LONG-TERM CARE TASK FORCE GOVERNOR’S COVID-19 Supports... · 1 day ago · COVID-19 Outbreaks in...
Transcript of LONG-TERM CARE TASK FORCE GOVERNOR’S COVID-19 Supports... · 1 day ago · COVID-19 Outbreaks in...
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 1
office of the governor of the commonwealth of virginia
GOVERNOR’S COVID-19 LONG-TERM CARE TASK FORCE
Dr. Laurie Forlano, Deputy Commissioner of Population Health, VDHGena Berger, Chief Deputy Commissioner, DSS
October 1, 2020
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 2
Welcome and Housekeeping Items• Please mute your phone (do NOT put us on hold) if you are not
speaking• We prefer to take questions/comments at the end of each agenda
item • Feel free to utilize the chat box
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 3
Overview of Agenda• Data Update • Testing Update• Updated Reopening Guidance• COVID-19 Vaccine Planning Update• 2020 General Assembly August Special Session Update• Long-Term Care Wellness Advisory Committee Update • Visitation Working Group Update• Discussion• Next Steps
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 4
COVID-19 Cases in LTCFs and Non-LTCFs Over Time
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 5
COVID-19 Outbreaks in Long-Term Care Facilities*^
March 17, 2020 – September 21, 2020
5
Month Number of outbreaks
Average number of cases per outbreak†
Average number of deaths per outbreak†
March 2020 16 47 9
April 2020 98 47 9
May 2020 49 29 4
June 2020 31 22 3
July 2020 58 22 2
August 2020 57 16 1
September 2020 21 11 1
*Long-term care facility includes assisted living facilities, multicare facilities, and nursing homes; ^Data from VOSS and VEDSS are subject to change; †Averages are rounded to the nearest whole number
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 6
LTCF COVID-19 Outbreaks by Month
6
Virginia Long-Term Care Task Force Convened (4/10)
CMS Reopening Recommendations (5/18)CMS Reporting Requirement (5/24)
CMS Testing Requirements (8/25)
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 7
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 8
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 9
NHSN Updates● New POC reporting pathway will be released on October 15, 2020● Nursing homes with NHSN SAMS Level 1 access will need to upgrade to
Level 3 access○ More information: https://www.cdc.gov/nhsn/ltc/covid19/sams-access.html ○ Look out for an email invitation from the CDC○ Any facility that would like to upgrade now can email [email protected] with the subject
line “Enhancing Data Security”○ HQI available to provide technical assistance
● Weekly healthcare personnel flu vaccination reporting available● COVID-19 vaccination reporting in development● 84 nursing homes still need to confer rights to VDH
○ Email [email protected] for assistance
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 10
Testing Advisory Group Update
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 11
Antigen Testing Training Tools
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 12
Updated Nursing Home Reopening Guidance
● Per updated CMS guidance for nursing homes on testing and visitation, all references to nursing home reopening phases are being retired
● Facilities should follow CMS guidance○ VDH guidance is being revised
● Nursing homes will no longer be asked to submit phase change attestation forms ○ REDCap project being retired
● VDH will be posting percent positivity data by locality (city, county)○ Facilities can use VDH or CMS data; must document data source and
use consistently● Working with DSS to align ALF guidance
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 13
COVID-19 Vaccination Planning: Recent Updates
• Updating Virginia COVID-19 Vaccination Plan – Draft 2• Vaccination (Flu, Routine) Communications Campaign• State Table Top Exercise Set for October 8 (Workshop) and
14 (Table Top)• ACIP Meeting• VIIS Guidance• Vaccine Advisory Workgroup Updates
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 14
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 15
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 16
The Virginia COVID-19 Vaccination Plan
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 17
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 18
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 19
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 20
ACIP Meeting – September 22, 2020
ACIP COVID-19 Vaccines Work Group UpdatePhase III trials ❑ Moderna: enrolled 25,296 participants as of 9/16/2020
❑ 28% of participants are enrolled from “diverse communities” ❑ Pfizer: enrolled 31,928 participants as of 9/21/2020
❑ 26% of participants are from “diverse backgrounds”
ACIP Work Group will conduct an independent review of safety and efficacy data
If/when FDA decision is announced, ACIP will hold an “emergency” meeting with public comment session, and then will vote on recommendations for vaccine and populations for use.
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 21
ACIP Meeting – September 22, 2020 ContinuedNew Vaccine Safety Mechanisms❑ New Monitoring ACIP COVID-19 Vaccine Safety Technical (VaST) Subgroup
❑ Specifically dedicated to COVID-19 vaccine safety ❑ Will track “adverse events of special interest (AESI):
❑ general adverse events, ❑ adverse events that are vaccine-specific (mRNA, viral vector, adjuvanted, etc.), and ❑ population-specific adverse events (children, pregnant women, co-morbidities, elderly,
etc.)❑ A new system, V-SAFE, will provide enhanced safety monitoring for COVID-19 vaccine for essential
workers in early phase vaccination ❑ V-SAFE will do smartphone-based text, text-to-web survey, email-to-web survey for early vaccine
recipients and will send daily check-in messages for 1 week post-vaccination, and then weekly check-in messages for 6 weeks post-vaccination
❑ V-SAFE will use contact information from COVID-19 vaccination registration for essential workers (uncertain where registration data will come from).
❑ From V-SAFE, any adverse events will then be reported to VAERS
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 22
ACIP Meeting – September 22, 2020 ContinuedOverview of WHO, Johns Hopkins University, and National Academies of Science, Engineering, and Medicine (NASEM) Prioritization Frameworks
Phase 1 Allocation COVID-19 vaccine: Work Group Considerations – Possible Groups❑ Phase 1a: Healthcare personnel (~20 million)
❑ Phase 1b: ❑ Essential Workers (not HCP) (~60 mill) ❑ High Risk Medical Conditions (>100 mill) ❑ Adults >65 yo (~53 mill)
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 23
COVID-19 Vaccine Training
Dry Ice Safety and Vaccine Storage Video and Job Aid Completed
Other Planned Training❑ Vaccine Provider Enrollment❑ Non-VDH vaccinator ❑ VAERS Reporting❑ Vaccine Ordering❑ Doses Administered Reporting❑ Point of Dispensing Essentials
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 24
VIIS Onboarding Documentshttps://www.vdh.virginia.gov/content/uploads/sites/11/2020/09/VIISOnboardingToolKit.pdf
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 25
Virginia Vaccine Advisory Workgroup
❑Charter and Structure
❑Member Listing – 66 members
❑Tentative Timeline and Responsibility
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 26
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 27
COVID-19 Vaccine Priority Groups – Data Collection Effort
Data Collection Tool Provided to LHDs❑ Health Districts need to identify critical occupational groups in each jurisdiction, and
ensure relationships and plans are in place ❑ Spreadsheet for the LHDs to complete and return to the Regional Emergency Coordinators
by Sep 28❑ Regional Emergency Coordinators will consolidate and provide to Mike Magner/Jonathan
Kiser by Oct 7❑ State level we are collecting data from:
❑ Hospitals❑ Virginia Department of Corrections, ❑ Virginia Department of Behavioral Health and Disabilities Services, ❑ Dominion Resources❑ Assisted Living Facilities❑ Skilled Nursing Facilities❑ Colleges/Universities
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 28
CDC Digital Media Toolkit: 2020-21 Flu Seasonhttps://www.cdc.gov/flu/resource-center/toolkit/index.htm
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 29
2020 August Special Session Update: Budget Language● Senate Finance & Appropriations Committee
○ 299 #1s: Provides for residents and employees of nursing facilities or assisted living facilities to have priority in testing for COVID-19 to help prevent or contain outbreaks. Testing shall be provided, as needed, by DCLS or other public health testing agencies and any testing costs through the public health system for employees or residents of nursing homes or assisted living facilities may be billed to responsible third-parties.
○ 313 #3s: Directs DMAS to modify CARES Act funding disbursement methodology to define eligible costs for reimbursement as COVID-related costs incurred since March 12, 2020 or as far back as the CARES Act allows.
○ 313 #13s: Adds $11.2 million from the general fund and $11.2 million in matching federal Medicaid funds to extend the $20 per day add-on to Medicaid nursing and specialized care facility rates to June 30, 2021.
● House Appropriations Committee○ 299 #2h: Directs the VDH to convene a work group to examine and develop a plan to ensure that vaccines and
other medications to treat or prevent the spread of COVID-19 are equitably distributed.○ 299 #3h: Directs VDH to review and update data collection and reporting protocols for COVID-19 or other
infectious disease data to only report actual deaths not an extrapolated projection of deaths.○ 300 #1h: Requires medical facilities licensed by the VDH to allow patients with disabilities to be accompanied by a
designated support person at the time health care services are provided and to allow for visits by such person(s).○ 313 #1h: Adds $11.2 million from the general fund and $11.2 million in matching federal Medicaid funds to extend
the $20 per day add-on to Medicaid nursing and specialized care facility rates until March 31, 2021.
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 30
LTC Wellness Advisory Committee Update● Kickoff meeting held September 18, 2020
● Scope limited to nursing homes and assisted living facilities
● 6 Workgroups○ Focus on current landscape in Virginia, crisis support, employee
wellness, education/training, policy, and funding
● Standing monthly meeting 2nd Friday of each month; next meeting is October 9, 2020 at 1:00 PM
● Please contact [email protected] to become a member or provide feedback
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 31
Visitation Working Group Update
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 32
Discussion
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Rural Caucus
office of the governor of the commonwealth of virginia
Slide 33
Next steps