Monoclonal Antibody Infusion Medication Information

There has been a significant change in the ordering process for monoclonal antibody infusion medications. If you are currently utilizing these medications, please review the attached notice and plan on attending the webinar tomorrow. Also attached is information on reporting usage through the Teletracking system. Reporting through this system is highly encouraged as the usage reported will determine future amounts allocated to the state.

 Status Update re: Monoclonal Antibody (mAb) Infusion Medication Ordering:

Missouri Department of Health and Senior Services (DHSS) was notified by U. S. Department of Health and Human Services (HHS) yesterday, September 14, 2021, that effective immediately the states are responsible to review and approve all monoclonal antibody medication orders. This includes orders for REGEN-COV (casirivimab and imdevimab) and the Eli Lilly cocktail of bamlanivimab/etesevimab through AmeriSource Bergen. This was DHSS’ first notification of this change. We had no prior information to allow for planning, development of platforms for ordering/approvals or procedures, or messaging. Thus, all of this is occurring currently and as quickly as possible. Information on this change is still forthcoming from HHS, thus we may have process implementation delays at the state level as a result.

mAb Request Process Implementation and Timeline:

DHSS will host a webinar to introduce the state’s new mAb request process, details are below:

Friday, September 17, 2021

10:30-11:30 a.m.

Join from the meeting link

https://stateofmo.webex.com/stateofmo/j.php?MTID=mcb62b527fff05778bd574584e06c8b6d

 

Join by meeting number

Meeting number (access code): 2462 582 1044

Meeting password: pcGjudFE679

 

Tap to join from a mobile device (attendees only)
+1-650-479-3207,,24625821044## Call-in toll number (US/Canada)
+1-312-535-8110,,24625821044## United States Toll (Chicago)

NHSN COVID-19 Vaccination Data Reporting – Additional Dose Questions

Recently, NHSN launched two new questions in the weekly COVID-19 vaccination module. During the reporting week of 8/23/2021 through 8/29/2021, facilities began reporting on the number of individuals eligible to receive additional or booster doses of COVID-19 vaccine (question #4) and the number of individuals who received additional or booster doses (question #5).

Facilities should refer to the CDC’s Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Approved or Authorized in the United States to determine which individuals are eligible to receive additional or booster doses. According to the current guidance, an additional mRNA COVID-19 vaccine dose is recommended for moderately to severely immunocompromised people after they completed an initial 2-dose mRNA vaccine series. Therefore, facilities should include the following individuals in question #4 as eligible to receive an additional dose of the COVID-19 vaccine:

  1. Received an initial complete 2-dose mRNA COVID-19 vaccine series at this facility or elsewhere since December 2020 (question 2); AND
  2. Eligible to receive an additional or booster dose of the COVID-19 vaccine, per CDC guidance noted above.

In response to questions, NHSN received about reporting additional COVID-19 vaccine dose or booster data, scenario examples are provided below to assist in determining how to respond to these new questions.

  • Facility A is unsure how to determine who in their facility is considered eligible for an additional dose or booster at this time.

Facilities should refer to the CDC’s Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Approved or Authorized in the United States to determine individuals who are eligible to receive additional doses or boosters after receiving an initial completed vaccination series. For more information about COVID-19 vaccine indications for individuals who are immunocompromised, please see the FAQs at: https://www.cdc.gov/vaccines/covid-19/clinical-considerations/immunocompromised.html.

  • Facility B has a staff member who only received dose 1 of the Moderna COVID-19 vaccine. However, this staff member expressed an interest in receiving an additional dose of the vaccine.

The facility would not include the staff member in questions 4 and 5 on the data collection form since he/she did not complete an initial COVID-19 vaccination series.

  • Facility C cannot determine if an individual is eligible for an additional dose at this time because they do not know the individual’s health status to determine if they are immunocompromised.

If a facility is unable to determine whether an individual is considered eligible to receive an additional dose or booster at this time, the individual should not be reported in question 4 or question 5 on the data collection form.

For reporting through the NHSN COVID-19 vaccination modules, assume these two staff members were eligible to have received an additional dose of the COVID-19 vaccine. Include these two staff members in question 4 and question 5 of the data collection form.

  • After reviewing the current Interim Clinical Considerations for Use of COVID-19 Vaccines, facility E does not have any individuals who are eligible to receive an additional dose or booster of COVID-19 vaccine.

This facility should report that zero individuals are eligible to receive an additional dose or booster of COVID-19 vaccine in question 4. The new question 4 and question 5 on the data collection form are required fields. A value must be entered for each of these questions for the form to be saved successfully. A zero (“0”) should be entered for question #4 and a zero “0” entered for question #5 (select any manufacturer from the dropdown). This will allow the form to save successfully.

Updated resources, including training materials, data collection forms, table of instructions documents, and other supporting materials are available on the following webpages:

Weekly HCP & Resident COVID-19 Vaccination | LTCF | NHSN | CDC
Weekly HCP COVID-19 Vaccination | HPS | NHSN | CDC
Weekly Patient COVID-19 Vaccination | Dialysis | NHSN | CDC

Frequently asked questions (FAQ) have also been updated (please see questions 23-27) and can be accessed using this link: https://www.cdc.gov/nhsn/hps/weekly-covid-vac/faqs.html.

We appreciate your efforts to report these critical data accurately and completely. We encourage updates to previously entered data as needed. If you have any questions or concerns, please let us know. As always, questions can be sent to NHSN@cdc.gov using ‘COVID-19 vaccination’ in the subject line of the message.

COVID Testing Information

State Orders for Abbott BinaxNOW Tests

Missouri is experiencing constrained supplies of the BinaxNOW COVID antigen test cards. Thus, effective September 9, 2021, DHSS is implementing a revised BinaxNOW test ordering cadence in order to conserve supply and assure the optimum availability of BinaxNOW COVID antigen tests for all users. Until further notice, please order no more than two weeks supply of BinaxNOW tests for use by your facility or organization. If our supply allows larger quantities to be ordered, we will modify this process accordingly at that time and notify all users. https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/testing-resources.php

To Reinstate Direct Shipments of Abbott BinaxNOW from the Federal government:

Providers should email their facility information, shipping address and the BinaxNOW delivery Point of Contact for the facility and request to be added back onto the direct shipment list to Binax.Team@hhs.gov. Please be aware reinstatement depends upon available supply of tests to the Federal government and this can take several weeks to begin receiving shipments again.

Reimbursement for OUTBREAK Testing

A reminder that in order to furnish immediate aid and relief in response to the state of emergency due to the spread of COVID-19, the State of Missouri has made some funds from the Coronavirus Relief Fund available to Missouri Long Term Care facilities with COVID-19 Outbreaks. These funds are available to Long-Term Care facilities that experience an outbreak (one or more positive cases) and are conducting base-line facility testing and some immediate follow-up testing in order to contain outbreaks. For more information: https://apps.dss.mo.gov/LongTermCareCovid19Invoices/.

LTC Bed Availability Portal Reminder

Reminder: After submitting the initial survey, a confirmation email will be provided for a link to update your survey each day (instead of submitting a new survey). Submitting a new survey results in multiple surveys showing on the map with different bed numbers. This makes it difficult to know which totals are current. Please use the link emailed after the initial submission to edit facility bed availability. Please do not submit an “initial” submission more than once. If information does not change from day to day, the submitter can simply update the date and submit – the prior day’s information will populate.

The survey information will populate an accompanying dashboard that will be available to hospitals to use as a tool in finding placement for those patients who would be best served in a long-term care setting. This dashboard may be accessed at https://mophep.maps.arcgis.com/apps/opsdashboard/index.html#/f1e0745f93fe46b482d8ff4585f821bf. To view instructions on utilizing the dashboard, click on ‘Instructions’ under the map for information.

DHSS COVID-19 Vaccination Booster Doses Survey

The Department of Health and Senior Services is planning for the upcoming approval of booster COVID-19 vaccination doses and long-term care facilities will be a priority. The federal pharmacy program used to administer first and second doses will not be available, so it is important to ensure long-term care facilities receive the needed support for the administration of booster doses. We are asking for your feedback regarding your facility’s readiness to administer booster doses. https://www.surveymonkey.com/r/VTT296F

For those SNFs (Medicaid/ Medicare certified) that already completed the NHSN survey, we already have your results no further action is needed.

For questions regarding this survey, please contact Lana Hudanick at Lana.hudanick@heatlh.mo.gov or 314-982-8260. Please reply by September 15, 2021.

COVID-19 After Action Report (AAR) Survey – Deadline Extended

The deadline to complete the DHSS COVID-19 After Action Report (AAR) Survey has been extended to Friday, September 3, 2021. Your assistance in helping us gather this important data is greatly appreciated. Please feel free to share the link with your state, regional, and local partners in the following categories:

  • Public Health/LPHA
  • Hospital
  • EMS
  • Emergency Management
  • Behavioral Health
  • Healthcare Coalition Leadership
  • State Agency Partners

https://survey123.arcgis.com/share/d20126ad3a05496d87dbf3b4b65d7592?portalUrl=https://mophep.maps.arcgis.com

Please let us know if you have any questions or difficulties with the survey.
John Whitaker – John.Whitaker@health.mo.gov
Brendan Bagby – Brendan.Bagby@health.mo.gov

CDC Health Advisory/DHSS Health Alert

Please see the CDC Health Advisory entitled, “Rapid Increase in Ivermectin Prescriptions and Reports of Severe Illness Associated with Use of Products Containing Ivermectin to Prevent or Treat COVID-19” and the DHSS Health Alert “Self-medication with Ivermectin for the Treatment and Prevention of COVID-19.”

Should you have any questions, please contact the Missouri Department of Health and Senior Services’ Bureau of Communicable Disease Control and Prevention at 573-751-6113.

Onsite Clinical and On the Job Training for Students Entering Health Care (Nurses, Nurse Aides, Therapy)

SLCR has received questions regarding whether or not Skilled Nursing Facilities can be a clinical or on the job training sight for students entering health care fields. The quick answer is YES! Long-term care facilities can use the guidance from CMS memo QSO 20-39-NH and DHSS visitation guidance as a way to say “YES” to hosting schools who are training our next workforce in long-term care. Students can be considered health care workers who are not employees of the facility but provide direct care to the facility’s residents. They can be permitted to come into the facility as long as they are not subject to a work exclusion due to an exposure to COVID-19 or showing signs or symptoms of COVID-19 after being screened. Facilities should work with the schools to ensure they are aware of infection control policies and procedures and to whom questions can be addressed.

The most recent visitation guidance from CMS and DHSS can be accessed on our website: https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/professionals.php.

For questions related to this, please contact Angela.Duvall@health.mo.gov.

Updated Standing Orders and Affidavits for Third Dose of COVID-19 Vaccine

Following recent announcements from the US Food and Drug Administration and the Centers for Disease Control and Prevention, certain immunocompromised individuals can begin receiving third doses of COVID-19 vaccine in Missouri.

A third dose of the PfizerNBioTech or Moderna vaccines may be administered to moderately to severely immunocompromised people due to a medical condition or combination of immunosuppressive medication or treatments including but not limited to the following:

  • Immunocompromised due to solid organ transplant and taking immune suppressing medications
  • Immunocompromised due to active treatment for solid tumor and hematologic malignancies
  • Immune compromised due to Receipt of CAR-T cell or hematopoietic stem cell transplant (within 2 years of transplantation or taking immunosuppression therapy)
  • Moderate to severe primary immunodeficiency (eg., DiGeorge, Wiskott-Aldrich Syndromes)
  • Immunocompromised due to Advanced or untreated HIV infection
  • Immunocompromised due to “Active treatment with high-dose corticosteroids or other drugs that may suppress immune response: high dose corticosteroids (ie.,≥ 20 mg prednisone or equivalent per day), alkylating agents, antimetabolites, transplant-related immunosuppressive drugs, cancer chemotherapeutic agents classified as severely immunosuppressive, tumor-necrosis (TNF) blocker or other biologic agents that are immunosuppressive or immunomodulatory”

Individuals who do not meet the criteria for “moderately to severely immunocompromised” do not need a third dose at this time.

In line with federal guidelines, Missouri will use a self-attestation model for people who are moderately to severely immunocompromised. Individuals will not be required to provide documentation of their health status, and they can get third doses at all venues where first and second doses are available.

This guidance does not apply to those who received the Janssen/Johnson & Johnson vaccine. For people who received either Pfizer-BioNTech or Moderna’s COVID-19 vaccine series, a third dose of the same mRNA vaccine should be used. A person should not receive more than three mRNA vaccine doses at this time. If the mRNA vaccine product given for the first two doses is not available or is unknown, either mRNA COVID-19 vaccine product may be administered. Individuals should wait at least 28 days between their second and third doses.

Announcements from federal health officials came after the analysis of studies demonstrating that immunosuppressed people are more likely to get severely ill from COVID-19, are at higher risk for prolonged infection, are more likely to transmit the virus, and experience lower vaccine effectiveness.

Additional information regarding this guidance can be found on the CDC website at https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/immuno.html.

Interim clinical considerations for use of COVID-19 vaccines can be found at https://www.cdc.gov/vaccines/covid-19/clinical-considerations/covid-19-vaccines-us.html.

Missouri’s revised standing orders can be found at https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/statewide-orders.php.

LTC Updates and Materials

Due to the recent increase in COVID activity in skilled nursing facilities as well as outbreaks in assisted living communities, here are some resources that may be of interest to your members and ask that you share this material as widely as possible.

Below, you will find a fact sheet and social media graphics that reiterates important infection prevention strategies, including promoting COVID-19 vaccinations and continuing to wear a mask. This factsheet can be emailed to staff or used as a poster to reinforce the urgent actions CDC is asking of all healthcare providers and staff in long-term care facilities.

Additionally, there are also two slide decks that were reviewed on our partner call last week. The first slide deck summarizes the urgent action CDC recommends for protecting residents and staff from COVID infections as well as information about how CDC is working to ensure vaccine access for long-term care facilities. The second slide deck provides additional information about monoclonal antibody treatment.

LTC Infection Control Delta Factsheet
2021-08-11 LTC MAb update Slide Show
NH partner summary_21-08

 

Finally, below are links to existing web resources. Please share these as well.

Healthcare Staffing Contract with SLS Health

The Department of Health and Senior Services has entered into a contract with SLS Health to assist with staffing needs for healthcare facilities, including long-term care facilities. The contract will allow skilled nursing, intermediate care, assisted living or residential care facilities to access the contract to secure healthcare staffing according to a firm, fixed rate. Payment for the staffing costs will be borne by the respective facility. Please see below attachments for additional information about the contract, how to access staffing resources, and applicable rates.

Missouri’s COVID-19 Healthcare Augmentation LTC slides
Attachment B

Revocation of NIOSH Certification

As of August 13, 2021, any Shanghai Dasheng Health Products Manufacture Co., Ltd. respirator with a NIOSH approval label containing a revoked approval number is no longer NIOSH-approved and cannot be manufactured, assembled, sold, or distributed.

See the link below to find the approval numbers of the respirators that have been de-certified. The approval number starts with TC-84A. If you can’t find this number on the respirator or its packaging, it was never NIOSH approved in the first place and shouldn’t be used, but if it has any of the listed TC numbers in the link below on the respirator itself or its packaging, you should discontinue use immediately and remove from use any that have been distributed.

https://www.cdc.gov/niosh/npptl/resources/pressrel/letters/respprotect/CA-2021-1038.html

Changes to the Weekly NHSN COVID-19 Vaccination Data Collection Forms for Long-Term Care Facilities

Changes are underway for CDC’s Weekly NHSN COVID-19 Vaccination Modules. In anticipation of recommendations for additional COVID-19 vaccine series, new questions on COVID-19 vaccine doses will be added to the current data collection forms in August 2021. The main changes to the forms for all three facility types are listed below:

  • Added question #4 for facilities to report on the cumulative number of individuals eligible to receive an additional dose or booster of COVID-19 vaccine.
  • Added question #5 for facilities to report on the cumulative number of individuals who received an additional dose or booster of COVID-19 vaccine (by manufacturer type).

To help facilities prepare for these changes, CDC is conducting listen-only training webinars.

Topic: Changes to the Weekly NHSN COVID-19 Vaccination Data Collection Forms for Long-Term Care Facilities
Date: Wednesday, Aug 25, 2021
Time: 2:30 – 3:30 PM ET
https://cdc.zoomgov.com/webinar/register/WN_tC-VNNB_QIaHs5IslpwmcQ

DHSS COVID After Action Report Survey

Below is a link to the Missouri Department of Health and Senior Services COVID-19 after action survey. This survey is designed to gather feedback from a variety of healthcare and public health partners and organizations. Please respond by selecting the discipline that reflects your organization and submit one survey per organization, excluding state agency partners. Your responses to this survey should be based on your organizations role and perspective of the COVID response. Receiving input from a variety of stakeholders, at all levels of the response, will help us better identify our strengths and weakness of the public health and medical services emergency Support function.

https://survey123.arcgis.com/share/d20126ad3a05496d87dbf3b4b65d7592?portalUrl=https://mophep.maps.arcgis.com

Please see this FAQs for more information. Thank you in advance for your participation!

National Healthcare Safety Network

  • COVID-19 Vaccine Supply Questions

Healthcare personnel and resident COVID-19 vaccination coverage data submitted to NHSN provide critical information to public health officials. These data are used to assess resource needs and enable partner coordination for the deployment of vaccination supply and administration support.

We ask that you pay close attention to the following questions in the Vaccine Supply section of the vaccination coverage forms:

  1. For the current reporting week, please describe the availability of COVID-19 vaccine(s) for your facility’s residents:
    • 1. Is your facility enrolled as a COVID-19 vaccination provider? [Select Yes or No]
    • 2. Did your facility have a sufficient supply of COVID-19 vaccine(s) to offer all residents the opportunity to receive COVID-19 vaccine(s) from your facility in the current reporting week? [Select Yes or No]
    • 3. Did your facility have other arrangements sufficient to offer all residents the opportunity to receive COVID-19 vaccine(s) in the current reporting week (examples of other arrangements include referring to the health department or pharmacies for vaccination)? [Select Yes or No]
    • 4. Please describe any other COVID-19 vaccination supply-related issue(s) at your facility. [Optional]

NHSN strongly encourages users to continually review responses to these questions in the NHSN application to ensure the information reported is up-to-date and accurate. This will give public health officials a better sense of any current COVID-19 vaccine supply needs and issues that facilities may be encountering. Data collection forms for residents and healthcare personnel of long-term care facilities can be found under the “Data Collection Forms and Instructions” heading of the following webpage: https://www.cdc.gov/nhsn/ltc/weekly-covid-vac/index.html.

If your facility is experiencing issues with COVID-19 vaccine supply, please contact your state or local jurisdiction for assistance and learn more through this CDC webpage: https://www.cdc.gov/vaccines/covid-19/long-term-care/pharmacy-partnerships-access.html.

For questions related to NHSN and data reporting, please contact us at: NHSN@cdc.gov.

 

  • Changes to NHSN COVID-19 Vaccination Data Reporting for Healthcare Personnel Coming this Fall!

NHSN COVID-19 Vaccination Data Collection Forms for Healthcare Personnel will be Revised

What are the changes?

  1. Data on the current healthcare personnel categories for question #1 will no longer be collected.

New categories will now include:

    • Employees: Staff on facility payroll
    • Licensed independent practitioners: Contracted physicians, advanced practice nurses, and physician assistants
    • Adult students/trainees and volunteers: Non-employee students/trainees and volunteers aged 18 or older
    • Other contract personnel: Contracted staff who do not fall into any of the other denominator categories
  1. Question #3.2 (offered but declined COVID-19 vaccine) and question #3.3 (unknown COVID-19 vaccination status) will now be required.
  2. Question #4 on COVID-19 Vaccine(s) Supply will now be optional.
  3. Facilities will need to create a monthly reporting plan before entering data into NHSN.

How should I prepare?
Long-term care and non-long-term care facilities should develop or update data tracking mechanisms to collect weekly COVID-19 vaccination data on these new categories of healthcare personnel.

How can I learn more?
CDC will be conducting training webinars this fall. More information on these webinars will be shared later this summer, so stayed tuned!

Who do I contact with questions?
Please send an e-mail to NHSN@cdc.gov with ‘COVID-19 Vaccination Data Reporting’ in the subject line.

Conversations with Carmen

August 20, 2021: A Beautiful Day in the Neighborhood
Guest: LaVrene Norton, Action Pact Founder & Executive Leader and Megan Hannan, Action Pact Consultant; with Host Carmen Bowman

Need help getting everyone out of the doldrums of COVID? Let free the spirit of joy and love – work together to bring back the simple pleasures of home. Create team on the fly. Let music and laughter rock the halls. Wave!

Think Neighborhood. Have a block party.

We begin again with a short presentation on the Artifacts of Culture Change as they can offer us a measurable road map. We will then head down the path to Neighborhood where culture change begins. Where good neighbors work together to enjoy and share the simple pleasures of daily life.

LTC Bed Availability Portal

The healthcare continuum is again becoming strained with the number of positive cases across the state. This portal was originally established in November to improve communication across the care continuum to assist in ensuring Missourians have access to the right care in the right setting.

We are renewing our request for long-term care communities to complete a brief survey each day in order to identify available beds for potential admissions. Participation in the bed availability survey is voluntary. The survey may be accessed at https://arcg.is/1rjKy8.

The dashboard was reset on July 15th, so any homes that have not submitted data since the reset occurred will need to submit an initial survey – old update links will no longer work. Homes that have submitted data since the reset can continue to submit using the update link.

 Reminder: After submitting the initial survey, a confirmation email will be provided for a link to update your survey each day (instead of submitting a new survey). Submitting a new survey results in multiple surveys showing on the map with different bed numbers. This makes it difficult to know which totals are current. Please use the link emailed after the initial submission to edit facility bed availability. Please do not submit an “initial” submission more than once. If information does not change from day to day, the submitter can simply update the date and submit – the prior day’s information will populate.

The survey information will populate an accompanying dashboard that will be available to hospitals to use as a tool in finding placement for those patients who would be best served in a long-term care setting. This dashboard may be accessed at https://mophep.maps.arcgis.com/apps/opsdashboard/index.html#/f1e0745f93fe46b482d8ff4585f821bf. To view instructions on utilizing the dashboard, click on ‘Instructions’ under the map for information.

Infection Control Assessment and Response Project

QIPMO has collaborated with the Missouri Department of Health and Senior Services (DHSS) in response to the novel Coronavirus known as COVID-19. In doing so, QIPMO has formed a new Infection Control Assessment and Response (ICAR) team with a primary goal of assisting Missouri Long-Term Care Facilities to navigate the challenges of the COVID-19 pandemic and other infectious diseases.

Please see the flyer or visit the following QIPMO webpage – https://nursinghomehelp.org/icar-project/.

Personal Protective Equipment (PPE)

Missouri has limited PPE reserves to assist in filling these critical needs and will prioritize healthcare providers providing direct care to confirmed or suspected COVID patients. Note requests should only be submitted after all normal supply chains, including the Missouri COVID Supply Solution, have been exhausted and providers have a supply of twenty-one days or less on hand.

Please be sure to describe the urgent need for PPE and your situation in the comments on the form.
https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/ppe.php

COVID Related Information

LTC Bed Availability Portal

The healthcare continuum is again becoming strained with the number of positive cases across the state. This portal was originally established in November to improve communication across the care continuum to assist in ensuring Missourians have access to the right care in the right setting.

We are renewing our request for long-term care communities to complete a brief survey each day in order to identify available beds for potential admissions. Participation in the bed availability survey is voluntary. The survey may be accessed at https://arcg.is/1rjKy8.

The dashboard is being reset and all previous data is being deleted, so all communities will need to submit an initial survey – old update links will no longer work.

 Reminder: After submitting the initial survey, a confirmation email will be provided for a link to update your survey each day (instead of submitting a new survey). Submitting a new survey results in multiple surveys showing on the map with different bed numbers. This makes it difficult to know which totals are current. Please use the link emailed after the initial submission to edit facility bed availability. Please do not submit an “initial” submission more than once. If information does not change from day to day, the submitter can simply update the date and submit – the prior day’s information will populate.

The survey information will populate an accompanying dashboard that will be available to hospitals to use as a tool in finding placement for those patients who would be best served in a long-term care setting. This dashboard may be accessed at https://mophep.maps.arcgis.com/apps/opsdashboard/index.html#/f1e0745f93fe46b482d8ff4585f821bf. To view instructions on utilizing the dashboard, click on ‘Instructions’ under the map for information.

 

Abbott BinaxNOW Testing Supplies

To order Abbott BinaxNOW from the state (one time shipments):

Missouri Long Term Care Facilities (RCF, ALF, ICF, and SNF), private Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID), and Adult Day Care programs may order free Abbott BinaxNOW Testing Supplies from DHSS and SEMA via the following link: https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/testing-resources.php.Then scroll down under BinaxNOW Testing to the BinaxNOW hub and click on that link – then scroll to the icon for long-term care facilities and click on that icon. It takes you to a gray colored page that says to click ‘here’ to re-order; from that re-order form, click on Facility Type in the upper right hand corner and choose LTCF from the drop down box; then click on the your facility’s name in the drop down box entitled Facility Name.

The re-order form should then auto populate your contact information into the form and you simply tell us how many tests you need toward the bottom of that form, then click submit.

To reinstate direct shipments of Abbott BinaxNOW from the federal government:

Providers should email their facility information, shipping address and the BinaxNOW delivery Point of Contact for the facility and request to be added back onto the direct shipment list to Binax.Team@hhs.gov. Please be aware this can take up to 2 weeks to begin receiving shipments again.

 

DHSS guidance related to COVID-19 outbreaks, visitation, reporting, waivers, etc.- can be found on our website:

https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/professionals.php#collapseSix

 

COVID-19 Reporting Requirements

 

Reporting Process/Form

System

Purpose/Description

Required?
For Whom?

Time Frame

1

Electronic COVID-19 Case Reporting

REDCap: DHSS

Reporting form for all positive case results, including staff and residents. This includes Point of Care (POC) and PCR testing.

Yes, for all SNF, ICF, RCF, ALF, ICF-IID and Adult Day Care

Within 24 hours of positive result

2

Long Term Care Facility COVID-19 Outbreak Testing Data Reporting

REDCap: DHSS

Reporting portal for outbreak testing dates, number of residents and staff tested.

Yes, for all SNF, ICF, RCF, ALF, and ICF-IID.

Within 24 hours of testing

3

NHSN LTCF COVID-19 Module

Web Portal:

Managed by NHSN

NHSN-required fields solely for certified nursing homes (SNF/NFs).

Yes, for all certified SNF/NF. Voluntary for any state licensed only facility (RCF/ALF/Adult Day Care) or ICF-IID.

Weekly, with a preference for submission on the same day each week

4

NHSN Point of Care Laboratory Reporting Tool

Web Portal:

NHSN

POC test reporting that includes both positive and negative POC test results (even if potentially a false positive).

Yes, for any facility not reporting to DHSS in Row 5

Within 24 hours of result of POC test

5

Electronic COVID-19 Laboratory Reporting

Secure File Transfer/CSV file: DHSS

POC test reporting that includes both positive and negative POC test results (even if potentially a false positive).

Yes, for any facility not reporting to NHSN in Row 4

Within 24 hours of result of POC test

 

Archived Listserv messages can be found on our blog site: https://ltc.health.mo.gov/

Abbott BinaxNOW Testing Supplies

Missouri Long Term Care Facilities (RCF, ALF, ICF, and SNF), private Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID), and Adult Day Care programs may order free Abbott BinaxNOW Testing Supplies from DHSS and SEMA via the following link:  https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/testing-resources.php.

If your organization is a new requester from the state, the form will direct you to complete a new application for tests rather than just re-ordering. The link for the initial application for each user type is within the above re-order link.

NHSN Deadline Tracking & Troubleshooting Assistance

The Centers for Medicare & Medicaid Services (CMS) requires nursing homes to submit information each week to the National Healthcare Safety Network’s (NHSN) COVID-19 Vaccination Data Reporting Module. The deadline for reporting the previous week’s cumulative vaccination rates is every Sunday by 11:59 p.m. ET.

To help keep your reporting weeks organized at-a-glance, the Health Quality Innovation Network (HQIN) has developed a printable NHSN Weekly COVID-19 Vaccination Data Reporting sheet outlining the NHSN submission deadlines for 2021.

HQIN has provided NHSN reporting assistance to many facilities across the state. If you would like to receive no-cost assistance, we encourage you to join the HQIN Nursing Home NHSN Reporting Group. This will enable HQIN to view your data for problem-solving and quality improvement purposes. Download How to Join the HQIN Nursing Home Reporting NHSN Group for easy instructions on how to join.

As your dedicated Quality Innovation Network-Quality Improvement Organization (QIN-QIO), HQIN is available to support you and your facility with the required COVID-19 vaccine administration reporting. If you have questions, please contact HQIN.

About the Health Quality Innovation Network

Led by Health Quality Innovators and its quality improvement partners, the Carolinas Center for Medical Excellence, KFMC Health Improvement Partners, and the Kansas Healthcare Collaborative, HQIN is the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Kansas, Missouri, South Carolina and Virginia. To learn more visit https://www.hqin.org.

COVID-19 FREE Testing

Testing remains a key tool to keeping Missourians safe and open for activity. Testing is not only for those who are symptomatic, but important for periodic surveillance especially when interacting with vulnerable populations and crowds. Many camps, events, and travel now require evidence of a test result before participation.

A simple test can provide peace of mind. Missouri provides several options for obtaining a free COVID-19 PCR test without any symptom criteria. The opportunities for testing include:

More information about testing can be found at www.health.mo.gov/communitytest.

National Pause for the Distribution and Utilization of Bamlanivimab and Etesevimab for the Treatment of Mild to Moderate COVID-19

Below is the DHSS Health Advisory, dated 06/30/2021, entitled, “National Pause for the Distribution and Utilization of Bamlanivimab and Etesevimab for the Treatment of Mild to Moderate COVID-19” Should you have any questions, please contact the Missouri Department of Health and Senior Services’ Bureau of Communicable Disease Control and Prevention at 573-751-6113.

06.30.21 DHSS HA – National Pause fo

COVID-19 FREE Testing

Of special note, because of the increase in cases in the Southwest region, there will be one additional testing day this week and one next week, Friday, July 2 in Joplin, and Tuesday, July 6 in Wright County– see below.

Testing remains a very important tool in fighting the COVID-19 pandemic. The Missouri Department of Health and Senior Services is now offering two options for FREE COVID-19 testing.

First, there are in-person testing events hosted around the state. Individuals are not required to pre-register or have an appointment, simply show up to one of the events below to receive the test. A government issued ID is not a requirement for this testing, but having one available onsite speeds up the registration process. Additional testing sites (with regular or one-time opportunities) may be added as indicators suggest the need for additional testing. The following events listed below are scheduled as of today. The latest information can always be found at www.health.mo.gov/communitytest.

Second, Missouri residents may order a free test to be mailed to their Missouri address. These are PCR kits that are designed for self-collection with a return FedEx shipping container. Once received back by the laboratory, the result is returned to the person tested (via email provided) within 48 hours. More information about the at home self-collection kits and a link to order are also found at www.health.mo.gov/communitytest.

In-person Testing Events Scheduled as of June 29, 2021:

St. Louis Area

    • Every Monday – 11:00 am – 7:00 pm
      IBEW Local #1
      5850 Elizabeth Avenue
      St. Louis, MO 63110
    • Every Tuesday 11:00 am – 7:00 pm
      “Legacy Bar & Café”
      Delmar Plaza
      5261 Delmar Blvd
      St. Louis, MO 63108
    • Every Thursday – 11:00 am – 7:00 pm
      Laborers Local #110
      4532 S Lindbergh Blvd
      St. Louis, MO 63127
    • Every Saturday – 11:00 am – 7:00 pm
      Machinist Lodge #777
      12365 St Charles Rock Rd
      Bridgeton, MO 63044

Central Area

    • Sunday (dates below)
      11:00 am – 7:00 pm

      July 18
      August 8, 22
      September 12, 26
      American Legion #1423
      Tanner Bridge Road
      Jefferson City, MO 65101

Southwest Area

    • Tuesday – July 6
      9:00 am – 5:00 pm
      Wright County Health Department Annex
      602 East State Street, Suite B
      Mountain Grove, MO 65711
    • Every Tuesday – 11:00 am – 7:00 pm
      Mother’s Brewing Company
      Open Lot located on the corner of West College and Grant Avenue
      Springfield, MO
    • Wednesday (dates below)
      9:00 am – 4:30 pm

      June 30
      Webster County Health Unit
      233 E. Washington Street
      Marshfield, MO 65706
    • Friday – July 2
      11:00 am – 7:00 pm
      “The Roxy” Parking Lot
      108 N. Joplin
      Joplin, MO 64801
    • Every Friday – 11:00 am – 7:00 pm
      Branson/Lakes Area Chamber of Commerce
      4100 Gretna Rd
      Branson, MO 65616

Kansas City Area

    • Every Monday – 11:00 am – 7:00 pm
      Heavy Construction Laborers, Local #663
      7820 Prospect
      Kansas City, MO 64132
    • Every Thursday – 11:00 am – 7:00 pm
      Heavy Construction Laborers, Local #663
      7820 Prospect
      Kansas City, MO 64132
    • Every Saturday – 11:00 am – 7:00 pm
      Teamsters Local #955
      4501 Emanuel Cleaver II Blvd
      Kansas City, MO 64130

Southeast Area

    • Sunday (dates below)
      11:00 am – 7:00 pm

      July 11, 25
      August 1, 15
      Red Show Barn
      410 Kiwanis Drive
      Cape Girardeau MO 63701