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Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
Cindy
01:28
At present the state is not providing CRSSSP surveillance support for Strafford County Assisted Living facilities, can we expect this any time soon with the increased activity in the area?
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
02:07
I did not need a password to sign in today...just an FYI
The Edgewood Centre - Tricia and Patty
02:26
Me either
stephanpazulski
02:34
Are we able to return to traditional dining?
stephanpazulski
02:44
WE are Hillsborough County
mcain
09:51
Is there any guidance on infection control and utilizing steam tables in dining areas? Specifically can we in phase 3 reinitiate steam tables and stop tray service in communal dining.
pillsbury
09:53
Is a Resident with a car allowed to drive to her own Dr appointment? Or must she be accompanied with someone?
KK
10:18
We are requiring all staff to receive flu shot this year.Some of the possible side effects of flu shot (fever, nausea, headache, muscle aches) are on the covid sx list, which requires the person to report the sx and stay home from work. If any of those sx are experienced within 48 hrs of getting the flu shot, is it safe to presume that they are “explained” by the flu shot, thus not requiring the person to report them and to stay home? We want to make sure that flu shots don’t have an unintended consequence on already challenged staffing patterns.
Kristen Schmidt
10:55
As to the "new" login. If you log in using the hyperlink in the document, you will not need to enter the password. If you enter Zoom meetings by entering our Meeting Number, you will need to use the password!
Kristen Schmidt
11:15
It's a change to Zoom policy that we're trying to get ahead of.
Cindy
24:09
Has a price point been determined to reimburse per test, not all lab/vendor costs are equitable
Tom Argue
25:02
So the reimbursement from the State will be $100 per test and yet the tests cost $175, which for our facility would cost us $12,000 per test cycle at $75 per test or at least $144,000 annually. Is there reimbursement for this? If not, how are facilities that are already struggling supposed to absorb these additional Covid expense?
Anne Purington
25:06
So facilities need to find $75 per test to pay for this?
Rosemary Simino
25:11
Commissioner, Will the assisted living facilities be included that are attached to the nursing facilities for the contract with the state
Sarah Morazzini
25:35
Will this eventually be done in ALF's?
ABartley
26:04
We just received the machine and a few tests...are we not being guided to use this yet and contract with a lab instead?
Rita Vann
26:14
For Point of Care testing machines in LTC - CMS is requiring reporting with in 24 hours. How do you want these reported to state/local health departments. Memo #21 only state to report positives, and CMS requires all results be reported. Can you clarify?
Jasmine Gosselin
26:22
The self directed testing... does this include independent ALFs?
David Ross
27:06
Antigen tests are much less expensive ($23/test). Will an antigen test be counted for a symptomatic patient in the 10%/100% and be eligible for reimbursement at that cost (vs. the $100/test)?
Brenda Pereira
27:27
what about buildings that have LTC and ALF?
Tom Argue
28:09
Add the 10% random tests and that adds another 43,200 annually and there are facilities with far more employees than we have.
Anne Purington
28:38
@ $75 per test, this will cost us $10,000 per month or $120,000 per year. This is not sustainable
dgifford
28:41
I too would like to know about ALFs, I know we don't come under the guidance of CMS, so now wondering what our process will be for testing
Meg Miller
29:07
What about Non certified Nursing Homes?
Rosemary Simino
29:18
Need to ask about the attached alf facilities to the nursing homes
Rita Vann
30:06
Are the POC devices that CMS sent to centers not to be used as they are antigen? Is NH doing PCR only?
Anne Purington
31:15
Is there funding to pay for the $75 balance of the test?
Marlene
31:16
Just to clarify, my sound was going in and out...are we still testing 10% of residents during the month?
Brendan Williams
31:47
How long does the state anticipate this new model continuing with state reimbursement? Obviously providers need all the certainty they can get.
Heidi Forrence
32:38
what about surviellance testing of residents with this new model?
Meg Miller
34:45
What about homes (non certified)Nursing that are not receiving federal financial support?
StephanieFraser
34:46
Are we to start testing previously positive staff members?
sdodier
35:58
Is anyone concerned about the amount of time it takes to do all staffing in a week?
Heidi Forrence
37:19
required to report both negative and positive or just positive when using your POC machine?
Catherine Tornari
37:30
To clarify, for POC testing, do ALL results need to be reported, or only positive results need to be reported?\
Ben Chan
39:47
Positive antigens get reported to us by filling out the Case Report form: https://www.dhhs.nh.gov/dphs/cdcs/covid19/covid19-reporting-form.pdf
Amy R. Rauert
41:28
We are a stand alone ALF, and just received BINAX now. Do we need a MD order to test residents or staff?
dgifford
43:29
Anyone know timeline for receiving the BINAX now? We still haven't received
Sara Nadeau
46:43
We are an assisted living with a CLIA license and received 10 BINAX cards. However, this is not a test that is on our license. Are we required to use them/add this test to our license or would we be able to send them to another facility that is set up, trained and licensed to use them?
David Ross
47:00
CMS and the FDA have issued directives overruling states, allowing use of antigen testing for asymptomatic patients.
Carolyn Blackman
48:37
https://www.hhs.gov/sites/default/files/prep-act-coverage-for-screening-in-congregate-settings.pdf
Carolyn Blackman
52:40
https://www.cdc.gov/coronavirus/2019-ncov/downloads/hcp/nursing-home-testing-algorithm-508.pdf
mcain
54:28
What are considerations for reopening past Phase 3? Are there any future phases considered or should we plan on remaining at this phase through the Flu season/for-seeable future?
Kim Bernard
57:49
are you able to cut and paste link here?
Kristen Schmidt
58:44
https://www.cms.gov/files/document/qso-20-39-nh.pdf
Kristen Schmidt
59:02
CMS Memo: https://www.cms.gov/files/document/qso-20-39-nh.pdf
Tracey Hamlin-Landry
01:00:17
We have had reports of ALF's in Rockingham County doing indoor tours for prospective residents and families. Rockingham is in Phase II - I did not believe we are allowed to do inside tours? What is correct? Thanks!
joan.klebes
01:03:41
The active cases 10/100k population metric is daily. This may fluctuate either just below or just above 10 on a daily basis. How do we react to this re Phase II vs. Phase III?
Tracey Hamlin-Landry
01:04:17
Also my company is asking if NH is requiring 2 negative COVID tests for ALF move ins? We thought it was just one?
chris woodlawn
01:04:33
Sullivan county is now 11 as of 9/23/20. Do we downgrade to Phase 2?
fvignand
01:09:42
A resident is actively dying. Family requests a Compassionate Care visitation. Are you saying the family members must stay greater than 6 feet away from the resident during the visitation?
Sara Nadeau
01:13:01
In Taylor's presentation, there are several references to not being able to restrict visitation if we do not have an outbreak and our county numbers permit a specific Phase. However, we have previously been permitted to be more restrictive than the guidelines. With the new CMS guidelines, it that permission to be more restrictive no longer permitted? For example, we have restricted indoor visits to two consistent designated family members. We are in Phase II. Do we have to permit more than that given the guidance allows more?
Hillside Village
01:15:46
We are also interested in the question about prospective resident/family tours in phase 3. This would be in non-resident areas, of course. Thank you.
Anna Lake
01:18:25
Will there be guidance provided to the Family Centered Early Supports & Services system serving birth to 3 with visits pre-COVID primarily in the child's home and/or a childcare center?
Tracey Hamlin-Landry
01:18:55
Thank you we look forward to hearing the clarification on touring in Phase II and Phase III.
Taylor Selembo
01:27:34
taylor.selembo@dhhs.nh.gov
Lauren Murray
01:35:04
Question on testing. If a geographic area moves to high risk will the state support the testing?
David Ross
01:36:24
CMS (QSO 20-38) includes vendors and contractors in the testing guidance. Using the POC testing would allow us to meet this standard. The turnaround time for PCR testing is not immediately
David Ross
01:36:46
avaialble
Kristen Schmidt
01:42:59
kschmidt@nhhca.org
jnormand
01:43:49
Are the slides for last week available?
Robin Nelson
01:44:37
Thank you Kristin! You're the best!!!