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COVID-19 Update | May 12, 2020
As SHEA members start to move their institutions to the next phase of incrementally resuming care for our communities (inpatient, surgical and ambulatory) we are starting to shift our Town Halls (which resume this Sunday) to generating some practical tips about questions to anticipate. If you have questions related to this shift in focus, please send them to learningce@shea-online.org.
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. We are comparing week-to-week, so please respond to each survey. We will summarize the findings after the pandemic decelerates. 
   
This week (May 10-16):
https://www.surveygizmo.com/s3/5591302/COVID-19-by-the-Week-May-10-16
 
Results, week of May 3:
  • Lowest availability at facilities (1=crisis-level; 5=sustainable): PPE, not including respirators (3.39); personal resiliency (3.68); medications, testing or test components (both 3.7)
  • Highest availability at facilities (5=sustainable; 1=crisis-level): ventilators (4.25), beds (4.21), frontline workforce (4.14)
  • Most common "top 3 concerns": test or test component supply (27.6%), PPE supply (31.03%), new/diverging  guidance (48.28%)
  • Most common facility types: community-based (44.8%), academic medical center (41.4%), acute care hospital (34.5%)
  • 24 responses from CA (4), FL, GA, IN (2), MA, MD, MT, NC, NE, NH, NY (3), OH (2), PA (5), TX, VA, Canada (1), India (1)
Federal Agency News, Guidance, and Guidelines
Infection Prevention and Control
PPE
Clinical Care and Treatment
 
Special Settings and Populations
 
 
Testing and Cases
 
 
Incident Management
 
Communication Resources
 
 
Payment and Reimbursement Policy
Tools and Resources
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: 
  • COVID-19 Frequently Asked Questions 
  • Environment of Care & 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
  • Tracing Contacts
  • Answers to Town Hall Questions
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
  • SHEA COVID-19 Town Hall, Round 6 - May 3
  • SHEA COVID-19 Town Hall, Round 7 - May 17 | 3:00 pm
Webinar: Establishing Medical Operations Coordinating Cells (MOCCs) (ASPR TRACIE)
This webinar featured jurisdictions that have used the MOCC concept in previous emergencies and currently with COVID-19.
 
Information for Patients, Visitors and the General Public
Event Announcements
Hearing: Safely Getting Back to Work and School
Senate Health, Education, Labor, and Pensions (HELP) Committee
Panelists: Dr. Anthony Fauci, Dr. Robert Redfield, Dr. Brett Giroir, and Dr. Stephen Hahn
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. Check back frequently for updates.
 
News Highlights
Social Media
From the MySHEA Open Forum Discussion (Log In Required)
 
Hospital acquired COVID-19
“Is there any hard data showing that [acquiring COVID-19 in hospitals and offices] is a credible risk? If not shouldn't this message be discussed in the public domain?” ~John Hostetler, MD, Harbin Clinic
 
Criteria for discontinuation of transmission-Based Precautions  
“What strategy are others using for hospitalized patients: symptom-based or test-based and with what timeframe? Are you making a distinction between ICU admission vs acute care admission?  Can you share your supporting evidence for your decisions?” ~Michelle Matheu, MD, Medical Director, Infection Control for Intermountain Medical Center
Federal Policy Updates
Emergency Supplemental #4: Next Steps (Thorn Run Partners, May 7)
House Democratic leadership is formulating a strategy to bring another COVID-19 legislative package to the floor. Democrats have reportedly been working off of Speaker Pelosi's counteroffer to Senate Majority Leader Mitch McConnell's (R-KY) original CARES Act as a starting point for developing their forthcoming bill, prioritizing funding for state and local governments, election assistance, workforce protections, and reforms to the Paycheck Protection Program (PPP), among other things. While Democrats are pressing for a finalized bill— followed by a vote that would likely occur at some point this week — Leader McConnell offered lukewarm support for another round of COVID-19 legislation, saying Congress should "take a pause" to evaluate the implementation of the previous relief efforts before moving onto another stimulus package. Some of the major priorities that have been discussed as part of this package include: 
  • liabilities of health care workers
  • business owners, and employees 
  • financial assistance to state and local governments
  • payroll tax relief; surface transportation and broadband infrastructure
  • a ban on company mergers during the outbreak 
  • surprise billing
 Stay tuned for updates.
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