FAQs: COVID 19 Conference Calls Updated January 28, 2021
FAQs: COVID 19 Conference CallsUpdated January 28, 2021The following FAQs are listed by topic in alphabetical order for quick reference. They include websitelinks as information changes quickly. The dates following each link refer to the last time the link wasknown to be updated.Unless otherwise noted, the recommendations relate to a home health, hospice, private duty, infusion,palliative care or DMEPOS provider. Weekly updates made to topics or websites are noted in red with thecorresponding week noted to make it easier to see changes week to week.If you have questions or comments, please send them to education@chapinc.orgThank you!!Jan 14 2021: The Federal Public Health Emergency has been extended to April 2021. Extending theemergency declaration allows providers to continue to use waivers and flexibilities issued to assist inresponding to the COVID-19 pandemic. The Secretary of HHS issues the PHE thactions/phe/Pages/opioids-7Jan2021.aspx Jan 7 2021AAssisted and Independent Living Facility Access:Check your state to determine if the governor or health department has mandated staff COVID-19testing for ALFs. Home health and hospice staff are included in mandated testing as home care orhospice staff are a ‘vendor’. Weekly or bi-weekly COVID 19 testing may be required.CMS addresses Home Health Agency (HHA) and Hospice access to assisted (ALF) and independent livingfacilities (ILF) and when Hospices should Discharge Patients if Restricted or No Access ALFs and ILFs are not subject to federal regulation, rather state authority.Hospice and HHA personnel are expected to participate in any facility required screening.If access is restricted, hospices and HHAs should communicate with the facility administration aboutthe nature of the restriction and gaining access to hospice or home care patients. HOSPICE DISCHARGE: If after reasonable attempts are made to access hospice patients in personand documented in the patient’s record, the hospice is expected to discharge the patient as “outsideof the hospice’s service area” (Medicare Benefit Policy Manual, Chapter 9, 20.2.3):o Additionally, a hospice must forward to the patient’s attending physician a copy of the hospicedischarge summary and patient’s clinical record if requested. ilities-individuals-intellectual.pdf June 2020 Pages 9-13 If an HHA isrefused in-person access, document the situation in the patient’s record and advise the 20-18-hha-revised.pdfphysician.(March 10 Memo Revised April 23, 2020. Note the HHA reference to ALF/ILF access on page 6)CHAP COVID 19 Conference Calls January 28, 2021pg. 1
FAQs: COVID 19 Conference CallsUpdated January 28, 2021CCOVID-19:Airborne Transmission or Spread of COVID 19:Under certain conditions, people with COVID-19 can infect others who are more than 6 feet away.Scientists believe that in these situations infectious smaller droplets and particles from the COVID-19positive person are concentrated enough to spread the virus to other people in the same space duringthe same time or shortly after the person with COVID-19 left. This spread is “airborne transmission” and is the same as for TB, for example.Try to avoid crowded indoor spaces when providing care, educate family and caregivers that wellventilated spaces is the safest for everyone, bring in outdoor air as much as possible.COVID-19 spreads less commonly through contact with contaminated surfaces Respiratory droplets can also land on surfaces and objects. It is possible that a person could getCOVID-19 by touching a surface or object that has the virus on it and then touching their mouth,nose, or eyes. However, touching surfaces is not a common way that COVID-19 revent-getting-sick/how-covid-spreads.html Oct 20,2020Jan 14, 2021: COVID 19 Variants: 3 Known Variants of the COVID 19 virus. Identified as from UK, South Africa, Nigeria To date evidence is that the variants result in easier spread of the virus, no evidence that the variantresults in more serious illness or death, or that that current vaccines do not work UK variantconfirmed in CA, CT, CO, FL, GA, IL, MD, Mi, MN, NY, PA, TX, ission/variant-cases.html January 13, 2021CDC Clinician On-Call Center is a hotline with trained CDC clinicians available to answer COVID-19questions daily on a wide range of topics, such as diagnostic challenges, clinical management, andinfection prevention and control. To reach this service, call 800-CDC-INFO (800-232-4636) and ask for theClinician On-Call Center.Jan 14, 2021: Children -Pediatric Patients 17 yrs. old and Younger-Update: As of Jan 7, 2.9M cases in children (17yrs or younger) representing 12.5% of all COVID cases -about4% increase from Aug 20200.2 to 3.1% of cases resulted in hospitalization; mortality 0-0.20% among reporting states, nochange over reporting the past two quarters.Top 5 states in order where children are 15% of state’s COVID cases: WY,; AL; SC; TN; NM; ND Top 10 states in order by Number of Children’s COVID Cases: CA, IL, TN, FL, AZ, OH, PA, IN,CHAP COVID 19 Conference Calls January 28, 2021pg. 2
FAQs: COVID 19 Conference CallsUpdated January 28, 2021MN, eport%201.7.21%20FINAL.pdf Jan 7 2020Jan 14 2021-Update adds two disesases : Children who have the following conditions at increased riskfor severe COVID 19 illness: obesity, medical complexity, severe genetic disorders, severe neurologicdisorders, inherited metabolic disorders, sickle cell disease, chronic kidney disease, congenital (sincebirth) heart disease, diabetes, asthma and other chronic lung disease, and immunosuppression due tomalignancy or immune-weakening medications. -precautions/people-with-medicalconditions.html December 29, 2020MISC-C: Multisystem Inflammatory Syndrome in Children:Multisystem inflammatory syndrome in children (MIS-C) is a rare, serious condition where different bodyparts become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs.The cause of MIS-C is not known. Children with the disease test positive for COVID-19 or have beenaround someone with COVID-19.Jan 14, 2021 Update: CDC information about MIS-C: CDC has received reports of 1288 confirmed cases of MIS-C and 28 deaths (2%)Reported in all states except West Virginia, Vermont and Maine. Most cases reported inCalifornia, Texas, Louisiana, New York and Florida. In 99% of cases (1269) the child tested positive for SARS CoV-2, the virus that causes COVID-19. Theremaining 1% were around someone with COVID-19.Most children developed MIS-C 2-4 weeks after infection with SARS-CoV-2.The highest number of cases are among children aged 5-9, with the average age of 8.76% of reported cases occurred in children who are Hispanic/Latino or Non-Hispanic Black56% of reported cases are male. https://www.cdc.gov/misc/cases/?deliveryName USCDC 2067DM37553 December 7, 2020 Common Symptoms of MIS-C:FeverNeck PainAbdominal PainRashVomitingBloodshot eyesDiarrheaFeeling extra tiredNOTE: Not all children have all the same symptoms.Emergency care is needed for a child with any of the following signs or symptoms:Trouble breathingCHAP COVID 19 Conference Calls January 28, 2021Inability to wake or stay awakepg. 3
FAQs: COVID 19 Conference CallsUpdated January 28, 2021Pain or pressure in the chest that doesn’t resolveBluish lips or faceNew confusionSevere abdominal painThe latest MIS-C symptoms and information for parents can be found -life-coping/children/mis-c.html (May 20, 2020)Jan. 14 2021 Update: Clinical Study Findings of US COVID 19 Patients: The incubation period continues to extend to 14 days, with a median time of 4-5 days from exposureto symptoms onset. The signs and symptoms of COVID-19 present at illness onset vary but over the course of the diseasethey include the /symptomstesting/symptoms.html December 22, 2020Fever or chillsCoughHeadacheMyalgiaSore ThroatShortness of BreathFatigueCongestion or Runny NoseNauseas *Diarrhea*New loss of smell and taste **Vomiting**People increasingly reporting GI symptoms such as nauseas, vomiting or diarrhea sometimesprior to having a fever and lower respiratory tract signs and symptoms.** Lost of taste and smell may persist for weeks or months after recovery and need not delay theend of isolation. resick/endhomeisolation.html Dec 1, 2020Jan 14, 2021: COVID 19 Illness severity can range from mild to critical: Mild to moderate (mild symptoms up to mild pneumonia): 81% Severe (dyspnea, hypoxia, or more than 50% lung involvement on imaging): 14% Critical (respiratory failure, shock, or multiorgan system dysfunction): inical-guidance-management-patients.html Dec8, 2020Jan 14 2021: Study of Home Health COVID 19 Patients: Among patients with COVID-19 admitted tohome health care, comorbid conditions associated with rehospitalization or death included heart failure,diabetes, chronic pain and cognitive impairment.Bowles et al. Surviving COVID-19 after hospital discharge: Symptom, functional, and adverse outcomesof home health recipients, Annals of Internal Medicine (November 24, 2020).Jan 14 2021Update and Addition of a condition: COVID-19 VULNERABLE POPULATION by Condition MakingThem Priority for Vaccine Access:CHAP COVID 19 Conference Calls January 28, 2021pg. 4
FAQs: COVID 19 Conference CallsUpdated January 28, 2021Adults of any age with the following underlying medical conditions are at risk of severe illness fromCOVID -19:CancerObesity: (BMI 30kg/m but 40 kg/m)Chronic Kidney DiseaseSevere Obesity (BMI 40kg/mCOPDPregnancyHeart conditions such as heart failure, CAD,cardiomyopathiesSickle Cell DiseaseType 2 DiabetesImmune compromised from solid organ transplantSmokingDown s.html Dec 29 2020COVID-19 VULNERABLE POPULATION by Age by Risk for Hospitalization and DeathAge RangeHospitalizationDeath18-29 yrs.Comparison GroupComparison Group30-39 yrs.2X higher4X -higher40-49 yrs.3X higher10X higher50-64 yrs.4X higher30X higher65-74 yrs.5X higher90X higher75-84 years8X higher220X higher85 years13X higher630X ed-extra-precautions/older-adults.html Nov 27, 2020COVID-19 Symptom List The list of symptoms of COVID-19 infection has been expanded. See CHAP document titled:“COVID-19: Updated Information Related to Symptoms and Protection” on education website athttps://education.chaplinq.org/DDisaster Shelters and COVID 19CHAP COVID 19 Conference Calls January 28, 2021pg. 5
FAQs: COVID 19 Conference CallsUpdated January 28, 2021CDC Guidelines for Disaster Shelters During the Pandemic: The CDC has released guidelines for state andcounty governments when opening shelters due to disasters (e.g. hurricanes, flooding, etc.). 50 or less people in a shelter to support social distancing. Daily symptom screening. The CDC preference is that vulnerable individuals are not moved to a shelter, but to remain at home. Medical support shelters and functional needs shelters may be available for the more vulnerablepopulations during VID19.pdfDue to the pandemic, hospitals or SNFs that previously would take patients/clients who had medicalneeds and had to be evacuated may be unable to take these patients/clients due to COVID-19 risk. If the area you serve typically faces disasters (e.g. hurricanes, floods, etc.) and with this informationin mind, is there anything you may need to change in patient/client classification for evacuation? Companion animals are not preferred in animal shelters during disasters. If the pet is coming fromthe home of a positive COVID 19 patient/client, please advise a -19-arepresentAdditional CDC Disaster Planning Resources for Use During Pandemichttps://www.cdc.gov/disasters/disaster resources.html (July 1, 2020)Includes hurricanes, storms, and extreme 19/prepare-for-hurricane.htmlIf your patient will be evacuating and staying with another family, and so in closer quarters than usualsee information for specific populations: https://emergency.cdc.gov/groups.aspDMEPOSPrior Authorization for Specific DMEPOS Resumes August 3, 2020, regardless of the status of the publichealth emergency. CMS will resume full operations for the prior authorization program for certainDMEPOS items.o For Power Mobility Devices and Pressure Reducing Support Surfaces that require prior authorizationas a condition of payment, claims with an initial date of service on or after August 3, 2020, must beassociated with an affirmative prior authorization decision to be eligible for payment.o For an updated list of items that require prior authorization please cePrograms/DMEPOS/Downloads/DMEPOS PA Required-PriorAuthorization-List.pdf.CHAP COVID 19 Conference Calls January 28, 2021pg. 6
FAQs: COVID 19 Conference CallsUpdated January 28, 2021Prior authorization will be required for certain LLPs Lower Limb Prosthetic Devices (HealthcareCommon Procedure Coding System codes L5856, L5857, L5858, L5973, L5980, and L5987), with dates ofservice on or after September 1, 2020, in California, Michigan, Pennsylvania, and Texas – this is the newdate change from May 11, 2020 pre-COVID 19 On December 1, 2020, prior authorization for these codes will be required in all the remainingstates and territories- this is the pre-COVID new date change from Oct 8 202 pre-COVID den-relief-faqs.pdf July 2020DME Signature Requirement at Delivery Waived: (effective 3/1/2020) The patient’s signature is waived for those Part B drugs and Durable Medical Equipment (DME)covered by Medicare requiring proof of delivery and/or a beneficiary’s signature.o Suppliers should document in the patient record the delivery date and that a signature was not able tobe obtained because of COVID-19.Contractor Flexibility in Requirements for DMEPOS Replacement (effective 3/1/20) If durable medical equipment, a prosthetic, orthotic or supply is lost, destroyed, or irreparablydamaged or otherwise rendered unusable, contractors can waive replacement requirements such asthe face-to-face requirement, new physician’s order, and medical necessity documentation.o Suppliers must continue to include a narrative description on the claim explaining why theDMEPOS must be replaced, and maintain documentation indicating that the DMEPOS waslost, destroyed, irreparably damaged or otherwise rendered unusable or unavailable due tothe Public Health Emergency. www.cms.gov/files/document/covid-dme.pdfDME Retail Closure If a shelter-in-place order is declared: DMEPOS is considered an essential service in most states. “Essential service” is defined by eachstate. Whether you stay open is a business decision, and if you can meet social distancing andinfection precautions in the retail space. Decide what you will do and document it, including startdate.o If the retail portion of the company had patients come to the office for CPAP setups, oxygentank pickup, purchase walkers or canes, you need a process to continue to meet thosepatients’ needs. Document how you do this, and how you let patients know – the bottomline is meeting patient need.FFlu versus COVID-19: DID we do a handout that can be referencedSymptom: Many symptoms of the Flu and COVID-19 are similar and may vary by degree of severity. Fatigue - more common in flu GI symptoms, nausea/vomiting/diarrhea -morecommon in children Cough – More common in both HeadachesCHAP COVID 19 Conference Calls January 28, 2021pg. 7
FAQs: COVID 19 Conference CallsUpdated January 28, 2021 Aches and pain – more common in flu Shortness of breath Runny or stuffy nose Sore throatCOVID-19 symptoms include new loss of taste and/or smellSymptom Onset COVID-19 – Gradual Onset Flu – Abrupt onsetIncubation Period COVID-19 – 2-14 Days with contagious period 2 days prior to symptom onset and up to 10 days Flu – 1-4 days with contagious period 1 day prior to symptom onset and typically 3-4 days ofillness but can be contagious as long as 7. Reduce Risk of Infection COVID and the Flu: Both are respiratory illnesses spread by person to personby close contact or through respiratory droplets when an infected person coughs, sneezes or talks. Thepreventive measures for the pandemic also help in decreasing the spread of flu: Social Distancing Mask Hand HygieneFlu vaccination and COVID resource - ex.html Individuals with a positive COVID test but are asymptomatic – defer the flu vaccination for 10 daysfrom the positive test result dateIndividuals who are symptomatic or with suspected/confirmed COVID-19, defer vaccination until:o 10 days after symptom onset AND o 24 hours with no fever without the use of feverreducing medications AND o Improvement of COVID-19 symptoms ANDo No longer moderately or severely ill.Individuals with known COVID exposure should not seek the flu vaccine until their 14-day quarantineperiod has ended.Flu Vaccination effectiveness: Approximately two weeks after vaccination for protection against the flu.COVID Vaccination effectiveness: Approximately one-two weeks after all required doses.Flu resources for patients and staff: 2020 Vaccine Storage and Handling rage/toolkit/index.html Vaccine Administration and storage and handling one page resource oads/vacc-admin-storage-guide.pdfCHAP COVID 19 Conference Calls January 28, 2021pg. 8
FAQs: COVID 19 Conference CallsUpdated January 28, 2021 Take Three Actions to Fight Flu Infographic e Three Actions to Fight Flu Infographic s/graphics/take3-fight-flu-infographic-sp.pdfFlu fact sheet in multiple reeresources/multilanguage-factsheets.htmlHHome Cleaning and Disinfecting During the Pandemic: The CDC recommends cleaning and disinfectionof households to limit the survival of COVID 19 virus. These recommendations can be made tohomemakers, aides and other employees who assist with basic cleaning, laundry, etc. and to families ofvulnerable patients. Studies continue to show transmission of coronavirus occurs more commonly through airbornerespiratory droplets than droplets on furniture, clothing, utensils, etc. Current evidence also suggests that COVID 19 may remain viable for hours to days on surfaces madefrom a variety of materials. Therefore, CDC is recommending the two-step process of cleaning anddisinfecting frequently touched areas.o Cleaning refers to the removal of germs, on visibly dirty surfaces with soap and water ordetergents. This does not kill germs but lowers their numbers and the risk of spreadinginfection such as COVID 19 and other respiratory viral illnesses.o Disinfecting refers to using chemicals, preferred EPA-approved products, to kills germs onsurfaces.https:
ventilated spaces is the safest for everyone, bring in outdoor air as much as possible. . Identified as from UK, South Africa, Nigeria . 40-49 yrs. 3X higher 10X higher 50-64 yrs. 4X higher 30X higher 65-74 yrs. 5X higher 90X higher .
Updated February 11, 2021 CHAP COVID 19 Conference Calls February 11, 2021 pg. 3 FAQs: COVID 19 Conference Calls 0.2 to 3.1% of cases resulted in hospitalization; mortality 0-0.20% among reporting states, no change
Recent calls is a list of placed, missed and received calls since the last time you cleared the list. Calls placed Calls received Calls missed Tap . Recent calls . to display the list of recent calls. Scroll by dragging up or down anywhere in . these lists. Tap the entry to be called. This will cause the . Call. button to appear. Tap to display .
Using BT Cloud Voice voicemail Call Diversion 1. If you divert all your calls Calls are diverted to the number you've chosen straight away. 2. If you divert calls that you don't answer Calls are diverted to the number you've chosen. Cloud Voice voicemail takes any new calls when you're engaged. 3. If you divert calls when you're engaged
COVID-19 Mental health impact COVID-19 Impact on Sleep COVID-19 Positive Impacts University of California, San Dr. Ariel J. Lang ajlang@health.ucsd.edu ID: 21877 COVID-19 Household Environment Scale (CHES) - English COVID-19 Household Environment Scale (CHES) - Spanish COVID-19 Social Distancing and Symptoms COVID-19 on Family .
Is the COVID-19 vaccine safe for children? The focus of COVID-19 vaccine development has been on adults. Pfizer’s vaccine has been authorized for ages 16 and up. Moderna’s vaccine is currently authorized for ages 18 and up. Will a COVID-19 vaccine alter my DNA? No. The COVID-19 va
132,230 calls were completed by the call center. 95,659 of the completed calls were inbound calls and 36,571 of the completed calls were outbound calls. The Program has completed 0 outreach event for this reporting period. The following events are scheduled for the week of January 8, 2018 – January 14, 2018:
8,329 11,270 19,599 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000 2010 Calls 2011 Calls Total Calls type” were classified as the following: Missed Calls: From January 1, 2010 through December 31, 2011 the Warmline received missed calls in the form of a voicemail or a
the screen. Your chosen settings will be saved and applied to all conference calls until you change them again. Beginning your Conference Call 1. To begin a conference call, dial-in to the Smithville Conference Call service—(812) 876-0102 or Toll Free (855) 876-0102 2. Enter your Conference Identification Number when prompted. 3.
