Print Page  |  Sign In  |  Register
LeadingAge NC News
Blog Home All Blogs
Search all posts for:   

 

Top tags: Advocacy in Action  #Advocacy in Action  Inclusion Insights  MDS  Awards  Education  Leadership Academy  RUG 

COVID-19 Update May 20, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 20, 2020

 

COVID-19 Update


Next Week’s LeadingAge NC COVID-19 Call-in
Moved to May 26

In recognition of Memorial Day, next week’s LeadingAge North Carolina “COVID-19 Call-in” will be held on Tuesday, May 26 at 2 pm. Call-in to share what you’re hearing, seeing, and doing and learn from your peers across the state. To access the call, dial (201) 616-0673 and, when prompted, enter the passcode 841692.

NHSN Reporting
CDC’s NHSN COVID-19 LTC Module reporting is now required by CMS. Providers have until May 24 until CMS will implement enforcement remedies. If you are still awaiting something in order to report, please email me at tom.akins@leadingagenc.org and cc: Cindy Deporter at DHSR at cindy.deporter@dhhs.nc.gov on the note.

PPP Member Survey
LeadingAge national is fielding a short (5 question) member survey on the Paycheck Protection Program loans. The survey link is here: https://www.surveygizmo.com/s3/5606132/PPP-Survey. National is looking to gauge whether members are accessing these loans and which member types are doing so more than others. National is also using this to gather stories both from those who have and have not received PPP loans to support advocacy efforts in this area.

CMS Reopening Guidelines for Nursing Homes
CMS issued recommendations to state and local officials on Monday related to reopening of nursing homes. These recommendations are to be considered along with a number of other community- and nursing home-specific factors and must be adopted and implemented by the state. CMS released a FAQ document to accompany this memo. LeadingAge provided a high-level analysis of these recommendations, available here.

States may choose from a number of options for how nursing homes within the state will progress through the phases of reopening. States must also consider a number of factors in determining when nursing homes may begin reopening. Reopening is contingent upon a testing strategy outlined by CMS, in which all nursing home residents and staff receive an initial baseline COVID-19 test. The testing strategy then outlines subsequent testing of residents and staff, which will be maintained throughout the 3 phases of reopening. The feasibility of this testing strategy and other factors such as adequate PPE and staffing, will impact reopening. We’re working with the state and other key stakeholders and will keep you updated as North Carolina finalizes its plans.

Medicare Payment for COVID-19 Diagnostic Tests
CMS has developed two codes that laboratories can use to bill for certain COVID-19 lab tests, including serology tests. CMS has updated its guidance to include payment details for additional CPT codes created by the American Medical Association. There is no cost-sharing for Medicare patients.

Springmoor, Sharon Towers Share Good News
Two of our member communities, Sharon Towers in Charlotte and Springmoor in Raleigh, recently shared good news from their communities with us. Click here for Sharon Tower’s story and click here for the one from Springmoor. Please send us your stories so we can share those with others around the state!

SBA Loan Forgiveness Application
The Small Business Administration has released the forgiveness application for the Paycheck Protection Program loans. The application form is linked in the handout. Lenders will likely program the application into their own websites, and borrowers will need to fill out the application with their lender to get their loan principal forgiven. The PDF document in handouts, though, outlines the information and data that PPP borrowers will need to submit to get their loan forgiven. Borrowers will need to provide detailed information on how their funds were used, including payroll data at the employee level. We will have more information on this in the coming days.

FTC Blog on Stimulus Checks
On Friday, a new blog post came out from the Federal Trade Commission on the $1,200 stimulus checks that went out last month as they relate to nursing homes and assisted living. The blog posts states what we already know: that the stimulus checks are considered tax credits and cannot be taken from Medicaid residents. The article’s framing suggests that state attorneys general should get involved if facilities are taking these checks, so we definitely encourage you to read this piece.

LeadingAge Leadership Summit Cancelled
After thoughtful consideration for the health and welfare of member organizations and the people they serve, LeadingAge national has decided to cancel the 2020 Leadership Summit, scheduled for August 10-12 in Washington DC. While members may not come together for a live event in August, LeadingAge national is actively planning a series of online learning and networking opportunities to enable LeadingAge members to connect and share ideas. They look forward to sharing more about these opportunities in the coming weeks.

Those who have already registered for the 2020 Leadership Summit will be contacted directly regarding their registration fees. LeadingAge national will honor requests for credits or full refunds. They hope that those who have registered will take advantage of the option to apply their registration credit to a future event. Please look for an email with details on these options soon. Any hotel reservations booked through the Omni have been cancelled. No further action is required on your part.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

Ralph Waldo Emerson asked “how much of life is lost waiting?”

Check in question: For many – our residents, our teams, our families – the pandemic has left us waiting for a sense of certainty, of connection, and of comfort. As we continue our vital work, what kinds of things can we do to instill a sense of purpose and hope in our lives and the lives of those around us?

COVID-19 Information Pages

In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!


LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org






This post has not been tagged.

Share |
PermalinkComments (0)
 

COVID-19 Update May 18, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 18, 2020

 

COVID-19 Update

 

NCDHHS Updates Guidance on Who Should be Tested for COVID-19
The North Carolina Department of Health and Human Services issued updated guidance Friday on who should be tested for COVID-19. The new guidance recommends that clinicians test any patient in whom COVID-19 is suspected. The new guidance recommends clinicians ensure the following populations have access to testing, regardless of symptoms:

  • Anyone with symptoms suggestive of COVID-19
  • Close contacts of known positive cases, regardless of symptoms
  • Persons who live in or have regular contact with high-risk settings (e.g., long-term care facility, homeless shelter, correctional facility, migrant farmworker camp)
  • Persons who are at high risk of severe illness (e.g., people over 65 years of age, people of any age with underlying health conditions)
  • Persons who come from historically marginalized populations
  • Health care workers or first responders (e.g. EMS, law enforcement, fire department, military)
  • Front-line and essential workers (grocery store clerks, gas station attendants, etc.) in settings where social distancing is difficult to maintain

Testing, along with contact tracing and supplies of personal protective equipment, is part of the state’s strategy to slowly ease restrictions, while protecting North Carolinians from COVID-19. The state is looking at a composite of metrics to guide its path forward, including the number of cases, the percent of tests that are positive, the number of hospitalizations and the number of emergency department visits for COVID-like illness. Friday, Governor Roy Cooper and NCDHHS Secretary Cohen shared these metrics remain stable for the first week of Phase 1.

The new guidance updates testing criteria for the North Carolina State Laboratory of Public Health. Those include hospitalized patients, health care workers or first responders, persons who live in or have regular contact with a high-risk setting, persons who are at higher risk of severe illness and for whom a clinician has determined that results would inform clinical management, and uninsured patients.

PPE Available Through Value First
Value First, the group purchasing organization owned by LeadingAge North Carolina and 24 other state LeadingAge associations, has a number of PPE supplies available. For more information or to coordinate orders, please reach out to our Value First representative, Bobby Bernal, at (850) 509-8112:

  • Reusable personal safety masks – America Knits, Standard Textile – American Knits is caught up on orders, so any orders placed today will ship in 2 days.
  • Reusable gowns – America Knits, Standard Textile, Encompass – American Knits has capacity of approximately 8k – 10k gowns per week starting the 3rd week of June. Value First is just starting to promote this to members.
  • Disposable gowns – Jostens – they were initially overwhelmed with member orders and stopped accepting new orders, but the latest update this week is they plan to have tripled their capacity in the next two weeks and hope to be caught up by then. Value First is currently telling members to allow 4-6 weeks for new orders, but that may be improving.
  • Face shields – Cintas, Hubert as well as a number of local manufacturers – this item doesn’t seem to be much of a challenge to find anymore.
  • Hand Sanitizer – Cintas, US Foods, Sysco – Cintas requires a minimum purchase of a full pallet. US Foods has an agreement with Bevolution to distribute hand sanitizer and Sysco has partnered with a manufacturer and should have product available to their customers.
  • COVID-19 test kits – This is a new development, but Vizient entered into a contract with a company that can provide test kits with a seven-day lead time. One of the complicating issues is this is just the test kit, so the member would then need to send the sample to a lab for analysis.


Don’t Forget!
Our weekly LeadingAge North Carolina “COVID-19 Call-in” will be held this afternoon at 2 pm. Call-in to share what you’re hearing, seeing, and doing and learn from your peers across the state. To access the call, dial (201) 616-0673 and, when prompted, enter the passcode 841692.

Free Basic Care Aide Skill Competency Training Tool
Maximize your workforce and maintain quality standards with LeadingAge’s new Basic Care Aide Skill Competency Training Tool. The new, free, 9-hour training will help you redeploy current staff, and train displaced workers and others new to our field. Developed by EduCare©, this new program is designed specifically for the Basic Care Aide role and provides a foundation for the skills for a variety of settings. The training tool is FREE to members and is available now on the Learning Hub.

Protecting Mental Health and Wellbeing During the Pandemic
The impact of the coronavirus pandemic goes beyond physical health. The mental health and wellbeing of residents, clients, leadership, and staff are also at risk. LeadingAge is offering resources to help you address these aspects of the public health crisis.
The LeadingAge Knowledge Center continues to add new content, including learning tools for the wellness and mental health challenges. The third of the new Virtual Sessions will be held June 4 at 2:00 p.m. ET:

Free QuickCasts offer on-demand, short-form learning opportunities:

Access these and other resources for free on the Learning Hub page.

Practical Tools for Staff Conversations

In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

Albert Einstein, the German-American physicist who is probably the most well- known scientist of the 20th century, said that, “No problem can be solved from the same level of consciousness that created it.”

Check in question: How has your response to COVID-19 forced you to look at things in a different way? How can you work to constantly change the lenses through which you see the pandemic and your response to it?

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!


LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org









This post has not been tagged.

Share |
PermalinkComments (0)
 

COVID-19 Update May 15, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 15, 2020

 

COVID-19 Update

 

Clarification from NC Department of Insurance on Semi-annual Meetings
We reached out to the North Carolina Department of Insurance with a question about the statutory requirement that CCRCs “hold semiannual meetings with the residents of each facility operated by the provider for free discussions of subjects including, but not limited to, income, expenditures, and financial trends and problems as they apply to the facility and discussions of proposed changes in policies, programs, and services.” The department replied that “given that there is no specific date that the meetings have to be held by, and the fact that we are only a little less than 2 months into this, we are going to wait before we do anything. We obviously will work with providers as things move along. We also would encourage any providers that have the ability to hold meetings virtually to do so, but also understand that may not be a good alternative since residents may not have the ability to participate in such a manner.” Please let us know if you have questions or contact Nancy Wise at the department.

Chief State Fire Marshal Provides Information on Inspections

One of our member communities contacted us with a question about inspections by local fire marshals. We reached out to the Chief State Fire Marshal, Brian Taylor, who indicated that fire officials are not going on site to do any type of inspections. He also said that, “some inspection jurisdictions are doing Live Remote (Facetime) Inspections with site maintenance personnel and emailing annual fire protection reports to Fire Marshal/Fire Official.” He also said that he has not 'heard of anybody doing inspections” and that they "would like to hear if anyone is.” Chief State Fire Marshal Taylor and his team are tremendously helpful and we would encourage you to reach out to them at brian.taylor@ncdoi.gov if you have any questions.

DHHS LTC Call

Yesterday’s long term care call with NC DHHS featured a number of helpful issues and commentary from departmental staff. A recording of the one-hour meeting can be found by clicking here, and the PowerPoint used in the meeting can be found by clicking here. And remember these resources that are updated on a daily basis:

  • Governor’s COVID-19 task force website specific to long term care facilities https://www.ncdhhs.gov/divisions/public-health/covid19/long-term-care-facilities
  • Long term care facility toolkit https://www.ncdhhs.gov/divisions/public-health/covid19/covid-19-guidance#long- term-care-facilities

NHSN enrollment
LeadingAge national had a good call with CDC yesterday to discuss issues we have been hearing around NHSN enrollment and reporting. CDC confirmed that the issues that we reported are consistent with the issues they have identified. Work-arounds are in progress for a few specific problems, one of which was identified by CDC only shortly before the scheduled call. We brainstormed a few ways to address some of the other issues and will be assisting CDC with some of these tasks. National received information on in-progress responses or suggested responses to the following main themes: confusion around CDC requests vs. CMS requirements, issues with SAMS registration, issues with completing enrollment, and issues with accessing the module once enrollment has been completed (or activating the module for previously-enrolled facilities). We also notified them of consistent themes for which members seem to be reaching out for assistance: group reporting and access for multi-site organizations, updating facility administrator and contacts, and updating login for those who were previously enrolled but have not accessed NHSN for a while. We will continue advocacy efforts with these two agencies and welcome feedback along the way.

Death, Grief, and Funerals in the Age of COVID-19
A few key thoughts on grief from LeadingAge national’s recent update call. These thoughts came from Karen Hartfield of Hospice of Western Reserve in Ohio.

  • Grief doesn't always show up the way we expect it to.
  • It is important that we acknowledge losses during this time and validate the varied grief reactions of those with whom we work.
  • Remember that if someone is acting in a way you are not accustomed to or that you do not understand, they may be experiencing a grief or trauma reaction.
  • It's OK if you don't quite understand it. Most important to validate and allow people to have space to experience their emotions.

The Virtual Funeral Collective banded together as part of a larger initiative called the Global COVID-19 Relief Coalition. The Global COVID-19 Relief Coalition is a 501c3 project of The Giving Back Fund bringing together world leading labs and organizations to provide solutions for the current COVID-19 pandemic. This White Paper contains a collection of resources and best practices from our collective to help you during this stressful time.

New QuickCast Available…Managing Mental Health: Considerations in COVID-19
In this 13-minute LeadingAge national QuickCast, Elizabeth Hale explains how the current global pandemic is affecting our mental health and emotional wellbeing—and ways we can manage it. Click here to register.

CDC Guidance on Memory Care
CDC released new guidance yesterday on COVID-19 considerations for memory care. We note that this information and guidance can be useful for work with all residents with cognitive impairments, regardless of the level of care or placement on a designated memory care unit. While much of this information is standard practice for working with those with cognitive impairments, one interesting recommendation is that CDC recommends that staff working on a memory care unit wear eye protection and N95 respirators at all times when on the unit to minimize risk of exposure from ill, wandering residents. CDC also recommends maintaining consistency in staff, activities, and environments as much as possible, including continuing to allow safe physical activity such as walking the unit or walks outdoors.

COVID-19 Symptoms: A Primer

According to the CDC, people with COVID-19 can have a wide range of symptoms — ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

  • Cough
  • Shortness of breath or difficulty breathing
  • Fever
  • Chills
  • Muscle pain
  • Sore throat
  • New loss of taste or smell

Learn more by clicking here.

Telehealth Video: Medicare Coverage and Payment of Virtual Services
CMS updated a video that answers common questions about the expanded Medicare telehealth services benefit during the COVID-19 public health emergency. New information includes how CMS adds services to the list of telehealth services, additional practitioners that can provide telehealth services, and the distant site services that Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) can provide. Further, the video includes information about audio-only telehealth services, telehealth services that hospitals, nursing homes and home health agencies can provide, along with how to correctly bill for telehealth services.

Heroes Act
Yesterday, at the request of House leadership, LeadingAge national released a media statement on the Heroes Act. LeadingAge supports the proposed measure as a good start and seeks additional provisions in a final relief bill. In particular, the media statement highlights our requests for: (a) a $100 billion emergency fund specifically for aging services providers; (b) significant investments in PPE and testing for aging services providers; (c) a $1.2 billion investment in relief for HUD-assisted affordable housing; and (d) reimbursement for home health telehealth services. LeadingAge national posted this article on provisions of the proposal that would affect nursing homes.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

A big part of our role in providing hope to those who live on our campuses is being realistic with expectations around when certain restrictions may be lifted. As you and others look forward to some limitations going away, what’s the one thing you look forward to doing?

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!

 

LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org






This post has not been tagged.

Share |
PermalinkComments (0)
 

COVID-19 Update May 13, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 13, 2020

 

COVID-19 Update

 

Q and A with Cindy Deporter
Cindy Deporter with DHSR sent two clarifications yesterday afternoon that we want to share:
Question: Facilities are calling the state about their residents that are in the assisted living area of the nursing home. In NC we call these combination homes. They are asking should they include both the assisted living and the SNF numbers on the reporting data? It does not seem that this is covered in the QAs.
Answer: The data should only include those residents and staff in the certified portion of the facility.
Question: Does CMS expect that providers in states that are licensed only have to report COVID information through the CDC?
Answer: The Reporting requirement is a federal requirement for participation, and does not apply to non-certified or licensed only nursing homes.

CDC/NSHN Issues Continue to Plague System

LeadingAge continues to field a number of questions about reporting requirements and even more concerns about issues with enrollment with the National Healthcare Safety Network (NHSN), which nursing homes will soon be required to use to report COVID-19 data. LeadingAge is sharing concerns with CMS. While the CDC will be the body to address actual enrollment issues, LeadingAge feels it is important for CMS to understand that the process is not running smoothly and that providers want to comply but may be unable to do so for reasons beyond their control. Please share your concerns with LeadingAge's Jodi Eyigor at jeyigor@leadingage.org.

CMS Issues Additional Blanket waivers

Late yesterday, CMS announced that they are issuing additional blanket waivers. The waivers include:

Flexibility to allow hospitals to establish “swing beds” to accommodate patients who no longer require acute care but are unable to find placement in a SNF. To qualify for the Swing Bed waiver, hospitals must not use the swing beds for acute care, must comply with the hospital and SNF conditions of participation in 42 CFR 482.58(b) to the extent not waived, and be consistent with the state’s emergency preparedness/pandemic plan. To establish swing beds pursuant to the waiver, the hospital must call the CMS MAC enrollment hotline to add swing bed services and attest that they have made a good faith effort to exhaust all other options, there are no skilled nursing facilities within the hospital’s catchment area that under normal circumstances would have accepted SNF transfers, but are currently not willing to accept or able to take patients because of the COVID-19 public health emergency. This waiver is permissible for swing bed admissions during the COVID-19 PHE with an understanding that the hospital must have a plan to discharge swing bed patients as soon as practicable, when a SNF bed becomes available, or when the PHE ends, whichever is earlier.
Paid Feeding Assistants. CMS is modifying the requirements at regarding required training for paid feeding assistants to reduce the training from a minimum of 8 hours to a minimum of 1 hours. CMS is not waiving any of the requirements related to paid feeding assistants or the required training content.

Certain Life Safety Codes were also waived, they include:
Alcohol-based Hand Rub (ABHR) Dispensers: CMS is waiving prescriptive requirements related to the placement of ABHR dispensers for use by staff and others due to the need for the increased use of ABHR in infection control. However, ABHRs do contain ethyl alcohol which is considered flammable so do need to have restricted access by certain resident populations to prevent accidental ingestion, and bulk containers of ABHR (over 5 gallons) should still be stored in a protected hazardous materials area. (See 483.90(a)(4) for more information).
Fire Drills: CMS will permit a documented orientation training program related to the current fire plan, which considers current facility conditions in lieu of drills that move and mass staff together. The training will instruct employees on their duties, life safety procedures and the fire protection devices in their assigned areas.
Temporary Construction: CMS is waiving requirements that would otherwise not permit temporary walls and barriers between patients.

Provider Relief Fund
Nick Uehlecke, Senior Advisor to HHS Secretary Azar, spent some time on the 3:30 LeadingAge national call yesterday talking about the Provider Relief Fund. One caveat: this conversation was not “official policymaking;” but Nick recognized he was talking to 950 people, too. He indicated that HHS is thinking that the funds can be used for any purpose related to dealing with COVID, including for example increased costs of laundry or food. He said more FAQs are continually being written based on the thousands of questions the department receives. He added that there’s a new question (either just posted or appearing soon) that talks about all the CARES Act funding sources and suggests how to view Provider Relief Funds in coordination with those other sources. He encouraged LeadingAge members to send more questions – if members, send questions to Nicole Fallon at nfallon@leadingage.org.

National Gallery of Art Guided Meditation for Front Line Staff

The National Gallery of Art created a guided meditation for front line workers that is free and simple to use.

Association of Professionals in Infection Control and Epidemiology Free LTC Resources
The Association of Professionals in Infection Control and Epidemiology (APIC.org) is offering LTC-focused resources free to non-members, until September, 2020. The library includes APIC's Infection Prevention Guide to Long Term Care.

HEROES Act Relief Bill
U.S. House of Representatives Democrats released their draft $3 trillion relief package yesterday afternoon. The Health and Economic Recovery Omnibus Emergency Solutions Act or the HEROES Act proposal includes many LeadingAge requests or elements that address our asks in part. Here’s an article on the housing highlights.

Here are some health highlights:

  • Two of LeadingAge national's big Medicaid asks are included: FMAP is increased by a total of 14% from July 1, 2020 through June 30, 2023, giving states additional funds to help recover. MFAR, the Medicaid Fiscal Accountability Regulation that we lobbied vigorously to rescind, cannot be finalized under the end of the COVID-19 public health emergency.
  • The health care provider relief fund is increased by $175 billion, with $100 billion for providers and $75 billion for testing, contact tracing, vaccines and other items.
  • For aging services employers who want to provide some extra pay to their essential staff, the Heroes Fund that was developed in the Senate, is included.
  • There are a number of provisions addressing nursing homes: The only new reporting requirement is to report age, race/ethnicity and preferred language of residents with COVID 19 or symptoms and all residents who have died, an effort to understand the impact on minority communities that we support. LeadingAge national asked for funds to help nursing homes develop extended care centers and the bill contains incentive payments for SNFs that want to develop a COVID-only treatment center. We have asked for assistance not punishment, and the bill contains funds for state strike force teams to provide assistance to nursing homes with COVID cases, and a provision for the QIOs to provide assistance with infection control, which is not exactly what we asked for but does indicate that some of our concerns were heard. Much more, so stay tuned.

LeadingAge National Coronavirus Daily Member Updates
LeadingAge is sharing the very latest with members twice daily. Morning updates go out via email, and they are hosting daily live online updates each weekday afternoon. Subscribe to "LeadingAge Need to Know" via communications preferences in your MyLeadingAge account to receive email updates. Register for live online updates. You can find an archive of all member updates there.

Practical Ideas From Members
LeadingAge is offering even more ways for members to learn from one another by gathering examples of the innovative solutions you’re deploying. Read new stories on topics including:

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

Margaret Atwood wrote in The Handmaid's Tale, "We were the people who were not in the papers. We lived in the blank white spaces at the edges of print. It gave us more freedom. We lived in the gaps between the stories."

Check in questions: How many residents have lived under your care? How many resident stories have you heard and retold? How many of their joys have you shared? How many of their tears have you dried? But, what about you as a caregiver? Don’t you have a story to tell about the value of the work you do? The focus always seems to be on someone else – the other heroes, the other caregivers, the other essential employees. No longer is it acceptable to live in the white spaces of print or in the gaps between the other stories. Our time has come. What is the story you will tell and to whom will you tell it? Help share our message of compassionate care and keeping individuals safe.

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!

 

LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org







This post has not been tagged.

Share |
PermalinkComments (0)
 

COVID-19 Update May 11, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 11, 2020

 

COVID-19 Update

By the Numbers…
As of 10:30 am this morning, North Carolina has had 15,045 laboratory-confirmed COVID-19 cases, with 550 deaths. 195,865 tests have been completed and 99 counties – all but one of the state’s 100 counties – have seen a positive case. Click here for a look at the state’s COVID-19 Dashboard.

DHHS COVID-19 LTC Call Scheduled for Thursday Morning

The North Carolina Department of Health and Human Services will be holding a COVID-19 Long Term Care Update call on Thursday, May 14 at 10 am. Topics to be covered include updates on new CDC guidance, hospital to long term care discharge flow charts, PPE updates, working staffing, and Medicaid. Please click here for a sheet with more details and call-in information.

Nursing Home Reporting on COVID-19
We continue to hear a number of questions about reporting requirements and even more concerns about issues with NHSN enrollment. We are sharing concerns with CMS. While CDC will be the body to address the actual enrollment issues, we feel it is important for CMS to understand that the process is not running smoothly and that providers want to comply but may be unable to do so for reasons beyond their control. Please let us know what challenges you may be encountering with the enrollment process.

StoryCorps Connect Toolkit
A few weeks ago, we spoke with Dave Isay from StoryCorps on a 3:30 LeadingAge national update call to talk about our collaboration to bring StoryCorps Connect to LeadingAge member communities across the country. StoryCorps Connect is a new free digital platform developed to address the pressing need for connection during the coronavirus pandemic, to older adults, their families, and caregivers across America, with the goal of conducting and recording meaningful remote conversations between loved ones. LeadingAge worked with StoryCorp to create a toolkit specifically for older adults. The toolkit is on the LeadingAge website and the link is LeadingAge.org/storycorps-connect

USDA COVID-19 Telehealth Service Changes
The US Department of Agriculture Office of Rural Development issued a document summarizing telehealth changes during the pandemic.

HUD Tenant Brochure in Lots of Languages
LeadingAge was the first to receive versions of HUD’s COVID brochure for multifamily tenants in several non-English languages, which will help our members greatly. Under the “Updates from Federal Agencies” section of the LeadingAge housing / COVID-19 page, find the brochure in Farsi, Arabic, Chinese, Spanish, Russian, and Vietnamese.

CDC Resources From Nimalie Stone
Nimalie Stone, lead of the LTC team within CDC’s Division of Healthcare Quality Promotion, sent a list of CDC resources that are relevant to LeadingAge members. The list includes an infection preventionist training course that offers approximately 20 CE hours upon completion and live Q and A sessions on COVID and LTC facilities on May 12 and May 14 (space is limited).

This Week’s Virtual Session: Ethical Dilemmas: Decision-Making in a Pandemic
The Knowledge Center is launching new Virtual Sessions, live online presentations with extended Q&A. Space is limited, so register for free today.

Daily Online Live Member Updates
Every weekday at 3:30 pm, LeadingAge national policy experts continue to share the most up-to-date coronavirus information, and talk with a range of guests. Presentation materials and summaries of recent guest are available:

Need to miss a session? LeadingAge Coronavirus Spotlights are brief but informative podcasts featuring these guest presentations. New podcasts are available now or register to join us live each afternoon.

Practical Ideas From Members
LeadingAge is offering even more ways for members to learn from one another by gathering examples of the innovative solutions you’re deploying. Read new stories on topics including:

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

In The Second Mountain, David Brooks writes that, “Every once in a while, you meet people who radiate joy. They are kind, tranquil, delighted by small pleasures and grateful for large ones. They are not perfect, but they live for others and not for themselves. They are interested in you and take delight in your good.”

Check in: Tell us about a resident that has had some of these qualities and inspired you in the past?

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!

 

LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org







This post has not been tagged.

Share |
PermalinkComments (0)
 

COVID-19 Update May 8, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 8, 2020

 

COVID-19 Update


DHSR Offers Clarification on Construction
Officials with the North Carolina Division of Health Service Regulation yesterday provided LeadingAge North Carolina with clarification regarding construction projects on CCRC campuses. DHSR indicated that construction may continue (with adherence to CDC guidance and screening protocols). They also said that building inspectors are not considered “visitors” and can enter your campus to do their work. Please let us know if you have any questions or need additional information.

“Want to Slash Coronavirus Deaths? Start (Really) Caring About Long Term Care”
This article from “The Hill” makes the case for prioritizing resource allocation to skilled nursing facilities…required reading for every elected official and all of your stakeholders.

Nursing Home Reporting
The interim final rule that includes nursing home reporting requirements goes into effect today. CMS released guidance, including updated survey tools and a FAQ document. The memo is here and the LeadingAge analysis is on the COVID page. The first report to CDC needs to be submitted by 11:59 pm on May 17. CMS will begin publicly reporting data on May 31. CMS has unveiled 2 new F-tags for these reporting requirements and failure to report to CDC will be met with civil money penalties. In addition to reporting, nursing homes should use the updated infection control survey tool to complete self-assessments. Recall that they will be asked for these self-assessments on survey. LeadingAge national will be submitting comments on this rule.

Provider Relief Fund Deadline Now 45 days – May 24 for First Payment

HHS has announced that it is extending the time providers have to attest to the terms and conditions for payments received from the Provider Relief Funds. Providers will now have 45 days (previously 30 days) to make a decision about whether to keep the payments received and agree to the terms and conditions. No additional FAQs were provided as part of this announcement so questions remain. LeadingAge national continues to seek additional information to ensure that providers have the answers they need to make a good decision on attestation by the May 24 deadline.

Overview of “Opening Up America Again"
The White House’s “Opening Up America Again” guidelines provide three phases for the country’s reopening. State and regional areas cannot proceed to the first, second, or third reopening phase before “gating criteria” are met for a first, second, or third time, respectively.

Paycheck Protection Program Repayment Extended to May 14

A reminder that the Department of Treasury/Small Business Administration issued a new question in its FAQs a couple of days ago, extending the deadline for borrowers’ safe harbor repayment one week, from May 7 to May 14. This gives SBA time to provide additional guidance on how it will review certification. We are sending a follow up email to SBA reminding them of our letter seeking a resolution of the problems that have arisen related to SBA loans to affordable housing providers.

FEMA PPE Distribution
Here’s the official FEMA announcement about the distribution of PPE to all Medicare and/or Medicaid certified nursing homes in the country. According to the release, shipments of the first 7-day supply are going out now and should arrive this week or next. The second shipment will go out in June. We’ve been asked by the press about members who have received the FEMA shipments. If you or a member wants to let us know, please email Lisa Sanders (LSanders@leadingage.org)

LeadingAge National CEO Meeting with HHS Deputy Secretary Today

Katie Sloan, LeadingAge national CEO, will be meeting with HHS Deputy Secretary Eric Hargan today. Among other things, she will discuss aging services providers’ (across the continuum) desperate need for testing and PPE, as well as staffing shortages; and ask him for relief on these challenges. She’ll give him a picture of what we’re hearing from members about how things look for providers, their staff, and the people they serve. She’ll also push for answers to the questions we submitted about the Provider Relief Fund. In addition, she will raise our concerns about the double (or triple) reporting now required of nursing homes.

COVID-19 Illness and Minority Groups

We’re monitoring the impacts of the virus on racial and ethnic minorities. A recent CDC report showed substantially higher death rates among minority groups; HUD Secretary Carson has been tasked with leading a White House effort to support underserved communities through the crisis. Our analysis here.

Recovery Tools for Affordable Housing Operations
As some housing providers pivot from crisis-management to recovery, HUD has encouraged the use of capacity building tools to safely shift operations. The toolkit offers several key worksheets for use by housing providers moving into the recovery phase.

Ethical Decision-Making Virtual Session

There are still seats remaining in the May 14, 2:00 Eastern, free-to-members Ethical Decision Making Virtual Session. In this session, Michael Gillette will explore the simple and complex ethical decision-making leaders face during the COVID-19 pandemic. Click here for details and to register.

Value First and Information Regarding “Reusable” Gowns
Bobby Bernal, our Value First representative, has new information about reusable gowns now available for order. For details, please reach out to Bobby at (850) 509-8112 or email him at rbernal @valuefirstonline.com.

Practical Tools for Staff Conversations

In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

In Of Mice and Men, John Steinbeck wrote, "Maybe ever’body in the whole damn world is scared of each other."

Check in questions: Is this what we have become -- a society where we all are scared of each other -- scared of who is infected with COVID-19, who might infect us, and who we might infect? Is this how we want future generations to see us? If not, how are we going to rise above this? How do we stop feeling frustrated, overwhelmed, and defeated? What will you do to stop being scared and start to live again?

By the way, Of Mice and Men was published in 1937.

COVID-19 Information Pages

In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!

 

LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org










This post has not been tagged.

Share |
PermalinkComments (0)
 

COVID-19 Update May 6, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


May 6, 2020

 

COVID-19 Update

Governor Announces Transition to Phase 1 of Easing Restrictions
Governor Roy Cooper yesterday signed Executive Order No. 138 to modify North Carolina’s Stay At Home order and transition to slowly easing certain COVID-19 restrictions effective Friday, May 8 at 5 pm. Click here for a Frequently Asked Questions document on the Order. The Executive Order does not change the following:

  • A Stay at Home Order remains in place;
  • Mass gatherings are generally limited to no more than ten people
  • Teleworking is encouraged;
  • Social distancing, hand hygiene, and other methods to slow the spread of COVID-19 should be practiced, including staying at least six feet apart;
  • Restaurants and bars remain closed for dine-in service and on-premises beverage consumption;
  • Personal care and grooming businesses, including barber shops, beauty, hair, nail, and tanning salons, and tattoo parlors, remain closed;
  • Entertainment facilities, including movie theaters, bowling alleys, and performance venues, remain closed;
  • Fitness facilities such as health clubs and gyms remain closed;
  • People may leave their homes to obtain medical services, obtain goods and services, engage in outdoor exercise, take care of others or volunteer;
  • Playgrounds remain closed;
  • Open retail businesses must meet certain requirements to ensure the safety of their employees and customers; and
  • Visitation continues to be banned at long-term care facilities, except for certain compassionate care situations.

Definition of Congregate Care Settings
In Governor Cooper’s initial announcement of the three phases, his press release used the term “congregate care setting.” We will continue to seek clarification on the term and its applicability to our member communities.

Work with NC Department of Insurance
Two updates from our ongoing work with the North Carolina Department of Insurance. First, our announcement that Commissioner Mike Causey had for a second time extended the deadline for disclosure statement filings was in error. He had previously extended the deadline to June 30. His new order simply reaffirmed that the extended deadline remains June 30. Second, we have visited with the department about a potential temporary moratorium on the requirement to hold semi-annual resident meetings because of the Governor’s restrictions on gatherings of more than 10 people. We are awaiting a response from the department.

Dementia and COVID-19: Insights from the Field
In this 13-minute QuickCast, Kirsten Jacobs from LeadingAge national shares ideas and insights garnered from providers and collaborators who are supporting people with dementia amidst COVID-19. This QuickCast is available to for FREE to both members and non-members.

Best Practices for Virtual Board Meetings During COVID-19
With COVID-19, many organizations are holding their first ever “virtual” board meetings. How is your board adapting to the shift to virtual environments in this time of crisis? Join BoardEffect’s Dottie Schindlinger and Human Rights Campaign's Mitch Johnson as they discuss how to navigate the waters of successfully conducting online meetings for your organization’s board – while maintaining good governance. In the webinar, they will discuss best practices for online meetings such as:
• Ensuring transparency and staying legally compliant
• Etiquette for ensuring board member engagement on web- and tele-conferences
• Setting up your equipment and preparing attendees for success
• Easily sharing documents and files to intended users
• Taking accurate minutes during online meetings
• Practical tips for ensuring continuity of your governance functions

Training Slides Posted for CDC NHSN Module and Enrollment Instructions
CDC has posted the training slides for the NHSN COVID-19 reporting module and NHSN enrollment. Slides can be accessed by clicking here.

Letter to Congress
LeadingAge national sent their requests for the next stimulus bill to Congress yesterday. This one is going to take more discussion and time, we think. There are a number of new measures under discussion and in various stages of development. The LeadingAge headlines are:

  • A $100 billion allocation specifically for aging and disability service providers to cover additional costs for PPE, cleaning supplies, staffing, and other needs associated with coronavirus.
  • A $1.2 billion housing package to provide for rent and staffing supports, Service Coordinators, Wi-Fi capability, and other assistance for the more than 1.1 million older adults served by federally-assisted housing.
  • A funding source that specifically provides “hazard pay” for frontline workers;
  • Priority access to PPE and testing, without which our residents, clients, and staff continue to be at significant and avoidable risk;
  • Uniform reporting of COVID cases and deaths in a way that enables information to be reported once and used for many purposes including public transparency and tracking needs;
  • Funding that enables our members to expand their capabilities by becoming extended or step-down entities and clarification that a COVID-19 diagnosis is a skilled need under Medicare;
  • Additional funding and some loosening of restrictions on the loan programs that have been set up to support providers as they fight coronavirus and struggle to survive beyond the crisis;
  • Compensation for home health telehealth visits and increased access to telehealth and technology across aging settings;
  • Grants to support Medicaid HCBS providers and PACE programs, to strengthen care and services in the home for vulnerable older persons and persons with disabilities;
  • That Congress charter and fund a post-COVID Bipartisan Congressional Commission to develop a legislative strategy that establishes a planful infrastructure of aging services that is adequately financed, promotes quality of care and quality of life, and enables all Americans to grow old with dignity.

Paycheck Protection Program Updates
The Department of Treasury/Small Business Administration issued today a new question in its FAQs, extending the deadline for borrowers’ safe harbor repayment one week, from May 7 to May 14. This gives SBA time to provide additional guidance on how it will review certification. In addition, it gives us a little more time to work out a solution to the problems that have arisen related to SBA loans to affordable housing providers. Treasury/SBA also issued data on PPP Round 2 loans.

Request to HHS for Provider Relief Fund Distributions
Over the weekend, a second letter was sent to HHS Secretary Alex Azar requesting funds for aging services providers from the $175 billion Provider Relief Fund. This letter requests $53.4 billion for providers across the continuum, both those that have already received funds and those to whom HHS committed to distributing funds (for example, Medicaid providers). This letter follows a first request for $34.6 billion on April 4 and LeadingAge national’s April 20 letter seeking clarification of a number of issues and questions regarding the fund and aging services providers. As a reminder, HHS information about the fund is here and LeadingAge’s FAQs document is here.

HUD/CDC Webinar on Cleaning and Disinfecting
Yesterday, HUD and CDC jointly hosted a webinar for limiting the spread of the virus in multifamily housing. A recording will be issued tomorrow and may be helpful for housing site/maintenance staff continuing disinfection protocols. A summary is available here.

Existing Service Coordinator Funds
After several months of delays, HUD Section 2020 housing providers have reported that funds for their existing (CY20) service coordinator grants for HUD Section 202 housing have started to hit accounts. These are separate from the new service coordinator funds from the CARES Act. If you are still seeing delays, please let us know.

CDC Return to Work Guidance Updated

CDC has amended their criteria for healthcare personnel returning to work. The term "non-test-based strategy" was changed to "symptom-based-strategy" for those with symptoms and the "time-based-strategy" for those without symptoms AND the duration of exclusion from work was extended to at least 10 days since symptoms first appeared, as opposed to 7 days.

LeadingAge National Call Features CDC Staff
Join LeadingAge national’s live online coronavirus update this Thursday, May 7, for a discussion of CDC guidance on infection control in long-term care. Dr. Nimalie Stone works in CDC’s Division of healthcare Quality Promotion, leading long-term care infection control guidance and working to align CMS and CDC guidance. Dr. Stone will answer member questions on how to interpret CDC guidance. Register now to join on Thursday, and every weekday.

Coronavirus Spotlight Podcasts
A new podcast series, LeadingAge Coronavirus Spotlights, features presentations by LeadingAge members and subject-matter experts who have been guests on our live daily online updates. Listen to these brief but informative podcasts to learn more about how your colleagues are coping with the pandemic. For the full-length audio of all the daily calls and a list of upcoming guests, visit the Coronavirus Member Updates Archive.

NEW Virtual Sessions are Open for Registration
LeadingAge national is launching new Virtual Sessions, live online presentations with extended Q&A. Space is limited, so register for free today.
Ethical Dilemmas: Decision-Making in a Pandemic with ethics expert Michael Gillette, May 14 at 2:00 p.m. ET
Leadership Resilience: Moving Through Adversity, with leadership consultant, author, and speaker Joanne Smikle on June 25 at 2:00 p.m. ET.

Post Your Open Jobs on the Aging Services Career Center
Have you posted your open jobs on the LeadingAge Aging Services Career Center? We are partnering with major national employers to connect displaced workers from fields such as dining, retail, and hospitality with available jobs in aging services. Over 500 new jobs have been posted in recent weeks. Add your openings today! Learn more about how to post your jobs for FREE now.

Questions? Ask LeadingAge National, Your State Association, or Each Other
There are many ways to get help during this crisis. Contact LeadingAge’s national team directly or email us at covid@leadingage.org. If you have questions about local and state issues, contact LeadingAge NC.

Practical Tools for Staff Conversations

In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

“You have brains in your head. You have feet in your shoes. You can steer yourself any direction you choose. You're on your own. And you know what you know. And YOU are the one who'll decide where to go,” wrote Dr. Seuss in Oh, The Places You’ll Go.

Check in questions: You are in charge of your life, your dreams, your goals, your destiny. You build your skills; you define your talents. This organization and the residents for whom you care rely on you. What is the next step in your professional growth? When are you going to take that step? What additional skills, training, or resources do you need?

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members. Click here to view the entire page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today!


LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org






This post has not been tagged.

Share |
PermalinkComments (0)
 

COVID-19 Update April 29, 2020

Posted By Leslie Roseboro, Thursday, May 21, 2020


April 29, 2020

 

COVID-19 Update

General Assembly Work Begins; LeadingAge NC Advocates for CCRCs in Immunity Bill
The North Carolina General Assembly’s short session began yesterday and LeadingAge North Carolina successfully worked to include CCRCs in the first piece of legislation passed by the House Health Committee. In the portion of the bill that states that it “is the purpose of this section to promote the public health, safety and welfare of all citizens by broadly protecting the health care facilities and health care providers in this State from liability that may result from treatment of individuals during the COVID-19 public health emergency under conditions resulting from circumstances associated with the COVID-19 public health emergency," your association fought to include a reference to the Department of Insurance statute (Chapter 58, Article 64) in the definition of “healthcare facility” contained in the bill. We’ve made sure similar language is present in the Senate version of the bill. We also made sure that the bill included language that broadened the definition to ensure CNAs, in particular, and other individuals who are authorized by law to provide “health care services,” are included. While the immunity bill has a long way to go, we’ll be there every step of the way for our members.

State Posts Listing of Facilities with COVID-19 Outbreaks
The North Carolina Division of Health and Human Services is now posting a weekly listing of skilled nursing facilities with an outbreak of COVID-19 cases. The state considers an outbreak to be two or more positive cases. The listing can accessed by clicking here.

DHSR Issues Guidance on Temporary Nurse Aide Waivers

Mark Payne, Director of the NC Division of Health Regulation, sent a memorandum to all nursing home administrators on Monday temporarily waiving certain regulatory requirements so they do not present barriers for facilities to hire staff to provide temporary nurse aide services during of the Declaration of the State of Emergency.

National Healthcare Safety Network LTC Component Activated
Last night, CDC released theNational Healthcare Safety Network (NHSN) LTC Facility Component, noting that the module is activated.The announcement also includes links to webinars on the module and on how to enroll in NHSN. LeadingAge national will be providing more analysis later today (and we’ll pass that along), but we do know that CMS has not yet issued the regulation that we expect will require providers to report positive cases through the NHSN.National has heard through the grapevine that the 12-hour notification requirement may not be in the rule after all, but we won’t know this until we see the rule. The 72-hour requirement for reporting an outbreak is still likely to be in the rule, according to the source. Of course, our advocacy continues with HHS/CMS and Congress to either rescind this requirement or develop a reporting system that involves only ONE report from providers (not one to the health department and another to CDC).

CDC Issues New/Updated COVID-19 Resources
CDC sent a communication yesterday to LeadingAge national about new federal resources for frontline staff.The CDC resources include webinars published on the “Key Strategies to Prepare for COVID-19 in Long-term Care Facilities (LTCFs)”web pageat the bottom under a “Webinar Series” section. CDC reports that “these new webinars are intended to be a training tool/resource for frontline long-term care staff members.”

Here are the direct links to each webinar:

  • Sparkling Surfaces-https://youtu.be/t7OH8ORr5Ig
  • Clean Hands -https://youtu.be/xmYMUly7qiE
  • Closely Monitor Residents -https://youtu.be/1ZbT1Njv6xA
  • Keep COVID-19 Out!https://youtu.be/7srwrF9MGdw
  • PPE Lessons -https://youtu.be/YYTATw9yav4

Also, CDC updated three additional resources:

  • Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings:https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html
  • Additional Guidance for Nursing Homes and Long-Term Care Settings:https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html
  • Preparedness Checklist for Nursing Homes and Other Long-Term Care Settings:https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care-checklist.html

CMS Requires Medicare Advantage to Cover More Items
CMS issued an amendedmemorandumto MA plans last week expanding the list of services they must cover, which include coverage for COVID-19 testing, and Medicare Part A & B services provided by non-contracted providers. CMS also outlined a number of additional flexibilities that were giving plans including allowing more than a 14-day supply of Part D drugs to be dispensed to long term care facilities. This article from LeadingAge national provides more information.

More Information About CMS’s Most Recent Regulatory Memo
As we indicated in Monday’s LeadingAge North Carolina COVID-19 Update, CMS released amemo and new FAQ documenton April 24, addressing a number of questions collected over the past several weeks. Some new information is available, though this FAQ document we promised may help providers in decision-making. CMS states that the information in this document should be used to make decisions based on:

  1. The needs of the resident,
  2. Actions needed to prevent transmission of COVID-19, and
  3. The circumstances of each situation.

LeadingAge national recommends that nursing homes utilize this framework in decision-making and be able to provide information for each of these considerations in justifying decisions. Many questions remain, but information available at this time is below. The LeadingAgefull update can be viewed here,and contains more information on the following items:

  • Five Star Quality Rating System on Nursing Home Compare
  • Release of PBJ Data
  • Admissions from Hospitals
  • Staying Connected
  • Visiting Healthcare Workers and Essential Personnel
  • Off-Site Appointments
  • Cohorting
  • Communal Dining

Heroism is Taking Place at Nursing Homes, Too
A special thanks to Acts Retirement-Life Communities’ Jefferson Kaighn for sending along this Newsday article that reminds us of the heroes we work with every day.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

“Nowadays people know the price of everything and the value of nothing,” Oscar Wilde wrote inIn the Picture of Dorian Gray.

Check in question: The work we do is measured and detailed in incremental pieces for the sake of putting a price on it for our rate of reimbursement. The work we do, however, is so much greater than the sum total of a multitude of incremental pieces. In your opinion, what is the value of the work we do?

COVID-19 Information Pages

In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members.Click hereto view the entire page.Click hereto view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps theirCOVID-19 resource page updated. Be sure to bookmark these pages today.


LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org



This post has not been tagged.

Share |
PermalinkComments (0)
 

COVID-19 Update April 27, 2020

Posted By Leslie Roseboro, Monday, April 27, 2020


April 27, 2020

 

COVID-19 Update

State Begins Posting Names of Facilities with Positive Cases

This morning, we received this message from Mark Payne, Director for the North Carolina Division of Health Service Regulation:
In order to standardize reporting regarding COVID-19 outbreaks in congregate living settings, beginning on Monday, April 27th, the NC Department of Health and Human Services will post a weekly report on COVID-19 cases associated with outbreaks in congregate living settings that will include the names of facilities where there are positive casesas well as the number of positive COVID-19 cases at the facility (this will include staff also).As this pandemic continues to evolve, we continually reassess the appropriateness of data reporting to balance transparency, public health and individual privacy.

The state defines an outbreak in a congregate living setting as two or more positive cases. We will provide more information from the Division as it becomes available.

LeadingAge National Continues with Daily Calls, Moving to Weekdays Only
LeadingAge national is continuing with their terrifically helpful daily COVID-19 calls. They will continue to hold them Monday through Friday at 3:30 pm through the month of May. To register for the daily calls, click here.Members only have to register one time and they will be registered for the 3:30 call every weekday through May.

Value First Finds Disposable Gowns Supplier
Value First has been looking for viable suppliers that can meet member PPE needs and believes they have found a good option for disposable gowns. Over the last 3 weeks, Jostens has converted their manufacturing facilities in South Carolina and Mexico from producing graduation gowns to healthcare gowns. The spec sheet can be found by clicking here and some details are provided below:

  • Level I disposable gown made of SMS, which is a material similar to Tyvek and is water repellent but has not been subjected to FDA testing to qualify as Level 2/3
  • Minimum order is 1 case; 75 gowns are in each case
    XL is the only size available, this was done to maximize production capacity
  • Cost is $4.45 per gown and can be lower based on order quantity.
    Supply is available and ready to ship depending on volume; a LeadingAge member placed an order on 4/23 and the product shipped on 4/24.
  • Payment terms are net 30 days or via credit card
  • This is an offering direct from Jostens; Value First is not receiving compensation of any kind from Jostens. Members are working directly with the manufacturer.

The price is higher than we all are accustomed to paying, however, raw material costs are extremely high and there is value in working with a well-known domestic company that can deliver product almost immediately with standard payment terms. If you are interested in placing an order, the contact at Jostens is Duke Walker and his contact information is included spec sheet referred to above. Jostens will require the following information when you place an order:

  • Tax exempt certificate (if applicable)
  • Ship to and Bill to addresses, purchasing point of contact (Name, phone number, email address)
  • They will also accept a credit card or you can submit a purchase order

New COVID-19 Cost Impact Tool (free to LeadingAge NC members) Now Available from Platinum Member Marsh & McLennan
Marsh & McLennan has just released their COVID 19 Cost Impact Tool.Essentially this model allows communities to project what the virus will do to the cost of their health plan taking into account specific benefit coverage, location, organization demographics, along with any layoff/furlough plans. The model is customized to each organization.As a LeadingAge NC Platinum business partner, they are making the analysis available at no cost to any Leading Age NC community that would like to have it. This would include a brief consultation to review the results and talk through any variables. For more information, reach out to wes.bartlett@marshmma.com or, for Marsh & McLennan resources related to COVID-19, click here.

Link to CMS FAQs

While the new FAQs from CMS don’t offer much in the way of new information, we will post an article soon.Here’s the CMS posting.

CMS Suspends Advance Payment Program

CMS released anannouncementthat it will suspend the Medicare Advance Payment program and provided an accompanying fact sheet. The rationale appears to be that there are significant funds available through the provider relief fund.Unlike Advance payments, Provider Relief Funds do not need to be paid back. Here’s the relevant summary, cut and pasted:

Beginning on April 26, 2020 CMS will not be accepting any new applications for the Advance Payment Program, and CMS will be reevaluating all pending and new applications for Accelerated Payments in light of historical direct payments made available through HHS’s Provider Relief Fund. Significant additional funding will continue to be available to hospitals and other healthcare providers through other programs.

New Information Posted on the HHS CARES Act Provider Relief Fund Website
The Department of Health and Human Services added a new post that now includes aGeneral Distribution FAQ, which provides more clarity on what providers need to do if they have received funds under the general distributions to Medicare providers. LeadingAge is still reviewing and will post an article with the new information and update the Provider Relief Background, Considerations and FAQ document.

The new FAQ document discusses attestations, and the specific financial information providers who have received funds must provide in order to retain dollars. Interestingly, by submitting this information, these providers could be eligible to receive additional funds beyond those payments already received. While there is no new information on the status of distributing funds to Medicaid-only providers, it does state that just because a provider has not yet received a payment does not mean they are ineligible or won’t receive a payment. “HHS is performing an ongoing assessment of how to distribute relief to these providers.”

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

In the book,Shatter Me, Tahereh Mafi writes, “Sometimes weak and wan, sometimes strong and full of light. The moon understands what it means to be human.”

Check in question: In this incredibly difficult time, as a team, we are strong and full of light – for each other, for the residents we serve, and for our community. How can we better spread our good news, our successes, our triumphs, and our joys throughout the community?

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page every day with information from trusted sources, including from our business members.Click hereto view the entire page.Click hereto view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps theirCOVID-19 resource page updated. Be sure to bookmark these pages today.


 

LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org








This post has not been tagged.

Share |
PermalinkComments (0)
 

COVID-19 Update April 24, 2020

Posted By Leslie Roseboro, Friday, April 24, 2020


April 24, 2020


COVID-19 Update


Next LeadingAge NC COVID-19 Call-In to Feature Womble Bond’s David Broughton

Our next LeadingAge NC “COVID-19 Call-In,” scheduled for Monday, April 27 at 2 pm, will feature Womble Bond Dickinson’s David Broughton. Please mark your calendars for this opportunity to hear from David and ask questions of him and your colleagues around the state. To participate, dial (201) 616-0673 and enter the passcode of 841692.

Governor Releases Three-Phase Plan, Extends Stay at Home Order Through May 8
Governor Roy Cooper yesterday issued Executive Order No. 135extendingNorth Carolina’s Stay at Home order through May 8. The orders extending closure of restaurants for dine-in service and bars and closure of other close-contact businesses are also extended through May 8. Governor Cooper shared details about North Carolina’s plan to lift restrictions in three phases once the data show that key metrics are headed in the right direction.Click for more information about the plan to lift restrictions, include specifics about Phase 1, Phase 2, and Phase 3.

Cooper also said that the state will continue building capacity to be able to adequately respond to an increase in virus spread.These include an increase in laboratory testing(currently, North Carolina is testing approximately 2,500 to 3,000 people per day and is working to increase to at least 5,000 to 7,000 per day, an increase intracing capability (currently, North Carolina has approximately 250 people doing contact tracing across its local health departments and is working to double this workforce to 500, and availability of personal protective equipment(the state is working to ensure there are adequate supplies to fulfill requests for critical PPE for at least 30 days.This includes face shields, gloves, gowns, N95 masks, and surgical and procedural masks. Currently the state has less than 30 days’ supply of gowns and N95 masks.

President Expected to Sign New Relief Package Today
The House of Representatives overwhelmingly (and laboriously) passed the next relief package, a $484 billion package to deliver emergency aid to small businesses and hospitals. Approved by a vote of 388-5, it includes $384 billion more for the Paycheck Protection Program (small business loans), $75 billion in emergency relief for hospitals (we have to believe that like the earlier funds it will go beyond hospitals), and $20 billion to ramp up testing. We’ll be providing more details as they become available.

LeadingAge North Carolina Members Encouraged to Reach Out to Local Media to Share Your Efforts in Fighting COVID-19

We are seeing more nursing homes and assisted living facilities across the state come under public scrutiny as the coronavirus spreads throughout your communities and threatens exposure to your staff and residents.Many stories are focusing on the hospitals’ role in preventing spread of the disease, but very little is known about the measures long-term care providers are taking to protect their staff and residents and keep them safe and healthy.

Below are some talking points prepared by LeadingAge national that may guide you through questions you may receive from your local media. We would encourage you as well, to be proactive in your media contacts through a letter to the editor or a feature story to share within your communities about your efforts and contributions in the fight against COVID-19.

Talking Points: Responding to Negative Views on Aging Services in Pandemic
LeadingAge members are likely receiving a surge of media interest as a result of the COVID-19 pandemic. While many reporter queries stem from a negative event (COVID-19 diagnosis, outbreak, or death), the upside of this unquestionably challenging time is a sustained opportunity to engage with reporters and develop relationships that may be useful even after coronavirus passes.

For most media outlets, aging services is not a primary beat, and it is rare to find reporters with a solid understanding of our field. So when a media call comes in, your role is to be not only a source, but also an educator. Take a few minutes to ask some questions before you work on your response: engage in a broader conversation so you can better understand the reporter's perspective. Then strategize a response that offers the right context.

You can’t avoid the tough questions. But you can—and should—provide grounding and context that frames the realities of your organization and our field. Here’s how LeadingAge is Driving the Coronavirus Conversation and how we’re Responding to Negative Views on Aging Services During the Pandemic.The talking points below can help you in your efforts. We encourage you to pull elements from them as you develop your responses.

Message Points

  • We’re on the front line of the coronavirus pandemic.The COVID-19 is a previously unidentified virus, which means care providers of all types—including those working at organizations like ours where older adults receive care—are learning about it in real time. And, because public health officials have identified older people as high risk of getting very sick from COVID-19, we are on the front line. Every day we do our part to aggressively prevent and mitigate the spread as we deliver compassionate care under challenging circumstances.
  • The pandemic highlights that organizations like ours are a vital component of our public health system.Nursing homes, home health, visiting nurses, and other providers of aging services have long played a valuable role in how Americans receive the care they need. For example, organizations like mine collaborate with many other care providers like<insert touchpoints with the larger health care system i.e.: transitions from hospital, in-home care, interaction with doctors, end-of-life care, etc.>. As the virus spreads, our role in the public health system is magnified—and should be prioritized.
  • Aging services providers like my organization have distinct and urgent needs in this pandemic.Without PPE and testing, we cannot safely orchestrate patient transitions, take care of new or current residents, or protect staff. While we understand these needs are vital in an inpatient setting, there is a major push now to move patients out of hospitals to nursing homes or to home and community-based settings. The lack of resources for aging services is an additional challenge in a health crisis unlike any we’ve seen before.
  • The coronavirus pandemic exacerbates the well-documented, longstanding workforce shortage in aging services.This healthcare crisis increases our workforce needs. For instance, we need more staff to care for sicker residents, to adhere to regulatory requirements that ban communal meals and mandate enhanced infection control procedures, and to cover open shifts for sick staff or those who can’t report to work. These strains compound an already challenging workforce environment.
  • Our business is complex.We don’t have a simple operating structure like, for example, a corner store or neighborhood restaurant. We have multiple sources of revenue, from reimbursements and government funding to private pay, and are working under a range of guidelines and regulations. Rising costs of caring for a full load of patients with a changing case-mix, buying extra PPE and other supplies, losing staff and paying overtime—coupled with decreased revenues—are already causing shortfalls for organizations in aging services.
  • We are a mission-driven organization with deep roots in our community.The services we provide are fundamental to the lives of the people we serve, their families, and our community. We are driven by a higher moral purpose to serve this population in accordance with our mission. We care deeply about the role we play to provide much-needed care, services and supports in people’s lives. <Insert info on your community roots, board of directors, or foundation, as relevant.>

Action Challenge:
So let's challenge ourselves.How many of our member organizations can convince the media to cover a positive development or publish a letter to the editor in support of the those who live and work in a long-term care or senior housing setting?YOU can make that happen. As you succeed in doing so, please share your stories, letters and clips with us so we in turn can share them on our social media pages and our near-nightly communications with you. Come on...we've have so much to say and share!

FEMA Releases Best Practices for PPE Preservation
FEMA has released an informative fact sheet related to best practices for preserving personal protective equipment.

Crisis Counseling and Emotional Support Hotline
The National Disaster Distress Helpline at 1-800-985-5990 is offering crisis counseling and emotional support 24/7 during the COVID-19 outbreak.

CAST Updates Social Connectedness and Engagement Technology Tool
LeadingAge CAST updated its Social Connectedness and Engagement Technology Tool. The new tool includes a Product Matrix and Online Selection Tool for 45 products, including three new products, as well as six new case studies.

New NextStep Temp Nurse Aide Training

NextStep just pushed the 16-hour National Temp Nurse Aide Course live! It is totally FREE for enrollment now through May 8 with code HERO2020. It is for employers who want to re-skill incumbent workers (e.g. housekeeping, dietary) for direct care and for job seekers. The course is aimed at employers who want to re-skill the incumbent workforce (e.g., housekeeping, dietary) for direct care and job seekers.

CDC Clarifies Elements of Forthcoming Nursing Home Reporting Requirements
As previously reported, CMS previewed new COVID-19 reporting requirements for nursing homes on April 19. These new requirements are pending rulemaking that is forthcoming. While little information is available from CMS ahead of the rulemaking, a recent call with CDC shed some light on the reporting mechanism.

COVID-19 and Affordable Housing Providers: Recap of Key HUD Guidance

As the health emergency continues, affordable senior housing providers have questions about how best to serve residents and continue operations. Keeping in mind that COVID-19 guidance is updated frequented by HUD, LeadingAge put together a summary of existing federal guidance available in response to common questions from mid-April.

Meeting with Vice President Pence and Secretary Carson

On yesterday’s Housing and Urban Development call with Vice President Mike Pence, HUD Secretary Ben Carson, and FHA Commissioner Montgomery, Carson said he hopes one takeaway from this crisis will be we must do better by seniors; and, Commissioner Montgomery thanked LeadingAge for its advocacy.

Managing Your Team Through a Crisis
This informative webinar, offered by WittKieffer, will be held on Wednesday, April 29, from 1-2 pm. Click here for more information and to register.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here is today’s short tool:

FromThe Adventures of Winnie the Poohby A. A. Milne:
“‘What day is it?’ asked Winnie the Pooh.
‘It’s today,’ squeaked Piglet.
‘My favorite day,’ said Pooh.”
Check in question: Why is today going to be your favorite day?

COVID-19 Information Pages
In addition to these email updates, LeadingAge North Carolina is updating our COVID-19 resource page regularly with information from trusted sources, including from our business members.Click hereto view the entire page.Click hereto view the section of the page that highlights business member expertise in areas such as investments, financing, human resources, and rehabilitation as those topics relate to COVID-19. In addition, LeadingAge national keeps theirCOVID-19 resource page updated. Be sure to bookmark these pages today.

 

LeadingAge North Carolina | 222 N. Person Street, Raleigh, NC 27601
919-571-8333 | info@leadingagenc.org | www.leadingagenc.org








This post has not been tagged.

Share |
PermalinkComments (0)
 
Page 1 of 29
1  |  2  |  3  |  4  |  5  |  6  >   >>   >| 
Sign In


Calendar
LeadingAge NC News
Featured Members