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Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
Karl Singer 1
please clarify the distribution alternatives for Covid 19 vaccine for LTC facilities. How will Walgreens and CVS play a role. What about our pharmacy provider? How will the cold chain for preserving the vaccine be maintained
Anne Mills
Please post the link again for those who want to listen to this call again later.
Kristen Schmidt
Recordings of yesterday's call and the slides/documents can be found at www.nhhca.org/covid-19/
Woodcrest Village1
Can an assisted living community create a policy that requires all employees to participate in the COVID-19 CRSSP testing? If so, and an employee decides to take a "leave of absence", is the facility required to pay them as part of the Families First Coronavirus Response Act: Employee Paid Leave Rights?
Kristie Holtz
This is a description given to me of what the purpose of the federal task force strike team:
Kristie Holtz
CMS, the Centers for Disease Control & Prevention (CDC), and the Office of the Assistant Secretary for Health (OASH) is expanding our efforts to protect nursing home residents during the COVID-19 pandemic thorough the deployment of federal task force strike teams to provide onsite technical assistance and education to nursing homes in an effort to help reduce transmission and the risk of COVID-19 spread among residents. The Task Force Strike Teams are composed of clinicians and public health service officialsThe task force strike team selection of nursing homes is based on data reported to the CDC that indicate an increase in COVID-19 cases. The teams focus on the four key areas of support, including keeping COVID-19 out of facilities, detecting COVID-19 cases quickly, preventing virus transmission, and managing staff. The goal is to determine what immediate actions nursing homes need to take to help reduce the spread and risk of COVID-19 among residents, and to better understand what federal, state,
Kristie Holtz
and local resources nursing homes need to ensure the health and safety of their residents. CMS and its partners plan to use what is learned on the ground to determine remote education and other critical needs to support nursing homes and mitigate future outbreaks. (sorry broken up)
Gina Balkus
How do the Phases sync with the Community Transmission categories that are the Dashboard Schools Tab?
Lisa Henderson
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
Please clarify the indoor social visitation?? I understand we are doing compassionate care indoor visits, and we are doing outside social visits but who is allowed to come into the facility to visit when we are in phase I. We are allowing only compassionate care inside visits because we are in Hillsborough county with moderate community spread.
Anne Purington
Is there a number of active cases per 100k that will bring any county from Phase II to Phase I?
Can someone also speak to the POD's with the Capital Area Health Network?
Rosemary Simino
do anticipate that there will be any guidance on vaccination and testing. Ie: Timing of vaccine and timing of surveillance testing. will the vaccine impact results of the test.
Tara Verge
what happens if our quarantine unit is completely full?
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Can you please indicate resident right to return home if facility cannot accommodate private quarantine room upon return? With all semi-private long term care rooms, this will not be possible to accommodate. Thanks.
Lisa Henderson
Some resources from CDC that may be helpful for communicating with staff and residents re: holiday precautions:• CDC, All Holiday Travel: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/holidays.html• CDC, Thanksgiving: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/holidays.html#thanksgiving• CDC, Considerations for Events and Gatherings: https://www.cdc.gov/coronavirus/2019-ncov/community/large-events/considerations-for-events-gatherings.html• CDC, People with Increased Risk for Exposure: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/older-adults.html
Jessica Caron
For the developmental disabilities / Acquired Brain Injury fields (both adults and children in homes, group homes, and community services), are they supposed to follow guidance released last week to wear goggles when working with individuals in the Manchester-area?
Jessica Caron
(goggles, masks, eye protection in general)
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
could you please show the slide again in regards to residents going out for thanksgiving?
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
Dr. Chan we are having people that have their usual yearly allergies and have a runny nose, have tested negative on antigen and pcr. with tough staffing situations, what is your thoughts on someone who has yearly allergy symptoms and takes medication for it?
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
do we not allow all staff with normal allergy symptoms from work?
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
So I just want a clearer picture. If a staff member comes in and they have sneezing and no other symptoms we should not allow them access to the LTC facility which is in Hillsborough County?
Ben Chan
Are any facilities allowing in-resident-room visits for Essential Support Visitors?
Catie Gaudreault
When we were in a phase II, we permitted consistent hospice aide as essential support visitor (per designation of DPOP. No other in room visits based on the geography of our facility. We are not CMS
Catie Gaudreault
we included the aide in our testing cycle as well
Anne Purington
Can you confirm that Compassionate, Indoor and Outdoor Visits are allowed in all Phases except zero?
David Ross
Back to Antigen testing of symptomatic: CDC algorthim for LTC has the following qualifier:
David Ross
** Some antigen platforms have higher sensitivity when testing individuals within 5 days of symptom onset. Clinical discretion should be utilized to determine if retesting by RT-PCR is warranted.
Brianna Haskins-Belanger
Would we be find out of compliance with the CMS regulations if we let them be closer than 6ft, due to the barrier?
Brianna Haskins-Belanger
Ben Chan
@ David Ross: Yes, we are recommending that in a symptomatic person associated with a LTCF who tests negative by antigen tests (regardless of platform), that negative should be confirmed by PCR... high stakes for COVID-19 introduction.
Lisa Henderson
@Anne Purington - see p. 4 - https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/ltcf-visitation.pdf
if the individual test submission form is completed for each test performed with antigen machine do you also have to complete the spreadsheet format with all them listed, it seems the information is the same just in a different format.
Michael Cain
where do we get the DHHS covid reporting form from?
Aaron McIntire
You only need to complete one reporting method (submission form for singles or spreadsheet for multiples)
Michael Cain
the form for veritor reporting?
Beth Daly
Here is the DHHS COVID result reporting info: https://www.nh.gov/covid19/resources-guidance/healthcare-providers.htm
HAN #22 gives reporting info
Matt Gatzke
Tracey Hamlin-Landry
Since the reporting site is down today - what are the numbers for Rockingham County today?
Brianna Haskins-Belanger
If you quarantined the roommate in their own room. wouldn't that be placing another resident at known risk of communicable disease? and at jeapordy.
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
Just to clarify with someone going out for the holiday. Just as those coming from the hospital they must quarantine for 14 days in a private room. They cannot be chohorted because you don't know eithers COVID status.
Amy R. Rauert
thinking ahead to the holidays....wondering if we should have essential visitors quarantine for 14 days following the holiday if they are with family??
Jessica Caron
Thank you, this helps answer my question very well.
please let us know when you research Staff rights re: vaccine