Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
Who can see your viewing activity?
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
I did not need a password to sign in today...just an FYI
The Edgewood Centre - Tricia and Patty
Are we able to return to traditional dining?
WE are Hillsborough County
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.
Is a Resident with a car allowed to drive to her own Dr appointment? Or must she be accompanied with someone?
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.
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!
It's a change to Zoom policy that we're trying to get ahead of.
Has a price point been determined to reimburse per test, not all lab/vendor costs are equitable
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?
So facilities need to find $75 per test to pay for this?
Commissioner, Will the assisted living facilities be included that are attached to the nursing facilities for the contract with the state
Will this eventually be done in ALF's?
We just received the machine and a few tests...are we not being guided to use this yet and contract with a lab instead?
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?
The self directed testing... does this include independent ALFs?
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)?
what about buildings that have LTC and ALF?
Add the 10% random tests and that adds another 43,200 annually and there are facilities with far more employees than we have.
@ $75 per test, this will cost us $10,000 per month or $120,000 per year. This is not sustainable
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
What about Non certified Nursing Homes?
Need to ask about the attached alf facilities to the nursing homes
Are the POC devices that CMS sent to centers not to be used as they are antigen? Is NH doing PCR only?
Is there funding to pay for the $75 balance of the test?
Just to clarify, my sound was going in and out...are we still testing 10% of residents during the month?
How long does the state anticipate this new model continuing with state reimbursement? Obviously providers need all the certainty they can get.
what about surviellance testing of residents with this new model?
What about homes (non certified)Nursing that are not receiving federal financial support?
Are we to start testing previously positive staff members?
Is anyone concerned about the amount of time it takes to do all staffing in a week?
required to report both negative and positive or just positive when using your POC machine?
To clarify, for POC testing, do ALL results need to be reported, or only positive results need to be reported?\
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
We are a stand alone ALF, and just received BINAX now. Do we need a MD order to test residents or staff?
Anyone know timeline for receiving the BINAX now? We still haven't received
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?
CMS and the FDA have issued directives overruling states, allowing use of antigen testing for asymptomatic patients.
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?
are you able to cut and paste link here?
CMS Memo: https://www.cms.gov/files/document/qso-20-39-nh.pdf
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!
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?
Also my company is asking if NH is requiring 2 negative COVID tests for ALF move ins? We thought it was just one?
Sullivan county is now 11 as of 9/23/20. Do we downgrade to Phase 2?
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?
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?
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.
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?
Thank you we look forward to hearing the clarification on touring in Phase II and Phase III.
Question on testing. If a geographic area moves to high risk will the state support the testing?
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
Are the slides for last week available?
Thank you Kristin! You're the best!!!