Health System Guidance
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: DukeSNF@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:
Duke Health WORDS of HOPE eNewsletter: If you would like to sign up to receive regular updates from the Duke Health SNF Collaborative, click HERE!
- 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: Updated Guidance on How COVID-19 Spreads
- CDC: Flowchart for management of HCWs with exposure to a person with COVID-19
- CDC What’s New landing page
- CDC Webinar Series - COVID-19 Prevention Messages for Long Term Care Staff
- CDC Clinician On-Call Center
- CDC: Considerations for Memory Care Units in Long-term Care Facilities
- CDC: Criteria for Return to Work for Healthcare Personnel with SARS-CoV-2 Infection (Interim Guidance)
- CDC: Clinical Questions about COVID-19: Questions and Answers
- CDC: Options to Reduce Quarantine for Contacts of Persons with SARS-CoV-2 Infection Using Symptom Monitoring and Diagnostic Testing
Office of Inspector General COVID-19 Portal (updated August 4)
NC Health Systems and Hospitals COVID-19 Pages
Palliative Care/Goals of Care Resources
- PPE Guidelines: What, When, and Wear [PDF]
- Nursing Home Staff and Visitor Infectious Disease Screening Toolkit NEW!
- CDC: Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination
- CDC: Maximizing Fit for Cloth and Medical Procedure Masks
- Strategies for Optimizing the Supply of Isolation Gowns
- PPE Burn Rate Calculator
- PPE Burn Rate Calculator Instructions
- Discontinuation of Transmission-Based Precautions and Disposition of Patient with COVID-19 in Healthcare Settings (Interim Guidance)
- Duration of Isolation and Precautions for Adults with COVID-19
- How to Wear Masks
- Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic
- Nursing Home Infection Preventionist Training Course
- Strategies for Optimizing the Supply of N95 Respirators
- Strategies for Optimizing the Supply of Eye Protection
- Strategies for Optimizing the Supply of Facemasks
How to Make your Mask Tighter [Video]
Data and Modeling
The ACTIV-2 Study is testing different medicines to see if they are safe and can help adults with COVID-19. Finding treatments for COVID-19 is important because the virus is spreading quickly all over the world and can cause serious sickness and even death. More information can be found here.
Margolis Center for Health Policy
A team at the Margolis Center for Health Policy at Duke University is currently working on a Robert Wood Johnson Foundation-funded research project to study skilled nursing facilities’ experiences during the COVID-19 pandemic, which includes a focus on the pandemic’s effect on recent payment reforms and how new payment models can help facilities in the short and long term. Given the significant challenges post-acute care facilities have faced during the pandemic, the team hopes to determine what strategies have helped facilities to provide high-quality care during this time and how policies, particularly those focused on payment, can be designed to assure SNFs have the resources necessary to continue caring for individuals. The research team is interested in discussing this topic with SNF facilities and chains, trade associations, and other experts in the field to develop an issue brief to be published in early 2021. The Duke-Margolis team would like to learn more about facilities’ experiences during 1-hour interviews with SNF leadership. If your facility is interested in participating, please contact Rachel Roiland at firstname.lastname@example.org to learn more.
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.
Investigating the Unintended Impacts of COVID-19 Isolation and Uncertainty in Long-Term Care Settings
A new pilot study within the Duke Population Health Management Office is aiming to improve the quality of care in SNFs during the COVID-19 pandemic. SNF staff will be asked to participate in a 30-minute teleconference or phone interview to discuss challenges they have faced promoting mobility and social interaction among residents while implementing COVID-19 mandated infection control procedures.
- Participants will be compensated for their time.
- Participation will have no bearing on employment in SNF
- Individual staff members may contact Dana Guggenheim at email@example.com.
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 firstname.lastname@example.org. 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.
|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
Mental Health and Wellness
- CMS Updates Nursing Home Guidance with Revised Visitation Recommendations
- Nursing Home Visitation COVID-19 (Revised) March 2021
- Visiting Loved Ones in a Nursing Home – UPDATED Graphic Available [PDF]
- FAQs for Nursing Home Reopening Recommendations [PDF]
- CMS FAQs on Nursing Home Visitation (includes definitions of compassionate care situations, which does not exclusively refer to end-of-life situations) [PDF]
CMP Reinvestment Application Template for COVID-19 In-Person Visitation Aids Request
- COVID-19 In-Person Visitation Application FAQ [PDF]
- COVID-19 In-Person Visitation Application Template [PDF]
- Nursing Home Visitation - COVID-19 [PDF]
- CMS CMP Grant Applications - Additional Comments [PDF]
AMDA – The Society for Post-Acute and Long-Term Care Medicine
- FAQs on vaccine safety and efficacy for patients, residents, families, and staff
- Statement on the Fair and Equitable Distribution of a Safe and Effective COVID-19 Vaccine to Post-Acute and Long-Term Care Staff and Resident
- Grand Rounds: Pearls From Your Colleagues A Look Back, A look Ahead and a Look to Vaccines 12/03/2020
- COVID-19 Vaccine Education Toolkit
- Statement on COVID-19 Vaccination Administration for Residents and Healthcare Workers in PALTC [PDF]
Centers for Disease Control and Prevention
- CDC Recommends Use of Johnson & Johnson’s Janssen COVID-19 Vaccine Resume NEW!
- Communication Toolkit for migrants, refugees, and other limited-English-proficient populations
- Ensuring Access to COVID-19 Vaccine in Long-Term Care Facilities
- Different COVID-19 Vaccines
- COVID-19 Vaccination Communication Toolkit For Medical Centers, Pharmacies, and Clinicians
- Different COVID-19 Vaccines
- Vaccine Co-Administration
- About COVID-19 Vaccines
- COVID-19 Vaccine Training Module for HCP
- COVID-19 Vaccination Communication Toolkit
- The Importance of COVID-19 Vaccination for Healthcare Personnel
- Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States
- Frequently Asked Questions about COVID-19 Vaccination in Long-Term Care Facilities
- Long Term Care Facility Toolkit: COVID-19 Vaccine
- What to Expect after Getting a COVID-19 Vaccine
- What Every Clinician Needs to Know About COVID-19 Vaccine [Video]
- Provider Resources for COVID-19 Vaccine Conversations with Patients and Answering Patients’ Questions
- Social Media Toolkit: COVID-19 Vaccinations
- Understanding How COVID-19 Vaccines Work
- Understanding mRNA COVID-19 Vaccines
- Understanding the Pharmacy Partnership for Long-Term Care Program and Frequently Asked Questions
- Things Healthcare Workers Need to Know about COVID-19 Vaccination
Center for Medicare & Medicaid Services (CMS)
- Considerations for Long-Term Care Facilities on Acquiring COVID-19 Vaccination Resources NEW!
- COVID-19 Resources on Vulnerable Populations
- CMS: Optimizing Vaccine Recipient Education NEW!
- Duke HOPE SNF Collaborative Webinar—Janssen COVID-19 Vaccine with Dr. Ken Schamder [Video]
- Duke Health COVID-19 Myth v. Fact Video Series
- Duke Health Community Connections: COVID-19 Vaccine: What You Need to Know in Spanish (Duke Health Conexiones Comunitarias: Vacuna COVID-19: Hechos) [Vídeo]
- Duke HOPE SNF Collaborative Webinar - Moderna COVID-19 Vaccine with Dr. Ken Schmader [Video]
NEW! Durham County: COVID-19 vaccines for homebound patients residing in Durham County are now available through a partnership between the Durham County Community Paramedics and the Durham County Health Department. Referrals for Duke patients can be emailed to Elissa Nickolopoulos, MSW, LCSW-A. For non-Duke facilities, send your email request to Capt. Helen Tripp of the Durham County Community Paramedics. Please include in your email the patient's contact information and whether or not the patient has verbally consented.
Janssen COVID-19 Vaccine Questions (Johnson & Johnson)
JHU-UW Vaccine Symposium [video]
NC Department of Health and Human Services
- COVID Briefing for LTC Medical Directors 12-9-2020
- COVID-19 Vaccine Information
- Interim COVID-19 Vaccine Plan
Product information: Janssen COVID-19 Vaccine (Johnson & Johnson)
PHE 3-Day Waiver Guidance
COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing (8/26/2020 update) See Section Y: Skilled Nursing Facilities
COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers (8/20/2020 update)
*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.