Coalitions

IPRO QIN-QIO Webinar on August 25: Telehealth Then & Now – A Provider’s Perspective

Tuesday, August 25, 1-2PM EDT Part of the Telehealth Practice Innovations During the COVID-19 Pandemic Webinar Series Join us to learn the evolution of telehealth technology and how providers are using it during the pandemic. Our speaker will share provider challenges, barriers, lessons learned, and his experience consulting with nursing homes as they navigate telehealth. …

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CMS Proposes to Expand Telehealth Benefits Permanently for Medicare Beneficiaries Beyond the COVID-19 Public Health Emergency and Advances Access to Care in Rural Areas

Physician Fee Schedule Proposed Rule would make permanent certain telehealth and workforce flexibilities provided during the COVID-19 Public Health Emergency and improve healthcare for Americans in Rural Areas  The Centers for Medicare & Medicaid Services (CMS) is proposing changes to expand telehealth permanently, consistent with the Executive Order on Improving Rural and Telehealth Access that …

CMS Proposes to Expand Telehealth Benefits Permanently for Medicare Beneficiaries Beyond the COVID-19 Public Health Emergency and Advances Access to Care in Rural Areas Read More »

CMS Updates Medicare Payment Policies for Several Types of Healthcare Providers

Three final rules will strengthen Medicare program July 31, 2020 – The Centers for Medicare & Medicaid Services (CMS) is finalizing three Medicare payment rules that further advance our efforts to strengthen the Medicare program by better aligning payments for inpatient psychiatric facilities (IPF), skilled nursing facilities (SNF) and hospices. Inpatient Psychiatric Facilities IPF PPS …

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CMS and CDC announce provider reimbursement available for counseling patients to self-isolate at time of COVID-19 testing

The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) are announcing that payment is available to physicians and health care providers to counsel patients, at the time of coronavirus disease 2019 (COVID-19) testing, about the importance of self-isolation after they are tested and prior to the onset …

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Bringing Attention to Health Equity for People with Disabilities

In honor of the 30th anniversary of the Americans with Disabilities Act (ADA), the Medicare-Medicaid Coordination Office (MMCO) is sharing messages and materials on supporting equal opportunities and inclusion for people with disabilities, many of whom are dually eligible for Medicare and Medicaid. On July 26, 1990 the ADA was enacted to prohibit discrimination against …

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CMS COVID-19 Stakeholder Engagement Calls: August 4-14

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. Call details …

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CMS Updates Data on COVID-19 Impacts on Medicare Beneficiaries

On July 28, 2020 – The Centers for Medicare & Medicaid Services released its first monthly update of data that provides a snapshot of the impact of COVID-19 on the Medicare population. For the first time, the snapshot includes data for American Indian/Alaskan Native Medicare beneficiaries. The new data indicate that American Indian/Alaskan Native beneficiaries …

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OCR Issues Guidance on Civil Rights Protections Prohibiting Race, Color, and National Origin Discrimination During COVID-19

Today, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) is issuing guidance to ensure that recipients of federal financial assistance understand that they must comply with applicable federal civil rights laws and regulations that prohibit discrimination on the basis of race, color, and national origin in HHS-funded …

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IPRO QIN-QIO Webinar on August 11: Medicare Billing and Coding for Telehealth During the COVID-19 Pandemic

August 11, 1-2pm EDT Part of the Telehealth Practice Innovations During the COVID-19 Pandemic Webinar Series Learn how to bill Medicare for expanded telehealth services under the CMS 1135 Waiver. The presentation, by Susan Whittaker, CPC, CPMA, Senior Program Coordinator, Healthcentric Advisors will include information on: Medicare telehealth coding and billing based on care setting …

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IPRO QIN-QIO Webinar on July 28: Telehealth 101 & Lay of the Land

Tuesday, July 28, 1-2pm EDT Part of the Telehealth Practice Innovations During the COVID-19 Pandemic Webinar Series An overview of telehealth, presented by Reid Plimpton, MPH, Program Manager of the Northeast Telehealth Resource Center. Learn about: The Telehealth Resource Center’s mission Strategies for implementation Telehealth modalities, uses, value and costs Associated laws Real-life examples Materials …

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Webinar Series: Telehealth Practice Innovations During the COVID-19 Pandemic

Tuesdays (alternating), 1-2pm EDT starting on July 28 through November 3, 2020 The IPRO Quality Improvement Network–Quality Improvement Organization (QIN-QIO) is pleased to present an eight-session educational series entitled Telehealth Practice Innovations During the COVID-19 Pandemic. This series will focus on: How health care organizations implemented telehealth technology in response to the COVID-19 pandemic. Benefits, …

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CMS COVID-19 Stakeholder Engagement Calls – July

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. Call details …

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HHS Telemedicine Hack

A 10-week learning community to accelerate telemedicine implementation for ambulatory providers Wednesdays, July 22—Sept 23, 12-1PM ET Although telemedicine use has grown exponentially during the COVID-19 pandemic, many ambulatory providers still lack the knowledge and skills needed to implement video-based telemedicine into their practices. To support wide adoption of telemedicine, the U.S. Department of Health …

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CDC COVID-19 Webinar on July 29: Promising Practices in Health Equity

July 29, 2020 @ 3:00 – 4:00 p.m. ET Please join the Centers for Disease Control and Prevention (CDC) for another webinar focused on sharing promising public health practices to reduce COVID-19 related disparities. During this webinar, presenters will discuss actions taken to mitigate the disproportionate impact of COVID-19 on racial and ethnic minorities. Additionally, …

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New England Town Hall on July 29: Substance Use & COVID-19: A Way Forward

July 29, 2020 @ 2-3:30PM EDT The US. Department of Health & Human Services is pleased to invite you to a New England Virtual Town Hall with the U.S. Surgeon General, VADM Jerome M. Adams, MD, MPH, entitled Substance Use and COVID-19: A Way Forward. This virtual, live New England Town Hall is designed to …

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Webinar on July 16: Medicare Diabetes Prevention Program Billing and Claims

July 16, 2020 @ 12:30pm EDT This webinar provides an overview on the Medicare Diabetes Prevention Program (MDPP) Billing and Claims process. During this webinar, participants learn key terms and entities involved in the billing and claims process, understand the MDPP payment structure and how it applies to billing, and learn how to successfully submit …

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Webinar on July 16: Supporting Family Caregivers of Older Adults through Times of Stress and Isolation: A Panel Discussion

Thursday July 16, 3:00 – 4:00 pm EDT In April, Resources for Integrated Care (RIC) held a highly attended webinar on supporting caregivers of older adults through times of stress and isolation. Due to continued interest in this topic, MMCO is sponsoring a panel discussion offering additional information in response to audience questions. We also …

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CMS Proposes Medicare Payment Changes to Support Innovation and Increased Access for Dialysis in the Home Setting

Rule proposes improved process to pay for innovative dialysis equipment and support home dialysis for Medicare’s most vulnerable population Today, the Trump Administration took dramatic steps to support access to home dialysis through the Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicare End-Stage Renal Disease (ESRD) Prospective Payment System (PPS). Building …

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Deadline for Eligible Hospitals: Promoting Interoperability Hardship Exception Application

Eligible Hospitals must Submit Medicare Promoting Interoperability Program Hardship Exception Application by September 1 The Centers for Medicare & Medicaid Services (CMS) requires that all eligible hospitals use 2015 Edition certified electronic health record technology (CEHRT) to meet the requirements of the Promoting Interoperability Programs. CMS mandates downward payment adjustments be applied to eligible hospitals …

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Medicare Diabetes Prevention Program (MDPP) Enrollment Tutorial Webinar

Want to help people with Medicare stay healthy and prevent diabetes? Become a Medicare Diabetes Prevention Program (MDPP) supplier. As a supplier, you’ll help people with Medicare make lasting behavior changes through group-based training & individual support. There have been some changes to the MDPP enrollment process due to COVID-19. Specifically, the emergency declaration waives the PECOS …

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CMS COVID-19 Stakeholder Engagement Calls – Week of 6/29/20 and July

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. Call details …

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Medicare Diabetes Prevention Program (MDPP) Billing and Claims Webinar

May 21, 2020 @ 1pm EDT This webinar will provide an overview on the Medicare Diabetes Prevention Program (MDPP) Billing and Claims process. During this webinar, participants will become familiar with the key terms and entities involved in the billing and claims process, understand the MDPP payment structure and how it applies to billing, and …

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CMS Gives States Additional Flexibility to Address Coronavirus Pandemic

CMS has approved over 200 requests for state relief in response to the COVID-19 pandemic, including recent approvals for Alaska, Iowa, Hawaii, New Jersey, North Carolina, Pennsylvania, Rhode Island, Utah, and Virginia. These approvals help to ensure that states have the tools they need to combat COVID-19. This is done through a wide variety of …

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Medicare Payment for COVID-19 Diagnostic Tests

Earlier this year, CMS took action to ensure America’s patients, health care facilities, and clinical laboratories were prepared to respond to COVID-19. To help increase testing, CMS developed two codes that laboratories can use to bill for certain COVID-19 lab tests, including serology tests. CMS has updated its guidance to include payment details for additional …

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CMS Releases Additional Waivers for Hospitals and Ground Ambulance Organizations

CMS continues to release waivers for the healthcare community that provide the flexibilities needed to take care of patients during the COVID-19 public health emergency (PHE). CMS recently provided additional blanket waivers for the duration of the PHE that: Modify existing physical environment waivers to allow for increased flexibilities for surge capacity and patient quarantine …

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Trump Administration Issues Guidance to Ensure States Have a Plan in Place to Safely Reopen Nursing Homes

CMS announced new guidance for state and local officials to ensure the safe reopening of nursing homes across the country. The guidance released today is part of President Trump’s Guidelines for Opening Up America Again. It details critical steps nursing homes and communities should take prior to relaxing restrictions implemented to prevent the spread of …

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CMS COVID-19 Stakeholder Engagement Calls – Week of 5/18/20

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. Call details …

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AHRQ’s COVID-19 Resources

The Agency for Healthcare Research and Quality (AHRQ) shares a new online resource that provides access to critical research and tools related to the COVID-19 pandemic. The resource was developed to support healthcare professionals in their effort to confront the COVID-19 pandemic. It includes: tools and resources for improving clinical practice in hospitals, ambulatory care …

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May 11-15: CMS COVID-19 Stakeholder Engagement Calls

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. Call details …

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CMS Releases Additional Waivers for Hospitals and Other Facilities

CMS continues to release waivers for the healthcare community that provide the flexibilities needed to take care of patients during the COVID-19 public health emergency (PHE). CMS recently provided additional blanket waivers for the duration of the PHE that: Expand hospitals’ ability to offer long-term care services (“swing beds”); Waive distance requirements, market share, and …

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Join Us For An Enrollment Tutorial Webinar

Want to help people with Medicare stay healthy and prevent diabetes? Become a Medicare Diabetes Prevention Program (MDPP) supplier. As a supplier, you’ll help people with Medicare make lasting behavior changes through group-based training & individual support. There have been some changes to the MDPP enrollment process due to COVID-19. Specifically, the emergency declaration waives the PECOS …

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COVID-19: IRF Flexibilities During the PHE

CMS is exercising regulatory flexibilities for Inpatient Rehabilitation Facilities (IRFs) during the COVID-19 Public Health Emergency (PHE) to waive the 60 percent rule. We are also waiving IRF coverage and classification requirements if all of these criteria are satisfied: Patient is admitted to a freestanding IRF to alleviate acute care hospital bed capacity issues IRF …

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Medicare Pharmacies and Other Suppliers May Temporarily Enroll as Independent Clinical Diagnostic Laboratories to Help Address COVID-19 Testing

A new MLN Matters Special Edition Article SE20017 on Medicare Pharmacies and Other Suppliers May Temporarily Enroll as Independent Clinical Diagnostic Laboratories to Help Address COVID-19 Testing is available. Learn how to temporarily enroll to be an additional laboratory resource to meet the urgent need to increase COVID-19 testing capability.

May is Mental Health Awareness Month

May is Mental Health Awareness Month, and The Centers for Medicare & Medicaid services (CMS) wants to remind people with Medicare that the program covers mental health services to support them during these stressful times including: Telehealth counseling services during the COVID-19 public health emergency – learn more here: https://www.medicare.gov/coverage/telehealth Other outpatient mental health services, …

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RIDOH Shares Personal Protective Equipment Videos

Personal protective equipment (PPE), including respirators (like N95s), facemasks (such as surgical masks), face shields and other eye protection, gowns, and gloves, are in short supply across the United States. Until appropriate PPE is available, the Rhode Island Department of Health provide guidance on the prioritization and conservation of PPE. Watch these educational videos on …

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FAQs: Medicare FFS Billing

Several changes in the IFC allow additional Medicare payment; CMS has issued FAQs addressing Medicare Fee-for-Service Billing issues. The FAQs in this document supplement the following previously released FAQs: 1135 Waiver FAQs and Without 1135 Waiver FAQs. We note that in many instances, the general statements of the FAQs referenced above have been superseded by …

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CMS Hospitals without Walls Initiative

CMS is allowing healthcare systems and hospitals to provide services in locations beyond their existing walls to help address the urgent need to expand care capacity and to develop sites dedicated to COVID-19 treatment. Slides: COVID-19 Regulations & Waivers To Enable Health System Expansion (PDF)

Additional Resources & Calls for Stakeholders

CMS has developed a toolkit for stakeholder partners to help you stay informed on CMS and HHS materials available on COVID-19. Check back often for the most up-to-date information; please refresh your browser often to see the most up-to-date information. Upcoming COVID-19 Stakeholder Calls Conference lines are limited, so we highly encourage you to join …

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CMS Releases Updated Fact Sheets

CMS has updated multiple fact sheets that summarize changes made through regulatory actions in response to COVID-19. View more resources available on CMS waivers and flexibilities here. A full list of emergency declaration blanket waivers for health care providers implemented to date is available here. Additional fact sheets include: Clinicians:  Physicians and Other Practitioners (PDF) …

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May 12 Webinar: Rural Health and COVID-19

Date: Tuesday, May 12, 2020 at 4-5:00pm EST Delivering healthcare in rural communities presents unique challenges that have always required coordination and innovation. Now, more than ever, it is essential that rural communities and healthcare providers have access to the resources they need to combat COVID-19. The U.S. Department of Health and Human Services (HHS) …

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CMS COVID-19 Calls: May 5-8, 2020

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts. Call details …

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Medicare Telehealth and Remote Patient Monitoring (RPM) Services Guide

View this guide to review coding and guidelines for the COVID-19 emergency. Updated 8/3/20 This information was prepared as a service to the public, and is not intended to grant rights or impose obligations. This information may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to …

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COVID-19 Update from the Department of Health and Human Services

The Department of Health and Human Services (HHS) is processing payments from the Provider Relief Fund to hospitals with large numbers of COVID-19 inpatient admissions through April 10, 2020, and to rural providers in support of the national response to COVID-19. “These new payments are being distributed to healthcare providers who have been hardest hit …

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Second Round of Sweeping Changes to Support U.S. Healthcare System During COVID-19 Pandemic

At President Trump’s direction, and building on its recent historic efforts to help the U.S. healthcare system manage the 2019 Novel Coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services today issued another round of sweeping regulatory waivers and rule changes to deliver expanded care to the nation’s seniors and provide flexibility to the …

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Weekly COVID-19 Care Site-Specific Calls

CMS hosts weekly calls for certain types of organizations to provide targeted updates on the agency’s latest COVID-19 guidance. One to two leaders in the field also share best practices with their peers. There is an opportunity to ask questions of presenters if time allows. Home Health and Hospice (Tuesdays at 3:00 PM Eastern) Tuesday, …

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Lessons from the Front Lines: COVID-19 (Fridays at 12:30 – 2:00 PM Eastern)

Lessons from the Front Lines calls are a joint effort between CMS Administrator Seema Verma, FDA Commissioner Stephen Hahn, MD, and the White House Coronavirus Task Force. Physicians and other clinicians are invited to share their experience, ideas, strategies, and insights with one another related to their COVID-19 response. There is an opportunity to ask …

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COVID-19 Resource Guide

The following guide is a compendium of resources related to COVID-19. These resources were identified by our quality improvement experts on behalf of the Centers for Medicare & Medicaid Services (CMS). These resources will help support your work in reducing COVID-19 cases and helping prevent new cases. Updated 4/20/20 Updated edition coming soon

CMS COVID-19 Calls and Webinars

CMS COVID-19 Stakeholder Engagement Calls – Week of 4/27/20 CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions …

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COVID-19 Workshop: Staff Trauma, Resilience, & COVID-19

Thursday, April 30, 10:30-11:00am We know you’re committed to providing the best care for your residents, a task made even more challenging due to the COVID-19 pandemic—which has everyone in a state of alert.  Nursing home staff members are feeling this acutely–worrying about their jobs, families, residents, and what happens if they get sick. The …

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Updated Accelerated and Advanced Payments Fact Sheet

In order to increase cash flow to providers of services and suppliers impacted by the 2019 Novel Coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) has expanded 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 …

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CDC’s New PPE Educational Materials

The Centers for Disease Control and Prevention (CDC) developed new Personal Protective Equipment (PPE) educational materials to be used as an aide when training healthcare personnel on selecting and correctly using; donning (putting on), doffing (taking off), and disposing of PPE to protect themselves from exposure to COVID-19 in the healthcare settings.   New COVID-19 …

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CMS Gives States Additional Flexibility to Address Coronavirus Pandemic

CMS approved its first Medicaid COVID-19 emergency demonstration, making the state of Washington the first to receive approval. The approval provides new flexibility and resources so the state of Washington can deliver the most effective care to their Medicaid beneficiaries. In addition to new payment and reimbursement arrangements, the demonstration allows the state to target …

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Infection Control FAQs

The Centers for Disease Control & Prevention (CDC) released Frequently Asked Questions (FAQs) on infection control. This page was updated on April 23, 2020 to align with the revised Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. Who is this for: Healthcare personnel who …

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Optimize PPE Supply

Personal protective equipment (PPE) is used every day by healthcare personnel (HCP) to protect themselves, patients, and others when providing care. PPE helps protect HCP from potentially infectious patients and materials, toxic medications, and other potentially dangerous substances used in healthcare delivery. PPE shortages are currently posing a tremendous challenge to the US healthcare system …

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COVID-19 Outpatient Dialysis Facility Preparedness Assessment Tool

All U.S. outpatient dialysis facilities should be prepared for the possible arrival of patients with Coronavirus Disease 2019 (COVID-19). All outpatient dialysis facilities should ensure their staff are trained, equipped, and capable of practices needed to: ƒPrevent the spread of respiratory infections, including COVID-19, within the dialysis facility.ƒ Promptly identify and isolate patients with possible …

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CDC’s NHSN: Healthcare Worker and Supply Pathways

The Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN) continues to support the nation’s COVID-19 response and has released two additional data collection pathways in the COVID-19 Module found within the Patient Safety Component. In addition to the Patient Impact and Hospital Capacity Pathway, the Healthcare Worker Staffing Pathway and the …

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