Issue: May 11, 2020

Published on May 11, 2020

Articles in this issue:

Staff Testing Guidance

Author: Jackie Pappalardi Lisa Volk Nancy Leveille* Published in Clinical & Quality

In the absence of any State Guidance, NYSHFA/NYSCAL is providing members with this initial guidance on compliance with the NYS Executive Order 202.30 issued May 10, 2020, requiring each operator and administrator of a nursing home and an assisted living provider in NYS to make arrangements for COVID-19 testing twice each week of personnel working at their facility including employees, contract staff, medical staff, operators and administrators. As soon as any guidance is issued by the State, we will forward it to all members. See full document attached.

NYSHFA/NYSCAL CONTACTS:

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Nancy Leveille, RN, MS
Director, Special Projects and Educational Development
518-462-4800 x20

Required COVID-19 Testing for all Nursing Home and Adult Care Facility Personnel/Hospital Discharge Alert

Author: Jackie Pappalardi Lisa Volk Nancy Leveille* Published in Clinical & Quality

On May 10, 2020, Governor Andrew M. Cuomo signed Executive Order (“EO”) 202.30, which requires periodic COVID-19 testing of all personnel in nursing homes and adult care facilities. This DAL explains the requirements of the Executive Order and provides additional direction and guidance on how to implement its requirements. See attached DAL.

NYSHFA/NYSCAL CONTACTS:

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Nancy Leveille, RN, MS
Director, Special Projects and Educational Development
518-462-4800 x20

Nursing Home Assistance and Coordination Center (NHACC)

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

The New York State Department of Health (DOH) recognizes that COVID-19 has presented unique challenges for nursing homes. In order to provide additional support to nursing home residents, DOH has created the Nursing Home Assistance and Coordination Center (NHACC). The NHACC has been established during the pandemic to respond to urgent requests from nursing homes statewide. The NHACC staff will assist nursing homes in identifying solutions through a dedicated toll-free number. See full DAL attached.

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

AHCA: Update #65 | NHSN: Accurately Report Staffing & PPE Shortages

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

In This COVID-19 Update:

NHSN COVID-19 Reporting: Accurately Reporting Staffing & PPE Shortages

NHSN COVID-19 mandated reporting for nursing homes has begun. AHCA recommends accurately reporting the staffing and PPE situation at nursing homes based on normal standards and guidance for PPE and staffing, not conservation guidance. Federal and state governments will use this data to hold nursing homes accountable for care and services provided and to identify who needs additional resources. It is important that the data reported to NHSN gives an accurate picture of staffing and PPE as well as the other areas collected in NHSN.

Given the instructions on NHSN, reporting that you have what you need, tells CMS that you have enough PPE and staff to follow conventional and normal practices, which will likely be used by surveyors when comparing what they find during their surveys. Please use the below guidelines.

Staffing

NHSN asks “Does your organization have a shortage of staff and/or personnel?” Answer YES if any of the following are occurring during the time period of reporting:

PPE

NHSN asks “Do you have enough for one week?” each for N95 masks, surgical masks, eye protection, gowns, gloves, alcohol-based hand sanitizer. Answer NO if any of the following are occurring during the time period of reporting:

As a reminder, nursing homes should keep documentation of their efforts to secure more PPE as well as staffing. You should report to your local and state health departments that you are employing contingency and crisis strategies to conserve PPE and staffing. 

CMS to Fix PDPM Variable Per Diem Glitch

SNF PPS Part A claims were not being paid day-1 variable per diem rates when a beneficiary switched from Medicare Advantage (MA) to fee-for-service Medicare Part A during a stay. AHCA reported to CMS that this was inconsistent with current policy.

CMS agreed with AHCA and on May 8 published a change request to the Medicare Administrative Contractors (MACs) to update the claims processing systems retroactive to October 1, 2019. A summary of the changes is posted in this MLN Matters article. Although this is retroactive, the systems changes will not occur until October 5, 2020.

Providers should notify billing staff that the MACs will adjust any improperly adjusted SNF PPS claims related to a beneficiary switch from MA to fee-for-service during a stay ONLY IF BROUGHT TO THEIR ATTENTION, so that the prior days count is corrected to exclude the MA days. 

Please email COVID19@ahca.org for additional questions, or visit ahcancal.org/coronavirus for more information.

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

CMS NEWS ALERT: May 11, 2020 (COVID-19)

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

As part of the ongoing White House Task Force efforts taken in response to coronavirus disease 2019 (COVID-19), following is a summary of recent Centers for Medicare & Medicaid Services (CMS) actions. To keep up with the important Task Force work being done in response to COVID-19, click here www.coronavirus.gov. For information specific to CMS, please visit the CMS News Room and Current Emergencies Website.   CMS updates these resources on an ongoing basis throughout the day; the information below is current as of May 11, 2020 at 10:00 a.m. ET.

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:

Emergency Declaration Blanket Waivers

Telehealth Video: Medicare Coverage and Payment of Virtual Services

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

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

CMS published information for pharmacies and other suppliers that wish to enroll in Medicare temporarily as independent clinical diagnostic laboratories to help address the need for COVID-19 testing. Interested pharmacies and suppliers will need to apply for a Clinical Laboratory Improvement Amendments (CLIA) certificate. CMS wants to ensure that laboratories located in the United States applying for a CLIA certificate are able to begin testing for COVID-19 as quickly as possible.

MLN Matters Article

CMS Gives States Additional Flexibility to Address Coronavirus Pandemic

CMS has approved over 175 requests for state relief in response to the COVID-19 pandemic, including recent approvals for Alabama, Alaska, California, District of Columbia, Georgia, Maine, Massachusetts, Minnesota, Mississippi, Montana, Nebraska, New Mexico, Oregon, South Carolina, Rhode Island, Tennessee, Virginia, and Wisconsin. These approvals help to ensure that states have the tools they need to combat COVID-19 through a wide variety of waivers, amendments, and Medicaid state plan flexibilities, including support for programs that care for the elderly and people with disabilities. CMS developed a toolkit to expedite the application and review of each request and has approved these requests in record time. These approved flexibilities support President Trump’s commitment to a COVID-19 response that is locally executed, state managed, and federally supported.

Section 1135 Waivers

Section 1115(a) Waivers 

1915(c) Waiver Appendix K Amendments

Medicaid State Plan Amendments

CHIP State Plan Amendments

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Education from the Convenience of Your Office! Upcoming NYSHFA/NYSCAL Distance Learning

Author: * Published in Education

Join NYSHFA/NYSCAL for one or more of our upcoming Distance Learning Programs. Earn CEUs from the convenience of your office! We will host the following programs each approved for CEUs!

Modifying Therapeutic Activity and Psychosocial Services to Meet the Individual Needs of All Residents
Audio Conference (1.5 CEUS)
Tuesday, May 19, 2020 at 10:00am

Untapped Innovation: Using Telehealth to Improve Resident Care & Gain the Edge over the Competition Part I
Webinar (1.5 CEUS)
Wednesday, May 27, 2020 at 10:00am

Treatment Options for Delusions and Hallucinations Associated with Parkinson’s Disease
Webinar (2.0 CEUS)
Wednesday, June 10, 2020 at 10:00am

Untapped Innovation: Using Telehealth to Improve Resident Care & Gain the Edge over the Competition Part II
Webinar (1.5 CEUS)
Friday, June 19, 2020 at 10:00am

 

Click here for additional program details and registration options. 

DOH: Healthcare Provider COVID-19 Weekly Call

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

Please join the NYS Department of Health Thursday, May 14th at 1-2 PM for a COVID-19 update for healthcare providers.

To accommodate the large number of participants,find our webinar streaming via YouTube Live (and available for viewing immediately thereafter) on the NYSDOH COVID website for providers:

https://coronavirus.health.ny.gov/weekly-healthcare-provider-update


For audio only, please dial in:
844-512-2950

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

 

CMS COVID-19 Stakeholder Engagement Calls – Week of 5/11/20

Author: Lisa Volk and Jackie Pappalardi* Published in Clinical & Quality

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 are below. Conference lines are limited so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and professional networks. These calls are not intended for the press.

Calls recordings and transcripts are posted on the CMS podcast page at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts 

CMS COVID-19 Office Hours Calls (Tuesdays and Thursdays at 5:00 – 6:00 PM Eastern)

Office Hour Calls provide an opportunity for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to:

This week’s Office Hours:

Tuesday, May 12th at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; 

Access Passcode: 8968295

Audio Webcast link: https://protect2.fireeye.com/url?k=fc719836-a02491e6-fc71a909-0cc47a6a52de-85a767d91900cbd9&u=https://protect2.fireeye.com/url?k=7284b5e6-2ed1bc36-728484d9-0cc47a6a52de-d8cf01adf6a4f976&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2000

 

Thursday, May 14th at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; 

Access Passcode: 5688374

Audio Webcast link: https://protect2.fireeye.com/url?k=e9ab5e09-b5fe57d9-e9ab6f36-0cc47a6a52de-a1711834422b5fdd&u=https://protect2.fireeye.com/url?k=8e984964-d2cc5018-8e98785b-0cc47adc5fa2-09e654c541269c0b&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2112

 

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 questions of presenters.

 

This week’s Lessons from the Front Lines:

Friday, May 15th at 12:30 – 2:00 PM Eastern

Toll Free Attendee Dial-In: 877-251-0301; 

Access Code: 8983296

Web Link: https://protect2.fireeye.com/url?k=7372b3f1-2f27ba21-737282ce-0cc47a6a52de-e97573f3f81e18c4&u=https://protect2.fireeye.com/url?k=13db3037-4f8f191c-13db0108-0cc47a6d17cc-3e08fb388e16c445&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2045

 

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, May 12th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; 

Access Passcode: 9503927

Audio Webcast Link: https://protect2.fireeye.com/url?k=7da3e891-21f6e141-7da3d9ae-0cc47a6a52de-6b9cc1d0fcacd5c8&u=https://protect2.fireeye.com/url?k=f55f72e4-a90a7bf7-f55f43db-0cc47adb5650-1c0b21c06c679912&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=1877

 

Nursing Homes (Wednesdays at 4:30 PM Eastern)

Wednesday, May 13th at 4:30 – 5:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; 

Access Passcode: 2675207

Audio Webcast Link: https://protect2.fireeye.com/url?k=82fe7980-deab7050-82fe48bf-0cc47a6a52de-2b5828205c73bed7&u=https://protect2.fireeye.com/url?k=e2c79f73-be9296a3-e2c7ae4c-0cc47a6a52de-790ece838430947d&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2024

 

Dialysis Organizations (Wednesdays at 5:30 PM Eastern)

Wednesday, May 13th at 5:30 – 6:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; 

Access Passcode: 6772827

Audio Webcast Link: https://protect2.fireeye.com/url?k=c297d101-9ec2d8d1-c297e03e-0cc47a6a52de-e385936b422a8324&u=https://protect2.fireeye.com/url?k=0b50982f-5705913c-0b50a910-0cc47adb5650-129c86a45284e40f&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2102

 

Nurses (Thursdays at 3:00 PM Eastern)

Thursday, May 14th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; 

Access Passcode: 4279137

Audio Webcast Link: https://protect2.fireeye.com/url?k=a8abdcbd-f4fed56d-a8abed82-0cc47a6a52de-ac977734a6f4aa82&u=https://protect2.fireeye.com/url?k=c68eebd6-9adbe2c5-c68edae9-0cc47adb5650-907c909196c9b9a2&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2107

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Webinar Recording Available: NYS Medicaid Guidance Regarding Telehealth, Including Telephonic, Services During the COVID-19 Emergency

Author: * Published in Clinical & Quality

On Tuesday, May 5, 2020, the New York State Department of Health hosted a public webinar titled New York State Medicaid Guidance Regarding Telehealth, Including Telephonic, Services During the COVID-19 Emergency. A recording of this webinar is now available on the DOH COVID-19 Guidance For Medicaid Providers webpage at: http://www.health.ny.gov/health_care/medicaid/covid19/

You may also go directly to the recording via the following link: http://youtu.be/qhvFYdgi0qo.

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Deadline Extended for 2020 Nursing Scholarship Program

Author:

The deadline for the 2020 Ruth E. Stafford and James D. Durante Nursing Scholarship Program has been extended to May 15, 2020.

Once again we are pleased to announce the Foundation for Quality Care Nursing Scholarship Program. The Foundation for Quality Care, the research and education affiliate of the New York State Health Facilities Association/New York State Center for Assisted Living (NYSHFA/NYSCAL), will administer the Ruth E. Stafford and James D. Durante Nursing Scholarship Program for 2020. This Scholarship Fund Program has been established to provide financial support to incumbent employees of NYSHFA/NYSCAL member facilities who are also nursing students pursuing careers in long term care. The Durante/Stafford Scholarships will now be awarded to students/nurses in three categories:

Skilled Nursing

Category I:  Students pursuing licenses as a practical nurse or registered nurse.  Two scholarships for $2,000 each are available for the Category I Scholarship.

Category II:  Registered nurses pursuing advanced degrees in nursing (Bachelors, Masters, Doctorate, Nurse Practitioner, Clinical Specialist).  Two scholarships for $2,000 each are available for the Category II Scholarship.

Assisted Living

Students pursuing licenses as a practical nurse or registered nurse.  One scholarship for $2,000 is available.

The winners will be selected by NYSHFA’s Nurse Leadership Advisory Committee and awarded their Scholarship at the Annual Nurse Leadership Conference on Thursday, September 17, 2020 in Verona, New York.

Scholarship Criteria and Submission Information:
Attached are the Scholarship Brochure and Application and Recommendation Forms. At the time of application, and when the scholarships are awarded, applicants must be employed by a long term care facility that is a member in good standing of the New York State Health Facilities Association/New York State Center for Assisted Living. Applicants must be applying to or enrolled in / accepted to an accredited school of nursing program for the 2020-2021 academic year.

Applications are due by May 15, 2020.

If you have questions regarding this program, please contact Joanne O'Connor at the Foundation.

NYSHFA/NYSCAL CONTACTS:

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Joanne O'Connor
Communications & Business Development Coordinator
518-462-4800 ext. 23