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Wednesday LTC Provider Call - DPHS - Shared screen with speaker view
Luanne Rogers
07:35
the gowns from ESU are very thin in latest orders
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
09:55
Just to clarify this contract is only good through the end of December this year correct?
Dawn Rogers
10:20
Who do we send the line list to and is this to include residents? and if so 10%
Judy Grimes
10:23
Are we still sending our reports to LTCF on the current form?
Rosemary Simino
10:24
has the reporting form been updated?
m5293i
10:30
Is there a good methodology for selecting the 10% of staff?
Toni Hanson - Bel-Air Nursing and Rehab, Goffstown
10:42
Do we know if the contract will be extended after December 31st?
slaroche
11:43
That only pertains to Long term care facilities, correct? Not Assisted Livings, right?
Paula
12:18
ALF are still through Nordex. Is this the same . 100% staff only 28 days cycle
slaroche
12:48
Thank you Paula
Jasmine Gosselin
14:18
With higher incident rates in Hillsborough and Rockingham counties, it would be great to see at least the same testing for ALFs as LTC.
Catie Gaudreault
16:22
Not sure if I missed this...Who do we send line lists to? (we are using DHMC) I am still waiting on a response from them.
CCournoyer
16:45
Is Nordex for ALF's open to all counties in NH or just certain ones?
Aaron McIntire
17:17
ALFTesting@DHHS.NH.GOV
Meg Miller
17:28
What about Nursing/Assisted Living with a CLIA waiver that did not get the antigen testing machine will they be contacted about the Nordex?
Brendan Williams
18:56
I see Jeanne Ryer of UNH on the call. I would like to encourage all nursing homes to participate in the ECHO program. See my earlier emails.
Dawn Rogers
19:58
If we have not gotten the Tracking form how do we get this as well as contact information and schedule of when we test 100% and the 10% weeks?
Jeanne Ryer UNH IHPP
20:55
Thanks, Brendan! The link to pre-register for the ECHO Nursing Home Action Network for NH, ME and VT is https://unh.az1.qualtrics.com/jfe/form/SV_9yvv3OvhTbvw7oV You can email me with questions at Jeanne.ryer@unh.edu
Aaron McIntire
21:21
Please reach out to the LTCFTesting@DHHS.NH.GOV if you did not receive any type of antigen testing (BD or Sophia). Facilities must have a ClIA waiver in order to be eligible for BinaxNow
Jasmine Gosselin
22:43
Are ALFs with waiver eligible for Binax, or just LTC?
Aaron McIntire
23:48
ALFS with CLIA are eligible
Matt Gatzke
24:41
https://www.nh.gov/covid19/dashboard/summary.htm
Trina Crosman
28:47
Is Project Echo only for LTC or does it include stand alone ALFs
Jeanne Ryer UNH IHPP
29:11
To repeat so you can catch the link to pre-register for the ECHO. https://unh.az1.qualtrics.com/jfe/form/SV_9yvv3OvhTbvw7oV
Lisa Henderson
29:44
CMS data dashboard: County positivity: https://data.cms.gov/download/hsg2-yqzz/application%2Fzip
Matt Gatzke
29:49
https://www.dhhs.nh.gov/dphs/cdcs/alerts/documents/covid-19-update23.pdf
Jeanne Ryer UNH IHPP
30:52
For more information on ECHO: https://chhs.unh.edu/institute-health-policy-practice/project-echo
Jeanne Ryer UNH IHPP
30:55
https://hsc.unm.edu/echo/institute-programs/nursing-home/pages/
Lisa Henderson
34:40
HAN 22: https://www.dhhs.nh.gov/dphs/cdcs/alerts/documents/covid-19-update22.pdf
lwarren
34:51
Just to clarify coos county has now moved to phase 1.
Robin Nelson
37:09
I signed our facility up for the ECHO program early on. I have not received any communication since then. Any word on how/when they will contact participants?
Jeanne Ryer UNH IHPP
37:54
You will be getting something this afternoon. Federal contracting has take a bit of time.
m5293i
39:09
pop previous slide vback up!
Matt Gatzke
40:26
CDC Holiday Guidance https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/holidays.html
Taylor Selembo
40:47
MMWR: https://www.cdc.gov/mmwr/volumes/69/wr/mm6940e2.htm
Michael Cain
47:29
For pts actively dying, sudden onset, may not live past 14 days, family is begging us to allow compassion end of life visit, however we directed 14 day quarantine is not optional, is this correct?
Charles Ouellette
48:08
Is there an entity evaluating the false negative rate of antigen tests in asymptomatic positive patients? Antigen manufacturer's data suggest a very low success rate in detecting asymptomatic positive patients hence why their instructions of POC use are only for patients with respiratory symptoms within first 'x' amount of days of onset. What events or data would trigger the state to recommend PCR for asymptomatic mass screenings in LTCF?
chamilton
49:26
Is the fact that the state is doing increased testing for screening purposes (ie those with no symptoms, exposures or known risk factors, particularly in healthcare workers) reflected in the % positivity of specimens being reported? JW as this would influence that percentage to the downside, especially if the screening specimens represent a significant portion of overall specimens being tested, and might produce a false sense of security if those are misinterpreted by the general public relative to the very high % that we had during the earliest days of the pandemic when no testing for screening purposes was done and when people who were symptomatic even had to be denied testing in some cases if they weren't considered high risk or health care workers.
Ann C
50:05
ECHO ? Can an ALF participate?
Jeanne Ryer UNH IHPP
51:03
The ECHO is for SNFs. We understand the need for ALFs but the funding source is restricted to SNFs.
Taylor Selembo
51:24
Michael, this would be one of the case by case situations where out of state family can be allowed in for this end of life visit even if they cannot quarantine. Follow the recommendations listed on the previous slide (such as visitors in full PPE)
Lisa Henderson
55:07
HAN 22: https://www.dhhs.nh.gov/dphs/cdcs/alerts/documents/covid-19-update22.pdf
Kristen Schmidt
57:42
Is there an entity evaluating the false negative rate of antigen tests in asymptomatic positive patients? Antigen manufacturer's data suggest a very low success rate in detecting asymptomatic positive patients hence why their instructions of POC use are only for patients with respiratory symptoms within first 'x' amount of days of onset. What events or data would trigger the state to recommend PCR for asymptomatic mass screenings in LTCF?
Dawn Rogers
57:54
Is Coos county in phase one?
Kristen Schmidt
58:35
Next question: Is the fact that the state is doing increased testing for screening purposes (ie those with no symptoms, exposures or known risk factors, particularly in healthcare workers) reflected in the % positivity of specimens being reported? JW as this would influence that percentage to the downside, especially if the screening specimens represent a significant portion of overall specimens being tested, and might produce a false sense of security if those are misinterpreted by the general public relative to the very high % that we had during the earliest days of the pandemic when no testing for screening purposes was done and when people who were symptomatic even had to be denied testing in some cases if they weren't considered high risk or health care workers.
Brendan Williams
01:00:00
We encourage everyone to respect the science on antigen tests and follow the cautions articulated here.
Michael Cain
01:00:26
Clarify:For pts actively dying, sudden onset, may not live past 14 days, family from out of New England is begging us to allow compassion end of life visit, however we directed 14 day quarantine is not optional, is this correct?
Lisa Henderson
01:01:41
Hi Michael, Taylor responded to your question above: Michael, this would be one of the case by case situations where out of state family can be allowed in for this end of life visit even if they cannot quarantine. Follow the recommendations listed on the previous slide (such as visitors in full PPE)
Lisa Henderson
01:03:24
Got to https://www.nh.gov/covid19/dashboard/map.htm#dash - Active cases per 100k population
David Ross
01:08:38
The HHS Pharmacy Partnership Program is initial enrollment only. Facilities do have the option to "opt-out" at a later date should that be desired.
Lisa Henderson
01:11:34
Dr. Daly just advised holding off for more info on vaccine options. Just wanted to clarify that if you are confident you want to go with the CVS/Nursing homes would enroll for the vaccine pharmacy partnership via NHSN. Assisted Living would enroll via https://airc.cdc.gov/surveys/?s=R3TYTJDAW4
Lisa Henderson
01:12:01
Sorry - CVS/Walgreens
Brendan Williams
01:15:22
According to most recent AHCA data, over a dozen N.H. nursing homes have not registered in vaccine program. Please do so: https://www.cdc.gov/nhsn/index.html