CONTENTSHealth System Guidance Communicable Disease Reporting
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Duke PHMO will continue to collaborate with our SNF providers during this pandemic. The following links represent the best resources for Skilled Nursing Facilities in our community. We will continue to update this page as new information is received. If you have any questions or would like to add any additional resources, please contact: Heather Jacobson, PHMO Senior Planning & Strategic Services Analyst at heather.jacobson@duke.edu. Additionally, we have assembled a team that includes experts in infectious disease, geropsychiatry, palliative care, and case management to answer questions and find solutions for a variety of situations. To submit a question to the team on one of these topics, please submit your questions using the link below:
Latest Updates:
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Update Patient Transfer Instructions for SNFs |
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SNF COVID-19 Advisory Team FAQs & Question Submission |
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SNF Resources Box Folder* |
COVID-19 Guidance
American Health Care Association (AHCA)
AMDA (Society for Post Acute and Long Term Care)
- California chapter
- Washington State Chapter AMDA site with webinar videos
- AMDA: Frequently Asked Questions Regarding COVID-19 and PALTC
- AMDA: Anticoagulation of Patients with COVID-19 in PALTC
- AMDA: Transfer of Hospital Patients to the PALTC Setting
- CDC What’s New landing page
- CDC Webinar Series - COVID-19 Prevention Messages for Long Term Care Staff
- CDC Clinician On-Call Center
CMS Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes
CMS Nursing Home Reopening Recommendations for State and Local Officials
- FAQs for Nursing Home Reopening Recommendations
- CMS FAQs on Nursing Home Visitation (includes definitions of compassionate care situations, which does not exclusively refer to end-of-life situations)
Duke Infection Control Outreach Network (DICON)
NIH COVID-19 Treatment Guidelines
NC Department of Health and Human Services
- Flowchart Hospital to SNF (NCDHHS) UPDATED!
North Carolina Healthcare Association
North Carolina Healthcare Facilities Association
NC Health Systems and Hospitals COVID-19 Pages
Appalachian Regional Healthcare System
New Hanover Regional Medical Center
US Department of Veteran Affairs:
Palliative Care/Goals of Care Resources
AMDA: Advance Care Plan Tool—Managing Acute Respiratory Distress During the COVID-19 Pandemic
Being Prepared in the Time of COVID-19 Conversation Guide
Center to Advance Palliative Care
Completing POLST Forms in Crisis Standards of Care
National Center of Advancing Person-Centered Practices and Systems (NACPPS)
Serious Illness Care Program COVID-19 Response Toolkit
Updates to Advance Health Care Directives
Vital Talk COVID Goals of Care video
Infection Control
AIA: Strategies for Safer Senior Living Communities NEW!
Appropriate PPE During COVID-19 Response (DICON)
Association for Professionals in Infection Control and Epidemiology
COVID-19 North Carolina LTC Healthcare Resource Request Form
CDC Duration of Isolation and Precautions for Adults with COVID-19 UPDATED!
CDC: Strategies for Optimizing the Supply of N95 Respirators
CDC: Strategies for Optimizing the Supply of Eye Protection
CDC: Strategies for Optimizing the Supply of Facemasks
In Every Space, Cover Your Face (Printable Signage for Facilities)
LeadingAge Infection Control Survey Tool
Prevention and Management of Skin Damage related to PPE (NSWOC)
Statewide Program for Infection Control and Epidemiology (SPICE)
Tips for Communicating Through a Mask
Workforce Training
AHCA free online 8-hour nursing aid training
COVID-19 Healthcare Workforce Toolkit
Lab Testing
AMDA COVID-19 Testing Strategies Statement
CDC: Testing Guidance for Nursing Homes
CDC: Considerations for Performing Facility-wide SARS-CoV-2 Testing in Nursing Home
CDC Interim Guidelines for COVID-19 Antibody Testing
CMS Clinical Laboratory Improvement Amendments (CLIA): Testing Requirements for SARS-CoV-2
COVID-19 Testing Supplies Request Form: NC Division of Public Health
CVS Health Introductory Webinar on Point-Prevalence Surveys in SNFs NEW!
FDA News Release: Abbott ID NOW Point-of-Care Test
FDA FAQs on Testing for COVID-19
The Stanford COVID Surge Handbook NEW!
Data and Modeling
CDC Nursing Home Data Quality FAQs
COVID-19 North Carolina Dashboard
IHME (Institute for Health Metrics & Evaluation)
John Hopkins Coronavirus Resource Center
NC DHHS COVID-19 Ongoing Outbreaks in Congregate Living Settings
Research Studies
Pandemic Response Network Study: Duke Community Health Watch
The Pandemic Response Network (PRN) is a network of organizations working with public and private partners to connect people with the critical and supportive resources they need. PRN’s mission is to help people stay safe and connected during pandemics. Launched in April 2020, the PRN’s principal service offering is the Community Health Watch COVID-19 symptom support program. Community Health Watch uses a web-based survey and a team of healthcare professionals who provide feedback and guidance to participants on how to care for themselves. The team calls people across North Carolina when symptoms of are serious enough to seek care at a hospital or a healthcare facility.
Healthcare Worker Exposure Response & Outcomes (HERO) Registry UPDATED!
The HERO-HCQ trial is still enrolling healthcare providers (HCP). As of June 18, approximately 900 HCP across the country enrolled. Approximately 50 of these have been enrolled at Duke University.
Why participate? HCP remain at risk for COVID-19.
- COVID-19 is increasing in the community and in the hospital. For example, the number of patients hospitalized with COVID-19 in Duke University Hospital this week has been as high as ever.
- COVID-19 cases in HCP are increasing in the Raleigh-Durham.
- We have revised study procedures and can now offer participants a $25 voucher.
Enroll for the registry at heroesresearch.org!
Covidentify is a new Duke study investigating whether your smartphone and smartwatch could determine whether or not you have COVID-19 or Influenza (flu). All we ask is that you answer two simple questions each day for up to 12 months: Were you within 6 feet of other people? Do you feel sick? If you feel sick, we will ask you a few more questions.
If you have a Fitbit, Garmin, or Apple Watch, you can connect that too. We have a limited number of wearable devices to give out (Apple Watch, Garmin, Fitbit) for participation in the study for those who are most at risk for COVID-19 infection. This includes front line workers and family members of those who may be infected. Please email us at covidentify@duke.edu. Signup on your smartphone, tablet, or computer at Covidentify.org and receive the daily questions by an iPhone app, text message, or email. By joining, you will play a pivotal role in helping our team learn how to detect COVID-19 early in order to facilitate better outcomes for all. Even those who do not display symptoms can spread the disease.
Probiotics to Prevent COVID-19
Join the clinical trial investigating Probiotics to Prevent COVID-19. Researchers Paul Wischmeyer and Anthony Sung at Duke University have identified a probiotic (live bacteria, as is present in yogurt) that has the potential to decrease COVID-19 infection by 30-50%. They are currently developing a clinical trial to use this probiotic to prevent COVID-19 in skilled nursing facilities for residents and staff. If you are interested in working with them, please contact PROTECT-SNF@duke.edu.
Staffing Vendors
| Vendors | Contacts | Phone #s |
| Medical Staffing Network | Michele Spangler | 919-876-3490 |
| Dzeel Clinical Healthcare Staffing | Christina Truelove | 919-398-6333 |
| Favorite Healthcare | Rodney Jones | 919-294-9999 ext: 2903 |
| Interim Healthcare | Diane Nelson | 919-493-7575 |
| Nurse Care of North Carolina | Tammy Parrish | 919-309-4333 |
| Accountable HC | Patricia Best | 919-436-4352 |
| Advantage RN | Anne Donlin | 513-603-3747 |
| Supplemental Healthcare | Kathryn Patchel | 716-541-2627 |
| National Health Care Solution LLC | Laura Fisher | 919-459-6427 |
| Superior Medical Staffing | Christie Carlsen | 919-554-2586 |
| Nurse Finders | Kellee Falin | 336-794-4013 |
Communicable Disease Reporting
5-step Enrollment in NHSN for Long-term Care Facilities
CMS Communicable Disease Reporting Requirements Memo 4/19/20
CMS COVID-19 Nursing Home Reported Data
CMS Interim Final Rule for SNFs and COVID-19 Reporting
Long Term Care Facility Reporting Data Summary
National Healthcare Safety Network (NHSN)
NHSN Long Term Care Facility Enrollment Guide Training
NHSN Long Term Care Facilities COVID-19 Module
Telemedicine Resource
CMP Funds Application Template COVID-19 Communicative Technology Request
Duke Health Telehealth Options
The Keys to Effective Telemedicine for Older Adults
West Health: A practical guide to implementing health in PALTC
Mental Health and Wellness
Compassion Fatigue/Burnout Assessment Tool
Coping with Disaster or Traumatic Event (CDC)
Grief Leadership During COVID-19 (CSTS)
Heroes Health Initiative: Mental Health Resources for Healthcare Workers NEW!
How to Deal with the Death of a Patient (ANA)
Keeping People Connected with and Infection Prevention and Control Mindset (NHCA/NCAL)
Psychological First Aid Field Operation Guide for Nursing Homes
SAMHSA Disaster Distress Helpline
Strategies to Support the Health and Well-Being of Clinicians During the COVID-19 Outbreak (NAM)
Supporting Frontline Staff Cheat Sheet
The Well-Being Initiative APNA
Vibrant Emotional Health Safe Space Website
Other Resources
Alliant Quality Discharge Screening Tool NEW!
COVID Rapid Response Network for Nursing Homes
IHI COVID-19 Resources: Care of Older Adults
International Long Term Care Policy Network
JAMDA Collection of COVID-19 Articles NEW!
John A. Hartford COVID-19 Resources for Nursing Homes and Long-Term Care
National Nursing Home Training Series
NC AHEC Reoccurring Webinar Series
OPTIMISTIC Project: LTC to Hospital Transfer Best Practices
The Stanford COVID Surge Handbook NEW!
*NOTE: Some users may experience firewall issues when accessing this site. Click HERE for instructions on configuring a firewall for Box applications.
DISCLAIMER: The information is provided as a consultative resource in response to inquiries from facilities and professionals who remain responsible for determining whether and how to apply it to the circumstance of any facility or individual, and accordingly is not rendered as medical advice or direction for any facility or individual and is not intended to create a physician-patient relationship with any individual.