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COVID-19 Update: Friday, January 8

The following is the latest COVID-19 information from the state government as 2:00 p.m. on Friday, January 8.

Department of Health

Department of Health – by the numbers

  • Pennsylvania’s daily new case count generally remains at the high level it has been since mid-December but today was the state’s worst day since December 12.  Yesterday the state’s total number of COVID-19 cases since the pandemic began surpassed 700,000.
  • Yesterday the state’s overall death toll since the pandemic began passed 17,000.
  • The numbers of Pennsylvanians hospitalized with COVID-19, in hospital ICUs, and on ventilators remain very high but are at their lowest levels since early December.
  • More than 20,000 health care workers in the state have contracted COVID-19.
  • More than 66,000 long-term-care facility residents and employees have contracted COVID-19 in 1491 facilities in all 67 Pennsylvania counties.
  • Currently, 13 percent of adult ICU beds in the state are unoccupied, as are 13 percent of medical/surgical beds, 16 percent of pediatric ICU beds, 23 percent of pediatric beds, and 30 percent of airborne isolation units.  The proportion of unoccupied medical/surgical beds, pediatric ICU beds, and pediatric beds has declined considerably over the past three days.
  • In its “Reduction of Elective Procedures” dashboard that tracks the criteria the state is using to determine whether to order hospitals to reduce or eliminate elective procedures to ensure their ability to handle possible influxes of COVID-19 patients, the state has flagged a growing staffing shortage in hospitals in the state’s Keystone health care coalition region (Adams, Bedford, Blair, Centre, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Mifflin, Perry, Snyder, and York counties).  In that region, 41 percent of the region’s hospitals anticipate a staffing shortage in the coming week – more than the 33 percent level that the state identifies as a potential problem.  The overall situation in the Keystone region, however, has not reached a point where the state would direct hospitals in this region to reduce or eliminate their elective surgeries.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

2021-01-11T06:00:05+00:00January 11th, 2021|Coronavirus, COVID-19|Comments Off on COVID-19 Update: Friday, January 8

COVID-19 Update: Tuesday, January 5, 2021

The following is the latest COVID-19 information from the state government as 2:00 p.m. on Tuesday, January 5.

Secretary Levine’s News Briefing

Department of Health Secretary Rachel Levine briefed the press yesterday about the state of Pennsylvania’s response to the COVID-19 crisis and took questions from reporters.  Among the highlights of her briefing are the following points:

  • Secretary Levine discussed the new state policy that hospitals that receive shipments of vaccine doses must set aside 10 percent of their supply to vaccinate non-hospital health care workers, such as EMS personnel.  This policy takes effect on Wednesday, January 6.  Every hospital that has receive doses must designate a contact whom non-hospital health care workers can contact to schedule their vaccinations.
  • Within their own organizations, hospitals should give priority to vaccinating frontline health care workers, beginning with those who come into contact with patients who have been diagnosed with or are suspected of having COVID-19.
  • Pennsylvania expects 166,000 doses of Pfizer vaccine this week.  99,000 will be for second doses to health care workers who already received the first dose; 32,000 will be for first doses for additional health care workers; and 39,000 will be for vaccinations at skilled nursing facilities.
  • The state also will receive 80,000 doses of the Moderna vaccine this week.
  • The number of vaccine doses the state receives from the federal government will fluctuate from week to week so the delivery schedule will fluctuate as well.
  • CVS and Walgreens have started to visit long-term-care facilities to administer vaccines.  The state is waiting for a report from the companies on which facilities they visited and how many vaccines they gave.
  • The slow roll-out of the vaccines nation-wide, Secretary Levine says, is the product of overly optimistic projections for the holiday season.
  • It will take months for all Pennsylvanians to be vaccinated.
  • Providers and the state will need to hire additional health care professionals to administer vaccines.  The additional funding provided by Congress at the end of last year should help with this.
  • When the time comes, the state will have ways for people to sign up for appointments to receive their vaccines.  It does not want people waiting in long lines to get their shots.
  • While the state has received reports of health care workers and long-term-care personnel declining to get vaccinated, it has no numbers on how prevalent this has been.

Department of Health

Department of Health – by the numbers

  • Pennsylvania continues to experience between 7000 and 9000 new COVID-19 cases a day, as it generally has since mid-December.  The overall total of cases in the state now approaches 675,000 since the pandemic began.
  • Daily death toll figures generally have ranged between 200 and 300 a day since mid-December but have declined in recent days.  The total death count rose past 16,500 today.
  • The number of Pennsylvanians hospitalized with COVID-19 has been fairly constant since Christmas, as has the number of COVID-19 patients in hospital ICUs.  The number of COVID-19 patients on ventilators has declined modestly from its pre-Christmas high.
  • More than 19,700 health care workers in the state have contracted COVID-19.
  • Nearly 65,000 long-term-care facility residents and employees have contracted COVID-19 in 1479 facilities in all 67 Pennsylvania counties.
  • Currently, 13 percent of adult ICU beds in the state are unoccupied, as are 14 percent of medical/surgical beds, 21 percent of pediatric ICU beds, 34 percent of pediatric beds, and 30 percent of airborne isolation units.
  • The weekly Pennsylvania COVID-19 Early Warning Monitoring Dashboard, issued by the Department of Health and Governor Wolf, shows that the state’s positivity rate for COVID-19 tests fell from 15.1 percent two weeks ago to 15 percent last week.  This is the third consecutive week the rate has declined.
  • Despite this, all 67 Pennsylvania counties remain, according to Pennsylvania’s criteria, in “substantial transmission status.”
  • Every county in the state has a positivity rate greater than five percent, which is generally considered a “concern,” and 21 of the state’s 67 counties have positivity rates of more than 20 percent.
  • The state also reports that it has experienced a “…significant decrease” in people willing to cooperate with contract tracing investigations.
  • The Department of Health’s “COVID-19 Data for Pennsylvania” web page has several features of potential interest to health care providers and stakeholders.
    • Its “Reduction of Elective Procedures” dashboard tracks the criteria the state is using – staffing, surge percentage, and bed availability – to determine whether it will order hospitals to reduce or eliminate elective procedures to ensure their ability to handle possible influxes of COVID-19 patients.  Organized according to the state’s seven health coalition regions, the latest dashboard shows only one potential problem area:  staffing shortages among southwestern Pennsylvania hospitals.  Despite this, the dashboard shows no need for hospitals in any part of the state to curtail or suspend elective procedures at this time.
    • Another feature on the COVID-19 Data for Pennsylvania page is a “Vaccine Dashboard” that shows the number of vaccines administered in the state on a county-by-county basis.  As of January 4, more than 135,000 vaccines have been administered.  These vaccines are all categorized as “partial” because complete vaccination requires two doses and not the one dose that has been administered so far.

Department of Human Services

Department of Revenue

Pennsylvania collected $3.7 billion in General Fund revenue in December, which was $465.8 million, or 14.5 percent, more than anticipated, Revenue Secretary Dan Hassell reported on Monday. Fiscal year-to-date General Fund collections total $18.5 billion, which is $467.1 million, or 2.6 percent, above estimate.

Around the State

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

 

 

2021-01-06T06:00:47+00:00January 6th, 2021|Coronavirus, COVID-19|Comments Off on COVID-19 Update: Tuesday, January 5, 2021

COVID-19 Update: Thursday, December 24

The following is the latest COVID-19 information from the state government as of 1:00 p.m. on Thursday, December 24.

Department of Health

Department of Health – by the numbers

  • After a three-day lull, Pennsylvania’s daily count of new COVID-19 cases has risen past 9000 for the past few days.
  • Death counts remain as high as they have been at any time during the pandemic:  more than 200 deaths a day in eight of past ten days.
  • More than 18,300 health care workers in the state have contracted COVID-19.
  • Currently, 12 percent of adult ICU beds in the state are unoccupied, as are 17 percent of medical/surgical beds, 20 percent of pediatric ICU beds, 41 percent of pediatric beds, and 32 percent of airborne isolation units.

Department of Human Services

DHS has issued a Medical Assistance Bulletin informing providers that it has added Current Procedural Terminology codes to the Medical Assistance program fee schedule for the administration of COVID-19 vaccines.  The new codes take effect retroactive to December 1, 2020.

Department of State

The Department of State has suspended certain limits on the nursing practice limits of student nurses to permit those who have expertise in the technical details of administering vaccines to serve as technicians, separate and apart from their clinical placements but without being licensed, to administer influenza and COVID-19 vaccines, with supervision by a licensed health care practitioner.  This waiver extends for the duration of the COVID-19 emergency plus an additional 90 days after the emergency ends.

The Department of State has extended an existing waiver that permits licensed professionals whose endeavors are overseen by 22 of the 29 licensing boards and commissions overseen by department’s Bureau of Professional and Occupational Affairs to continue renewing their licenses after January 1, 2021 using continuing education programs through either traditional, in-person courses or distance learning.  As a result, licensees may satisfy up to 100 percent of their continuing education requirements for their next renewal with hours obtained entirely through online courses from providers of distance education that meet the applicable board’s continuing education requirements.

Around the State

  • Areas of Pennsylvania that were largely spared from this spring’s COVID-19 outbreak are now feeling the pandemic’s effects, the Philadelphia Inquirer reports.  The story highlights the situation in Blair, Mifflin, and Westmoreland counties.
  • Several counties are seeing a leveling off in the number of new COVID-19 but continued increases in COVID-related deaths, according to reports in the Bucks County Courier Times, the Johnstown Tribune-Democrat, and the Harrisburg Patriot-News.
  • The Harrisburg area was the scene of the highest number of citations for violations of the state’s latest COVID-19 restrictions last weekend, the Carlisle Sentinel reports.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

 

2020-12-28T06:00:22+00:00December 28th, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: Thursday, December 24

COVID-19 Update: Tuesday, December 22

The following is the latest COVID-19 information from the state government as 2:00 p.m. on Tuesday, December 22.

Governor Wolf

Last week the Governor’s Budget Office released a mid-year budget report.  The report noted that the state ended the 2019-2020 fiscal year with a $2.7 billion deficit largely due to the COVID-19 pandemic.  For the second half of the fiscal year the administration projects that economic growth will rebound slightly due to low interest rates, short-term fiscal policies, and a declining unemployment rate. The mid-year budget report also highlighted areas of concern moving forward, including the uncertainty of the impact of COVID-19 on state revenue, the replacement of one-time funding sources, and the unknown potential of additional federal stimulus funding.  The administration will deliver its fiscal year 2021-2022 budget proposal on February 2nd.

Department of Health

Department of Health – by the numbers

  • Pennsylvania’s number of new daily COVID-19 cases remains exceptionally high but has declined during the past three days.
  • The state’s total number of COVID-19 cases today surpassed 560,000.  Thirty-seven percent of those cases have been diagnosed this month alone.
  • The number of new daily COVID-19 deaths remains exceptionally high and is not declining.  Today the state surpassed 14,000 deaths since the beginning of the pandemic and more than 25 percent of those deaths have been this month.
  • Nearly 6200 Pennsylvanians are currently hospitalized with COVID-19.  That is more than twice the number of people hospitalized during the peak of the crisis in the spring.
  • The state’s positivity rate on COVID-19 tests fell from 16.2 percent two weeks ago to 15.8 percent last week.
  • More than 57,000 residents and employees of long-term-care facilities have contracted COVID-19.  That encompasses 1433 facilities in all 67 counties.
  • Nearly 18,000 health care workers have now contracted the virus.
  • According to the state’s COVID-19 early warning monitoring dashboard, every county in the state except Sullivan County now has a positivity rate greater than five percent.  In the past, Department of Health Secretary Levine has referred to anything greater than five percent as “concerning.”
  • All 67 Pennsylvania counties are now, according to the Department of Health, in “substantial levels of community transmission.”
  • Among young people from the ages of five through 18, there have been more than 44,000 cases of COVID-19 since the start of the pandemic.  Twenty-seven percent of those cases have occurred in the past two weeks.

Department of Human Services

DHS’s Office of Developmental Programs has released temporary closure guidance to Older Adult Daily Living Centers, Structured Day Programs, LIFE Day Centers, Adult Training Facilities and Vocational Facilities related to the community spread of COVID-19 or when an individual or staff member is diagnosed with COVID-19 and spent 15 minutes or more in the facility within a 24-hour period starting from two days before illness onset (or, for asymptomatic patients, two days prior to test specimen collection) until the time the person is isolated.  This announcement also describes the process for re-opening facilities using DHS’s Community Participation Support and Older Adult Facility Reopening Tool.  Find the announcement here.

DHS’s Office of Developmental Programs policy states that staff members can administer medications to individuals if the staff person successfully completes an ODP-approved medication administration course.  Due to the COVID-19 pandemic, ODP permitted staff who are required to take the Standard Medication Administration Training Course to take the Modified Medication Training Course until December 31, 2020.  Because the pandemic continues, staff may still take the modified course in place of the standard course until June 30, 2021.  Go here to see the policy statement and learn more about certain conditions under which it applies.

Department of State

  • The Department of State has authorized chiropractors, dentists, optometrists, pharmacists, and podiatrists to order and administer COVID-19 tests if they have been issued a clinical lab permit from the Pennsylvania Department of Health to conduct diagnostic lab testing.  See the department’s announcement of this policy, which will remain in effect for the duration of the governor’s emergency declaration and an additional 90 days.
  • The Department of State has extended its March 2020 waiver temporarily suspending the requirement that pharmacists with active Authorizations to Administer Injectables maintain active certifications in cardiopulmonary resuscitation.  Pursuant to that waiver, if a pharmacist held a valid CPR certificate on March 17, 2020, the State Board of Pharmacy has treated that certification as valid through December 31, 2020.  As long as a pharmacist held a CPR certificate that was valid on March 17, 2020, such certification will be accepted by the board as valid through March 31, 2021.  Pharmacists who fall within this group may take an online CPR training class in lieu of in-person training to enable them to renew their CPR certification prior to the new, extended deadline of March 31, 2021.  This does not affect the current biennial renewals for pharmacists and for authorizations to administer injectables.  Those renewals are still due by December 29, 2020.
  • The Department of State has issued a 90-day extension of the December 31, 2020 renewal deadline for licensees under the State Board of Medicine.  These licenses will remain active until March 31, 2021.  In addition, emergency temporary licenses granted to licensed practitioners in other states and jurisdictions have been extended from their current expiration date of December 31, 2020 to June 30, 2021.  If an individual already holds an emergency temporary license but is unable to meet all requirements for full licensure by December 31, 2020, that individual may continue to practice in Pennsylvania after December 31, 2020 until the next expiration date of June 30, 2021.

Around the State

  • The Harrisburg Patriot-News has published an interactive map with a county-by-county breakdown of COVID-19 cases in Pennsylvania since the start of the pandemic.
  • The Johnstown Tribune-Democrat, citing data collected by the New York Times, reported that Pennsylvania’s Cambria County “…led the nation in new cases per capita over the past two weeks – among counties with populations of 100,000 or more people.”
  • COVID-19 is posing increasing staffing challenges for nursing homes in southwestern Pennsylvania according to a Pittsburgh Tribune-Review report that tells of one nursing home company where the situation “…is so dire that roughly a dozen corporate office workers have been trained as temporary nurse aides.  Employees who were formerly nurses have jumped in to help, picking up overnight and back-to-back shifts when spates of employees got sick or quarantined at home,” adding that “…at least 372 of the chain’s roughly 1,500 staffers – or nearly 1 in 4 – have contracted covid-19.”  The article also tells of facilities’ extensive use of staffing agencies to fill positions.
  • Westmoreland County Commissioner Gina Cerilli has tested positive for COVID-19, according to the Latrobe Bulletin.  This means all three of the county’s commissioners have contracted the virus; two remain under quarantine.
  • The Philadelphia Business Journal reported on the city of Philadelphia’s plans for distributing and administering COVID-19 vaccines.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

 

2020-12-23T06:00:57+00:00December 23rd, 2020|COVID-19, DSH hospitals|Comments Off on COVID-19 Update: Tuesday, December 22

SNAP Asks Congress to Help Hospitals Keep Provider Relief Fund Grants

Pennsylvania’s safety-net hospitals could lose some or all of their CARES Act Provider Relief Fund grant money and the Safety-Net Association of Pennsylvania is asking members of the state’s congressional delegation to intervene on their behalf to prevent it.

Safety-Net Association of Pennsylvania logoAt issue are financial reporting requirements that at first directed hospitals to estimate their anticipated revenue losses and extra expenses associated with the COVID-19 pandemic in one way and then shifted to a new approach.  The first grant distribution was based on the original reporting requirements, and now, hospitals fear that the change in reporting requirements could leave them vulnerable to a demand that they return some, much, or all of that grant money.

The Department of Health and Human Services announced one set of reporting requirement in June and then proposed modifying them in September.  In response to widespread expressions of concern, including from SNAP, HHS revised those proposed changes – but not enough, according to many stakeholders, leaving them concerned that HHS would ask them to return some of their grant money.  Now, SNAP is asking the same members of the Pennsylvania congressional delegation who asked HHS to reconsider the reporting requirements to do so again.

See SNAP’s letter to the delegation asking its members to sign onto a bipartisan letter asking HHS to revise its reporting requirements once again.  Go here to see the letter members of Congress are being asked to sign.

 

2020-12-14T10:20:08+00:00December 14th, 2020|Coronavirus, COVID-19|Comments Off on SNAP Asks Congress to Help Hospitals Keep Provider Relief Fund Grants

COVID-19 Update: Thursday, December 10

The following is the latest COVID-19 information from the state and federal governments as 5:00 p.m. on Thursday, December 10.

Pennsylvania Update

Governor Wolf

In a news conference held Thursday afternoon from his home in York, where he is under quarantine because he was diagnosed with COVID-19, Governor Wolf announced new state mitigation efforts to attempt to stem the current surge of cases in the state.  Joining Governor Wolf for the news conference was Department of Health Secretary Rachel Levine, who also is under quarantine because she recently was exposed to people who have tested positive for the disease.  (Members of the governor’s staff and security team have tested positive for COVID-19.)

The new mitigation steps take effect at 12:01 a.m. on Saturday morning, December 12, expire on January 4 at 8:00 a.m., and include:

  • All in-person indoor dining at restaurants, bars, and other such establishments is prohibited.  Outdoor dining is permitted, as is take-out service.
  • Indoor gatherings and events of more than 10 persons are prohibited.  Places of worship are excluded from this limit but urged to find alternative methods of worship.
  • Outdoor gatherings of more than 50 people are prohibited.
  • All in-person businesses, such as retail, may operate at only 50 percent of capacity.
  • Indoor operations at gyms and fitness facilities are prohibited.  Outdoor facilities and classes are permitted but participants must wear masks.
  • All in-person businesses in the entertainment industry serving the public within a building or indoor defined area, including but not limited to theaters, concert venues, museums, movie theaters, arcades, casinos, bowling alleys, private clubs, and other such venues, are prohibited from operating.
  • Voluntary activities sponsored by or approved by school systems are suspended but may be held virtually.
  • All sports at K-12 public schools, non-public schools, private schools, and club, travel, and recreational, intermural, and intramural sports are “paused.”
  • Professional and collegiate sports activities may continue, subject to current CDC and Department of Health guidelines, but spectators are prohibited.

The governor said his administration has engaged state and local law enforcement and other state agencies to help enforce these new requirements.  These steps are necessary, he said, because “This virus continues to rage in Pennsylvania.”  He also noted that his latest COVID-19 test was negative.

To learn more, go here to see the governor’s news release about the new mitigation efforts; go here to see the governor’s limited-time mitigation order; and go here to see Department of Health Secretary Levine’s limited-time mitigation order.

Department of Health – by the numbers

  • Pennsylvania’s number of new COVID-19 cases was in five figures yesterday for the sixth time in the past eight days.
  • The state’s number of COVID-19 cases to date now exceeds 450,000.
  • Pennsylvania’s overall COVID-19 death toll surpassed 12,000 on Thursday after one of the highest single-day totals the state has suffered since the pandemic began.

Around the State

  • Pennsylvania State MapThe Pittsburgh Tribune-Review reports that “Allegheny County on Wednesday reported 34 new coronavirus deaths, a record for a single day, and 727 additional coronavirus cases.”
  • “Uniontown Hospital has run out of intensive care unit or medical/surgical beds available as it deals with a flood of Covid-19 cases that has hit Fayette County over the last week and forced a significant number of staff to quarantine or isolate due to the virus,” reports the Pittsburgh Business Times.   The report continues that “The 145-bed hospital has about 50 Covid-19 patients, up from 25 or so a week ago and the previous peak, earlier in the pandemic, of about a dozen.  The ICU unit has been completely converted to COVID-19 care and a secondary ICU unit has been set up within the hospital, and there are COVID-19 patients on multiple floors and in multiple areas.  Patients are being held in the emergency department sometimes until a bed opens up.”
  • With a 43 percent test positivity rate last week, Lycoming County officials, reports the web site northcentralpa.com, are

…putting tighter restrictions on accessibility to public buildings and services.  To enter any county facility, a person must be masked.  “We are not making exceptions,” said Lycoming County Sheriff Mark Lusk. “We’re going to ask you to go back to your vehicle.  We’ll give you a sheet to make the calls that you need to make to make an arrangement with the particular office in the courthouse, to discuss how you want to transact your business.”

Visitors to the courthouse will have to make appointments before arriving.  No extra family members will be permitted into courtroom proceedings.  Essentially the courthouse will be operating on a “call before you come” basis.

  • On Wednesday the New York Times published an interactive map that presented the degree to which hospital intensive care units across the country are occupied largely because of COVID-19 patients (based on a data set made available by the federal government on Monday).  Among the Pennsylvania areas showing especially high occupation rates were:
    • Easton – 104 percent (all ICU beds occupied plus one patient)
    • Allentown – 90 percent of 135 ICU beds occupied
    • Norristown – 95 percent of 27 ICU beds occupied
    • Erie – 94 percent of 111 ICU beds occupied
    • Philadelphia – 84 percent of 1113 ICU beds occupied
    • Pittsburgh – 87 precent of 698 ICU beds occupied
    • Harrisburg – 85 percent of 67 ICU beds occupied
    • Reading – 90 percent of 60 ICU beds occupied
    • Lancaster – 87 percent of 72 ICU beds occupied

Federal Update

Centers for Medicare & Medicaid Services

See the announcement (ZIP) for more information about assignment of these new diagnosis and procedure codes under the ICD-10 Medicare Severity Diagnosis Related Group (MS-DRG).

CMS COVID-19 Stakeholder Calls 

CMS hosts recurring stakeholder engagement sessions to share information about the agency’s response to COVID-19.  These sessions are open to members of the health care community and are intended to provide updates, share best practices among peers, and offer participants an opportunity to ask questions of CMS and other subject matter experts.

COVID-19 Office Hours Call

Tuesday, December 22 at 5:00 (eastern)

Toll Free Dial In:  833-614-0820; Access Passcode:  3968359

Audio Webcast link:  go here.

Conference lines are limited so CMS encourages interested parties to join via audio webcast.

To listen to the audio files and read the transcripts for past stakeholder calls, go here.

Department of Health and Human Services

Food and Drug Administration

Centers for Disease Control and Prevention

Congressional Research Service

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

 

2020-12-11T06:00:23+00:00December 11th, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: Thursday, December 10

COVID-19 Update: Wednesday, December 9

The following is the latest COVID-19 information from the state government as 3:00 p.m. on Wednesday, December 9.

Governor Wolf

Governor Wolf has tested positive for COVID-19.  It was diagnosed in a routine test and he is quarantining at home.  See a news release from the governor’s office with further information.

 Department of Health

The Department of Health has issued guidance to hospitals on how to identify and report COVID-19 outbreaks originating within the facility.  The department wants this guidance to be used to supplement other relevant guidance documents and to guide the implementation of public health expectations for hospitals.

Key messages included in the guidance:

  • COVID-19 surveillance procedures must be outlined via written policy and implemented in a way that can systematically identify clusters.
  • Outbreak Definition:
    • ≥2 cases of confirmed COVID-19 in a patient seven or more days after admission for a non-COVID condition, with epi-linkage; or
    • ≥3 cases of confirmed COVID-19 in HCP with epi-linkage AND no other more likely sources of exposure for at least two of the cases.
  • Outbreaks fitting the definition outlined in this advisory must be reported through the Pennsylvania Patient Safety Reporting System (PA-PSRS) as an infrastructure failure.  This does not replace reporting of COVID-19 cases or capacity data in other state or federal systems.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

 

2020-12-10T06:00:42+00:00December 10th, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: Wednesday, December 9

COVID-19 Update: Tuesday, December 8

The following is the latest COVID-19 information from the state and federal governments as 2:30 p.m. on Tuesday, December 8.

Pennsylvania Update

Governor Wolf

At a press briefing on Monday, Governor Wolf expressed concern about the alarming rate at which new COVID-19 cases are being diagnosed in Pennsylvania, asked Pennsylvanians to wear masks, engage in recommended social distancing, and avoid mass gatherings, and warned that while he was not calling for any new mitigation requirements at this time, he and other state officials are reviewing their options and may recommend new measures later this week.

Department of Health

The Department of Health announced that beginning on Thursday, December 10, regional drive-through and indoor walk-in COVID-19 testing clinics will be held in Clinton, Delaware, Greene, Warren, and Wyoming counties.  Counties with new, temporary state-sponsored testing sites will change each week over the next 11 weeks so that 61 counties will eventually be reached by these pop-up testing sites.  Go here to learn more, including the testing schedule and site addresses.

Department of Health – by the numbers

  • Pennsylvania’s number of COVID-19 cases today surpassed 345,000.
  • In three of the past six days Pennsylvania has set a new single-day high for the number of new cases.
  • More than 11,500 Pennsylvanians have now died from COVID-19.
  • More than 40,000 residents of long-term-care facilities and more than 7000 people who work in those facilities have contracted COVID-19.  Those figures encompass 1349 facilities in 66 of Pennsylvania’s 67 counties.
  • More than 18,000 health care workers in the state have contracted COVID-19.
  • The number of people currently hospitalized with COVID-19 has doubled in the past two weeks.
  • The number of COVID-19 patients currently breathing with the help of a ventilator has risen 50 percent in the past two weeks.
  • More than 1000 Pennsylvanians are currently in hospital intensive care units being treated for COVID-19; that is a 40 percent increase in the past two weeks.
  • 14 percent of hospital adult ICU beds are currently unoccupied, as are 14 percent of medical/surgical beds, 37 percent of pediatric beds, 16 percent of pediatric ICU beds, and 34 percent of airborne isolation unit beds.
  • The state-wide positivity rate on COVID-19 tests rose from 11.7 percent two weeks ago to 14.4 percent last week, according to the early warning dashboard released weekly by the governor and Department of Health.
  • A positivity rate greater than five percent is considered “concerning,” Department of Health Secretary Levine has explained in the past.

Around the State

  • The web site northcentralpa.com reported late last week that “The 15-day average test positivity rate in Lycoming County is 43%, Pa. Department of Health data show.  By comparison, the statewide 7-day average is 11%.  A percent positivity rate of 5% is considered ‘too high’ by some experts.”
  • Westmoreland County has experienced an especially high rate of new COVID-19 cases in recent weeks.  The Pittsburgh Tribune-Review reports that in response to increases in the number of hospitalized patients, Excela Health will convert a procedure room into a new space for about 12 new, temporary beds in one of its Westmoreland County hospitals.  The newspaper notes that “On Monday, there were 133 patients hospitalized in the county with covid-19 – a 24% increase in a week and more than 138% since Nov. 1, according to state data.  On Sunday, there were 137 patients — the highest since the pandemic started in March.”
  • One of that county’s commissioners has tested positive for COVID-19, the Tribune-Review reports.
  • And after being exposed to someone who tested positive for COVID-19, Philadelphia’s mayor has just entered into a quarantine period – for the second time, according to the Philadelphia Inquirer.
  • The Inquirer also reports that according to Philadelphia’s health commissioner, the city’s recent spike in COVID-19 cases was “likely caused by social gatherings that happened over Thanksgiving on top of already high case counts.”  The Inquirer added that “The city on Tuesday reported 1,408 newly confirmed cases, for a total of 75,458 since the pandemic began.  During the week that ended Saturday, the city reported about 910 new cases per day, with a positive rate of 12.7%.”

Department of State

  • To provide a greater number of people with convenient, limited-contact access to flu shots, the Department of State has suspended the age restriction that limits intern-administered flu shots to those ages nine and older.  Instead, pharmacy interns may temporarily administer any age-appropriate influenza vaccination to children three years of age and older.  Also, to increase access to COVID-19 vaccines as they become available, this waiver authorizes pharmacy interns to administer COVID-19 vaccinations to persons who are at least 18 years of age but only under the direct, immediate, and personal supervision of a licensed pharmacist who holds an active authorization to administer injectable medications.  See the notice of this new, temporary policy.
  • The Department of State has extended previous waivers related to CPR training for massage therapists and CPR and basic life support training for dentists, dental hygienists, and expanded function dental assistants.  See the notice of this new, temporary policy.
  • The Department of State has extended a waiver of the periodontal portion of the dental clinical exam because that exam involves a live patient.  It also has extended the current waiver of the live patient aspect of the restorative exam and for its temporary replacement by a non-patient-based restorative dentistry examination administered by the Commission on Dental Competency Assessments and the Council of Interstate Testing Agencies Inc.  See the notice describing these waivers.

Federal Update

Provider Relief Fund

  • HHS announced that the Provider Relief Fund will distribute $523 million in second-round performance payments to 9248 nursing homes as rewards for successfully reducing COVID-19-related infections and deaths between September and October.  HHS concluded that between September and October, 69 percent of 13,251 eligible nursing homes met the incentive program’s infection control criteria.  See HHS’s announcement of the nursing home distribution and a list of how much of this money HHS distributed to nursing homes in individual states.
  • HHS has updated its CARES Act Provider Relief Fund FAQ with nine new or modified questions and answers.  Find the new items, all labeled “12/4/2020,” on pages 2, 6, 14, 15, 16-17, 25, 34, 47, and 55.  Fund recipients should review this new information carefully, and in particular, the question on page 6 about erroneous payments, which reverses previous policy, and questions on audit terms and extensions on pages 14 and 15.

Centers for Medicare & Medicaid Services

CMS COVID-19 Stakeholder Calls 

CMS hosts recurring stakeholder engagement sessions to share information about the agency’s response to COVID-19.  These sessions are open to members of the health care community and are intended to provide updates, share best practices among peers, and offer participants an opportunity to ask questions of CMS and other subject matter experts.

COVID-19 Office Hours Call

Tuesday, December 22 at 5:00 (eastern)

Toll Free Dial In:  833-614-0820; Access Passcode:  3968359

Audio Webcast link:  go here.

Hospitals Without Walls Call

On November 25, CMS announced the expansion of its Hospitals Without Walls program by introducing its Acute Hospital Care At Home program, giving eligible hospitals unprecedented regulatory flexibilities to treat eligible patients in their homes.  This program was developed to support models of at-home hospital care that have succeeded in several hospitals and networks.  A CMS Hospitals Without Walls stakeholder call will feature two organizations walking through their programs and a question and answer session.  Slides/resources will be posted on CMS.gov prior to the call.

Wednesday, December 9 at 4:00-5:00 PM (eastern)

Toll Free Attendee Dial-In:  833-614-0820; Access Passcode:  1235939

Audio Webcast Link:  go here.

Conference lines are limited so CMS encourages interested parties to join via audio webcast.

To listen to the audio files and read the transcripts for past stakeholder calls, go here.

Department of Health and Human Services

  • HHS has released new hospital COVID-19 capacity data at the facility level.  Previously released data about hospital capacity that had been released was aggregated at the state level but this new, more granular data release aggregates daily hospital reports into a “week at a time” picture while providing a view of how COVID-19 is affecting hospitals and communities.  See HHS’s announcement about the new data and an FAQ about the data and go here for access to the data itself.

Food and Drug Administration

Centers for Disease Control and Prevention

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

 

 

2020-12-09T12:01:35+00:00December 9th, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: Tuesday, December 8

SNAP Asks PA Delegation for COVID-19 Aid

SNAP has written to Pennsylvania’s congressional delegation to request additional COVID-19 legislation between now and the end of the year to help Pennsylvania safety-net hospitals respond to the health care and financial challenges posed by the pandemic.

Safety-Net Association of Pennsylvania logoIn its letter, SNAP asked Congress for:

  • additional funding for the Provider Relief Fund for assistance to hospitals;
  • extension of the temporary moratorium on continued implementation of the 2011 Budget Control Act’s Medicare sequestration; and
  • the suspension of any other federal cuts for health care providers, such as the scheduled reduction of Medicaid disproportionate share (Medicaid DSH) allocations to the states.

Read SNAP’s message to Congress.

 

2020-12-08T06:00:24+00:00December 8th, 2020|Coronavirus, COVID-19, DSH hospitals, Federal Medicaid issues, Medicaid supplemental payments, Pennsylvania Medicaid, Pennsylvania safety-net hospitals|Comments Off on SNAP Asks PA Delegation for COVID-19 Aid

COVID-19 Update: Friday, December 4

The following is the latest COVID-19 information from the state and federal governments as of 2:45 p.m. on Friday, December 4.

SNAP Advocacy

Safety-Net Association of Pennsylvania logoSNAP has written to Congress to request additional COVID-19 legislation between now and the end of the year.  SNAP asked Congress for additional funding for the Provider Relief Fund; extension of the temporary moratorium on continued implementation of the 2011 Budget Control Act’s Medicare sequestration; and the suspension of any other federal cuts for health care providers, such as the scheduled reduction of Medicaid disproportionate share (Medicaid DSH) allocations to the states.  Read SNAP’s message to Congress.

Pennsylvania Update

Department of Health

The Department of Health recognizes the need to protect the patients and residents in healthcare facilities by ensuring that visitors (including Department of Health employees) follow guidance and requirements issued by the Department of Health and CMS regarding visitation to healthcare facilities.  Surveyors from the Department of Health are required to follow these requirements and guidance.  The Department of Health also has its own testing program for our surveyors.  Because of HIPPA we cannot share medical results of our employees, but again we can assure you that all employees who are on site at facilities are compliant with all Department of Health and CMS guidance and requirements.

Department of Health – by the numbers

  • For the second consecutive day, Pennsylvania set a new high for new COVID-19 cases in a single day.
  • More than 11,000 Pennsylvanians have now died from COVID-19.  Daily death figures are now the highest they have been since the pandemic began.
  • Nearly 38,000 residents of long-term-care facilities and more than 7100 people who work in those facilities have contracted COVID-19.  Those figures encompass 1316 facilities in 65 of Pennsylvania’s 67 counties.
  • More than 15,000 health care workers in the state have contracted COVID-19.
  • More than 1000 Pennsylvanians are currently in hospital intensive care units being treated for COVID-19.
  • Nearly 600 Pennsylvanians are currently breathing with the help of a ventilator because they have COVID-19.
  • 16 percent of hospital adult ICU beds are currently unoccupied, as are 15 percent of medical/surgical beds, 40 percent of pediatric beds, 17 percent of pediatric ICU beds, and 34 percent of airborne isolation unit beds.

Around the State

  • The Pittsburgh Tribune-Review reports that “More than one-third of hospitals in Southwestern Pennsylvania anticipate staffing shortages in the coming week.”
  • It also notes that “In Allegheny County, just over 11% of adult ICU beds in the county remain available – about 91 beds in total.”
  • ICU beds are a major concern, the Tribune-Review adds, explaining that “Intensive care units already are at capacity in two Western Pennsylvania hospitals.  Officials with Butler Health System said in a release Wednesday units at Butler Memorial and Clarion hospitals are full, and the health system has activated phase one of its surge plan.”
  • That plan “…includes converting Butler Memorial’s post-anesthesia care unit into an intensive care unit, which will add 15 more critical care beds in the hospital.”
  • In addition, the Tribune-Review adds, “The health system will suspend all nonemergency elective surgeries and procedures that would require an in-patient stay, a move officials hope will free up as many beds as possible.”
  • In addition, the Pittsburgh Business Times reports that the state’s Keystone region also is expected to see staffing shortages in the coming week.  That region consists of Adams, Bedford, Blair, Centre, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Mifflin, Perry, Snyder, and York counties.
  • The Harrisburg Patriot-News explains that “WellSpan York Hospital has put up a tent outside its emergency room and plans to add trailers.  A spokesman said the space is for isolating ER patients awaiting results of COVID-19 tests.  It’s not being used to house hospitalized patients, nor is the ER housing hospitalized patients.”
  • The Philadelphia Business Journal notes that on Wednesday, Philadelphia’s Health Department “…reported 859 patients with Covid are now being treated in city hospitals, nearing the 1,000 Covid admissions level Philadelphia medical centers experienced during the spring.”
  • Finally, the Philadelphia Inquirer reported that “The counties whose hospital ICUs were completely filled with coronavirus patients, according to state data, included Lycoming, Schuylkill, and Washington.  Most have small capacities, with some having fewer than five or 10 ICU beds in total, according to state data.”

Department of Human Services

DHS’s Office of Developmental Programs has posted guidance to community and life-sharing home providers about how to apply updated COVID-19 testing guidance and infection control procedure guidance issued by the state’s Department of Health.

Federal Update

Centers for Medicare & Medicaid Services

  • CMS has updated its FAQs on Medicare fee-for-service billing with 14 new questions that address administration and billing for monoclonal antibody therapy.  The new questions can be found on pages 33-34, p. 34, pp. 120-121, p. 121, pp. 121-124, pp. 124-125, p. 125 (four questions), p. 126, pp. 126-127, p. 127, and pp. 127-128.
  • CMS covers much the same ground in an updated version of its document “Medicare Monoclonal Antibody COVID-19 Infusion Program Instruction.”
  • CMS has published a statement on its intended use of its enforcement discretion on skilled nursing facility consolidated billing for COVID-19 vaccines and monoclonal antibody infusions.  Through the exercise of this discretion, CMS will permit Medicare-enrolled immunizers to bill directly and receive direct reimbursement from the Medicare program.  Go here to see the complete statement.

Coronavirus (COVID-19) Stakeholder Calls 

CMS hosts recurring stakeholder engagement sessions to share information about the agency’s response to COVID-19.  These sessions are open to members of the health care community and are intended to provide updates, share best practices among peers, and offer participants an opportunity to ask questions of CMS and other subject matter experts.

COVID-19 Office Hours Call

Tuesday, December 8 at 5:00 (eastern)

Toll Free Dial-In:  833-614-0820; Access Passcode:  3129517

Audio Webcast link:  go here.

Tuesday, December 22 at 5:00 (eastern)

Toll Free Dial In:  833-614-0820; Access Passcode:  3968359

Audio Webcast link:  go here.

Conference lines are limited so CMS encourages interested parties to join via audio webcast.

To listen to the audio files and read the transcripts for past stakeholder calls, go here.

Department of Health and Human Services

  • HHS has issued a fourth amendment to the Declaration under the Public Readiness and Emergency Preparedness Act (PREP Act) to increase access to critical countermeasures against COVID-19, including greater use of telehealth.  Go here for a more detailed description of what the amendment authorizes.

Food and Drug Administration

  • On Tuesday, December 8 at noon (eastern) the FDA will host a webinar on its enforcement policy for sterilizers, disinfectant devices, and air purifiers during the COVID-19 pandemic as part of its series on respirators and other personal protective equipment for health care personnel use during the pandemic.  Go here for further information about the webinar and how to participate.
  • The FDA has issued emergency use authorization for a bioburden-reduced N95 respirator.  See the FDA’s letter of authorization and its fact sheet for health care providers.

Centers for Disease Control and Prevention

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

 

2020-12-07T09:59:52+00:00December 7th, 2020|Coronavirus, COVID-19, Safety-Net Association of Pennsylvania|Comments Off on COVID-19 Update: Friday, December 4
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