. The pharmacies will be using this too (or similar system that communicates with VAMS). More to come!
Michelle Pelham
50:09
Thank you Beth
Andrea Lajoie, Salemhaven, Inc.
52:46
Staff questioning - If after receiving the injection they experience any of those side effects, will they need to quarantine, based on not passing screening?
gerry.caruncho@comcast.net
53:03
Will folks who have been positive be vaccinated?
Sarah Morazzini
53:38
Is there any way that we can stagger our staff to receive the vaccine in case we have to quarantine them due to side effects from the vaccine?
Brendan Williams
54:07
Those who have had the virus before should still be vaccinated, Gerry
gerry.caruncho@comcast.net
54:33
Thank you
Michael Cain
54:40
If you are in outbreak status, and you have residents to discharge, is there guidance on covid positive, asymptomatic residents who desire to go home?
Clinical Dept PF RR RS
57:06
Seems to be a higher level of side effects than released prior. Will staff who might have these symptoms after injection should we allow them to work (given that we likely know the cause). With the large number of staff who will be vaccinated at the same time we are concerned about staffing.
Home Care, Hospice, PC Alliance of NH
58:07
Can you clarify— are Compassionate Care visits by hospice providers and family allowed no matter which phase?
Lisa Henderson
59:11
Recommendations for Responding to LTCF Cases of COVID-19 pdf file (December 4, 2020) https://www.nh.gov/covid19/resources-guidance/documents/covid-ltfc-recommendations.pdf
Lisa Henderson
59:33
NH DHHS COVID-19 Information for Long-Term Care Facilities pdf file (December 4, 2020)https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/covid-19-ltcguidance.pdf
Lisa Clark
01:02:08
Can we get copies of power point
Sandy Webber
01:02:30
Is it possible to get on the list for the handouts? My email is sandy.webber@becket.org
Olivia Korpi
01:03:09
Are you going to allow ALF's to COVID test all residents as well as all Staff during this weekly testing period (until Dec. 31st)?
Lisa Henderson
01:03:38
@Lisa Clark - weekly Powerpoint and recording posted within about 48hrs of call at https://www.nhhca.org/covid-19/ Under past calls and webinars
ltheroux
01:06:40
Testing Question: What were the recommendations for the POC and PCR testing when you are testing twice a week?
Olivia Korpi
01:08:39
ok thank you
Taylor Selembo
01:08:40
@Home Care, yes. Compassionate care visits are allowed regardless of what phase the facility is. This is per CMS and state guidance.
Janet Harmon
01:09:37
Please send PowerPoint presentations to janetharmon@siddharthservices.com Thank you!
Matt Gatzke
01:09:55
https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html
Lisa Henderson
01:10:27
@ltheroux, if you are a nursing facility in a "Red" County, you are required to test twice a week. The state will pay for 1/wk so for the second test you can either use a private lab and pay for it yourself or use your existing POC device to conduct the second round of testing
Mark
01:10:32
are hospitals under the same no admission policy with covid cases on unit as long term care ?and are measures being taken with diminished census to supplement finanacial losses from no admission policy
Taylor Selembo
01:10:47
Power point slide are posted here: https://www.nhhca.org/covid-19/
Olivia Korpi
01:11:20
Can you clarify do ALF's need to test TWICE or ONCE a week?
Lisa Henderson
01:11:42
ALFs are not subject to the 2x/week testing requirement. You have the opportunity to test 1/week via Nordex and the state will pay for this.
Olivia Korpi
01:11:59
Thank you, Lisa!
Heidi Forrence
01:12:03
do centers have to be in phase 0 if only staff test positive and no residents/patients test positive? in the guidance it only highlights patients/residents and facility onset. we are being told by DPH that we have to remain in phase 0 even if it is just a staff member testing positive.
June Gallup
01:12:18
To follow up on the Compassionate care question for Homecare and Hospice patients- Since LTC is testing weekly or biweekly, should hospice clinicians routinely test or follow the every 28 day schedule . we continue with weekly PCR but curious if we can us BINAX now for interim testing even if it's surveillance and not symptomatic
Ben Chan
01:15:24
Sorry I have to drop off now.
sarah berry
01:19:00
if I have a travel LNA coming from SC, does she need to quarantine for 14 days before working for us
Taylor Selembo
01:19:28
@Sarah, yes.
Aaron McIntire
01:20:41
@June Gallup We are allowing testing frequency based on the county you are in. Partnership with the LTCF should allow you to work under their frequency.
June Gallup
01:21:34
thank you
Robin Nelson, Maplewood of Cheshire County
01:22:34
This is the consent form from CVS
Robin Nelson, Maplewood of Cheshire County
01:23:16
It is just a draft and facilities will receive triplicate forms to fill out when the clinics are scheduled.
Michael Cain
01:26:14
That is correct
Michael Cain
01:26:39
Thanks!
Taylor Selembo
01:27:06
https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/care-for-someone.html
Gina Queiros
01:29:08
Walgreens consent form