Category: COVID

Update for LTCF Respiratory Pathogens, Vaccination, and Point of Care Modules

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Below is important information regarding current technical issues in the application for the RPV and POC modules in the Long-term Care Facility Component. We thank you for your patience as we are working hard to resolve these issues as quickly as possible.

Respiratory Pathogens and Vaccination (RPV) Module

Healthcare Personnel (HCP) menu tab

The COVID-19 Vaccination – HCP tab is not currently visible from the menu when you hover over Respiratory Pathogens and Vaccination on the home page. This form was not removed, and there are no changes in reporting requirements. You can still access this form by clicking RPV Summary and selecting the reporting week from the calendar view. We will inform users when the COVID-19 Vaccination – HCP tab has been restored.

Analysis and Reporting – HCP

To view HCP COVID-19 Vaccination data, please utilize the report titled “Line Listing – All COVID-19 Vaccination Cumulative Summary Data – HCP” under Respiratory Pathogens and Vaccination > Archived > COVID-19 Vaccination. Currently, the version of this report in the RPV Summary folder is not working appropriately, however the line list mentioned above in the Archived folder will populate the HCP data appropriately. We will inform users when the COVID-19 Vaccination – HCP line list within the RPV Summary folder is functioning as intended.

Archived: COVID-19/Respiratory Pathogens Surveillance Pathways Module

There is a technical issue with the COVID-19/Respiratory Pathogens Surveillance Pathways Module preventing users from adding and/or editing data for dates prior to 9/30/24. The issue is occurring for both facility and group users. We will inform users when this function has been restored.

Point of Care Module

There is a technical issue in the Point of Care (POC) test result reporting tool requiring an answer to be selected for gender identity, even though this question is not indicated as a required field for manual test result data entry. This issue does not affect .csv uploads.

Questions

Please use NHSN-ServiceNow to submit questions to the NHSN Help Desk. The portal can be accessed here or through your CDC Secure Access Management Services (SAMS) account. After logging into SAMS, the NHSN-ServiceNow is located at the bottom at the bottom of the page.

Free Fall Vaccine Season Clinics

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HQIN is offering your facility a unique opportunity to receive support from local community pharmacies for the current fall COVID-19 vaccine season.

HQIN will connect you with a local pharmacy that will provide highly trained pharmacists, pharmacy technicians or community health workers (CHWs) to work directly with you to provide:

  • COVID-19 vaccination clinics for your residents and staff.
  • Accurate information about vaccinations.

Your Facility Will:

  • Be offered assistance to improve vaccination rates.
  • Be positioned to connect with and establish relationships with local pharmacy providers.
  • Benefit from added support, services and more!

Take advantage of this offer by clicking the link below to provide us with a few details. You will then receive an email from the team, who will facilitate connecting you with a local pharmacy.

HQIN Nursing Home COVID-19 Vaccine Clinic Support Request Form

These Programs End October 31. Don’t Miss Out!

Infection Prevention and Control Office Hours

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Sessions Begin on September 18 at 12 p.m. ET

Register now to join free virtual Infection Prevention and Control Office Hours, which address topics concerning respiratory virus season.

The focus will be on COVID-19 and strategies to decrease transmission among nursing home residents and staff. This series is tailored specifically for long-term care facilities, providing valuable support in areas such as COVID-19 prevention, immunization strategies and strategies to stay healthy. These sessions will help you discover ways to enhance care for both residents and staff.

Please see this flyer for details and registration

COVID-19/Flu Test Kits

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DHSS has a limited quantity of Acon FloFlex home test and plenty of COVID/Flu combo clinical tests available for request at the following link for LTCF. Requests for Acon FlowFlex are currently limited to one case of 300 tests per request.

Application Site: https://www.arcgis.com/apps/dashboards/52138a04a74e448284e6280770d722ad

Questions related to COVID? The ICAR team can help. ICAR Project | Nursing Home Help

Phase III Listserv Announcement Update

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Earlier this week you received information regarding Phase III of the Department of Health and Senior Services COVID Prevention and Response Project. This final Phase includes free PPE items shipped directly to all Missouri Skilled Nursing Facilities, Intermediate Care Facilities, Assisted Living Facilities and Residential Care Facilities.

Shipment of the PPE kits from Concordance Healthcare have begun!

Shipments will be coming to facilities directly from Concordance Healthcare via UPS. Signatures will be required by the UPS driver, so please alert your office staff of the expected delivery.

This is a one-time shipment of PPE which is being sent automatically to your facility.

The shipment will contain nine (9) boxes of:

  • 1 case Small Nitrile Gloves (10 Boxes of 250 gloves)
  • 1 case Medium Nitrile Gloves (10 Boxes of 250 gloves)
  • 1 case Large Nitrile Gloves (10 Boxes of 250 gloves)
  • 1 case Extra Large Nitrile Gloves (10 Boxes of 250 gloves)
  • 1 case Surgical Masks (300)
  • 1 case N95 Respirator Mask (200)
  • 1 case Large Isolation Gowns (10 Packs of 10 gowns)
  • 1 case Extra Large Isolation Gowns (10 Packs of 10 gowns)
  • 1 case ACON COVID Test Kits (12 boxes of 24 tests)

If your facility is registered as having over 100 beds, you shall receive two kits, for a total of 18 boxes of PPE.

These medical items will assist all long-term care facilities in providing needed infection protection for residents, staff, and visitors. These kits are being provided free of charge through the Nursing Home & Long-Term Care Facility Strike Team and Infrastructure Project.

As always should you have any questions regarding this project, please contact mary.menges@health.mo.gov.

COVID Prevention and Response Phase III Announcement – FREE PPE Kits are on their Way!

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The Department of Health and Senior Services COVID Prevention and Response Project will embark upon Phase III this April. This final Phase will include free PPE items shipped directly to all Missouri Skilled Nursing Facilities, Intermediate Care Facilities, Assisted Living Facilities and Residential Care Facilities. These kits are being provided free of charge through the Nursing Home & Long-Term Care Facility Strike Team and Infrastructure Project.

Each Phase III PPE Kit will include Nitrile Gloves, Gowns, Isolation Masks (all in various sizes) and COVID test kits. Shipments will be coming to facilities directly from Concordance Healthcare via UPS. Shipments dates and information will be shared on the DHSS Listserv. Signatures will be required by the UPS driver, so please alert your office staff of the expected delivery. These medical items will assist all long-term care facilities in providing needed infection protection for residents, staff, and visitors.

Please watch the DHSS Listserv for additional information on when Concordance begins shipping these PPE items.

As always should you have any questions regarding this project, please contact me at mary.menges@health.mo.gov.

Upcoming NHSN Trainings for Long-term Care Facilities: Changes to Definition of Up to Date with COVID-19 Vaccines Test

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The NHSN Vaccination Team will be hosting two webinars to review important changes to the surveillance definition of up to date with COVID-19 vaccines. These webinars are geared toward long-term care facilities reporting vaccination data through the NHSN COVID-19 Vaccination Modules.

Key Points:

What are the new recommendations?

  • ACIP and CDC provided new recommendations of COVID-19 vaccines for individuals aged 65 years and older.
  • Individuals aged 65 years and older are up to date when they have received 2 doses of the updated 2023-2024 COVID-19 vaccine or received 1 dose of the updated 2023-2024 COVID-19 vaccine in the past 4 months.
  • There is no change to the up to date definition for individuals younger than 65 years. Therefore, individuals aged less than 65 years are up to date when they have received 1 dose of the updated 2023-2024 COVID-19 vaccine (any time since it was approved in September 2023).
  • The new definition applies to both the NHSN Weekly HCP and Resident Vaccination Forms.
  • The up to date definition change for individuals aged 65 years and older will occur at the start of Quarter 2 of 2024 (week of April 1 – 7, 2024).

How should facilities report data beginning with Quarter 2 of 2024?

  • Residents and healthcare personnel aged 65 and older should NOT be counted as up to date with COVID-19 vaccines until they receive a second dose of the 2023-2024 updated COVID-19 vaccine; or if they have received 1 dose of the updated 2023-2024 COVID-19 vaccine in the past 4 months.
  • Be careful not to incorrectly over-report the number of residents who are up to date. Residents aged 65 and older who previously had 1 dose of the 2023-2024 COVID-19 vaccine greater than 4 months ago, should NOT be counted as up to date (question #2).
  • Continue to count residents and healthcare personnel age less than 65 as up to date if they have received 1 dose of the updated 2023-2024 COVID-19 vaccine.

Webinar dates and registration

Topic: Updates to Weekly COVID-19 Vaccination Data Reporting: Long-term Care Facilities

When: Wednesday, March 27, 2024, 2:00 PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN__F98eZSGSReD3vznNL2tzg

When: Tuesday, April 2, 2024, 2:00 PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_rjHZrnezSaqzTUzZ0jagxQ

After registering, you will receive a confirmation e-mail containing information about joining the webinar. Both webinars will cover the same information.

Questions
Please use NHSN-ServiceNow to submit questions to the NHSN Help Desk. The new portal can be accessed here and should be used in place of nhsn@cdc.gov, nhsntrain@cdc.gov, and nhsndua@cdc.gov. ServiceNow will help the NHSN team respond to your questions faster. Users will be authenticated using CDC’s Secure Access Management Services (SAMS), the same way you access NHSN. If you do not have a SAMS login, or are unable to access ServiceNow, you can still e-mail the NHSN Help Desk at nhsn@cdc.gov.

LTCF December 2023 Updates

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Below is important information regarding modifications to the Long-term Care Facility COVID-19/Respiratory Pathogens Module and the COVID-19/Respiratory Pathogens Vaccination Module. The changes described below are now visible within the NHSN application. These updates became effective beginning the week of December 17, 2023. Resources on the NHSN LTCF COVID-19/Respiratory Pathogens Module webpage and the COVID-19/Respiratory Pathogens Vaccination Modules webpage have been updated, where indicated, with revised forms, instructions, FAQs, and CSV templates.

IMPORTANT UPDATES:

Geolocation

The geolocation function is now available within the application. To complete this item, select the icon on the alerts page that is labeled “Facility Geolocation.”

Point of Care (POC) Test Reporting Tool

No enhancements

State Veterans Homes COVID-19 Event Reporting Tool

No enhancements

COVID-19/Respiratory Pathogens Pathway Data Reporting

  • Optional Influenza/RSV Tab
  • NEW! Data reported to the optional Influenza/RSV tab can now be viewed as a report/line list by using the Analysis tab within the application. The analysis function is a tool that can be used to view data reported to NSHN. Please note, reporting to the Influenza/RSV tab is OPTIONAL.

COVlD-19/Respiratory Pathogens Vaccination Influenza and RSV Line List Report for Residents

New! You can now use the Influenza / RSV line listing report to review your facility’s data (or your group’s data) submitted for weekly reporting of Influenza and RSV vaccination rates for residents. These data are included in the line list “Line Listing: All COVID-19 Vaccination Cumulative Summary Data – Residents” found under COVID-19 Module > COVID-19 Vaccination in the analysis tab within the NHSN application.

COVlD-19/Respiratory Pathogens Vaccination Summary Form Changes for Healthcare Personnel

New! Form changes take place 1/1/2024 (Quarter 1, 2024)

  • Questions related to COVID-19 primary series vaccination will be removed
  • The question about HCP being up to date with COVID-19 vaccination (formerly Question #4) is moved up on the form to Question #2
  • Questions 3.1-3.3 will now refer to those who are not up to date in Question #2
  • HCP should not be considered up to date for COVID-19 vaccination unless they received the updated 2023-2024 COVID-19 vaccine

COVlD-19/Respiratory Pathogens Vaccination Trainings

Webinar dates posted below and on the website under the “Announcement Section”

Initial Session

When: January 4, 2024 1:30 PM Eastern Time (US and Canada)
Topic: Updates to Weekly COVID-19 Vaccination Healthcare Personnel Summary Form: Long Term Care Component
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_3CPOEhCYQp-bEXz1JexBaA

Replay Session

When: January 9, 2024 2:30 PM Eastern Time (US and Canada)
Topic: Updates to Weekly COVID-19 Vaccination Healthcare Personnel Summary Form: Long Term Care Component
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_woL3InfGQkKXa8mCK26_-w

Replay Session

When: January 16, 2024 1:30 PM Eastern Time (US and Canada)
Topic: Replay: Updates to Weekly COVID-19 Vaccination Healthcare Personnel Summary Form: Long Term Care Component
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_TZHB8MsHQ0atRx9N3tNRuA#/registration

After registering, you will receive a confirmation email containing information about joining the webinar.

CDC Health Advisory

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Please see the CDC Health Alert, entitled, “Urgent Need to Increase Immunization Coverage for Influenza, COVID-19, and RSV Immunizations and Use of Authorized/Approved Therapeutics in the Setting of Increased Respiratory Disease Activity During the 2023 – 2024 Winter Season.”

Missouri healthcare providers please contact your local public health agency or the Missouri Department of Health and Senior Services’ (DHSS) Bureau of Communicable Disease Control and Prevention at 573-751-6113 or 800-392-0272 (24/7) with questions regarding this CDC Health Advisory.

NEW Long-Term Care Ombudsman Program Bed and Service Availability Portal

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The Covid-19 Long-Term Care Bed Availability portal has been replaced with the Long-Term Care Ombudsman Program Bed and Service Availability portal. Long-Term Care Facilities (all levels of care) are strongly encouraged to complete an electronic survey weekly to report how many beds they have available, and which residents they can serve, i.e., memory care, behavioral health, bariatric, etc. This information will be used to generate a dashboard that is beneficial to facilities, families, hospital discharge planners and the general public to determine bed availability and services throughout the state. More information will be coming soon about how to access and use the dashboard to view all collected data.

This is a great opportunity to share what your facility has to offer!

Please access this link training video for instructions on how to complete the survey. The survey can be accessed from this link: survey. If you have any questions about the survey, please contact the Long-Term Care Ombudsman Program via email LTCOmbudsman@health.mo.gov or call 800-309-3282.

Administration Opens Additional Ordering for COVID-19 Tests

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Beginning today, ASPR is refreshing ordering on COVIDTests.gov for every U.S. household to order additional tests at no charge. Households that ordered this fall can order four more tests, and those that have not ordered this fall can submit two orders for a total of eight tests.

Additionally, we continue to provide over four million free COVID-19 tests per week directly to long-term care facilities, schools, community health centers, and food banks. To date, ASPR has distributed over 1.6 billion free COVID-19 tests to the American people through our testing programs, with a focus on access for at-risk populations.

We appreciate your ongoing assistance in reaching the broadest population throughout the country with information about the availability of additional free tests. More information on these efforts and a digital toolkit to share through your social media avenues is available at covidtests.gov.

LTCF October 2023 Post-Release Updates

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Below is important information regarding modifications to the Long-term Care Facility COVID-19/Respiratory Pathogens Module and the COVID-19/Respiratory Pathogens Vaccination Module. The changes described below became available beginning the week of October 23, 2023, and are now visible within the NHSN application. Resources on the NHSN LTCF COVID-19/Respiratory Pathogens Module webpage and the COVID-19/Respiratory Pathogens Vaccination Modules webpage have been updated, where indicated, with revised forms, instructions, FAQs, and CSV templates.

Geolocation

Please disregard alerts asking you to confirm your facility’s geolocation. The facility geolocation function located on the ‘Facility Info’ page is not operational at this time.

Point of Care (POC) Test Reporting Tool

No enhancements

State Veterans Homes COVID-19 Event Reporting Tool

No enhancements

COVID-19/Respiratory Pathogens Pathway Data Reporting

New! The LTCF COVID-19 Module was renamed to align with the additional reporting options for Influenza and RSV that became available with the recent NHSN release.

  • The new name: COVID-19/Respiratory Pathogens Module

New! Influenza/RSV Surveillance Tab (optional)

  • The new tab within the LTCF Surveillance Pathways allows LTCF’s to report newly positive resident cases for Influenza and RSV.
  • This newly added tab is OPTIONAL, but highly encouraged!

Influenza/RSV (optional) **NEW DATA TAB**

New! Influenza/RSV Surveillance Tab (optional)

  • Data entry for this tab is OPTIONAL, facilities may choose when and how often data is reported to this tab. However, it is encouraged to report these data on a weekly basis for any facilities choosing to report.
  • If a facility does choose to enter data, information must be entered for both Influenza and RSV in order for the page to save successfully.

The following data elements are collected for Influenza:

  • Newly Positive Tests for Influenza
  • Vaccination Status of Residents with a Newly Confirmed Influenza Test Result
  • Hospitalizations with a Positive Influenza Test
  • Hospitalizations with a Positive Influenza Test and Up to Date

The following data elements are collected for RSV:

  • Newly Positive Tests for RSV
  • Vaccination Status of Residents with a Newly Confirmed RSV Test Result
  • Hospitalizations with a Positive RSV Test
  • Hospitalizations with a Positive RSV Test and Up to Date

Weekly NHSN COVID-19 Vaccination Data Modules

  • New! The LTCF COVID-19 Vaccination Module was renamed to align with the additional reporting options for Influenza and RSV that became available with the recent NHSN release.
  • The new name: COVID-19/Respiratory Pathogens Vaccination Module
  • Continue to report weekly COVID-19 vaccination data per CMS requirements.
  • Reference the COVID-19 Key Terms Document for the most recent definition of Up to Date with COVID-19 vaccination for Quarter 4 of 2023
  • New! Tab added: Influenza/RSV Vaccine Reporting (optional)

Weekly Influenza/RSV Vaccination Reporting for Residents (optional) **NEW DATA TAB**

Reporting Influenza/RSV Vaccines for Residents under this tab is OPTIONAL. If a user opts to enter these data, information can be entered for both Influenza and RSV vaccination or only one.

  • COVID-19 vaccination data for residents must be reported first in order to access Influenza/RSV vaccination reporting tab
  • Report Influenza/RSV data by entering it directly into NHSN application or using the CSV file option
  • The Influenza/RSV vaccination tab is set up for weekly reporting, but these data can be reported at the discretion of the user
  • Influenza/RSV vaccination materials and training slides became available through LTCF COVID-19/Respiratory Pathogens Vaccination website the week of October 23, 2023
  • Person- Level forms for Influenza and RSV will be available in June 2024

Training Slides

Training webinars for the new Influenza/RSV collection tabs for LTCF residents for both the Surveillance Pathways and Vaccination Module were conducted in October 2023. The training slides can be found on the COVID-19/Respiratory Pathogens Module webpage.

Cancellation

The Office hours that were previously scheduled for November 15 regarding Optional Reporting of Influenza and RSV Cases and Vaccinations for Residents of Long-term Care Facilities has been cancelled. Notification will be sent out once this session has been rescheduled.

*Cancelled*
When: Nov 15, 2023, 02:00 PM Eastern Time (US and Canada)
Topic: Office Hours: Optional Reporting of Influenza and RSV Cases and Vaccinations for Residents of Long-term Care Facilities

Reminder: Refresher Trainings on Reporting Annual Healthcare Personnel Influenza Vaccination Data

There will be two refresher trainings for long-term care facilities on reporting annual healthcare personnel influenza vaccination data. The deadline to report these data in the NHSN Healthcare Personnel Safety Component for the 2023-2024 influenza season is May 15, 2024.

The trainings will be held on November 21 and November 28. The content for each webinar is the same. The slides that will be presented during the webinars can be accessed here: Healthcare Personnel Safety Component Healthcare Personnel Vaccination Module Influenza Vaccination Summary Long-Term Care Facilities (cdc.gov).

Webinar registration information is listed below. After registering, you will receive a confirmation e-mail containing information about joining the webinar.

When: Tuesday, November 21, 2023, at 1:00 PM ET
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_PcTHDlv6SC6xyA1VYUEurQ

When: Tuesday, November 28, 2023, at 1:00 PM ET
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_lx1CWu4OSTmUDyuPgoo7AA

Additional training materials pertaining to annual healthcare personnel influenza vaccination data are organized under the “Annual” reporting headings on this webpage: HCP Flu Vaccination | HPS | NHSN | CDC.

LTCF October 2023 Pre-Release Updates

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Below is important information regarding modifications to the Long-term Care Facility COVID-19/Respiratory Pathogens Module and the COVID-19/Respiratory Pathogens Vaccination Module. The changes described below will become visible within the NHSN application and will take effect beginning the week of October 23, 2023. Resources on the NHSN LTCF COVID-19/Respiratory Pathogens Module webpage and the COVID-19/Respiratory Pathogens Vaccination Modules webpage will be updated, where indicated, with revised forms, instructions, FAQs, and CSV templates.

Geolocation

Please disregard alerts asking you to confirm your facility’s geolocation. The facility geolocation function located on the ‘Facility Info’ page is not operational at this time.

Point of Care (POC) Test Reporting Tool

No enhancements

State Veterans Homes COVID-19 Event Reporting Tool

No enhancements

COVID-19/Respiratory Pathogens Pathway Data Reporting

New! The LTCF COVID-19 Module will be renamed to align with the additional reporting options for Influenza and RSV that will become available with the upcoming NHSN release.

  • The new name: COVID-19/Respiratory Pathogens Module

New! Influenza/RSV Surveillance Tab (optional)

  • There will be a new tab with the LTCF Surveillance Pathways that will allow LTCF’s to report newly positive resident cases for Influenza and RSV. This newly added tab is OPTIONAL, but highly encouraged!

Influenza/RSV (optional) **NEW DATA TAB**

New! Influenza/RSV Surveillance Tab (optional)

  • Data entry for this tab is OPTIONAL, facilities may choose when and how often data is reported to this tab. However, it is encouraged to report these data on a weekly basis for any facilities choosing to report.
  • If a user does choose to enter data, information must be entered for both Influenza and RSV in order for the page to save successfully.

The following data elements will be collected for Influenza:

  • Newly Positive Tests for Influenza
  • Vaccination Status of Residents with a Newly Confirmed Influenza Test Result
  • Hospitalizations with a Positive Influenza Test
  • Hospitalizations with a Positive Influenza Test and Up to Date

The following data elements will be collected for RSV:

  • Newly Positive Tests for RSV
  • Vaccination Status of Residents with a Newly Confirmed RSV Test Result
  • Hospitalizations with a Positive RSV Test
  • Hospitalizations with a Positive RSV Test and Up to Date

Weekly NHSN COVID-19 Vaccination Data Modules

  • New! The LTCF COVID-19 Vaccination Module will be renamed to align with the additional reporting options for Influenza and RSV that will become available with the upcoming NHSN release.
  • The new name: COVID-19/Respiratory Pathogens Vaccination Module
  • Continue to report weekly COVID-19 vaccination data per CMS requirements.
  • Reference the COVID-19 Key Terms Document for the most recent definition of Up to Date with COVID-19 vaccination for Quarter 4 of 2023.
  • New! Tab added: Influenza/RSV Vaccine Reporting (optional)

Weekly Influenza/RSV Vaccination Reporting for Residents (optional) **NEW DATA TAB**

Reporting Influenza/RSV Vaccines for Residents under this tab is OPTIONAL. If a user opts to enter these data, information can be entered for both Influenza and RSV vaccination or only one.

  • COVID-19 vaccination data for residents must be reported first in order to access Influenza/RSV vaccination reporting tab.
  • Report Influenza/RSV data by entering it directly into NHSN application or using the CSV file option.
  • The Influenza/RSV vaccination tab is set up for weekly reporting, but these data can be reported at the discretion of the user.
  • Influenza/RSV vaccination materials and training slides will be available through LTCF COVID-19/Respiratory Pathogens Vaccination website the week of October 23, 2023.
  • Person level forms for Influenza and RSV will be available in June 2024.

Upcoming Trainings

There will be training webinars for the new Influenza/RSV collection tabs for LTCF residents for both the Surveillance Pathways and Vaccination Module. Registration links as well as the accompanying training slides can be found on the COVID-19/Respiratory Pathogens Module webpage. The registration links are also located below:

When: Nov 15, 2023, 02:00 PM Eastern Time (US and Canada)
Topic: Office Hours: Optional Reporting of Influenza and RSV Cases and Vaccinations for Residents of Long-term Care Facilities (1hr)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_s8SMWxtkS8GrSGn7qiAJbA

After registering, you will receive a confirmation email containing information about joining the webinar.

NHSN-ServiceNow is LIVE

Please use NHSN-ServiceNow to submit questions to the NHSN Help Desk. The new portal can be accessed here or through your SAMS account at. After logging into SAMS, the NHSN-ServiceNow link is located at the bottom of the page.

NHSN-ServiceNow should be used in place of nhsn@cdc.gov, nhsntrain@cdc.gov, and nhsndua@cdc.gov. Users will be authenticated using CDC’s Secure Access Management Services (SAMS), the same way you access NHSN. If you do not have a SAMS login, or are unable to access ServiceNow, you can still email the NHSN Help Desk at nhsn@cdc.gov.

Update – Infection Prevention Toolkits

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On September 29, 2023, you received information from the LTC List Serve regarding the Infection Prevention Toolkit that would be delivered to your facility later this month as part of the COVID Prevention and Response Project of the Missouri Department of Health and Senior Services (DHSS). DHSS has entered into an agreement with Concordance Healthcare Solutions to deliver this Infection Prevention Toolkit to your facility with costs being paid by the Nursing Home & Long-Term Care Facility Strike Team and Infrastructure Project.

Contents of this Infection Prevention Toolkit include:

Pulse Oximeter: Fingertip
Digital Non-Contact Thermometer
3M Fit Testing Kit: BITREX
3M Fit Testing Solution: Saccharin 55 mL Fluid Volume
3M Respirator Wipes: Non-Alcohol
Glo Germ Glo Box Kit with 8oz gel

For those facilities who are in need of Respiratory Fit Testing assistance please contact the Healthcare Associated Infections/Antimicrobial Resistance Program at LTCStrikeTeam@health.mo.gov.

We will be using the administrator’s name and facility address as listed on the DHSS Website https://health.mo.gov/seniors/nursinghomes/licensecert.php as well as the information for the eight hospital based skilled nursing facilities for delivery and contact purposes. Shipment of the Toolkits will begin the week of October 23, 2023.

Phase II of the COVID Prevention and Response Project will focus on working with the facilities in hopes of acquiring needed communication equipment to assist in outbreak control, training and real-time communication with healthcare providers and the Strike Team. In the coming weeks you will receive information on how to order these devices.

Please contact Mary Menges, Project Specialist, at mary.menges@health.mo.gov should you have any questions or concerns regarding with project.

Infection Control Resources Coming Your Way!

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Message from the Department of Health and Senior Services Strike Team Project

The Department of Health and Senior Services (DHSS) through the use of the Nursing Home & Long-Term Care Facility Strike Team and Infrastructure Project funds is embarking upon a multiphase project to assist in COVID prevention and response. All Missouri Skilled Nursing Facilities, Intermediate Care Facilities, Assisted Living Facilities and Residential Care Facilities will be a part of this project.

Following models from other states, Phase I of this project will be the delivery of an Infection Prevention Toolkit to all of the above mentioned facilities. This Infection Prevention Toolkit will be delivered at no cost to all of the facilities. Later this fall the Healthcare Associated Infections/Anti-microbial Resistance Program will also be sending out two infection control reference books from the Association for Professional Infection Control and Epidemiology to assist the facilities in infection prevention.

Additional information will be coming in early October on the delivery of the Infection Prevention Toolkits as well as outlining the contents of the Infection Prevention Toolkit and expected date of shipping. Again, this Infection Prevention Toolkit will be delivered to your facility at NO Cost.

The next Phase of this project will be working with the facilities in hopes of acquiring needed communication equipment to assist in outbreak control, training and real-time communication with healthcare providers and the Strike Team. Lastly, we hope to offer the facilities the opportunity to order needed infection and prevention supplies.

Thank you all for your continued efforts to care and protect the citizens of our State.

Upcoming NHSN Surveillance Trainings for LTCFs: 2023-2024 Updated COVID-19 Vaccines and Up to Date Definition

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The NHSN Vaccination Team will be hosting multiple webinars to review important changes to the surveillance definition of Up to Date with COVID-19 vaccines for long-term care facilities reporting vaccination data through the NHSN Vaccination Modules.

Key Points:

  • FDA approved updated 2023-2024 COVID-19 vaccines for this fall/winter season. The bivalent vaccines are no longer authorized as of 9/12/2023.
  • CDC recommends everyone aged 5 years and older should get 1 dose of the 2023-2024 updated COVID-19 vaccine to protect against serious illness from COVID-19 and to remain up to date.
  • Under the new recommendations, most individuals will not be up to date with COVID-19 vaccines unless they receive the 2023-2024 updated COVID-19 vaccine.
  • The new definition of up to date with COVID-19 vaccines will apply for NHSN surveillance beginning the week of September 25, 2023 – October 1, 2023 (the first week of reporting Quarter 4 2023).
  • The new definition applies to both the NHSN Weekly HCP and Resident Vaccination Forms and the NHSN COVID-19 Surveillance Pathways (RIFC Form).

Webinar Dates and Registration:

Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: September 25, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN__JGOOXuiSAW1VF2zS-_baw

Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: October 2, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_TDnotOroSbiPut3-2-5RtQ

This Season’s COVID-19 Vaccine Available

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Following approval from the Food and Drug Administration (FDA) and a meeting among the Advisory Committee on Immunization Practices, the Centers for Disease Control and Prevention (CDC) has recommended everyone 6 months and older get an updated COVID-19 vaccine to protect against the potentially serious outcomes of COVID-19 illness this fall and winter. Updated COVID-19 vaccines from Pfizer-BioNTech and Moderna will be available in locations throughout Missouri this week.

Those who have not received a COVID-19 vaccine in the past two months can get an updated vaccine for protection this fall and winter.

“Just as in the previous years, the State of Missouri will not require anyone to be vaccinated against COVID-19; that’s not our role,” said Paula F. Nickelson, director of the Missouri Department of Health and Senior Services. “We work to ensure Missourians have access to factual information about the vaccines and access to vaccines themselves if they choose. We encourage each individual to discuss vaccination with their medical provider.”

Vaccination remains the best protection against COVID-19-related hospitalization and death, especially for individuals over age 65 or with weakened immune systems. Vaccination also reduces your chance of suffering the effects of Long COVID, which can develop during or following acute infection and last for an extended duration. 

Most Missourians can still receive a COVID-19 vaccine at no cost. Most health insurance plans will cover COVID-19 vaccine at no cost to the recipient. Individuals who do not have health insurance or with health plans that do not cover the cost can get a free vaccine from local public health agencies, select Federally Qualified Health Centers and pharmacies (including Walgreens and CVS) participating in the CDC’s Bridge Access Program. Children eligible for the Vaccines for Children program also may receive the vaccine from a provider enrolled in that program.

This year marks the first fall and winter virus season where vaccines are available for the three viruses responsible for most hospitalizations – COVID-19, RSV and flu. In addition, DHSS encourages individuals to minimize virus spread by staying home when sick, practicing good handwashing and seeking testing when ill to identify the infection for better protection of one’s family, coworkers and community.

To learn more or to locate a vaccine provider, visit MOStopsCovid.com.

Upcoming NHSN Surveillance Trainings for LTCFs: 2023-2024 Updated COVID-19 Vaccines and Up to Date Definition

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The NHSN Vaccination Team will be hosting multiple webinars to review important changes to the surveillance definition of Up to Date with COVID-19 vaccines for long-term care facilities reporting vaccination data and RIFC Pathway data through the NHSN Vaccination and COVID-19 Modules.

Key Points:

  • FDA approved updated 2023-2024 COVID-19 vaccines for this fall/winter season. The bivalent vaccines are no longer authorized as of 9/12/2023.
  • CDC recommends everyone aged 6 months and older should receive the 2023-2024 updated COVID-19 vaccine to protect against serious illness from COVID-19 and to remain up to date.
  • Under the new recommendations, most individuals will not be up to date with COVID-19 vaccines until they receive the 2023-2024 updated COVID-19 vaccine.
  • The new definition of up to date with COVID-19 vaccines will apply for NHSN surveillance beginning the week of September 25, 2023 – October 1, 2023 (the first week of reporting Quarter 4 2023).
  • The new definition applies to both the NHSN Weekly HCP and Resident Vaccination Forms and the NHSN COVID-19 Surveillance Pathways (RIFC Form).

Webinar Dates and Registration:

Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Initial)
When: September 18, 2023, 2:00 PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_YxYp42hwT5KncquBBpLttg

Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: September 22, 2023, 2:00 PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_7bPDRWYETNSf6mnIo6qQvw

Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: September 25, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN__JGOOXuiSAW1VF2zS-_baw

Topic: Up to Date Vaccination Status: Surveillance Definition Change for Long Term Care Facilities (Replay)
When: October 2, 2023, 1:00PM Eastern Time (US and Canada)
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_TDnotOroSbiPut3-2-5RtQ

Registration Information for Upcoming Training Webinars

Please register in advance and plan to attend the initial session and/or the replay to learn more about the new updates. After registering, you will receive a confirmation email containing information about joining the webinar. The initial webinar and the webinar replays will cover the same information; therefore, you may only need to attend once but may attend more than one.

The Registration information seen above is also available on LTCF | Weekly HCP & Resident COVID-19 Vaccination |NHSN | CDC

For any questions, please send an e-mail to the NHSN Helpdesk at NHSN@cdc.gov with “COVID-19 Vaccination” in the subject line of the e-mail, along with your facility type.

COVID Rise in LTC Facilities

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COVID infections are on the rise in Missouri’s long-term care facilities. A few things to remember…

Follow CDC Guidance:

Skilled Nursing Facilities: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Flong-term-care.html

  • Place a patient with suspected (e.g., those with runny nose, cough, sneeze) or confirmed SARS-CoV-2 infection in a single-person room. The door should be kept closed (if safe to do so). Ideally, the patient should have a dedicated bathroom. If cohorting, only patients with the same respiratory pathogen should be housed in the same room.

Residential Care and Assisted Living may follow community guidance – https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html?CDC_AA_refVal=h

Report Positive Cases

Facilities performing their own COVID-19 testing (antigen testing) must report positive results through one of the following portals:

  1. Missouri Disease Reporting Online Portal (MODROP)
  2. In bulk via HL7 or CSV file using the DHSS- Electronic Lab Reporting process
  3. National Healthcare Safety Network (NHSN) or the Association of Public Health Laboratories (APHL) Informatics Messaging Services (AIMS) Platform.

Facilities using an external laboratory (PCR testing) must enter positive case information into MODROP.

The Missouri Disease Reporting Online Portal (MODROP). MODROP can be accessed directly from https://modrop.health.mo.gov/ or by using the existing ECD-1 link at https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/case-reporting.php and selecting the MODROP button.

NOTE: The recommended browser for use of MODROP is Google Chrome. Other browsers may cause issues with MODROP.

Facilities will need to register for a MODROP account the first time they use the new portal. MODROP allows reporting of only COVID-19 cases. Reports of other reportable conditions may be faxed to 573-751-6417.

If you have any questions or encounter any issues utilizing MODROP or for questions about HL7 or CSV reporting, please reach out to the EpiTrax Help Desk via e-mail at epitrax@health.mo.gov.

Please see the FAQ and thank you for your efforts to provide complete and accurate COVID-19 data to public health.

The ICAR Team Can Help!

QIPMO has formed an Infection Control and Assessment and Response (ICAR) team with a primary goal to assist Missouri Long-Term Care Facilities navigate the challenges of the COVID-19 pandemic and other infectious diseases.

Members of the ICAR Team are available for voluntary, no cost visits (virtual and/or in-person) to any residential care, assisted living, and skilled nursing facility in Missouri. These visits are intended to consultative and collaborative in nature with a non-regulatory focus to evaluate inflection control practices. Visits will consist of:

  • completion of a standardized assessment of infection control processes, focusing on highly-transmittable infectious diseases
  • observations of infection control practices
  • preliminary feedback with supplemental educational resources

See flyer for full details.

Monoclonal Antibody and Oral Antiviral Treatment of COVID in Nursing Homes

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The American Medical Association has released information related to use of Monoclonal Antibody and Oral Antiviral Treatment of COVID in Nursing Homes. The study shows that although oral antiviral use has been found to be greater in nursing homes than the community, overall use among nursing home residents has been low and may not be commensurate with residents’ elevated risk. See the attached information from the AMA and this article from US News.

Nursing Homes Used COVID Meds Less Than Expected During Pandemic (usnews.com)

Missouri Nursing Facility Strike Team and Infrastructure Reimbursement Opportunity

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On March 1, 2023, the Missouri Department of Health and Senior Services (DHSS) released information about the Missouri Nursing Facility Strike Team and Infrastructure Award, a reimbursement opportunity available to Skilled Nursing Facilities (SNF) and Long Term Care and Other Nursing Facilities (LTC).

Beginning March 1, facility owners and operators may apply for reimbursement for expenses incurred between July 1, 2022 and August 31, 2023, directly related to preparing, preventing, and responding to the COVID-19 pandemic. The intention of this funding is to provide supplemental support to Missouri’s skilled nursing, other long-term care and other nursing facilities during their response to SARS-CoV-2 infections, and also to build and maintain the infection prevention infrastructure necessary to support resident, visitor, and facility healthcare personnel safety. If you operated a Skilled Nursing Facilities or Long Term Care and Other Nursing Facilities licensed with DHSS between July 1, 2022 and August 31, 2023, you are eligible for reimbursement for allowable expenses.

After the application period was opened March 1, 2023, the program was made aware of additional federal administrative requirements that impact the implementation of the program. These requirements do not change the eligibility criteria for facilities or the allowable cost categories but do identify that expenditures for activities that were previously paid or reimbursed by federal funds are not allowed for reimbursement through this award. Only expenses that have not been reimbursed by another federal fund source are allowable for reimbursement from this opportunity.

A very few additional facilities have also been made eligible for this opportunity. This does slightly impact the eligible amount per licensed bed for both skilled nursing facilities (SNF) and long-term care and other nursing facilities (LTC/Other), but the impact is less than a percentage point different in each type of facility.

Facility operators that have already applied for these funds do not need to do anything to adjust their applications, but do need to be aware of the additional guidance and revised amounts, and be prepared to assure that costs submitted for reimbursement meet the federal requirements. DHSS will provide additional information to existing applicants and will advise if any adjustments or additional information are needed on a case-by-case basis.

Updated guidance and eligible amounts are posted on the DHSS website for COVID-19 Health Care Professionals under the heading “Information for Long-Term Care Facilities” at the following link: https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/professionals.php.

All questions should be directed to the DHSS Strike Team via email at LTCStrikeTeam@health.mo.gov.

This program is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award ending May 10, 2024 totaling $14,994,016 with 100 percent funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.

Post PHE Modifications and Registration Information for the LTCF COVID-19 Module

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Below is important information regarding Long-term care facilities (LTCF) and reporting COVID-19 data to NHSN once the Public Health Emergency has ended.

Long-term care facilities that are CMS certified will still need to report to the LTCF COVID-19 Module Surveillance Pathways (Resident Impact and Facility Capacity, Staff and Personnel Impact, and Therapeutics) and the COVID-19 Vaccination Module once the Public Health Emergency is declared over on May 11, 2023

In 2020, CMS published an IFC (CMS-5531-IFC) requiring all LTC facilities to report COVID-19 information using the Centers for Disease Control (CDC), National Healthcare Safety Network (NHSN) (42 CFR 483(g)). This requirement was extended through a final rule (CMS-1747-F) and is set to terminate on December 31, 2024. This excludes the requirements at § 483.80(g)(1)(viii), which will continue to support national efforts to control the spread of COVID-19.

Please note, the COVID-19 Module Surveillance Pathways (Resident Impact and Facility Capacity, Staff and Personnel Impact, and Therapeutics) and the COVID-19 Vaccination Module are two separate modules and data will need to be reported to both on a weekly basis. Reporting to only one module does NOT satisfy the CMS reporting requirements.

NHSN provides a pathway to report data but is not a regulatory or enforcement body. Please direct any questions and/or concerns regarding reporting requirements and penalties/fines to CMS for further information.

The COVID-19 Module Surveillance Pathways will undergo updates in response to the end of the Public Health Emergency, including:

  • Reducing vaccination elements to include only up to date status for residents with a positive COVID-19 test
  • Removal of influenza data field
  • Removal of staffing and supply shortages data fields
  • Removal of deaths in the Staff and Personnel Impact Pathway
  • Removal of the therapeutics pathway
  • Addition of a new data field, hospitalizations, in the Resident Impact and Facility Capacity Pathway to assess relevant outcome data on residents with a positive COVID-19 test.

New Updates to the NHSN LTCF COVID-19 Module Surveillance Pathways Webinars

Specific details regarding these changes will be reviewed during upcoming training webinars.

Registration Information for Upcoming Training Webinars

Please register in advance and plan to attend one of the training sessions to learn more about the new updates. Each webinar will cover the same information; therefore, you may only need to attend once.

When: Thursday, June 1, 2023, 02:00 PM Eastern Time (US and Canada)
Topic: New Updates to the NHSN LTCF COVID-19 Module Surveillance Pathways
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_lQ92SJReSe6gu3RlRbiqaA

When: Wednesday, June 7, 2023, 01:00 PM Eastern Time (US and Canada)
Topic: New Updates to the NHSN LTCF COVID-19 Module Surveillance Pathways
Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_WO7zz66lSwyFGUfEx2bU7g

When: Thursday, June 8 & Thursday June 13, 2023, 02:00 PM Eastern time (US & Canada)
Topic: New Updates to the NHSN LTCF COVID-19 Module Surveillance Pathways
Register in advance for this webinar: https://cdc.zoomgov.com/j/1605578239?pwd=TWxwb202WW9tSUpoTi9aVWRNZXBUQT09

After registering, you will receive a confirmation email containing information about joining the webinar.

For questions about any of these updates, please send an e-mail to the NHSN Helpdesk at NHSN@cdc.gov with the subject line identifying the topic of the message.