Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
Who can see your viewing activity?
Where can these recordings be found?
They can be found here: https://www.nhhca.org/covid-19/ but it takes up to 24 hrs for some recordings to be available
Where can we find guidelines for transport companies providing transport to LTC/SNF facilities
does the waiver cover all antigen testing? including binax
yes waiver would cover all testing
Here is CMS guidance on transfers. If anyone has an update, please share: https://www.cms.gov/files/document/qso-20-25-nh.pdf
These are the Laboratory Rules: https://www.dhhs.nh.gov/oos/bhfa/documents/he-p808.pdf
Does the testing 1x per week apply to Assisted Livings in Rockingham county?
These are the Collection Station Rules: https://www.dhhs.nh.gov/oos/bhfa/documents/he-p817.pdf
Is the funding for LTC only?
Will testing change for ALFs in Strafford County is we go over 10%?
Thank you to DHHS for this new testing program
Once UNH students go home and are no longer in session on campus, will this be reflected(accounted for) in the Strafford County positivity rate?
Is the 100% testing for employees only or does it include the residents?
June Gallup Cornerstone VNA
Are Hospice staff included in this testing process/state assist so that they can visit facilities for care. We currently test weekly? Homecare/Hospice agencies have contracts with state for state requested PCR/ANtigen testing and we coordinate one test per month with ESU. Would we increase that or continue current process
Can you please review the updated DHHS dashboard and identify where to find the rate per 100k for county pos rates? Thanks
We are looking for the guidance on using a wheelchair transport company that are providing transportation from LTC/SNF to dialysis appointments.
We have a staff member whose family member will be visiting from California for the holiday. Will the staff member have to quarantine?
To navigate the data dashboard and find the active case rate per 100k, see these how to slides: https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/data-dashboard-ltcf.pdf
@lorimcintire the county positivity rate for testing frequency is a CMS measure that is located at https://data.cms.gov/stories/s/COVID-19-Nursing-Home-Data/bkwz-xpvg - look under the COVID-19 Testing section for a link for a Zip file.
Patricia Cummings- The Edgewood Centre
Do you have the current county positivity rate? The CMS site is through 11/11.
Lauri De Witt
is there insight into the expanding hospitalization rate related to age groups represented? also, how much has community spread been shown to relate to younger populations in the general public as well as colleges/university populations?
@Dawn Rogers, we had the contact at Dialysis help us with arranging transportation.
HAN 25 includes the links within it: https://www.dhhs.nh.gov/dphs/cdcs/alerts/documents/covid-19-update25.pdf
Can we get a copy of these slides? Want to share with residents and staff.
Travel Guidance: https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/travel-guidance.pdf
Employer Travel, Screening, and Exclusion Guidance https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/employee-travel-guidance.pdf
Does this include essential workers who travel and have no contact with other
Slides will be available once received from our presenters. They will appear here: https://www.nhhca.org/covid-19/
Any guidance for traveling outside the country, ie. Aruba?
Most parts of the world are "high risk" and people should not travel. People who travel may be restricted from entering other countries (especially given that the U.S. currently accounts for 20% of all global infections), and people may also have difficulty returning to the U.S. from international travel.
what is the time frame between vaccine #1 and # 2?
Time between vaccine is 21-28 days apart depending on the vaccine.
Vaccine is also not interchangeable... so if someone gets dose #1 with the Pfizer vaccine (for example), then dose #2 needs to also be with the Pfizer vaccine.
even if it is available in late December, storage will not be available- thoughts on that yet?
Do you have any thoughts to share on the legality of mandatory vaccines for staff?
Robin Nelson- Maplewood of Cheshire County
If you partnered with a pharmacy, they will maintain the cold storage chain all the way to administration.
Robin Nelson- Maplewood of Cheshire County
No hearing Taylor
I will drop off and call back on. Beth, feel free to read these
For category 1(b), people of all ages with comorbid conditions are included. How will this population be contacted / validated?
Who determines which vaccine will be distributed?
I'm back on, let me know when to try a sound check!
HAN 22: https://www.dhhs.nh.gov/dphs/cdcs/alerts/documents/covid-19-update22.pdf
Is there a discussion to remove temperature checks from screening. Unfortunately this is providing people the false impression that "I don't have a fever so its not covid". What we have noticed is fever is intermittent and doesn't develop until a few days after other symptoms. Also with this there is information that suggests that roughly half of cases don't have a fever. Temperature checks and such a heavy focus on fever, is causing people to miss the other symptoms that occur, prior to any development of a fever.
Our community-based and residential/group-home staff, clients, and families are reporting to us that when reporting symptoms and/or exposure, their physicians are giving guidance to forego testing and just "continue as if they had a positive test" - is this a new approach that has been given by healthcare?
what about known exposure without symptoms?
I am signing off. Thanks everyone for all you do!
If mandated to test twice weekly, will we be reimbursed to do PCR twice a week?
Do compassionate care visitors from outside of New England have to quarantine for the 7 day with neg PCR or 14 day in NH? (they are planning to use public transportation for travel to NH)
Catie, that is the preference. If they cannot quarantine, it may be one of the case by case situations where the compassionate visit can still occur with the out of state visitors wearing full PPE.
DHHS: HFA Regulatory Correspondence <DHHS.firstname.lastname@example.org>
I'm somewhat confused - we have a CLIA Waiver can we test residents and staff using our Abbott cards?
@bebelanger Temp checks for screening HCP come from a CDC recommendation: https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html but you're right, it is important to continue to educate staff that even mild cold like symptoms warrant staying home from work.
On eye protection, see this link: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html and press Ctrl + F to search the document for the word "eye protection"
An MMWR to share with staff to stress the importance of staying home when sick: https://www.cdc.gov/mmwr/volumes/69/wr/mm6945a5.htm?s_cid=mm6945a5_w
Some countis have been broken down to cities. If city area is over 10% should be be changing our Phase or is the expecation we are to follow county guidance? Interactive map seems to be down again.
On ADA and mask disability accommodations: https://www.nhhca.org/files/2020/11/PartnerCall11-12-2020.pdf
From the slides I shared: “Requiring proof of a disability would amount to discrimination or exclusion from having equal access to routine goods and services”