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COVID-19 Update April 6, 2020

Posted By Leslie Roseboro, Thursday, April 16, 2020


April 6, 2020

 

COVID-19 Daily Update


Staff with Multiple Healthcare Jobs
Many nursing home providers throughout the country employ staff who hold multiple healthcare jobs. Some employees work at more than one nursing home. Others work in both nursing homes and hospitals or home health agencies. CMS advised in QSO-20-14-NH REVISED that facilities should identify staff that work at multiple facilities. Recognizing the risk of transmission that this poses, LeadingAge requested CMS provide additional guidance on how to manage these risks, including guidelines around appropriate quarantine procedures for asymptomatic staff who have worked in a facility where COVID-19 has been confirmed. At this time, CMS states that providers should refer to CDC guidance for return-to-work criteria and risk assessment of healthcare personnel.

CMS guidance and recommendations
CMS continues to release new guidance/recommendations for nursing homes.The new guidance recommends that nursing homes adhere to all CMS and CDC guidance and that state and local leaders consider the needs of LTC facilities in allocating PPE supplies.Nursing homes must now control entrance and egress more tightly and screen everyone coming in for symptoms except EMS workers. CMS now recommends that full COVID-19 appropriate PPE be worn for the care of all residents and that residents cover their nose and mouth when staff are in their rooms. Staff should be assigned to treat either COVID negative or COVID positive individuals and nursing homes are instructed to work with local health departments and others to promote enrollment and use of alternate care sites.Also for nursing home stakeholders, here is the link to the summary of questions and answers covered on the CMS stakeholder call this week.

Responding to Negative Views on Aging Services During the Pandemic
Despite the incredibly challenging conditions, LeadingAge North Carolina members are taking a calm, caring, and thoughtful approach to this growing public health crisis. Wherever you support older adults—in nursing homes, assisted living, life plan communities, or in homes across the country—you are, as always, demonstrating the incredible value of your work. The stark reality is, however, that this truth of your value and the complexity of your operations is not always understood by the media and the wider public. In the face of the coronavirus pandemic, we all are forced to continue to fight long-standing, negative narratives.

We can assure you that LeadingAge North Carolina and LeadingAge national are carrying forward the truth about the incredible work you are doing in the face of this global pandemic. Here’s how.

Three New COVID-19 Medicaid Bulletin Articles Available
The NC Division of Health Benefits has published three more Medicaid Bulletin articles related to COVID-19:

  • SPECIAL BULLETIN COVID-19 #31: NC Medicaid COVID-19 Updated Guidelines for Non-emergency Medical Transportation (NEMT)
  • SPECIAL BULLETIN COVID-19 #32: Rate Increase and Claims Reprocessing
  • SPECIAL BULLETIN COVID-19 #33: Webinars for COVID-19 Appendix K Flexibilities for the NC Innovations and TBI Waivers

Providers are encouraged to review this important information.

SBA Paycheck Protection Program

The Treasury Department has increased the interest rate on the SBA Paycheck Protection Program to 1%, up from .5%. Friday, April 3 was the first day the loans were made available. It is far too early to have a breakdown of any sort of who is borrowing. Community banks are reportedly getting funds out faster than larger banks, although some larger banks are taking applications but not sending out funds yet. Here’s an updated article about the SBA loans.

WHO Develops Stress Reduction Tips

The World Health Organization has developed a set of practical tips for dealing with the stress of this outbreak.

CDC Advises Americans to Wear Nonmedical Masks
The White House says the Centers for Disease Control and Prevention is recommending that Americans cover their faces when leaving the home, especially around other people.

More Requests to Congress
LeadingAge joined forces with VNAA/ElevatingHOME, National Adult Day Services Association, and leading hospice organizations to develop and deliver three sets of aligned recommendations, which include:

  • Priority Access to PPE Distribution and Testing: We understand the vital need for PPE in the inpatient setting, but now there is a major push to move patients out of hospitals to nursing homes or to home and community-based settings. Without PPE, our members cannot safely orchestrate these transitions, take care of new or current patients, or protect staff. We also cannot effectively safeguard patients, residents, or staff without knowing who has COVID-19. Our members must be prioritized to receive PPE and access to testing.
  • Increased Funding and Access to Payments, Grants, and Loans: 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 our members working in all settings. Any future stimulus package should include money to pay for what programs are spending on patient and staff safety, and to mitigate losses so that these essential providers can continue to operate into the future. It also should provide for housing infrastructure, additional staffing, and access to grants and loan programs across all our members.
  • Regulatory Relief and Operational Flexibility: This crisis has created unprecedented conditions for our members as they provide care, and has underscored the already-existing workforce shortages. We require additional flexibility to ensure that patients, residents, and clients remain safe and receive the best care possible. We recommend expanding provisions that provide relief in critical areas, including CNA and palliative care training, fees and penalties, payment adjustments, telehealth—including full reimbursement for telehealth interactions—and more.

Letter to IRS on Low Income Housing Tax Credit
LeadingAge sent thisletter to the IRSurging them to move quickly on several COVID-19 fixes to the LIHTC program.The letter seeks specific guidance from Treasury/IRS to allow the Housing Credit community to adapt as best as possible during the coronavirus crisis.

LeadingAge North Carolina Weekly COVID-19 Call Today
Our weekly LeadingAge North Carolina“COVID-19 Call-in”will be held this afternoon(Monday, April 6) at3 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.

LeadingAge COVID-19 3:30 call Today
LeadingAge National will hold their daily 3:30p call. To register for the call, go tohttps://attendee.gotowebinar.com/register/1365743381042881035. Please note: you only have to register one time and will be automatically registered for the 3:30 call every day (7 days a week) through April 26.

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

In the book,When Breath Becomes Air, Paul Kalanithi writes: “It cannot be doubted that each of us can only see part of the picture. Human knowledge is never contained in one person. It grows from the relationships we create between each other and the world, and still, it is never complete.”

Check in question: This quote emphasizes the importance of relationships and how impactful they can be on our lives. As we live with the realities of COVID-19, why are strong relationships with our co-workers particularly important now, and what can we do today to improve these relationships?

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. All business members are invited to share their COVID-19 resources by emailing the LeadingAge NC office. Thank you to everyone who has already submitted information.

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




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COVID-19 Update April 3, 2020

Posted By Jennifer Gill, Friday, April 3, 2020

                                              
 April 3, 2020

COVID-19 Update
April 3, 2020
2:30pm




LeadingAge North Carolina Creates New Job Partnership Portal

LeadingAge NC is creating a job clearinghouse for displaced workers from a variety of industries including food service, housekeeping, transportation, and other licensed positions, who would like to work in aging services in North Carolina. Click here to check out a quick form that those interested would complete.


Responding to Negative Views on Aging Services During the Pandemic
LeadingAge members are taking a calm, caring, and thoughtful approach to this growing public health crisis. However, the stark reality is that, in the face of the coronavirus pandemic, we all are forced to continue to fight long-standing, negative narratives. We can assure you that we are carrying forward the truth about the incredible work our members are doing in the face of this global pandemic. Here’s how.

Paycheck Protection Program Forgivable Loans Open for Application Today
The Paycheck Protection Program, which provides forgivable loans to small businesses and nonprofit, opens its application process today. The National Council of Nonprofits has a great resource page with details, application forms, and an informative chart comparing the PPP program to other federal programs.

Updated HUD FAQs
HUD updated their Q&A yesterday with additional information about recertifications. It also includes information on construction, rehab, and RAD conversions going on during this time.


Memo Sent to Elected Officials on Affordable Housing COVID-19 Needs

LeadingAge sent a memo to the National Governors Association, the National Conference of State Legislatures, and other associations representing states and localities, recommending that: (a) staff in HUD-assisted senior housing communities supported as “essential” workers; and (b) to help their member state and local officials connect HUD-assisted senior housing communities to needed relief.

New CDC Postings
The CDC posted a webinar yesterday, “Preparing Nursing Homes and Assisted Living Facilities for COVID-19,” describing actions people in these two settings can take to protect staff and residents from infection. The CDC also posted “Cleaning and Disinfecting Your Worksite” yesterday. It includes information about cleaning and disinfecting a building or facility if someone is sick.


LeadingAge COVID-19 3:30pm Call Today
On today’s call LeadingAge will describe the new Job Board available on their website and how they have partnered with organizations to identify displaced workers. Policy and stimulus package updates will also be provided. To register for the call, click here. Please note: you only have to register one time and will be automatically registered for the 3:30 call every day (7 days a week) through April 26.


Summary of CMS Nursing Home Call
Here’s a summary from CMS calls earlier this week. Covered topics include CNA training/certification, staff with multiple jobs, hiring issues, converting buildings, FEMA, and PBJ.

Updated Medicaid Frequently Asked Questions
Yesterday, CMS published updated FAQs on COVID-19 and Medicaid/CHIP. The new material includes several new questions related to eligibility determination, among other things. This has come up as an issue for some members, since Medicaid eligibility determination offices are teleworking and/or working differently; demand on the systems is high, too.

Local Hand Sanitizer Resource - 5% LeadingAge NC Member Discount
A company based out of Durham, Next Level Spirits, has developed a sizeable inventory of hospital-grade sanitizer at the ready. If of interest, please contact them directly at the link provided and enter the code LEADINGAGENC for a 5% discount. Thank you to our friends at K4Connect (LeadingAge NC Bronze business member) for sharing this resource.

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

Resilience is the ability to bounce back from adversity. It’s what allows you to recover from change or hardship, whether in the workplace or life in general. As a leader, you can change your views, habits, and responses by modifying your thoughts and actions, which will help broaden your outlook and become more adaptable to change. (Center for Creative Leadership)

Check-in question: What areas can you focus on changing or reframing your response to negative situations?

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. All business members are invited to share their COVID-19 resources by emailing info@leadingagenc.org. Thank you to everyone who has already submitted information.

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





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Member Update April 3, 2020

Posted By Jennifer Gill, Friday, April 3, 2020
Updated: Thursday, April 2, 2020

April 3, 2020


Do you know someone who has been displaced from his/her job due to COVID-19? LeadingAge NC is creating a clearinghouse of displaced workers from a variety of industries including food service, housekeeping, transportation, and other licensed positions, who would like to work in aging services in North Carolina. Click here to fill out a quick form and indicate your interest today.


The LeadingAge NC Member Update is published twice monthly.
Click on a section header to view that section.

Advocacy & Policy
Strategic Thinking  |  News & Notes 
Professional Development  |  Value First

It is with gratitude that we let you know that Jennifer Gill, our Director of Strategic Communications, leaves LeadingAge North Carolina today for a wonderful opportunity with a groundbreaking social services nonprofit in Orange County. For the past six years, LeadingAge North Carolina and its member communities have benefited from Jennifer’s expertise and energetic drive. Jennifer has professionalized the look and feel of our outreach to members, including Member Updates and marketing materials. She’s designed our social media platform strategy and kept our Facebook, Twitter, and Instagram feeds alive with fresh, relevant content. More than the technical skills she’s brought to her position, though, Jennifer had an unequaled passion for providing value to our member communities. She understood the imperative of quick and encouraging responses to questions and her unfailingly positive attitude was a delight for the members she served and the people she worked with. “Au revoir” is the French word for “goodbye…” but it literally means “to the seeing again.” Good luck, Jennifer…here’s “to the seeing again.”


General Assembly Continues Their Work on COVID-19 Issues
The North Carolina General Assembly continues to work on the myriad issues related to COVID-19. Organizations and individuals are communicating through online portals (here’s a link to LeadingAge North Carolina’s list of priorities at this point) with the COVID-19 Select Committees. The House and Senate calendars continue to show an April 28 start date for the short session but there are real questions about how Representative and Senators return and not put members (particularly those over 65) in danger.

2-1-1 Service Now Live
NC 2-1-1 is available as a resource for people to call for assistance related to the COVID-19 coronavirus.
NC 2-1-1 is an information and referral service that families and individuals can call to obtain free and confidential information on health and human services resources within their community. To access this service, simply dial 2-1-1- 24 hours a day, seven days a week, 365 days a year. You can also text COVIDNC to 898211 to get alerts and North Carolina COVID-19 updates.

LeadingAge NC Link to COVID-19 Resources
For information on the latest information related to COVID-19 please click here to visit our resource page. Click here to view the section of the page that highlights business member expertise in areas such as investments, financing, the law, human resources, and rehabilitation as those topics relate to COVID-19. All business members are invited to share their COVID-19 resources by emailing info@leadingagenc.org. Thank you to everyone who has already submitted information.

In addition, LeadingAge national keeps their COVID-19 resource page updated. Be sure to bookmark these pages today.

Remember to Respond to the 2020 Census
While responding to this unprecedented health emergency, it might be easy to forget the
2020 census. But please remember to take some time to fill out your form – it will help your community get important funding for schools, hospitals, roads, and more.


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That Discomfort You're Feeling is Grief
Harvard Business Review, March 23, 2020
One of the world's foremost experts on grief shares his thoughts on why it's important to acknowledge the grief you may be feeling right now, how to manage it, and how he believes we will find meaning in it.

Balancing Work and Elder Care Through the Coronavirus Crisis
Harvard Business Review, March 31, 2020
You’re probably well aware that caregivers are more likely than those in the general population to report they are doing a poor to fair job at managing stress and getting enough sleep. What you can’t ever seem to figure out is how or when to do all of that. But, especially during this crisis, your ability to continue to earn a living while caring for your aging parent is contingent on your own well-being.

The Truth About Middle Income Older Americans
Stria, March 29, 2020
The longevity market often pays attention to the older Americans from two perspectives: some are dedicated to the struggles of the poorest older people, and the rest try to tap into the spending power of the wealthiest, with their ample savings and other assets. But what about those who fall somewhere in the middle?

The ‘Sandwich Generation’ Quandary was Hard on Baby Boomers. It’s Going to be Harder on their Kids
The Washington Post, March 11, 2020
There has always been the cycle of growing children and aging grandparents, and the stresses that can result from caring for either or both. But as more parents trend toward starting their families later, the widening distance between the generations — child, parent, grandparent — is changing the nature of the dynamic among all three.


How Working Parents Can Prioritize Sleep
Harvard Business Review, March 31, 2020
When you feel like you have no time to sleep is exactly when you need sleep the most. Finding a way to prioritize consistent, high-quality sleep can help you better navigate the demands of your everyday life, from better interactions with your family to better sleep for your children to better relationships at work.

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Framing COVID-19 Communications
Our friends at FrameWorks Institute provide guidance for COVID-19 communications in your community advising that a clear explanation builds trust and support for solutions - the lack of one can spark resentment or disengagement. This framing might prove useful as the number of days at home increases and restlessness grows.

COVID-19 Support Call for LeadingAge NC Members
LeadingAge North Carolina is hosting a support phone call for members every Monday at 3pm. These calls allow members to ask questions, share resources and problem-solve together. Feel free to invite staff to participate. We encourage you to join us by dialing 201-616-0673, passcode 841692. The next call will take place this Monday, April 6th.

LeadingAge National Daily Call-in Briefings
LeadingAge national has scheduled daily briefing calls at 3:30 p.m. On these calls, members will hear from LeadingAge policy experts about the most up-to-date information on guidance, regulation, and legislation related to the pandemic and its impact on aging services providers. They’ll also answer member questions or, if they don’t have the answers, they’ll do our best to find them. Recordings will be posted on the LeadingAge website daily, so you can listen even if you can’t dial in. To join the call, register now.

LeadingAge National Member Community COVID-19 Group
LeadingAge national has created a group in the MyLeadingAge Member Community: COVID-19. This group is a place to connect with your peers to share and discuss everyday practices related to the coronavirus. Take a moment now to log into your my.leadingage.org account and join the group to stay connected.

Positive Stories for LeadingAge National Media Outreach
LeadingAge national is looking for positive stories around recent events. They have gotten some press inquiries and would like to build up a bank of stories for potential outreach as well. Ideas for stories include: heroism, acts of kindness, staff camaraderie, innovative solutions to the crisis, and more. Please email Tessa Atkinson-Adams at national directly at tatkinson-adams@leadingage.org. Thank you for all you are doing!

LeadingAge National Leadership Summit in Washington DC Postponed
In light of the President’s national emergency declaration to address the coronavirus pandemic, LeadingAge national is postponing the 2020 Leadership Summit originally scheduled April 20-22. Please note: those who registered for the conference will be sent an email regarding their hotel and registration for national’s rescheduled program – August 10-12, 2020 at the Omni Shoreham Hotel. LeadingAge national will be transferring all registrations over to the new date, and allowing members to cancel at a full refund if the new dates do not work for them.

In Case You Missed It

Follow @LeadingAgeNC on Social Media
Stay connected in 2020. Be sure you are following @LeadingAgeNC on Twitter, Facebook, and Instagram. You'll be up-to-date on the latest regarding COVID-19 and other matters affecting your community.

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Click to view a specific program.


*WILL BE RESCHEDULED* Manager Training Seminar 2020

2020 Event & Education Calendar

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In compliance with the Governor's executive order around group gatherings, the Manager Training Seminar will be rescheduled. Watch for a new date to be posted soon.

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2020 Event and Education Calendar Now Available
Mark your calendar for these LeadingAge North Carolina events and programs in 2020. New this year is a Fall Conference on September 24 in Colfax designed specifically for Department Directors and Managers/Supervisors in HR, marketing, finance, social work, nursing, maintenance, wellness, and fundraising. Watch for more details!

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A Note from your Value First Representative


When it comes to balancing resident satisfaction and food service costs, you face many challenges. As specialists working with senior living and long-term care communities, Value First can help you provide your residents with nutritious and satisfying meals that fit your budget. However, our support goes far beyond helping you reduce food costs. Our tools and resources can support your entire operation by reducing costs and improving efficiencies at every step of your supply chain.

It all starts with a cost study where we’ll work with your purchasing team to analyze your current expenses and give you line item comparison on exactly how we can help you save. As the new year started we have already seen successes in a number of food cost studies.

Please take advantage of this, it only takes a few minutes from your end, and Value First does all the leg work.

If you are currently using CINTAS but not through our program, please take a look at this. CINTAS and Value First in partnership with Vizient are offering members with incredible savings, click here for more information.

Please contact me, Bobby Bernal, at 850-509-8112 or email me.

I will walk you through the few easy steps.

Please click here for the NEW Value First vendor catalog.

Thank you and I look forward to seeing you on the road.

Robert "Bobby" Bernal, Value First Regional Southeast Manager
C: (850) 509-8112 |
Email

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LeadingAge North Carolina
222 N. Person Street, Suite 205  |  Raleigh, NC  27601
Ph. 919.571.8333  |  Fax 919.869.1811  |  www.LeadingAgeNC.org


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COVID-19 Update April 2, 2020 (part two)

Posted By Jennifer Gill, Thursday, April 2, 2020

   
 April 2, 2020 (part two)


LeadingAge NC, NCHCFA Collaborate on Additional Waiver Requests to CMS
We continue to work collaboratively with the North Carolina Health Care Facilities Association on COVID-19 issues. Adam Sholar, CEO at NCHCFA, and his team are great partners. Late last night we forwarded a new set of waiver requests to Seema Verma, CMS administrator. Our latest waiver request includes requirements around staffing, in-service education, limits on the DON as charge nurse, use of therapy students for CNA duties, physician visits and medical directors, transfer and discharge, dining, pharmacy and physical plant. We’ll keep you updated as we hear back.

NC DHHS Announces Revised Guidance for Long-Term Care Settings
The North Carolina Department of Health and Human Services released new “Interim Long-Term Care Setting Guidance” pertaining to residents with COVID-19 (or are suspected to have it). It replaces the earlier March 25, 2020 guidance. We participated in a call yesterday with senior staff at the department to provide perspective on acute to post-acute transfers and will continue to work with them, particularly as it relates to our take on that portion of the new guidance that indicates SNFs should “admit all individuals that you would normally admit to your facility.”


IRS Guidance on Stimulus Checks

There WAS bad news here, but it was just reversed last night and it’s now good news! The Treasury Department published guidance yesterday that would have required Social Security recipients who do not usually file tax returns to file an “easy,” yet to be developed tax form in order to get stimulus checks. LeadingAge national reached out to the Senate staffer who had a heavy hand in crafting the language. He was very clear that it was written to NOT require this. After many calls to the Hill and IRS, by LeadingAge and others, the Treasury department has reversed the decision and Social Security recipients will not have to file anything to receive their stimulus check. Click here for a Washington Post article explaining what happened.

CDC Analysis Emphasizes Importance of Treating EVERYONE as Potentially Positive
A preliminary analysis of COVID-19 cases at a skilled nursing facility in King County, Washington revealed that 30.3% of the 76 residents tested positive. Of those that tested positive, half were asymptomatic. The study reveals the importance of treating everyone who comes to your campus as a potential positive.


LeadingAge 3:30 Call Today
Today’s 3:30pm call will feature policy updates and Dennis Adams of Christopher Homes in New Orleans (an affordable housing provider). We will also hear how adult day providers are dealing with coronavirus and learn more about the new SBA loans that are available. To register for the calls, click here. Please note: you only have to register one time and will be automatically registered for the 3:30 call every day (7 days a week) through April 26.

Governor: No Disconnects, Penalties or Interest for Utility Late Payments
Governor Roy Cooper announced yesterday that, for the next 60 days, no utility shut offs for people who are unable to pay. No fees, penalties or interest for late payment. Questions? Call your utility company. Also, if spending more time at home is affecting your budget, consider these quick tips to help keep energy use in check:

  • Wash full laundry loads rather than multiple, small loads. You’ll save water, detergent and energy.
  • Cover liquids and wrap foods before putting them in the refrigerator. Uncovered foods release moisture and force your appliance’s compressor to work harder.
  • Choose “sleep” over “screen save.” While effective in preserving your computer monitor, screen savers require the same amount of energy as when a computer is in full use.

CMS Creates COVID-19 Email Support
CMS has set up a COVID inbox at COVID19@CMS.HHS.GOV for providers to email questions and concerns related to COVID-19.

Legal Immunity

LeadingAge national sent a letter to HHS last week requesting clarification regarding the legal immunity afforded skilled nursing facilities and assisted living providers under the Public Readiness and Emergency Preparedness Act (PREP Act). On March 17, HHS made a declaration affording legal immunity for COVID-19 countermeasures. LeadingAge national believes that the PREP Act provides immunity, but wanted HHS to clarify the scope of the declaration. In addition to this letter, LeadingAge is pursuing additional federal legislative relief through the next stimulus bill as well as potential legislation. Nothing formal has been introduced at this time but we will continue to monitor and advocate for legal immunity for all providers during this pandemic. As a reminder, legal protections were an issue LeadingAge North Carolina and NCHCFA raised in our letter to Governor Cooper and Secretary Cohen on March 20, 2020.


Essential Staff in Housing
The Department of Homeland Security issued an advisory memo on essential workers. DHS advises including housing provider staff for states issuing orders on critical businesses remaining open.

Alzheimer’s Association Guidance
The Alzheimer’s Association has created a document to support individuals: “Caring for Persons Living with Dementia in a Long-Term or Community-Based Care Setting.”

Free COVID Training for LeadingAge Members until April 10
NextStep created an online course designed to improve the safety of Certified Nursing Assistants (CNAs) and caregivers working with COVID-19 patients. But it will be equally useful to all staff of all provider types. The COVID-Ready Caregiver program uses expert-developed online learning to help develop critical skills for safety during the pandemic. LeadingAge members can access the course at no cost through April 10. Use code COVIDCERTNOW at check-out.


Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, here’s a short quote to share with your staff.

“I can be changed by what happens to me. But I refuse to be reduced by it.” – Maya Angelou

Question: What changes did you experience yesterday that you’ve been able to shake off?

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, the law, human resources, and rehabilitation as those topics relate to COVID-19. All business members are invited to share their COVID-19 resources by emailing info@leadingagenc.org. Thank you to everyone who has already submitted information.

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



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COVID-19 Update April 2, 2020 (part one)

Posted By Jennifer Gill, Thursday, April 2, 2020


April 2, 2020 (part one)


Our Apologies
Due to a technical glitch with our software program that serves as the backbone for these daily COVID-19 Updates, we were unable to provide yesterday’s information in a timely fashion. This edition gives you yesterday’s information…we’ll be providing another update later this afternoon. Thanks for your patience as we work to provide you with timely and accurate information that will help you, your residents, and your staff.



North Carolina Department of Revenue Extends Deadlines

The North Carolina Department of Revenue won't impose penalties for late filing or payments of many tax types, including sales and use and withholding taxes, through July 15, Revenue Secretary Ronald Penny said. The department previously pushed back the April 15 deadline for 2019 income taxes to July 15. It is important to note that State law prevents the Department from waiving any interest except in the limited case of interest on taxes imposed prior to or during a period for which a taxpayer has declared bankruptcy under Chapter 7 or Chapter 13 of Title 11 of the United State Code. As such, if additional tax is owed, the Department is required to charge interest on any unpaid tax, accruing from the original due date, until the tax is paid. The interest rate is currently 5% per year. This is the minimum rate allowed by statute.Click here for detailed information from the department.

Treasury Guidance on Paycheck Protection Program
The U.S. Department of Treasury posted new guidance for borrowers and lenders on the Paycheck Protection Program that will provide small businesses (including nonprofits) low-interest, forgivable loans for payroll. We are working to obtain more information on the specifics of the program and how to apply and will send that in a special email blast once we receive it.

Alternative Care Site Toolkit
The FEMA Federal Healthcare Resilience Task Force pushed out this Alternative Site Toolkit yesterday, for use by state/local/tribal/territorial governments and FEMA and HHS regional administrators to help identify and set up alternative sites for COVID-19 patients.

Recap of Recent CMS Waivers
Earlier this week, CMS released a package of significant regulatory changes, granting multiple waivers for several provider types. These changes were much needed in supporting our members through this unprecedented time. LAI and LeadingAge consider these changes a huge advocacy win for members. CMS has created Fact Sheets regarding these waivers by provider types, which are listed below.
Long Term Care Facilities (SNF/NF)
Home Health Agencies (PDF)
Hospices (PDF)
Accelerated/Advance Fact Sheet - All Provider Types

LeadingAge has created charts for Nursing Home, Home Health, and Hospice waivers. These charts compare the waivers LeadingAge requested, whether the waiver was granted, and highlights from respective rules. Additional information will follow.
Nursing Home Blanket Waivers Chart
Home Health Blanket Waivers Chart
Hospice Blanket Waivers Chart

Creating Calm: Simple Activities for Stressful Times
This new, free 12-minute QuickCast from LeadingAge national outlines several calming exercises staff can use to help reduce worry and anxiety among older adults and themselves.

LeadingAge Daily 3:30p Call In
Today’s call will feature up to the minute policy updates. Here is the link to register for the call-https://attendee.gotowebinar.com/register/1365743381042881035. Please Note- you only have to register one time and will be registered for a 3:30 call every day (7 days a week) through April 26.

Practical Tools for Staff Conversations

In an effort to help our leaders inspire and motivate their teams, here’s today’s offering.
Daily Quarantine Questions:
1. What am I Grateful for today?
2. Who am I checking in on or connecting with today?
3. What expectations of “normal” am I letting go of today?
4. How am I getting outside today?
5. How am I moving my body today?
6. What beauty am I either creating, cultivating, or inviting in today?
https://greatergood.berkeley.edu/images/uploads/Daily_quarantine_questions.jpg

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 heret o 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. All business members are invited to share their COVID-19 resources by emailing info@leadingagenc.org. Thank you to everyone who has already submitted information.

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


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COVID-19 Update March 31, 2020

Posted By Jennifer Gill, Tuesday, March 31, 2020


March 31, 2020

 

COVID-19 Update
March 31, 2020
1pm



DoI Insurance Commissioner Mike Causey Extends Deadline
North Carolina Department of Insurance Commissioner Mike Causey has issued an order extending the deadline for annual disclosure statements that would have been due on May 31, 2020 for a period of 30 days, until June 30, 2020. A special thanks to Commissioner Causey and his team, including Jeff Trendel, Nancy Wise, and Jackie Obusek, for meeting with LeadingAge North Carolina and responding so quickly to our request for assistance.

CMS Releases Groundbreaking Emergency Blanket Waivers
Last night, CMS released a series of new federal blanket waivers. These waivers apply to every Medicare licensed facility and do not require action from North Carolina or individual facilities for the waivers to take effect. More clarification is needed on a lot of these items, but below is a summary of the waivers.

  • CNA training changes. Overall, individuals providing direct care do not need to be licensed through a CNA training program as CMS has waived 42 CFR 483.35(d). CMS did not waive 483.35(d)(1)(i) which states “That individual is competent to provide nursing and nursing related services”. More clarification will be sought on this from CMS.
  • Payroll Based Journaling submission requirements have been waived.

  • Physician services requirements have been waived. This includes but is not limited to the requirements that “a physician must personally approve in writing a recommendation that an individual be admitted to a facility, each resident must remain under the care of a physician” as well as “the resident must be seen by a physician at least once every 30 days for the first 90 days after admission, and at least once every 60 days thereafter.”

  • Physical environment regulation relaxing. Waivers allow states to certify non-SNF buildings as temporary SNF locations in order to treat COVID-19 residents. Other physical environment regulation waivers include allowing facilities to convert areas not normally used as patient rooms into patient rooms, such as activity rooms, meeting/conference rooms, dining rooms, or other rooms; as long as residents can be kept safe, comfortable, and other applicable requirements for participation are met.

  • CMS is waiving the requirements at 42 CFR 483.10(f)(5), which ensure residents can participate in-person in resident groups. This waiver would only permit the facility to restrict in-person meetings during the national emergency given the recommendations of social distancing and limiting gatherings of more than ten people. Refraining from in-person gatherings will help prevent the spread of COVID-19.

  • The following resident roommate and transfer requirements have been waived; “the right to share a room with his or her roommate of choice when practicable, when both residents live in the same facility and both residents consent to the arrangement”; “the right to receive written notice, including the reason for the change, before the resident's room or roommate in the facility is changed”; as well as “the right to refuse to transfer to another room in the facility”.
  • Resident Transfer and Discharge. CMS is waiving requirements to allow a long-term care facility to transfer or discharge residents to another LTC facility solely for the following cohorting purposes:
  • Transferring residents with symptoms of a respiratory infection or confirmed diagnosis of COVID-19 to another facility that agrees to accept each specific resident, and is dedicated to the care of such residents;
  • Transferring residents without symptoms of a respiratory infection or confirmed to not have COVID-19 to another facility that agrees to accept each specific resident, and is dedicated to the care of such residents to prevent them from acquiring COVID-19; or
  • Transferring residents without symptoms of a respiratory infection to another facility that agrees to accept each specific resident to observe for any signs or symptoms of a respiratory infection over 14 days.


The full release of the waivers can be viewed here. Long-term care facility waivers begin on page 9 of the document. As well, you can see a chart detailing the waivers we’ve been working on and their status.

NC DHHS Waives Numerous Background Check Requirements
NC DHHS continues to take action to protect the health and safety of our state’s patients and providers during the COVID-19 outbreak. NC DHHS received authority under Section 1135 of the Social Security Act to waive certain federal Medicare, Medicaid, CHIP and HIPAA requirements. These modifications take effect as of 6 p.m. EST on March 15, 2020, with a retroactive effective date of March 1, 2020, and will ensure that sufficient health care items and services are available to meet the needs of our state residents and providers.


NC DHHS has implemented a temporary, expedited enrollment process to allow non-Medicaid enrolled health care professionals rendering services to Medicaid beneficiaries due to the COVID-19 outbreak to quickly enroll as a NC Medicaid provider. The screening and enrollment requirements temporarily waived are described below:

Temporarily waiving payment of application fee to temporarily enroll a provider;

  • Temporarily waiving fingerprinting background checks to temporarily enroll a provider;
  • Temporarily waiving site visits to temporarily enroll a provider;
  • Temporarily ceasing revalidation of providers who are enrolled with NC Medicaid or otherwise directly impacted by the emergency;
  • Temporarily waiving requirement that physicians and other health care professionals be licensed in the state in which they are providing services, so long as they have equivalent licensing in another state or enrolled with Medicare;
  • Providing payments to facilities for providing services in alternative settings, including an unlicensed or temporary facility, if the provider’s licensed facility has been evacuated, compromised, is inadequate to meet the demand as determined by the state or the facility or is necessary to protect the health and safety of other patients.


The Disaster Relief Provider Enrollment Application, which will be utilized for the expedited enrollment, is an abbreviated enrollment application that collects limited information to enroll a provider for a limited time (180 days). The application is available to in-state, out-of-state (OOS) and border providers that are not yet enrolled in NC Medicaid, including individual providers and organizations.

Providers can complete and submit the application through the NCTracks Provider Portal. Please refer to the Disaster Relief Provider Enrollment Application Job Aid available by clicking here. A complete summary of the new guidance is available by clicking here.


Providers should review the Job Aid in advance of working on the application, as several preliminary steps are necessary. For expedited processing, providers must indicate the application is for this public health emergency by answering “Yes” to the Disaster Relief enrollment question on the Basic Information page of the application.

LeadingAge Working on Jobs Partnership; Career Center Now Free
We want to share a new plan LeadingAge national is developing to help members reach displaced workers for job opportunities in aging services. They are working on establishing partnerships with major national employers to reach displaced workers from fields such as dining, retail and hospitality. Through these partnerships (with organizations including Marriot, Hilton and the Peace Corps), they will drive awareness about available jobs in aging services.


For this effort to succeed, we need members to post jobs of all kinds (including temporary positions and those that do not require certification) on the LeadingAge national Career Center. To help that happen, LeadingAge national is making all job postings FREE to members starting this week. We hope this makes it easier for members to fill staff roles during this unprecedented time of need.

SBA Loans Streamlined
The CARES Act (the third stimulus bill approved by Congress and signed by the President) includes $350 billion for loans to small businesses, with opportunities for loan recipients to receive forgiveness and not have to repay the amount borrowed. There are two key programs: thePaycheck Protection Program and Economic Injury Disaster loans.Click here for more information about both programs.


LeadingAge North Carolina Member Call
Over 50 members called in yesterday for our weekly COVID-19 support call. Highlights from the call included members sharing best practices and innovative ways they are recognizing and rewarding their team members through this time (shift flexibility, employee assistance funds, gift card drawings, pop-up produce markets, home shopping programs and more). Join us next Monday, April 6 at 3:00pm for our weekly call. Please contact Tom Akins if you have any questions or would like more information about the call.

CMS Emergencies Website
CMS’s Current Emergencies website has everything they’ve released for the coronavirus emergency and it’s all dated so you can tell what’s new.


HUD Regulatory Relief Requests
LeadingAge has requested that HUD provide immediate relief for senior housing properties. The asks range from more availability of HUD staff to answer the myriad questions housing providers have to HUD agreeing to allow properties to accept the SBA loans included in the CARES Act. We are also requesting that HUD work across government and with others to increase access to cleaning supplies, PPE and other critical supplies needed to continue supporting older adults.

Telehealth Provisions for Medicaid Providers
The North Carolina Division of Health Benefits has updated Telehealth Provisions related to Clinical Policy Modification. Two changes include “Telephone Assessment and Management Codes/FQHCs” and “RHCs and Psychiatric Diagnostic Evaluation and Psychotherapy Codes.” Additional details can be found by clicking here.


NEW CMS Announcement for PACE
Last night a memo on PACE was released suspending routine audit activity for PACE organizations. Audits related to instances of “noncompliance where the health and/or safety of beneficiaries are at serious risk (for example, lack of access to critically needed health services or prescription drugs)” and those related to infection control related complaints will be prioritized and investigated.

LeadingAge Daily 3:30p Call In
Today’s call will feature up to the minute policy updates.Click here for the link to register for the call. Please Note: you only have to register one time and will be registered for a 3:30 call every day (7 days a week) through April 26.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, we will be providing a short excerpt or tool that you can use each day.

Gratitude provides a perspective from which we can view life in its entirety and not be overwhelmed by temporary circumstances. A crisis can make us more grateful—but research says gratitude also helps us cope with crisis. Consciously cultivating an attitude of gratitude builds up a sort of psychological immune system that can help cushion us if we fall. Research suggests that grateful people are more resilient to stress, whether minor everyday hassles or major personal upheavals.

Gratitude Works
by Robert Emmons
Check-in: What are you grateful for today?


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. All business members are invited to share their COVID-19 resources by emailing Jennifer Gill. Thank you to everyone who has already submitted information.

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


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COVID-19 Update March 30, 2020

Posted By Jennifer Gill, Monday, March 30, 2020
Updated: Monday, March 30, 2020

                                              
 March 30, 2020

COVID-19 Update
March 30, 2020
1pm


Governor Cooper Issues Stay at Home Order
Governor Cooper has ordered people in the state of North Carolina to stay at home for thirty days (until April 29, 2020) in another step to slow the spread of COVID-19. Governor Cooper’s Executive Order No. 121 takes effect this afternoon (Monday, March 30) at 5 pm and reduces the size of gatherings to 10 people. The Order provides for essential businesses to continue to operate while prioritizing social distancing measures. The Order has the force of law and will be enforced in all 100 counties statewide. Click here for a handy FAQ prepared by the Governor’s office.

LeadingAge North Carolina's Weekly COVID-19 Support Call
LeadingAge North Carolina's weekly COVID-19 support call for members will take place today, Monday, March 30th at 3:00pm. Feel free to invite staff to participate. During these calls members are invited to ask questions, share resources, generally problem-solve and support one another. To participate, dial 201-616-0673, and enter passcode 841692.

New Interpretation Broadens FMLA Exemptions
Hot off the press! LeadingAge national has just released a new FAQ on the Department of Labor’s revised interpretation of FMLA exemptions. It provides excellent guidance around the new paid sick leave and FMLA provisions in the Families First Response Act.

CMS “Accelerated and Advance Payments” Fact Sheet
In order to increase cash flow to providers of services and suppliers impacted by COVID-19, CMS has expanded its current Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers. The expansion of this program is only for the duration of the public health emergency. An informative Fact Sheet will also help guide you through the process.

NC DHHS Provides New Updates on Testing Procedures and Policies
The latest memo provides information and guidance on 1) updated criteria for submission of specimens to the North Carolina State Laboratory of Public Health (including long-term care and healthcare workers prioritized in testing at state public health laboratory), 2) providers no longer asked to fill out “person under investigation forms” for patients tested for COVID-19, and 3) requirements for reporting of COVID-19-associated deaths. Click here for the full memorandum.

COVID-19 Dashboard Includes More Data
The state of North Carolina continually updates its COVID-19 Dashboard. It includes the following information for North Carolina:
• Number of Cases Statewide and by County
• Number of Deaths Statewide and by County
• Number of Tests Completed
• Number of People Currently Hospitalized
• Percent of Cases by Age Range
• Percent of Deaths by Age Range
• Percent of Cases by Gender
• Percent of Deaths by Gender
• Number of Intensive Care Unit Beds – Total and Empty
• Number of Inpatient Hospital Beds – Total and Empty

Healthcare Personnel Risk Assessment and Guidance on Possible Exposure Scenarios
CDC has revised their guidance for Healthcare providers to better assess when healthcare personnel are safe to return to work.

New CMS Toolkit on Telehealth
CMS has released a Nursing Home Telehealth Toolkit. The toolkit presents policy changes that build on the blanket waiver changes CMS is implementing. Nursing homes (and states) do not need to apply to use the new flexibilities. A Special Bulletin specific to North Carolina has also been published by NC DHHS.

Massachusetts Skilled Nursing Facilities Being Converted into COVID-19 Recovery Centers

Skilled nursing facilities across the state of Massachusetts are being emptied of residents to help take pressure off hospitals to serve as COVID-19 treatment centers. Click here for a Boston Globe article outlining the challenge.

Texting Tool Available to Access Food for Children
Parents who need food assistance for their children can text FOODNC to 877-877 to locate nearby free meal sites. The texting service is also available in Spanish by texting COMIDA to 877-877. Additionally, No Kid Hungry NC has created a map of local school sites, community organizations and food assistance programs across North Carolina where families can access food. The map is updated daily.

Screening Flowchart for End-of-Life Inpatient Hospice and Nursing

This handy screening tool provided by LeadingAge national provides you and your staff with an at-a-glance flowchart for end-of-life visitor and hospice worker screenings.

New Patient Fact Sheet Available – “What to do if You Feel Sick”

For people who think they might have COVID-19 and have mild symptoms, the CDC now recommends you stay home and call your doctor if you need medical advice. Most people who get COVID-19 will have mild illness and recover at home. NCDHHS has developed a Fact Sheet to help North Carolinians know what to do if they feel sick.

CDC Offers Perspective on Animals and COVID-19
The CDC has information on their website about companion animals and COVID-19. While there is no evidence that companion animals, including pets, can spread COVID-19, you should keep in mind common-sense reminders: have residents wash their hands/use hand sanitizer after petting a facility pet, bathe your facility pet - and then wash your own hands - after the furry friend has gone visiting with residents. And remember that studies of surface materials have revealed some limited findings on how long COVID can live on various surfaces: copper - 4 hours, cardboard - 24 hours, plastic and steel - 72 hours.

Daily Tips and Ideas to Help Kids Learn and Play
Check out PBSKids for Parents for daily ideas to help kids play and learn at home.

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

During difficult times, it is important to find levity and light…ask your team “What songs would they include on a COVID-19 music Playlist?” (You might get them started with “Don’t Stand So Close to Me,” by The Police)

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. All business members are invited to share their COVID-19 resources by emailing Jennifer Gill. Thank you to everyone who has already submitted information.

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


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COVID-19 Update March 27, 2020

Posted By Jennifer Gill, Friday, March 27, 2020


March 27, 2020

 

 

COVID-19 Update
March 27, 2020
2:15pm



Family Medical Leave Under the Families First Bill
The FMLA provisions of the second stimulus bill have been a big source of anxiety for members. Employees are able to receive up to 10 weeks of FMLA to care for a sick relative, or a child (or older person) who is at home due to the coronavirus emergency. Last night’s Senate bill caps that at $10,000 per worker. Thisfrequently asked questionsdocument provides a summary of the provisions.

Department of Labor Online Dialogue Has Begun
The Department of Labor is holding a National Online Dialogue as the Wage and Hour division creates guidance for these and other provisions. The link to register for the National Online Dialogue is in thisnews release. It remains an open question whether DOL guidance will modify the FMLA definition.

Senate CARES Bill
This summary of the importanthousing-related provisionsof the Coronavirus Aid, Relief, and Economic Security (CARES) Act provides information about the $50 million for Section 202 Housing for the Elderly to make up for reduced rent, maintain housing stability and help communities pay for costs associated with coronavirus, and a sweeping moratorium on eviction from federally assisted housing.

Summary of Yesterday’s HUD Call
Yesterday’s call national call with the Department of Housing and Urban Development covered: (a) how owners of federally subsidized housing can maintain the financial soundness of properties during the emergency; (b) how property staff can continue operations, such as recertifications; and (c) how the affordable housing community can support residents during this critical time. HUD continues to defer to CDC and health departments for any medical questions or issues. Click here for asummary of the HUD call.

Letter Sent to CMS On Blanket Waivers for Nursing Homes
Yesterday a letter was sent to CMS requesting the followingblanket waivers for nursing homes: (a) suspending payroll based journaling; (b) relaxing comprehensive care plan requirements and timelines; (c) relaxing requirements for physician assessment at 30, 60, and 90 days and every 60 days thereafter; (d) allowing offsite pharmacy reviews; and (e) relaxing requirements to allow all sites to function as training sites for CNA’s clinical hour requirements. If any of these are approved, the waivers would apply with no additional state application process. We’ll let you know as we hear the results of our advocacy on these issues.

Infection Control Tool
LeadingAge has developed thisInfection Control Toolfor nursing homes to use to prepare for an Infection Control Survey. It is meant to be used with the CMS COVID-19 Survey for Nursing Homes tool and links to CDC documents.


Guidance for Executive Order No. 120
The Governor’s office has released guidance aroundExecutive Order No. 120. Please note that local governments may have additional restrictions. As we read this document, it appears clear that the operation of beauty salons and indoor pools are prohibited.

NC Department of Health and Human Services Fact Sheet
The NCDHHS has developed afact sheetto help you know what to do if you are sick with the coronavirus.

Postal Service

Many members have raised concerns that postal workers are refusing to be screened when delivering mail to communities. Yesterday we received a response that offers three alternatives: (a) redirect to a temporary mail receptacle inside or outside the building where screening would not be necessary; (b) place the mail on hold at the post office for up to 30 days and pick it up; or (c) redirect all mail to an alternative location. Thisarticle explains the responseand links to the letter from the Postal Service.


Essential Worker Letter Template
Here is aletter templatefrom LeadingAge national that can be personalized and given to workers so they can show they are essential workers during a period when everyone is expected to remain at home.

LeadingAge Daily 3:30pm Call In

Today’s call will feature up to the minute policy updates and an interview with Libby Bush of Vinson Hall, talking about the complexities of leading a life plan community during the coronavirus crisis.Click herefor the link to register for the call. Please note: you only have to register one time to be registered for this 3:30pm call every day (7 days a week) through April 26.

2-1-1 Service Now Live
NC 2-1-1 is now available as a resource for people to call for assistance related to the COVID-19 coronavirus.NC 2-1-1is an information and referral service that families and individuals can call to obtain free and confidential information on health and human services resources within their community. To access this service, simply dial 2-1-1- 24 hours a day, seven days a week, 365 days a year. You can also text COVIDNC to 898211 to get alerts North Carolina COVID-19 updates.

North Carolina Establishes Texting Tool for Food
Families who need food assistance for children can now text FOODNC to 877-877 to find free meal sites near them.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, we will be providing a short excerpt or tool that you can use each day.

Appreciative Inquiry is a strengths-based, positive approach created by David Cooperrider that operates under the idea of focusing on what is working and shining a light on the bright spots in your organization. The practice suggests that if you only focus on fixing problems and what is not working, then your problems will get bigger.

Check-in: What are some lessons we learned this week related to things that went well that we could apply in other areas?


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. All business members are invited to share their COVID-19 resources by emailingJennifer Gill. Thank you to everyone who has already submitted information.

In addition, LeadingAge national keeps their COVID-19 resource pages 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


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COVID-19 Update March 26, 2020

Posted By Jennifer Gill, Thursday, March 26, 2020
Updated: Thursday, March 26, 2020

                                              
 March 26, 2020


COVID-19 Update
March 26, 2020
2pm



US Senate Passes Bill to Provide COVID-19 Relief; Now Moves to US House
Late last night, the U.S. Senate approved the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). The U.S. House hopes to approve the legislation tomorrow. The Bill provides significant relief for those struggling through the COVID-19 crisis and for many of their employees and clients. There is a ton that remains to be worked out in terms of the specifics; at this point, highlights from the Bill include:

  • A forgivable emergency small business loan program that will essentially provide grants to nonprofits (with 500 or fewer employees) and small businesses to cover the costs of payroll and operations between February 15 and June 30.
  • Significant increases in unemployment insurance benefits for workers who have lost their jobs, including providing coverage to many nonprofit workers who are currently ineligible for UI benefits.
  • Direct payments to Americans, including payments to adults of $1,200 and $500 per child ($3,400 for a family of four) to be sent out in weeks. The amount of the payments phases out for high-income adults.

LeadingAge Hosts Daily 3:30 pm Call
Today’s call will feature policy developments related to COVID-19. To register for the calls, follow this link - https://attendee.gotowebinar.com/register/1365743381042881035. You only have to register one time and will be automatically registered for the 3:30 call every day (7 days a week) through April 26.

Department of Labor National Online Dialogue
The Department of Labor issued a news release yesterday announcing a National Online Dialogue between now and March 29 for employers and workers to help “shape the development” of Department of Labor’s compliance assistance materials and outreach strategies related to the implementation of the Families First Coronavirus Response Act (FFCRA). Here’s the link to register to participate. The only thing we’ve seen come out of the Department of Labor related to sick leave and FMLA under the Families First legislation is the news release. They previously posted a news release and some explainers and FAQs, but nothing indicating they are going to create additional exemptions for LTSS workers (CNAs, personal care aides, home health aides, LPNs, etc.). Despite lobbying on the issue, it did not get traction in the House or Senate and does not appear to be in the bills that have been circulating. The House, in fact, was looking to further constrict the exemptions for healthcare providers.


Supporting Social Connectedness through Technology
This 7-minute LeadingAge national QuickCast offers ideas to leverage a variety of available technologies to connect older adults during times of social distancing.

CDC Guidance for Hospitals on Transferring Questions
CDC has posted information about discharging COVID-19 patients from hospitals. It’s called “Discontinuation of Transmission-Based Precautions of Patients with COVID-19 in Healthcare Settings (Interim Guidance)” and it is aimed toward hospitals. It clarifies that patients with COVID-19 can be discharged from a hospital whenever clinically indicated. It specifically covers “if discharged to a LTC or assisted living facility.” Patients can be discharged to a LTC or AL facility, and:

  • Transmission based precautions are still required…they should go to a facility with ability to…ideally, place the person in a location designated for COVID-19 patients.
  • Transmission based precautions have been discontinued, but the person is still symptomatic…place the person in a single room, restrict them to the room, and wear a face mask during care.
  • Transmission based precautions have been discontinued and they are symptom free…no further restrictions.

Watch for more information specific to North Carolina from us in the next 24 hours.

Post-acute Preparedness for COVID-19
At the same time the CDC was posting guidance, The Journal of the American Medical Association network published this article on “Post-acute Preparedness for COVID-19: Thinking Ahead.” Discussing how patients are “likely to be transferred to post-acute settings, the authors make this important point: No individual who has COVID-19 should be discharged to a mainstream post-acute care setting except for those rare instances in which the facility can safely and effectively isolate the patient from other residents. There is still uncertainty around how long patients remain contagious after clinical recovery, so testing guidelines may need to be revised as additional information becomes available.”


Foreclosure Relief for Employees
Here’s a template letter that may be shared with employees about foreclosure relief.

CMS Holds COVID-19 PACE Call
A CMS PACE call was held yesterday. Here is a of summary the call. Bottom line: CMS advises providers use their best judgment and offered hints there will be future guidance.

Infection Control…How Long Does Coronavirus Live on Surfaces?
The Centers for Disease Control and World Health Organization have been researching how long Coronavirus lives in the air and on various surfaces. This link will take you to the latest findings-
Up In The Air: How Coronavirus Lives in the Air and On Surfaces

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, we will be providing a short excerpt or tool that you can use each day.

“Everyone is a bit scared, but we are less scared together. Tears fall for a reason and they are your strength not weakness. Asking for help isn’t giving up, it’s refusing to give up.”

The Boy, the Mole, the Fox and the Horse, by Charlie Mackesy

Check in- How can the team help you feel less worried or anxious today?

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. All business members are invited to share their COVID-19 resources by emailing Jennifer Gill. Thank you to everyone who has already submitted information.

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



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COVID-19 Update March 25, 2020

Posted By Jennifer Gill, Wednesday, March 25, 2020


March 25, 2020

 

COVID-19 Update
March 25, 2020
4:45pm



LeadingAge NC Weighs In with North Carolina General Assembly
Earlier today LeadingAge North Carolina sent aletter to the North Carolina General Assembly’s House Select Committee on COVID-19. The letter is based on member feedback. It provides recommendations around policy and budget changes to help support member communities.

LeadingAge National Call
Live LeadingAge COVID-19 Update Calls restarted yesterday.Here’s the recordingfor those who want to listen to it. Anyone who registered for yesterday’s call is automatically registered for all 34 calls between now and April 26, 7 days a week at 3:30 ET.

For people who want to register for the first time here is the link:https://attendee.gotowebinar.com/rt/4536979006994957837.

How to Prepare Your Facility for a Surge
A free webinar on How to Prepare Your Facility for a Surge, will be held on Thursday, March 26, at 1:00 PM ET. Here’s thelink to register.

Template Letters for Your Community to Use
Two new template letter tools for members are posted on theresources pagetoday. One is when facilities are testing for coronavirus and the other is for facilities that have a positive case of COVID-19 infection.

HUD FAQs and Stakeholder Call

The US Department of Housing and Urban Development has issued updates to itsFrequently Asked Questionspublication. LeadingAge also addedFeds Take Some Action to Suspend Foreclosures, Evictionsto their resources page. HUD’s Multifamily Office of Asset Management and Portfolio Oversight will hold a call on COVID-19 issues on Thursday, March 26 at 2:30 ET. Here’s the call-in information: Phone number: 844-867-6169 Passcode: 882 3979.

Grants to States for Meals for Older Adults
The Administration on Community Living announced $250 million in grants to help communities provide meals for older adults.State grant amountsare determined based on the population-based formulas defined in the Older Americans Act. An important reminder: older adults who need assistance can contact the Eldercare Locator at 1-800-677-1116 or eldercare.acl.gov.

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.

Free K-12 Learning Resource

Kahn Academy, a nonprofit, is providing free learning resources for parents and caregivers to help support students at home.


1135 Waiver Request for Home Health and Hospice
LeadingAge senta letter to the US Department of Health and Human Servicesrequesting blanket 1135 waivers for hospice and home health. The letter offers telehealth options and relief on regulatory requirements for these two service lines. It also suggests waiving the homebound requirement for home health which could make it easier for services to be covered for people when they leave the hospital and go home.

Practical Tools for Staff Conversations
In an effort to help our leaders inspire and motivate their teams, we will be providing a short excerpt or tool that you can use each day.

“Everything can be taken from [a person] but one thing: the last of human freedoms- to choose one’s attitude in any given set of circumstances, to choose one’s own way.”

"Man’s Search for Meaning"
by Viktor E. Frankl, Holocaust survivor and psychiatrist.

Check in- How would you describe your attitude today?

COVID-19 Information Pages
In addition to these daily email updates, LeadingAge North Carolina is updating our COVID-19 resource page daily with information from trusted sources.Click hereto view our page. In addition, LeadingAge national keeps theirCOVID-19 resource pageupdated. Be sure to bookmark these today.


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

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Calendar

7/16/2020
Webinar: Identifying and Preventing Functional Decline in the Growing Acuity of AL/IL Communities

7/21/2020
Teepa Snow: Using a Positive Approach to Dementia Care

7/28/2020
Webinar: Interventions to Support Mental Health (Depression, Anxiety, Grief) During a Pandemic

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