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: 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:
Latest Updates:
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Duke Health WORDS of HOPE eNewsletter Archive |
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* |
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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! |
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COVID-19 Guidance
American College of Physicians (ACP) Online COVID Guide
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: 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
CMS COVID-19 Public Health Emergency Tip Sheet
CMS Nursing Home Resource Center
Coronavirus Commission on Safety and Quality in Nursing Homes Final Report
Duke Infection Control Outreach Network (DICON)
NIH COVID-19 Treatment Guidelines
NC Department of Health and Human Services
North Carolina Healthcare Association
North Carolina Healthcare Facilities Association
Office of Inspector General COVID-19 Portal (updated August 4)
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
CMS Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes
Completing POLST Forms in Crisis Standards of Care
Go to the hospital or stay here? Decision Guide
HPCO: When Families can Not Be Present at the Time of Death
Institute for Healthcare Improvement: Free Guides from The Conversation Project
National Center of Advancing Person-Centered Practices and Systems (NACPPS)
Serious Illness Care Program COVID-19 Response Toolkit
The Urgency of Now: Ask your patients about goals of care (Medium article)
Updates to Advance Health Care Directives
Vital Talk COVID Goals of Care video
Infection Control
AIA: Strategies for Safer Senior Living Communities
Alliant Quality
- PPE Guidelines: What, When, and Wear [PDF]
- Nursing Home Staff and Visitor Infectious Disease Screening Toolkit 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
- 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
CMS QSEP: CMS Targeted COVID-19 Training for Frontline Nursing Home Staff & Management
Duration of Isolation Precautions of Adults with COVID-19
How to Make your Mask Tighter [Video]
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)
Preventing and managing COVID-19 across long-term care services: Policy brief, 24 July 2020
Statewide Program for Infection Control and Epidemiology (SPICE)
Tips for Communicating Through a Mask
Tips for Healthcare Workers Returning Home from Work
Workforce Training
AHCA free online 8-hour nursing aid training
COVID-19 Healthcare Workforce Toolkit
Lab Testing
AMDA COVID-19 Testing Strategies Statement
AMDA: State Recommendations for Use of Antigen Testing
CDC: Considerations for Interpreting Antigen Test Results in Nursing Homes
CDC: Guidance for SARS-CoV-2 Point-of-Care Testing
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
CMS: Frequently Asked Questions: COVID-19 Testing at Skilled Nursing Facilities/ Nursing Homes
CMS: Medicare Payment for COVID-19 Viral Testing: Skilled Nursing Facility/Nursing Facility
CMS: New COVID 19 Testing and Reporting Requirements
CMS: Testing of Nursing Home Staff and Residents
COVID-19 Testing Supplies Request Form: NC Division of Public Health
CVS Health Introductory Webinar on Point-Prevalence Surveys in SNFs
FDA News Release: Abbott ID NOW Point-of-Care Test
FDA FAQs on Testing for COVID-19
NC DHHS: Find My Testing Place
NC DHHS: Using, Interpreting, & Responding to COVID-19 Antigen Tests [PDF]
Nursing Home Data - Point of Care Device Allocation
Updated HHS NHSN Reporting Requirements
Data and Modeling
CDC Nursing Home Data Quality FAQs
CDC Tracker: US COVID-19 Cases Caused by Variants
CMS: COVID-19 Nursing Home Data
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
ACTIV-2 Study
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 rachel.roiland@duke.edu to learn more.
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.
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 dana.guggenheim@duke.edu.
For a printable flyer, click here: Full Color or Black & White
Healthcare Worker Exposure Response & Outcomes (HERO) Registry
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 | 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 |
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CDC: Strategies to Mitigate Healthcare Personnel Staffing Shortages NEW! |
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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
Alliant Quality Telehealth 101 - A Tip Sheet for Patients
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
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
Self-Compassion Guided Meditation and Exercises
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
VIA Character Strengths Survey
Vibrant Emotional Health Safe Space Website
Visitation Guidance
CMS Nursing Home Reopening Recommendations for State and Local Officials
- 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]
Clinical Management
AMDA and ASCP: Monoclonal Antibody Treatment in Senior Care Environments
AMDA: Guidance on Anticoagulation with COVID-19 in PALTC
CDC: Clinical Care Guidance for Healthcare Professionals about Coronavirus
CMS Toolkit for COVID-19 Monoclonal Antibody Infusion
CMS Infographic on COVID-19 Monoclonal antibody treatment coverage
COVID-19 Monoclonal Antibody Treatments: Using Evolving Evidence to Improve Care in the Pandemic [White Paper]
COVID-19 Self Management Zone Tool [PDF]
ECHO COVID-19 Global Conversations Webinar on Monoclonal Antibody Treatment [Video]
ECHO Outpatient Therapeutics Mini-Series
Eli Lilly BLAZE-2 COVID-19 Prevention Trial Press Release
HHS/ASPR Casirivimab/Imdevimab webpage
NICA COVID-19 Antibody Therapy Resource Center
NIH: COVID-19 Treatment Guidelines
COVID-19 Vaccines
AHCA: Accessing COVID-19 Vaccine in Long Term Care [PDF]
Alliant Quality COVID-19 Vaccine Resources
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!
COVID-19 Vaccination Video Update for Long-term Care Employees (Iowa Health Care Association)
Duke Health
- 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.
Greater Than COVID: The Conversation [Video]
HCA/NCAL COVID-19 Vaccination Toolkit
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
Presentation: What Clinicians Need to Know About the Pfizer-BioNTech COVID-19 Vaccine [PDF]
Pfizer-Biontech Vaccine Fact Sheet (for vaccination providers) - Click Here to download [PDF] and Click Here to check for updates.
Product information: Janssen COVID-19 Vaccine (Johnson & Johnson)
The Advisory Committee on Immunization Practice (ACIP) Meeting Information
US DHHS Tell Me More | Episode 1 | Tell Me More About Vaccines [video]
Vaccine and Related Biological Products Advisory Committee (VRBPAC) Meeting Information
Flu Vaccine
CDC: Toolkit for Reaching Healthcare Professionals
CMS Flu Vaccine Partner Toolkit
Duke Health: Dispelling Myths About the Flu Vaccine
PHE 3-Day Waiver Guidance
AHCA/NCAL: 3-Day Stay and Benefit-Period Waivers for Medicare Part A SNF PPS
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)
Long Term Care Facilities (Skilled Nursing Facilities and/or Nursing Facilities): CMS Flexibilities to Fight COVID-19 (7/9/2020 update)
Public Health Emergency Declarations
Other Resources
AHRQ ECHO National Nursing Home COVID-19 Action Network
Alliant Quality Discharge Screening Tool
CDC: Toolkit for Older Adults & People at Higher Risk
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
John A. Hartford COVID-19 Resources for Nursing Homes and Long-Term Care
National Long Term Care Ombudsman Resource Center
National Nursing Home Training Series
NC AHEC Reoccurring Webinar Series
North Carolina COVID Action Network (NC CAN) for NC SNFs
OPTIMISTIC Project: LTC to Hospital Transfer Best Practices
The Stanford COVID Surge Handbook
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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.