Covid-19 Resource Page for OHPCA Provider Members

National Resources

Centers for Disease Control and Prevention
https://www.cdc.gov/coronavirus/2019-ncov/hcp/index.html

CMS Current Emergencies (Covid-19)
https://www.cms.gov/About-CMS/Agency-Information/Emergency/EPRO/Current-Emergencies/Current-Emergencies-page

HHS/Medicaid (Has many links to CMS Memos and CDC Guidance)
https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/covid19/index.html

National Hospice & Palliative Care Organization
https://www.nhpco.org/coronavirus

NHPCO’s Federal 1135 Waiver FAQs link
https://www.nhpco.org/wp-content/uploads/Federal-1135-Waiver-FAQs-032520.pdf

World Health Organization
https://www.who.int/

Weekly Covid-19 Communication, Emails

Please email mccauley@oregonhospice.org if you’d like any of the below emails sent to you. Please specify the week, date of email and reference.

March 29-April 4, 2020

  • Barb Hansen email March 30 re: Answer from CMS to the question: Is Hospice Item Set Data included in what does NOT have to be submitted?
  • Barb Hansen email March 30 re: Oregon Health Authority guidance on work exclusion and monitoring and return to work guidelienes
  • Barb Hansen email March 30 re: Several Updates: Blanket 1135 Waiver issued!!!! Also: POLST Registry, HIS data submission, Telehealth and more
  • Barb Hansen email March 30 re: Info about national stakeholder call with CMS Admin. Seema Verma Tuesday morning 3/31 at 9:00 a.m. Pacific time
  • Barb Hansen email March 31 re: FW: Information regarding the NOON CALL TODAY with CMS for HH and Hospice providers, the info regarding the blanket waiver issued yesterday that includes Hospices and notes from this morning’s call with CMS Admin. Seema Verma
  • Barb Hansen email March 31 re: Information about the CMS Blanket Waiver issued on Monday March 30th and a few notes about face masks
  • Barb Hansen email March 31 re: FW: How confusing is life right now? One answer that hopefully clears up the miscommunication from the CMS call at noon today for HH and Hospice providers
  • Barb Hansen email to Hospice Billers April 2 re: Telehealth
  • Barb Hansen email April 2 re: FW: Follow-up items from today’s WSHPCO Regulatory/QAPI meeting
  • Barb Hansen email April 2 re: Face Shield info and order information
  • Barb Hansen email April 3 re: FW: MEDLINE Webinar TODAY – FRIDAY 11:00 a.m. Pacific time, new Nursing Home Guidance from CMS and Telehealth app suggestions
  • Barb Hansen email April 3 re: FW: Hand Sanitizer information

March 22-29, 2020

  • Barb Hansen email March 24 re: FW: To Discharge or not to discharge-that is the question!
  • Barb Hansen email March 24 re: FW: CMS Updates re: Suspension of submission of CAHPs data, Info about Survey Activity Priorities and one “reminder” for staff during this “Stay Home” time
  • Barb Hansen email March 25 re: An article by Atul Gawande you may want to share with direct-care staff and CMS/NHPCO comments re HIS submission and whether or not to discharge Hospice patients you haven’t been able to visit
  • Barb Hansen email March 25 re: Urgent question: Face Shields–could your staff use these and, if so, how many per week do you need?
  • Barb Hansen email March 26 re: Use of Telehealth for Hospice F2F vists. Information about the bill (which includes the use of Telehealth for Hospice F2F visits) was approved by the Senate on March 26 and is pending approval by the House. Link to the CARES Act, HR 748: https://www.nhpco.org/wp-content/uploads/CARES-Act-Final.pdf
    • Page 370, Lines 17-20. SEC. 3706. USE OF TELEHEALTH TO CONDUCT FACE-TO FACE ENCOUNTER PRIOR TO RECERTIFICATION OF ELIGIBILITY FOR HOSPICE CARE DURING EMERGENCY PERIOD.
    • Page 370, Lines 21-26. Section 1814(a)(7)(D)(i) of the Social Security Act 22 (42 U.S.C. 1395f(a)(7(D)(i)) is amended—
    • (1) by striking ‘‘a hospice’’ and inserting ‘‘(I) subject to subclause (II), a hospice’’; and
    • (2) by inserting after subclause (I), as added by paragraph (1), the following new subclause:
      • Page 371, Lines 1-6. 371 – O:\\HEN\\HEN20312.xml [file 1 of 2] S.L.C. ‘‘(II) during the emergency period described in section 1135(g)(1)(B), a hospice physician or nurse practitioner may conduct a face-to-face encounter required under this clause via telehealth, as deter6 mined appropriate by the Secretary; and
      • Page 371, Line 7. SEC. 3707. ENCOURAGING USE OF TELECOMMUNICATIONS SYSTEMS FOR HOME HEALTH SERVICES FURNISHED DURING EMERGENCY PERIOD
  • Barb Hansen email March 27 re: FW: Follow-up items from the OHPCA Provider Members Networking call on March 26th and a couple of updates

March 15-21, 2020

  • Oregon Health Authority letter issued March 16 re: Provisional Guidance: Clinical Care and Healthcare Infection Prevention and Control for COVID-19. https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Emerging%20Respitory%20Infections/COVID-19-Provisional-Guidance-Healthcare-Infection-Prevention-Control.pdf. See pages 2-4 for screening and PPE information and pages 8-10 for Considerations for HCP Return-to-Work (after an exposure or an illness)
  • Meg McCauley email March 16 re: Updated CMS Guidance for Nursing Homes: Hospice Workers may visit patients and visitors may visit at “the end of life”
  • Meg McCauley email March 16 re: The “CMS Blanket Waiver” does NOT include Hospice; each program should apply for an individual 1135 Waiver
  • Meg McCauley email March 18 re: FW: REQUST: COS to Contact Congress/CMS about 1135 Waivers
  • Meg McCauley email March 19 re: Updates re: blanket waiver request, telehealth, CDC and CMS information
  • Barb Hansen email March 20 re: FW: Updated information on email addresses to copy the Oregon Health Authority on 1135 Waiver requests
  • Barb Hansen email March 20 re: Medicare Telehealth Frequently Asked Questions (FAQs) March 17, 2020: https://edit.cms.gov/files/document/medicare-telehealth-frequently-asked-questions-faqs-31720.pdf
  • Barb Hansen email March 20 re: My notes from today’s CMS 1135 Waiver and Telehealth call
  • Barb Hansen email March 20 re: Yet another email about submitting the individual hospice 1135 Waiver request–example attached

March 8-14, 2020

  • CMS Memo issued Marth 9: Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19)by Hospice Agencies: https://www.cms.gov/files/document/qso-20-16-hospice.pdf)
  • CMS revised Memo issued March 9: Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in nursing homes (REVISED): https://www.cms.gov/files/document/qso-20-14-nh-revised.pdf
  • CMS Memo issued March 10: Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Home Health Agencies(HHAs: https://www.cms.gov/files/document/qso-20-18-hha.pdf
  • CMS Memo issued March 10 re: Guidance for use of Certain Industrial Respirators by Health Care Personnel: https://www.cms.gov/files/document/qso-20-17-all.pdf
  • Oregon Health Authority Memo issued March 10: New guidance directs long-term care facilities to limit exposure of residents to COVID-19: https://www.oregon.gov/oha/ERD/Pages/New-guidance-long-term-care-facilities-limit-exposure-COVID-19.aspx
  • Barb Hansen email March 10 re: FW: Updated guidance from CMS for Hospices and What should you do when facilities refuse to allow your staff to visit?
  • Barb Hansen email March 11 re: Follow up from today’s OHPCA Regulatory/QAPI networking call
  • Barb Hansen email March 12 re: Policy on employee illness, anyone?
  • Barb Hansen email March 13 re: COVID-19 updates for Hospice programs and recommendation to have your IDT/IDG meetings “remotely”
  • Barb Hansen email March 13 re: A National Disaster has been declared and a Blanket Waiver has been issued!
  • Meg McCauley email March 13 re: FW: COVID-19 Update: 03/13/2020 Important Message from NHPCO to members and nonmembers
  • Barb Hansen email March 16 re: Oregon Health Authority Letter to Adult Foster Homes March 14

March 1-7, 2020

  • Barb Hansen email March 2 re: State and CDC references regarding Health Care Provider Resources
  • Barb Hansen email March 3 re: FW: State and CDC references regarding Health Care Provider Resources
  • The Oregon Health Authority now has a weekly call for “community partners”, including hospice, home health and facility staff. (The call is not intended to be for members of the public or the press.) The first call was March 4 and it will be held every Wednesday from 1-2p: Conference Call Information: Dial In: 1-877-402-9753 Participant Code: 1439464#