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    Communications From Our Members



Weekly Support Calls for Members of LeadingAge North Carolina
  • LeadingAge NC will host 30-minute support phone calls for members on Mondays at 3 pm for the foreseeable future.
  • The next call will take place next week on Monday, March 30th. Thanks to the 62+ members who joined us this week.
  • 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 code 841692.

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Statement from LeadingAge North Carolina

  • During this time of uncertainty, LeadingAge North Carolina is monitoring reports provided by the CDC, NCDHHS, and other local and national governmental agencies.
  • LeadingAge NC has been invited to serve on the new NC DHHS Coronavirus Health Care Coalition. We will be providing updates on these meetings on a regular basis.
  • In addition, we are in continuous communication with LeadingAge national and our sister LeadingAge state affiliates to discuss best practices as we all work to determine next steps and contingency plans related to our upcoming programs and meetings.

Our Collaboration with Other Associations
LeadingAge North Carolina has reached out to our friends at the North Carolina Health Care Facilities Association and other state associations to share concerns and consider public policy requests moving forward related to the impact of COVID-19. Please know that we are working with our fellow provider associations and LeadingAge at the federal level to advocate for your needs – from PPE needs, testing kits, guidance on visitation, survey processes and more. In particular, we are working on waivers/flexibility/innovations around PPE needs, allowing non-certified staff to provide care and services as deemed necessary, expanding telehealth options, clarification around North Carolina’s interpretation of the three-day waiver, guidance around MDS waivers, the nursing home survey process, and innovative approaches to child care.


Manager Training Seminar, April 16
We have made the decision to reschedule the seminar in order to avoid increasing the number of unnecessary visitors on the member community campus, where it was scheduled to be held.


Annual Conference and Expo, May 18-21
LeadingAge North Carolina and the Board of Directors continue to monitor the ever-changing landscape revolving around COVID-19 and the implications related to hosting a conference later in May.  We will communicate any changes to the membership as soon as a decision is made. As always, please feel contact us with any questions.

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North Carolina-Specific Information

  • NEW (3/26/20)  Governor Cooper's Executive Order No. 120 which included additional limitations on mass gatherings, restrictions on venues and long term care facilities, and extension of school closure date.

  • (3/24/20) Governor Cooper’s Executive Order No. 118 which included the shuttering of bars and restaurants now has a companion FAQ that provides specific guidance around dining rooms.

  • (3/23/20)  Governor Roy Cooper earlier this afternoon announced a new Executive Order that lowers the ban on mass gatherings to no more than 50 people and continues the current closure of schools until at least May 15. The order also closes gyms, movie theatres, sweepstakes parlors, health clubs, hair and nail salons, barber shops, and massage therapists as of 5 PM Wednesday.
  • NC 2-1-1 is now available as a resource for people to call for assistance related to the COVID-19 coronavirus. NC 2-1-1 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.

  • Executive Order on unemployment information from the N.C. Governor’s office

 

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

Small Business Administration Loans
Today the Small Business Administration posted COVID-19 disaster categories on its website,
https://disasterloan.sba.gov/ela/Declarations/Index
. This means that small entities, including not for profits, are now able to apply for SBA disaster loans as a result of economic injury caused by COVID-19. This could apply to members across settings but particularly adult day services who will have no revenue if they voluntarily or are forced to close. Be on the lookout soon for an article that explains to members how to apply.

U.S. Tax Filing Deadline Moved to July 15
Americans will have an additional three months to file their taxes amid the coronavirus pandemic, the US treasury secretary said on Friday. We’ll be providing additional information on this in next week’s updates.

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LeadingAge National Tools


LeadingAge national has compiled and updated the most relevant and essential tools from the CDC, WHO, and others to help members prepare your organizations for the possibility of an outbreak.

Daily Call-in Briefings with LeadingAge National
The LeadingAge national daily call-in is back and better than ever! Each day's call will provide up-to-the minute policy news and talk about implications for day-to day-operation of provider organizations across the continuum and highlight the latest Congressional actions that can provide relief and support for aging services providers.

Please note: whether you’ve participated in the calls before or not, you’ll need to register again. You’ll only have to register one time and you’ll will be registered for a 3:30 pm call every day (seven days a week) through April 26. Recordings will be posted on their website daily, so you can listen even if you can’t dial in. To join the call, register now.

Member Community COVID-19 Group
LeadingAge national has created a new 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.

Leadership Summit 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.

COMMUNICATIONS PLAN

Communications if you DO NOT have a confirmed case in your county or and adjacent county

Communication templates if you DO Have a confirmed case of COVID 19 in your county or and adjacent county

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NC DHHS Information

NC DHHS is staffing a COVID-19 phone line to answer urgent questions from the public. That number is 866-462-3821. The state also is maintaining an up-to-date website with information about COVID-19 disease, risk and guidance.

Included on this page is helpful information for:

There is also information about what we all can do to combat fear and anxiety about COVID-19. All North Carolinians can better prepare for COVID-19 by getting the latest information directly from reliable sources. Be thoughtful about what you read or hear about the virus and make sure you are separating rumor from fact before you share it.The latest information from NC DHHS can be found here, and please also share the posts from the NC DHHS Facebook and Twitter accounts.

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Centers for Disease Control (CDC) Resources
  • NEW (3/26/20)   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.

  • NEW (3/26/20)  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

  • (3/23/20) The CDC has issued Interim Guidance, “Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities.” This guidance is for owners, administrators, operators, workers, volunteers, visitors, and residents of independent living facilities and retirement communities that are not healthcare facilities, including federally-subsidized senior housing.

    The Interim Guidance notes several different kinds of independent housing “that is usually age-restricted” with support services for older adults it is applicable to various housing, including:
    • Public housing for low- to-moderate income elderly (i.e., HUD-assisted housing)
    • Assisted living homes that do not provide medical services
    • Continuing Care Retirement Communities, which include a range of housing options including independent living.

The CDC Interim Guidance takes into account that residents in retirement communities generally care for themselves. HUD senior housing communities are generally very porous buildings, where each resident may have their own network of service providers and volunteers that helps them age in community, in addition to any non-health and wellness visitors coming and going from the building.

  • (3/23/20) The CDC issued new guidance around COVID-19 and risk categories.

  • The CDC posted this page, “Older adults, 65 years and older, are at higher risk for severe illness,” which has a good graphic showing hospitalizations, ICU admissions and deaths, and notes that eight of ten deaths reported in the US have been people age 65 or older.

  • The CDC posted this Return to Work Criteria memo in the last few days. It is very short, less than one page, and describes strategies to determine when health care personnel may return to work after confirmed or suspected COVID-19 infection. It covers test-based and non-test based strategies.
  • The CDC hosted a webinar on infection prevention and control, steps facilities should be taking and management and treatment of COVID-19. Here is the summary and article on yesterday’s CDC LTC webinar .  The recording of the call and the webinar slides are available here.
  • The CDC has posted Strategies for Optimizing the Supply of PPE .”  The document covers facemasks, N95 respirators, gowns, and eye protection. The purpose of the document is to help optimize supply in a shortage using conventional capacity strategies, and strategies for various levels of shortages. The number of infected individuals is increasing and shortages make this guidance extremely important and helpful.

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World Health Organization (WHO) Resources

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CMS Information
  • NEW (3/26/20)  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.
  • (3/24/20)   Click here for a short article explaining the Quality Reporting guidance from CMS. Click here for a revised SNF reporting deadline chart, taking the new guidance into account. The important point is that while the guidance appears to offer some relief for providers, in reality you will need to continue submitting assessments as they are used for other purposes, such as determining payment.
  • (3/24/20) On March 23, CMS announced further suspension and re-prioritization of survey activity in response to the COVID-19 pandemic. Memo QSO-20-20-ALL highlights this re-prioritization, as well as new guidance for non-nursing home settings on visitors and screening, and access to all settings for health care providers. The analysis on survey re-prioritization follows below.

Effective immediately for a period of 3 weeks only beginning March 20, the following types of surveys will be prioritized:

  • IJ complaint and facility-reported incident surveys: State survey agencies (SSAs) will conduct surveys related to complaints and facility-reported incidents (FRIs) that are triaged at the Immediate Jeopardy (IJ) level, including revisits necessary to confirm removal of IJ.
  • Targeted Infection Control Surveys: Federal and state surveyors will conduct targeted Infection Control surveys of providers identified through collaboration with the Centers for Disease Control and Prevention (CDC) and the HHS Assistant Secretary for Preparedness and Response (ASPR).
  • Initial certification: Initial certification surveys will be authorized within current guidance and prioritization in order to help increase capacity.

The following surveys will not be conducted during this 3-week period of prioritization:

  • Standard surveys, including the Life Safety Code and Emergency Preparedness components of these surveys. Complaint surveys triaged at a level below IJ.
  • Revisit surveys that are not related to situations of IJ.

Surveys that are in process and do not meet the above criteria will be ended and surveyors will exit. When a survey is conducted due to a complaint or facility-reported incident triaged at IJ level, but the facility is ultimately not cited at IJ level, a revisit will not occur during the prioritization period. The case will be held and the facility has the option to hold submission of the plan of correction during the prioritization period. CMS will issue forthcoming guidance to address these scenarios.

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Affordable Housing/HUD

  • (3/25/20)   The US Department of Housing and Urban Development has issued updates to itsFrequently Asked Questions   publication. LeadingAge also added Feds Take Some Action to Suspend Foreclosures, Evictions   to 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.

  • (3/23/20)  The CDC has issued Interim Guidance, “Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities.” This guidance is for owners, administrators, operators, workers, volunteers, visitors, and residents of independent living facilities and retirement communities that are not healthcare facilities, including federally-subsidized senior housing.

    The Interim Guidance notes several different kinds of independent housing “that is usually age-restricted” with support services for older adults it is applicable to various housing, including:
    • Public housing for low- to-moderate income elderly (i.e., HUD-assisted housing)
    • Assisted living homes that do not provide medical services
    • Continuing Care Retirement Communities, which include a range of housing options including independent living.

The CDC Interim Guidance takes into account that residents in retirement communities generally care for themselves. HUD senior housing communities are generally very porous buildings, where each resident may have their own network of service providers and volunteers that helps them age in community, in addition to any non-health and wellness visitors coming and going from the building.

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(3/23/20) Telehealth

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(3/24/20) From our Business Members

  • Ziegler hosted a webinar to provide senior living investors, both public market fixed rate investors and banks, the opportunity to hear directly from providers on their preparedness and experience thus far with COVID-19. Click here for the recording of this call, including the questions and answers.
  • Marsh & McLennan Agency is reaching out to LeadingAge NC members with the white papers below. They also have a COVID-19 resource page that your human resources office might find useful.

  • CliftonLarsonAllen is providing LeadingAge NC members a link to their resources page and upcoming webinars regarding accounting issues and COVID-19.

  • Functional Pathways wants you to know: If you have not done so already, please contact your county and state emergency preparedness office to see if they provide any materials for you. Additionally, we have identified another outlet who may be able to help. The PPE Coalition and the US Digital Response Team are collaborating on Project N95. Their mission is to connect PPE manufacturers with health care providers and state and local governments that submit a request. The goal is to have millions of units available for distribution in the coming weeks.

    On their website they are taking requests for surgical masks, N95 respirators, isolation gowns, and ventilators. See the link below.

    https://www.projectn95.com/

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COVID-19 Global Map

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Engagement and Social Well-Being

  • (3/25/20)   The National Disaster Distress Helpline at 1-800-985-5990 is offering crisis counseling and emotional support 24/7 during the COVID-19 outbreak.

  • The National Certification Council for Activity Professionals provides guidance for best practices related to providing in-room and virtual programming for residents. This is excellent information for your staff and includes tips on Zoom and Skype.

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Communications from Members

At the bottom of this page you will find LeadingAge NC member policies and procedures, and other member communications regarding the Coronavirus.

  • Any member who is signed in can contribute by clicking on the "Add a File" link at the top right side of the COVID-19 Resources.
  • To download or view a file, click on the document name.
  • Before you upload your file, please name it as follows: Community Name - COVID-19 Policy

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Communications from Members re: COVID-19

Item Name Posted By Date Posted
ALDERSGATE COVID-19 CDC What you need to know PDF (111.69 KB) J. Gill 3/12/2020
ALDERSGATE COVID-19 Employee Commitment DOCX (40.51 KB) J. Gill 3/12/2020
ALDERSGATE COVID-19 LCT email DOCX (15.6 KB) J. Gill 3/12/2020
ALDERSGATE COVID-19 Memo from CEO DOCX (29.89 KB) J. Gill 3/12/2020
ALDERSGATE COVID-19 visitor instructions PDF (272.15 KB) J. Gill 3/12/2020
ALDERSGATE COVID-19 visitor screening questionnair DOCX (66.73 KB) J. Gill 3/12/2020
CAROLINA VILLAGE - COVID 19 031720 PDF (207.59 KB) J. Gill 3/19/2020
CAROLINA VILLAGE - COVID-19 031020 PDF (51.31 KB) J. Gill 3/19/2020
CAROLINA VILLAGE - COVID-19 031120 PDF (221.42 KB) J. Gill 3/19/2020
CAROLINA VILLAGE - COVID-19 031320 PDF (227.87 KB) J. Gill 3/19/2020
CAROLINA VILLAGE - COVID-19 CONTINGENCY STAFFING PDF (153.06 KB) J. Gill 3/19/2020
CAROLINA VILLAGE - COVID-19 PANDEMIC PDF (264.06 KB) J. Gill 3/19/2020
CAROLINA VILLAGE - COVID-19 QUARANTINE CHECKLIST PDF (178.69 KB) J. Gill 3/19/2020
DEERFIELD - COVID-19 Do not panic. Prepare. DOCX (167.54 KB) L. Portfleet 3/11/2020
Deerfield- COVID-19 InfoSheet DOCX (33.66 KB) J. Gill 3/5/2020
DEERFIELD - COVID-19 Response Plan DOCX (44.66 KB) J. Gill 3/6/2020
PENICK - COVID-19 Door posting DOCX (91.78 KB) J. Gill 3/16/2020
PENICK - COVID-19 Memo DOC (52 KB) J. Gill 3/10/2020
PENICK - COVID-19 Resident Fam Staff Ltr PDF (259.24 KB) J. Gill 3/16/2020
PENICK - COVID-19 Timeclock Posting DOCX (84.56 KB) J. Gill 3/16/2020
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Calendar

4/3/2020
NC Adult Day Services Association Membership Meeting

4/16/2020
*WILL BE RESCHEDULED* Manager Training Seminar

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