Pioneer Network: Hot Topics – Culture Change in Action

January 21, 2021: Working Together to Find Our Way to Yes

How many times have you or your team had a great idea about how to do something in your community, and you want to say ‘yes’, but are stopped short because it might be too risky, or the biggest reason heard, that the regulations say you can’t do it.

Even as we say this, we know that person-centered practices and the regulations are not at odds. Sometimes it’s the interpretation, or more often, it’s not WHAT we do, but HOW we do it that creates the conflict.

Pioneer Network is proud to bring together a dynamic panel of individuals from the field of aging services – all of them risk-takers at heart – to share and discuss ideas on how we can work together to find a way to say yes to the person-centered practices we strive to bring to our communities.

COVID-19 Healthcare Quality and Worker Safety Information

Please find this week’s review of CDC’s COVID-19 resources and information. We continue to highlight COVID-19 vaccine information in addition to resources specific to healthcare quality and worker safety and health.

COVID-19 VACCINE RESOURCES
CDC COVID Data Tracker — Vaccinations are now being tracked on CDC’s COVID Data Tracker. Numbers reported on CDC’s website are validated through a submission process with each jurisdiction and may differ from numbers posted on other websites. Differences between reporting jurisdictions and CDC’s website may occur due to the timing of reporting and website updates.

How to Report COVID Vaccine-Related Adverse Events — As Americans start receiving their first COVID-19 vaccines, additional data on potential adverse events are needed in real time. Healthcare providers will play a critical role in reporting vaccine-related adverse events through the Vaccine Adverse Event Reporting System (VAERS). Providers can also encourage individual patients to self-report potential adverse events as they occur through v-safe, CDC’s new patient reporting platform. Read more in this new CDC Medscape Expert Commentary by Dr. Tom Shimabukuro, CDC’s COVID-19 Vaccine Safety Team Lead.

Updated Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the United States — This guidance has been updated to include the following:

  • Additional information on antibody therapies and COVID-19 vaccination
  • Information on COVID-19 vaccination and outbreak management
  • Additional information on vaccination of immunocompromised persons
  • Updates to contraindications and precautions to vaccination
  • Information on COVID-19 vaccination and tuberculin skin testing

To learn more, please visit: mRNA COVID-19 Vaccines.

Frequently Asked Questions about COVID-19 Vaccination in Long-Term Care Facilities (LTCF) — Making sure LTCF residents can receive COVID-19 vaccination as soon as vaccine is available will help save the lives of those who are most at risk of dying from COVID-19. CDC updates frequently asked questions for Healthcare Infection Prevention and Control and Healthcare Professionals regularly based on feedback from professionals on the ground.

ADDITIONAL RESOURCES
US COVID-19 Cases Caused by Variants The cases identified are based on a sampling of SARS-CoV-2-positive specimens and do not represent the total number of B.1.1.7 lineage cases that may be circulating in the United States and may not match numbers reported by states, territories, tribes, and local officials.

SARS-CoV-2 Transmission from People Without COVID-19 Symptoms — Researchers used a model to assess the proportion of COVID-19 spread that likely occurs from infected people who do not have symptoms. They found that more than 50% of new COVID-19 infections were estimated to have come from people without symptoms. These findings underscore the importance of measures such as wearing masks, social distancing, and washing hands to slow the spread of COVID-19. Strategic testing of people who are not ill, such as those who have been exposed to COVID-19 or those with frequent contact with the public, can also reduce the spread of COVID-19 until safe and effective vaccines are widely available.

Summary for Healthcare Facilities: Strategies for Optimizing the Supply of PPE during Shortages This quick reference summarizes CDC’s strategies to optimize personal protective equipment (PPE) supplies in healthcare settings and provides links to CDC’s full guidance documents on optimizing supplies which provide additional strategies and details.

Summary for Healthcare Facilities: Strategies for Optimizing the Supply of N95 Respirators during Shortages This summary is intended to help healthcare facilities optimize supplies of disposable N95 filtering facepiece respirators when there is limited supply during the COVID-19 pandemic.

Updated People with Certain Medical Conditions — Revisions were made on December 23, 2020 to reflect recent data supporting increased risk of severe illness among persons with Down Syndrome from the virus that causes COVID-19. Revisions also include addition of sickle cell disease and chronic kidney disease to the conditions that might increase the risk of severe illness among children.

Morbidity and Mortality Weekly Report (MMWR) Allergic Reactions Including Anaphylaxis After Receipt of the First Dose of Pfizer-BioNTech COVID-19 Vaccine — United States, December 14–23, 2020 — This report summarizes the clinical and epidemiologic characteristics of people in the U.S. with anaphylaxis and non-anaphylaxis allergic reactions following administration of a first dose of Pfizer-BioNTech COVID-19 vaccine during December 14-23, 2020. Monitoring by the Vaccine Adverse Event Reporting System detected 21 cases of anaphylaxis after administration of a reported 1,893,360 first doses of the Pfizer-BioNTech COVID-19 vaccine (11.1 cases per million doses); 71% of these occurred within 15 minutes of vaccination. Post-event follow-up indicates that the patients experiencing anaphylaxis fully recovered following treatment. You can learn more here: Morbidity and Mortality Weekly Report

Morbidity and Mortality Weekly Report (MMWR)Rates of COVID-19 Among Residents and Staff Members in Nursing Homes — United States, May 25–November 22, 2020 — A federal mandate issued by the Centers for Medicare & Medicaid Services (CMS), required nursing homes to commence enrollment and routine reporting of COVID-19 cases among residents and staff members by May 25, 2020. This report uses the NHSN nursing home COVID-19 data reported during May 25–November 22, 2020, to describe COVID-19 rates among nursing home residents and staff members and compares these with rates in surrounding communities by corresponding U.S. Department of Health and Human Services (HHS) region. You can learn more here: Morbidity and Mortality Weekly Report

Morbidity and Mortality Weekly Report (MMWR) — Assessment of Day-7 Postexposure Testing of Asymptomatic Contacts of COVID-19 Patients to Evaluate Early Release from Quarantine — Vermont, May–November 2020 — On May 8, 2020, the Vermont Department of Health (VDH) issued a Health Update recommending shortening the duration of quarantine for persons exposed to SARS-CoV-2, the virus that causes COVID-19. Exposed persons who were in quarantine could be tested by polymerase chain reaction (PCR) on or after quarantine day 7. Those who had remained asymptomatic throughout quarantine and who received a negative SARS-CoV-2 PCR test result on or after day 7 could end quarantine. You can learn more here: Morbidity and Mortality Weekly Report

UPCOMING CALLS/WEBINARS
COVID-19 Partner Update Call: CDC COVID-19 Case Investigation and Contact Tracing Guidance and Tools – Thursday, January 21, 2021, 2:00 p.m. – 3:00 p.m. (Eastern Time) — Dr. Cliff McDonald, Acting Chief Medical Officer, and Dr. Melanie Taylor, Deputy, COVID-19 Contact Tracing Innovations Support will present. Ms. Michelle Putnam, Deputy, Policy Unit Partnerships & Risk Management Team will moderate. Dr. McDonald will share updates on CDC’s COVID-19 response, including the latest scientific information and what everyone should know about protecting themselves and others. In addition, Dr. Taylor will provide an overview on contact tracing guidance and tools. All questions will be collected in advance of the webinar. Click here to register

The call will be recorded and posted with previous Partner Update webinars here.

Clinician Outreach and Communication Activity (COCA) – Treating Long-COVID: Clinician Experience with Post-Acute COVID-19 Care — The Clinician Outreach and Communication Activity (COCA) will hold a call Thursday, January 28, 2021, from 2:00–3:00 p.m. (Eastern Time). During this COCA Call, presenters will share their firsthand experiences with treating long COVID, focusing on the pulmonary, neurologic, and psychological aspects. They will also describe their experiences with establishing clinics that provide care for patients with these long-term effects. For more information, please visit: COCA Calls/Webinars

IN CASE YOU MISSED ITClinician Outreach and Communication Activity (COCA) – COVID-19 Vaccines: Update on Allergic Reactions, Contraindications, and Precautions — The Clinician Outreach and Communication Activity (COCA) hosted a call Wednesday, December 30, 2020. During this COCA Call, presenters gave an overview of recommendations for use of COVID-19 vaccines in certain populations. Clinicians learned more about the recent reports of anaphylaxis following vaccination, as well as CDC’s updated clinical considerations around contraindications and precautions to vaccination. For the recording of this call, please visit: COCA Calls/Webinars

Abbott BinaxNOW Testing Supplies

The federal government is sending Abbott BinaxNOW rapid antigen test kits to states for distribution. There is limited availability of these tests to Missouri Long Term Care Facilities (RCF, ALF, ICF, and SNF) and private Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) with a CLIA certificate.

Department of Health and Senior Services (DHSS) and the State Emergency Management Agency (SEMA) will distribute available tests to LTCFs for use. Because there are a limited number of tests available, these tests are best suited for use with patients or staff who are symptomatic and who may have had a credible exposure to COVID-19.

Demand will be high and so we ask homes to only request what they will need for a 45 day timeframe- that is not covered by other testing capacities. Our understanding is that federal shipments will begin again next week in counties with high positivity rates. This effort is to supplement existing testing capacity- not to replace it.

APPLICATIONS FOR TEST KITS MUST BE RECEIVED BY JANUARY 22, 2021 at this link: https://arcg.is/1XvLeP.

COVID-19 Vaccine Safety: A Fireside Chat with CMS, CDC, and front line staff and providers 

COVID-19 Vaccine Safety: A Fireside Chat with CMS, CDC, and front line staff and providers
Wednesday, 6, 2021, at 3:00 pm (Central Time)

Join The Centers for Medicare & Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC) for a fireside chat on vaccine safety. This is the second discussion in a special series, a part of the CMS National Nursing Home Stakeholder Call Series, aimed at addressing staff questions and concerns about the new COVID-19 vaccines. Each session will be moderated by CMS with speakers from CDC and representatives of front line staff and providers.

This chat will continue to address myths surrounding vaccine danger with the following panelist:

  • Dr. Lee Fleisher, CMS Chief Medical Officer and Director, Center for Clinical Standards and Quality (CMS)
  • Dr. Amanda Cohn, Chief Medical Officer (Acting), Office of Vaccine Policy, Preparedness, and Global Health, Office of the Director (CDC)
  • Cassandra Lowe, Certified Nursing Assistant (CNA)

Preparing for the call:

Target Audience: Nursing Home Frontline staff, Chief Nursing Officers

Register in advance for this webinar (After registering, you will receive a confirmation email containing information about joining the webinar): https://cms.zoomgov.com/webinar/register/WN_VQnfc77zTaOho3-yYrtGUAA

Monoclonal ECHO Mini-Series

This series will provide a deep dive on new and emerging COVID-19 outpatient therapeutics, including monoclonal antibodies. The goal of this mini-series is to equip clinicians with the appropriate knowledge, resources, and tools needed to initiate and scale administration of these therapies and reduce strain on the U.S. healthcare system.

Registration is at https://hsc.unm.edu/echo/institute-programs/covid-19-response/us-covid19/hhs-aspr/miniseries.html.

The upcoming event on January 6, 2021 will discuss the recent and very successful experience with MABs in the State of Michigan.

Free COVID-19 Testing Opportunities Available Throughout Missouri

Date

Times

City

County

Location

Jan. 4, 2021

12PM – 4PM

Tarkio

Atchison

Tarkio United Methodist Church

Jan. 4, 2021

9AM – 4PM

St. Louis

St. Louis City

CareSTL Health

Jan. 4, 2021

10AM – 4PM

Potosi

Washington

Great Mines Health Center

Jan. 4, 2021

9AM – 3PM

Kansas City

Jackson

Bruce R. Watkins Cultural Center

Jan. 5, 2021

10AM – 4PM

Farmington

St. Francois

Christian Life Church

Jan. 5, 2021

1PM – 6PM

Warsaw

Benton

Katy Trail Clinic Parking Lot

Jan. 5, 2021

12PM – 3PM

St. Louis

St. Louis City

Affinia Healthcare

Jan. 6, 2021

1PM – 6PM

Camdenton

Camden

Central Ozarks Medical Center

Jan. 6, 2021

9AM – 6PM

Kansas City

Clay

Worlds of Fun

Jan. 6, 2021

10AM – 5PM

Ste. Genevieve

Ste. Genevieve

Civic Center

Jan. 7, 2021

12PM – 3PM

St. Louis

St. Louis City

Affinia Healthcare

Jan. 7, 2021

1PM – 7PM

Warrensburg

Johnson

Johnson County Fairgrounds

Jan. 7, 2021

12PM – 4PM

Mound City

Holt

Northwest Health Services – Mound City Clinic

Jan. 7, 2021

9AM – 4PM

Kansas City

Jackson

Kansas City Zoo (Cheetah Parking Lot)

Jan. 8, 2021

12PM – 4PM

Maryville

Nodaway

National Guard Armory

Jan. 8, 2021

9AM – 4PM

St. Louis

St. Louis City

CareSTL Health

Jan. 8, 2021

10AM – 1PM

Osceola

St. Clair

Clearview Care Center

Jan. 8, 2021

9AM – 4PM

Kansas City

Jackson

Kansas City Zoo (Cheetah Parking Lot)

Jan. 9, 2021

9AM – 6PM

Cassville

Barry

ACCESS Family Care

Jan. 11, 2021

12PM – 4PM

Grant City

Worth

Worth County High School

Jan. 11, 2021

9AM – 4PM

St. Louis

St. Louis City

CareSTL Health

Jan. 11, 2021

9AM – 3PM

Kansas city

Jackson

Bruce R. Watkins Cultural Center

Jan. 12, 2021

12PM – 3PM

St. Louis

St. Louis City

Affinia Healthcare

Jan. 12, 2021

10AM – 5PM

Cape Girardeau

Cape Girardeau

Agricultural Barn

Jan. 13, 2021

9AM – 6PM

Kansas City

Clay

Worlds of Fun

Jan. 13, 2021

11AM – 2PM

Kimberling City

Stone

First Baptist Church Ministry Center

Jan. 14, 2021

12PM – 3PM

St. Louis

St. Louis City

Affinia Healthcare

Jan. 14, 2021

12PM – 4PM

Stanberry

Gentry

Stanberry City Hall

Jan. 14, 2021

9AM – 5PM

Hermitage

Hickory

Ozarks Community Health Center

Jan. 14, 2021

9AM – 4PM

Kansas City

Jackson

Kansas City Zoo (Cheetah Parking Lot)

Jan. 15, 2021

9AM – 4PM

Kansas City

Jackson

Kansas City Zoo (Cheetah Parking Lot)

Jan. 15, 2021

9AM – 4PM

St. Louis

St. Louis City

CareSTL Health