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COVID-19 Update | April 10, 2020
COVID-19 3 Minute Recap
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SHEA Coronavirus News
 
COVID-19 by the Week Survey
We are tracking SHEA members' experiences week-by-week. Responses are anonymous for a 4-question survey. The first 2 questions are demographic, and the second two are about current status and primary concerns. A summary from last week's survey is below.
 
Please complete the questions for this week. April 12-18:
 
This week's results (Week of April 5):
  • Lowest availability at facilities (1=crisis-level; 5=sustainable): time for training (3.21), other PPE (3.23), medications (3.31)
  • Highest availability at facilities (5=sustainable; 1=crisis-level): isolation rooms (4.11), ventilators (4.03), lab workforce (3.97)
  • Most common "top 3 concerns": PPE supply (62.9%), test or test components supply (42.9%), new and/or diverging guidance/recommendations (42.9%)
  • Most common facility types: acute care hospital (60%); academic medical center (54.3%), part of a health system (31.4%)
  • 35 responses from AR, CA (3), CT, GA, IL (2), IN, LA, MA, ME, MI (3), MN (2), MO, MT, NC (2), NE (2), NJ, NY (6), OH, PA, VA, Republic of Korea (1)
Federal Agency News, Guidance, and Guidelines
Infection Prevention and Control
 
 
Clinical Care and Treatment
Special Settings and Populations
 
Testing and Cases
 
 
Incident Management
 
Payment and Reimbursement Policy
 
CMS "Dear Clinician" Letter re: accelerated and advanced payments, testing and claims reporting for COVID-19, Medicare telehealth visits, expanded options for telehealth services, workforce flexibilities, and the CMS quality payment program (CMS, Apr. 7)
 
Tools and Resources
Prevention CHKC 
The Prevention Course in HAI Knowledge and Control (Prevention CHKC) is an online, interactive course designed to give frontline healthcare personnel what they need to help prevent healthcare-associated infections (HAIs). This course engages and commits personnel to critical elements of infection prevention and control in concise, half-hour long modules. The authors – foremost experts in epidemiology, infection prevention, and antibiotic stewardship – prioritized HAI prevention practices that are most necessary and relevant to frontline personnel.
 
Modules:
  • Clean Hands
  • Clean Environment
  • Occupational Health
  • Diagnostic & Antibiotic Stewardship
  • Precautions & PPE
  • CAUTI & CLABSI
  • Pneumonia
  • MRSA & MDROs
  • C. difficile
  • Surgical Site Infection
Given the urgent need to provide training in PPE donning and doffing, environmental cleaning, pneumonia prevention, and other topics during the COVID-19 pandemic we are offering the course free through May 31st with the use of the discount code – COVID19.
 
SHEA Rapid Response Podcast: COVID-19 Update: What We Know Now
ACCESS ON LEARNINGCE
Podcast episodes will launch every Thursday. Each week's episode will include a summary of important news items, medical literature and guidelines on infection prevention that have been published related to COVID-19, and a discussion around the latest and most important questions surrounding the outbreak.
  • Episode 1: Frequently Asked Questions – available now
  • Episode 2: Environment of Care and PPE – available now
  • Episode 3: Surge Planning & Testing – available now
  • Episode 4: Diganostic Testing – available now
  • Episode 5: PPE Conservation & Shortages – available now
  • Episode 6: Diagnostic Testing, Part 2 – available now
  • Episode 7: Involving Antimicrobial Stewardship Programs – available now
  • Episode 8: Getting Resourceful with No Resources – 4/16
SHEA Rapid Response Webinars
ACCESS ON LEARNINGCE
  • SHEA COVID-19 Town Hall
  • SHEA COVID-19 Town Hall, Round 2
    SHEA members are actively responding to COVID-19 and we want to provide a platform to share ideas and ask questions with SHEA colleagues during this pandemic. Several SHEA Board Members will serve as experts and discuss the frequently asked questions, based on what they are doing locally. Attendees can submit questions in advance as well as during the webinar. The goal is to enable as much sharing of ideas as possible as we are all in this together.
  • Healthcare Facility Outbreak Preparedness
    The webinar addresses what healthcare facilities/providers can do in both the inpatient and outpatient setting to decrease the risk of outbreaks, especially regarding novel respiratory viruses. The role of planning and simulation is discussed, as well as the need to train healthcare workers to utilize PPE correctly.
Information for Patients and Visitors
Event Announcements
SHEA COVID-19 Town Hall, Round 3
Join us LIVE on Saturday, April 11th from 3:00-4:30 p.m. EST
REGISTER HERE

SHEA members are actively responding to COVID-19 and we'd like to hear from you. Join us for round 3, to share ideas and ask questions in a discussion moderated by SHEA President, David K. Henderson, MD, FIDSA, FSHEA. This week, Dr. Kristina Bryant, PIDS President and SHEA member will join the panel to present the pediatric perspective. During the Town Hall, the panelists will answer questions based on what they are doing in their facilities. Attendees can submit questions in advance as well as during the Town Hall. The goal is to enable as much sharing of ideas as possible as we are all in this together.
Trade Press & Journal Articles
 
ICHE Coronavirus and COVID-19 Article Collection 
The editors of ICHE have created a page for on the ICHE web site for COVID-19 related articles, commentaries, and letters to the editor.  All COVID-19 manuscripts in their accepted form are freely available here: https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/accepted-manuscripts. Check back frequently for updates.
Note that ICHE has temporarily suspended print production of journal issues.
 
 
 
 
 
News Highlights
Social Media
@ICHEJournal: New ICHE Research Brief: Level of under-reporting including under-diagnosis before the first peak of #COVID19 in various countries: Preliminary Retrospective Results Based on Wavelets and Deterministic Modeling. https://twitter.com/ICHEJournal/status/1248292589893226496
 
@SIDPharm: We just launched a video update regarding #Remdesivir for #COVID19 on our YouTube channel! Please check out the video and join us in Thanking @MattDavis138 for sharing his insight!
https://twitter.com/SIDPharm/status/1248006546325245952
 
@Jama_current: How can I stay safe while grocery shopping? What precautions should I take when unpacking groceries? This Patient Page answers questions about food safety and #COVID19
https://twitter.com/JAMA_current/status/1248295861316182017
 
@ICT_magazine: Join us on Monday, April 13, at 7PM ET for a live CME webinar on "COVID-19: From the Frontlines" featuring @mfpullenmd, @SaskiaPopescu, @KellyCawcuttMD, and Mohini Lata Chand! Hosted with @Contagion_Live and @gotoPER! https://twitter.com/ICT_magazine/status/1248304543642812418
Federal Policy Updates
SHEA is actively working with stakeholder partners to advocate on behalf of the medical community during the COVID-19 pandemic. This includes:
  • A sign on letter led by the American Heart Association and the American Lung Association asking that the Trump Administration take immediate action to alleviate the critical shortage across the nation of ventilators and personal protective equipment (PPE) 
     
  • A letter from the Coalition for Health Funding, of which SHEA is a member, advocating for funding priorities for the fourth phase COVID-19 emergency response appropriations bill.
HHS Announces Upcoming Funding Action to Provide $186 Million for COVID-19 Response
The CDC will provide $186,000,000 in funding for additional resources to state and local jurisdictions in support of our nation's response to the 2019 novel coronavirus (COVID-19). The funds being disbursed will:
  • Supplement an existing cooperative agreement to a number of states and local jurisdictions identified as having the highest number of reported COVID-19 cases ("hot zones") and jurisdictions with accelerating or rapidly accelerating COVID-19 cases. This award will support a range of activities such as lab equipment, supplies, staffing, shipping, infection control, surge staffing, monitoring of individuals, and data management.
     
  • Supplement an existing cooperative agreement to state jurisdictions through the Emerging Infections Program (EIP) to enhance surveillance capabilities. Activities include investigating and assessing the burden and severity of COVID-19, evaluating and determining risk factors and outcomes, and planning and implementing prevention strategies.  These activities will build on existing programs developed for influenza and other respiratory pathogens. Funds will also be used to assess and evaluate exposed/infected healthcare personnel through clinical interviews to better identify risk factors and protective factors for COVID-19 infection.
HHS Office of Inspector General Report: Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23–27, 2020 (Apr. 7)
National snapshot of hospitals' challenges and needs in responding to the coronavirus 2019 (COVID-19) pandemic. Hospitals reported that their most significant challenges centered on testing and caring for patients with known or suspected COVID-19 and keeping staff safe. Hospitals also reported substantial challenges maintaining or expanding their facilities' capacity to treat patients with COVID-19. Hospitals described specific challenges, mitigation strategies, and needs for assistance related to personal protective equipment (PPE), testing, staffing, supplies and durable equipment; maintaining or expanding facility capacity; and financial concerns.
 
Key findings for hospital challenges:
  • Severe Shortages of Testing Supplies and Extended Waits for Results
  • Widespread Shortages of PPE
  • Difficulty Maintaining Adequate Staffing and Supporting Staff
  • Difficulty Maintaining and Expanding Hospital Capacity to Treat Patients
  • Shortages of Critical Supplies, Materials, and Logistic Support
  • Anticipated Shortages of Ventilators
  • Increased Costs and Decreased Revenue
  • Changing and Sometimes Inconsistent Guidance
Includes an overview of hospital strategies for dealing with challenges and a summary of the most common requests for assistance.
 
Federal Funding Tracking Sites
 
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