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COVID-19 Update | April 21, 2020
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.
 
Please complete the questions for this week. (Apr. 19 – Apr.25): https://www.surveygizmo.com/s3/5554522/COVID-19-by-the-Week-Apr-19-25
Federal Agency News, Guidance, and Guidelines
Infection Prevention and Control
 
Clinical Care and Treatment

Special Settings and Populations
 
 
Testing and Cases
 
 
Incident Management
 
 
 
Research
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. 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, and a discussion around the latest and most important questions surrounding the pandemic.
 
Episodes Available Now
  • Frequently Asked Questions
  • Environment of Care and PPE
  • Surge Planning & Testing
  • Diagnostic Testing, Part 1
  • PPE: Conservation & Shortages
  • Diagnostic Testing, Part 2
  • Involving Antimicrobial Stewardship Programs
  • Advocacy around COVID-19
  • PPE: Getting Resourceful with No Resources
Taking Care of Yourself – Coming 4/23
 
SHEA Rapid Response Webinars
ACCESS ON LEARNINGCE
  • Healthcare Facility Outbreak Preparedness
  • SHEA COVID-19 Town Hall - March 29
  • SHEA COVID-19 Town Hall, Round 2 - April 5
  • SHEA COVID-19 Town Hall, Round 3 - April 11
  • SHEA COVID-19 Town Hall, Round 4 - April 19
  • SHEA COVID-19 Town Hall, Round 5 - April 26 | 3:00 p.m.
    Live Q&A with SHEA Leaders on questions Healthcare Epi is facing during this pandemic.
AACC COVID-19 Testing Directory
To facilitate rapid identification of COVID-19 cases, AACC has developed this directory of clinical laboratories in the U.S. states and territories that are, or will be, performing SARS-CoV-2 testing.
Research and Resources Development Funding Opportunities
Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health (CDC-RFA-OT18-18020301SUPP20, CDC) 
This funding opportunity is only available to organizations that received funding under Funding Strategy 1 of CDC-RFA-OT18-1802: "Strengthening Public Health Systems and Services through National Partnerships to Improve and Protect the Nation's Health" in August 2018.
Application deadline: May 14
 
Announcement to Support Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (PA-20-071, AHRQ)
AHRQ will fund critical research focused on evaluating topics such as innovations and challenges encountered in the rapid expansion of telemedicine in response to COVID-19, effects on quality, safety, and value of health system response to COVID-19, and the role of primary care practices and professionals during the COVID-19 epidemic.
Estimated Award Date: Sep. 30
Information for Patients and Visitors
Event Announcements
SHEA/SIDP Twitter Chat: Antimicrobial Stewardship in the Era of COVID-19
Thurs. Apri. 23, 8:00-9:00 p.m. EDT 
Follow #COVIDasp on Twitter to join the conversation!
 
SHEA COVID-19 Town Hall, Round 5
Sun., Apr. 26, 3:00-4:00 p.m. EST
Join us for round 5 of the SHEA COVID-19 Town Hall, to share ideas and ask questions in a discussion moderated by SHEA President, David K. Henderson, MD, FIDSA, FSHEA.
 
FDA Virtual Town Hall Series - Immediately in Effect Guidance on Coronavirus (COVID-19) Diagnostic Tests
Wed., Apr. 22, 12:15 PM - 1:15 PM EST
LOG IN INFORMATION
For clinical laboratories and commercial manufacturers that are developing or have developed diagnostic tests for SARS-CoV-2. The purpose of this Town Hall is to help answer technical questions about the development and validation of tests for SARS-CoV-2.
 
Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19: A Webinar
(The National Academies of Sciences, Engineering, & Medicine)
Wed., Apr. 22, 1:00 PM – 2:00 PM EST
REGISTER
A one-hour webinar to highlight the innovative approaches to address the complex COVID-19 challenges that are currently being implemented in the state of Maryland.
Terry Fulmer, PhD, RN, FAAN, Michele F. Bellantoni, MD, CMD, Alice Bonner, PhD, RN, FAAN, Morgan Katz, MD, MHS
 
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. Check back frequently for updates.
News Highlights
 
Social Media
Coronavirus: Inside America's two-decade failure to prepare
(Politico Pulse Check Podcast, Apr. 16, 18 min 10 sec)

@iArnavAgarwal Yesterday, I donned up and entered a patient's room. He was COVID+, and he was decompensating rapidly. His breathing was shallow on 100% NRB, and he was minimally rousable. This was expected - but it was still shocking. I switched on the iPad and started the video call. [THREAD] https://twitter.com/iArnavAgarwal/status/1251568130268303369
 
@SIDPharm Mark your calendars! We are teaming up with @SHEA_Epi to host a **Twitter Chat** next Thursday, April 23rd from 8-9pm EST on the topic of Antimicrobial Stewardship in the Era of #COVID19! #COVIDasp https://twitter.com/SIDPharm/status/1251248976470261765
Federal Policy Updates
ANALYSIS: Provider Funding via the CARES Act (Thorn Run Partners, Apr. 16)
According to a report published by Thorn Run Partners, CMS Administrator Seema Verma stated on a call with reporters on Wednesday, April 15 that a second tranche of emergency relief grants to health care providers will start going out. Approximately $70 billion of the currently available $100 billion remains in a fund. Verma stated that a portion of the money will be targeted at providers in areas that have been hit hardest by COVID-19 and aim to help providers that might not have benefited from the first round of funding.
  • This first tranche is drawn from the CARES Act's $100 billion Public Health and Social Services Emergency Relief Fund (PHSSEF). The first $26 billion of funding for hospitals and providers was released via electronic transfer, and the remaining $4 billion will be disbursed by paper check for providers for whom that is how they normally receive payment.
    • Providers receiving funds must agree to a set of terms and conditions, including reporting and documentation requirements, charging only in-network rates for COVID-19 care, and certifying that the funds will only be used to prevent, prepare for, and respond to coronavirus. Those that do not agree must contact HHS within 30 days to remit the payment.
    • The Department of Health and Human Services (HHS) is expected to release a list of frequently asked questions to clarify that the intention for this funding is to support providers that have lost revenue. Providers who ceased operation as a result of the pandemic will likely still be eligible to receive funds if they provided diagnoses, testing, or care for individuals with possible or actual cases of COVID-19.
    • The Administration had also previously announced that an additional chunk in the neighborhood of $30 billion will be set aside from the $100 billion to fund COVID-19 care for the uninsured. Kaiser Family Foundation estimated that care for the uninsured, reimbursed at Medicare rates, would run between $13.9 and $41.8 billion.
  • $34 billion has already starting flowing to providers via the Accelerated/Advance Payment Program. These payments are separate from the PHSSEF funding and must be returned and carry a 10.25 percent interest rate, which CMS says it cannot change unilaterally.
Guidelines for Opening Up America Again (The White House, Apr. 17)
 
COVID-19 Response: A Roadmap to Reopening by Ensuring a Speedy and Ubiquitous Lab Testing System (RESULTS) (Senate Democrats, Apr. 15)
Senate Democratic leadership rolled out a proposal on April 15 to ramp up nationwide coronavirus testing. The plan would provide $30 billion in emergency funding to increase testing and build out a structure for administering tests across the country.
 
 
 
IDSA Advocacy: Urge Your Governor to Ensure Active Physical Distancing 
IDSA is asking advocates to email and tweet your governor and urge them to keep physical distancing measures in place to prevent health care systems from being overwhelmed, which would lead to additional deaths.
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