NIOSH’s Second EHMR Federal Register Notice Webinar

Wednesday, November 18, 2020 1:00 PM EDT – 2:00 PM EDT
NIOSH’s Second Elastomeric Half-Mask Respirator (EHMR) Federal Register Notice Webinar

Elastomeric half mask respirators (EHMRs) are reusable respirators that may be worn in a healthcare setting and supplement the supply of disposable respirators available to healthcare workers. The National Institute for Occupational Safety and Health (NIOSH)-in coordination with the Strategic National Stockpile-posted a Federal Register Notice (FRN) titled “A National Elastomeric Half Mask Respirator (EHMR) Strategy for Use in Healthcare Settings During an Infectious Disease Outbreak/Pandemic”.

Through this FRN, NIOSH is seeking input regarding the national distribution plan of purchased EHMRs, as well as identifying potential organizations interested in receiving a portion of these EHMRs with the commitment to provide a report of user acceptability and feasibility of implementation.

NIOSH is seeking organizations including, but not limited to:

  • Hospital systems, individual hospitals, and/or specific hospital units (i.e., emergency department, intensive care units)
  • Outpatient care settings (i.e., offices, clinics, home care, urgent care, rehab centers)
  • Long term care facilities
  • Dental practices
  • First responder organizations (i.e., police, fire, EMS)

To learn more about how your organization can participate in this effort, please join us for a webinar on November 18 from 1:00-2:00pm (ET). NIOSH will provide an overview of EHMRs, a summary of the FRN, expectations of potential participants, next steps, and answer any questions you may have. Registration for the webinar is here.

PPE Available for Licensed Long-Term Care Facilities

The Department of Health and Senior Services has gowns, alcohol prep pads, surgical masks, and shoe covers that can be ordered by long term care facilities in bulk. Please follow the survey monkey link (https://www.surveymonkey.com/r/KPY7ZWW) to place your order. If you are part of a larger corporation, your management company may want to submit an order for your organization.

Questions can be sent to Marcia.Davis@health.mo.gov.

Please note: If you have an active outbreak and submitted an order last week- do not submit another order this week. Thank you.

N95 Info

Fit Under Fire: Situational Strategies to Achieve the Best Respirator Fit During Crisis

To aid healthcare facilities experiencing shortages of N95 respirators due to high demand across the nation, CDC developed the Strategies for Optimizing the Supply of N95 Respirators in Healthcare Settings which provides options on how to optimize supplies of disposable N95 filtering facepiece respirators (commonly called “N95 respirators”) in healthcare settings when there is limited supply. Proper fit of N95s is critical to your infection control/respiratory protection program.

For more information, please visit https://blogs.cdc.gov/niosh-science-blog/2020/03/16/n95-preparedness/.

National Training Program to Strengthen Nursing Home Infection Control Practices Launched

QSEP has two new courses available for Long-Term Care staff about COVID-19!

One course is geared towards front-line staff, and the other is geared towards management. The courses are:

  • Targeted COVID-19 Training for Frontline Nursing Home Staff
  • Targeted COVID-19 Training for Nursing Home Management

Please see more information about how the courses may be accessed at the following link: https://qsep.cms.gov/ProvidersAndOthers/COVID-Training-Instructions.aspx.

Battelle Demobilization

Throughout the COVID-19 response, the Battelle CCDS system has been an important part of lengthening the life of N95 masks, safely. Missouri users will continue to have access to decontamination through Battelle for the foreseeable future, however, some changes are coming for those who use the Battelle CCDS site at the Jefferson City Armory. This site will be demobilized with a projected final closure date of September 12.

Battelle will directly correspond with all users of the CCDS and provide them shipping labels to another Battelle site in a surrounding state. The shipping of masks will be at no cost. Due to increased shipping time, there may be some delays noted – so please plan accordingly.

If your facility is signed up as a Battelle user, you will receive direct correspondence from Battelle in the next 7-10 days. Until told otherwise by Battelle, you may continue to send your masks to the Jefferson City Armory.

Immunization Webinar Series – FREE!

Starting August 20, 2020: Immunization Webinar Series

The purpose of this series of 5 webinars is to update the knowledge base regarding immunization practices and vaccine recommendations based on national guidelines and the latest evidence to guide practice.

Topics:

  • VFC 411 Immunization Scheduling
  • VFC 411 The Basics
  • Influenza Vaccination
  • COVID-19 Vaccine
  • Vaccine Hesitancy

More Information: https://extension2.missouri.edu/immunization-webinar-series-2-fy21.

HAI-Infection Prevention on the Frontlines: Back to the Basics – in the Midst of a Global Pandemic

July 27 – September 6, 2020: ON DEMAND

Frontline nurses care for patients of all ages, across multiple care settings, with myriad health issues – not just those with infectious disease processes. It is a challenge to stay current with the latest evidence-based knowledge regarding infection prevention and COVID-19 has made this even more demanding. And depending on the practice setting, frontline nurses may have vastly different levels of institutional support and available resources to meet this demand.

The purpose of this conference is to enhance the capacity of frontline nurses to provide exemplary care to individuals with infectious diseases by focusing on the basics – which are applicable to all patients and always changing – and to demonstrate the profound impact an individual caregiver who practices from a proven base of evidence can have on patient outcomes. Linkages to COVID-19 are integrated throughout.

More Information including registration can be found at https://extension2.missouri.edu/hai-infection-prevention-on-the-frontlines-back-to-the-basics-in-the-midst-of-a-global-pandemic.

Summary Strategies to Optimize the Supply of PPE during Shortages

CDC developed a quick reference table 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. These strategies offer a continuum of options using the framework of surge capacity when PPE supplies are stressed, running low, or absent.

https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/strategies-optimize-ppe-shortages.html

Be Infection Control Survey Ready: Join the Health Quality Innovation Network’s Office Hours Series

The Health Quality Innovation Network (HQIN), the Quality Improvement Organization (QIO) for Missouri, is hosting an office hours series to support survey readiness and help nursing homes be responsive to identified opportunities, survey deficiencies and CMS enhanced enforcement actions. Each 30-minute session will demonstrate how to apply quality improvement principles to your infection control and prevention program and provide turnkey resources and tools to address gaps and drive improvement in your facility. A panel of nurses, infection preventionists and quality improvement professionals also will be available to answer questions.

The series begins July 14, 2020 and will cover the following topics:

July 14, 2020: Root Cause Analysis (RCA)
Facilities have worked hard to assess their infection control programs. But do you know the reason for the gaps or breakdowns in your program? We will share the HQIN QAPI RCA resource, which compliments the CMS QAPI RCA Guide.

July 28, 2020: Infection Prevention Action Plans
Once you complete the RCA process, then you must develop a plan of action. We will share the HQIN Infection Prevention Action Plan Templates. These templates compliment the CDC Infection Control Assessment tool. We will provide you with a template for key categories of improvement, i.e., hand hygiene, surveillance, environmental hygiene, etc.

August 11, 2020: Data Collection and Analysis
Once your plan is implemented, how do you know if it’s working? HQIN will share data collection tools to help you track and trend your improvement related to hand hygiene, terminal cleaning and PPE.

August 25, 2020: QAPI: Everyone Has a Role and a Responsibility
It takes a team to ensure improvement is made and sustained. HQIN will discuss how to engage your team in the quality improvement process in order to hardwire systems, change behavior, reduce gaps and to improve care and compliance.

Click here to register for one or all of these sessions. To learn more about HQIN, visit www.hqin.org.

Missouri PPE Manufacturers

Below is a list of Missouri companies that are producing PPE, including what type of PPE (face shields, hand sanitizer, gowns, surgical masks) and their contact information.  Please feel free to reach out to these companies to see if you can develop a new supplier relationship.  Additional companies will be added as more companies acquire the capabilities to produce PPE.  The state will be providing some grant support to manufacturers so that additional types of PPE can be manufactured in Missouri, like N-95 masks and gloves.

Missouri Companies that Retooled to make PPE – June 25 2020

COVID-19 Prevention Training

CDC has launched a Long-Term Care Frontline Staff Training Webinar Series for staff who care for vulnerable residents of nursing homes and assisted living facilities. A flyer for these trainings is also attached.  These five short webinars review basic infection prevention steps essential for preventing the spread of COVID-19:

LTC Staff Training Webinars

CDC has launched a Long-Term Care Frontline Staff Training Webinar Series for staff who care for vulnerable residents of nursing homes and assisted living facilities. These five short webinars review basic infection prevention steps essential for preventing the spread of COVID-19.

See flyer and please feel free to share!

FILLAKIT Transport Media Ordered from Missouri State Public Health Laboratory

Saline media ordered from the Missouri State Public Health Laboratory (MSPHL) with labeling of Fillakit should not be used for sample collection until further notice. Facilities should place an order for replacement from the Online Order form on the SPHL’s website at https://health.mo.gov/lab/index.php or https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/specimen-collection-supplies.php.

See the memo for additional information.

Battelle Decontamination Sites

The 13 out-state drop-off/pick-up armory sites and the Jefferson City processing site will be closing as of June 30. The decontamination site will continue to operate for the foreseeable future and healthcare providers may ship masks to the decontamination site via FedEx free of charge. Battelle will provide shipping labels for use to ship labelled N95 respirators free of charge. Healthcare providers may contact Battelle at https://www.battelle.org/ to request labels.

Please see the attachment below for more information.
Battelle Shipping Email

Statewide Announcement

Thank you to everyone that has worked to reduce the spread of COVID-19 in our communities. Our efforts have prevented countless infections and saved lives. Unfortunately, this virus is relentless and remains present in our communities. As we continue reopening our economy and communities, we too must be relentless in our prevention efforts.

Prevention and testing will be key to a safe reopening. As activities resume, it is critical that we continue with prevention efforts both at work and at home. The following preventions should continue to be diligently followed:

  • Practice good hand hygiene.
    • Wash your hand often with soap and water for 20 seconds.
    • Use hand sanitizer if soap and water are not available.
  • Continue to practice social distancing.
    • Maintain 6 feet of spacing between yourself and others not living in your household.
    • Maintain social distancing while at work, as much as possible.
  • Wear cloth face coverings when out in public.
    • Face coverings have been shown to cut transmission by 50% or more.
  • Don’t touch your face (eyes, nose, mouth) with unwashed hands.
  • Stay home if you are sick and seek medical care and screening for COVID-19 if you have COVID-19 symptoms.

CDC COCA Call: Applying COVID-19 Infection Prevention and Control Strategies in Nursing Homes

June 16, 2020: Applying COVID-19 Infection Prevention and Control Strategies in Nursing Homes
Presenters: LCDR Kara M. Jacobs Slifka, MD, MPH (USPHS), Infection Prevention and Control Team, COVID-19 Response, Centers for Disease Control and Prevention and Nimalie D. Stone, MD, Infection Prevention and Control Team, COVID-19 Response, Centers for Disease Control and Prevention

During this COCA call, presenters will use case-based scenarios to discuss how to apply infection prevention and control guidance for nursing homes and other long-term care facilities that are preparing for and responding to COVID-19.

If you are unable to attend the live COCA Call, the recording will be available for viewing on the COCA Call webpage a few hours after the live event ends.

The slide set will be available under “Call Materials” on the COCA Call webpage.

Please click this link to join the webinar: https://www.zoomgov.com/j/1615543668.

QIN-QIOs Targeting Assistance to Nursing Facilities to Improve Infection Control

The Centers for Medicare & Medicaid Services (CMS) has funded Health Quality Innovators (HQI) to deliver no-cost assistance to nursing homes in Missouri through the CMS Quality Innovation Network – Quality Improvement Organization (QIN-QIO) Program.

Through this initiative, which HQI calls the Health Quality Innovation Network (HQIN), facilities that have an opportunity to improve their infection control efforts based on publicly available data on Nursing Home Compare are being tapped by HQIN to receive targeted virtual assistance. Selected facilities will receive performance data reports, quality coaching, improvement tools, peer-to-peer forums and educational programming.

HQI has been providing free, expert help to nursing homes for more than 35 years. Their team of quality improvement experts is made up of seasoned post-acute nurses and administrators, including an Infection Preventionist, MDS specialists and QAPI-Certified professionals.

To learn more about HQI and HQIN, visit www.hqin.org or contact Dana Schmitz, dschmitz@hqi.solutions.

PPE Updates

In an effort to expand the PPE reserves and simplify the PPE process, the state has created a new COVID-19 webpage dedicated to be a one-stop shop for all information related to PPE. The PPE webpage will provide Missouri’s latest information and resources in three categories including how to access PPE, guidance for use and optimization for maintaining your PPE supply for the duration of the COVID-19 epidemic.

You can use this website to access the PPE marketplace, too.

Also, NEW to this website and to the state is the State PPE Reserves option.

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 (aka Missouri PPE Marketplace), have been exhausted and you have a supply of fourteen days or less on hand as the quantities and types of PPE available through the state are limited. Use this link https://survey123.arcgis.com/share/35c0d11050b04a809028d2caf9fd45fd?portalUrl=http://mophep.maps.arcgis.com to access the PPE Request Form. You will receive an automatically generated email notifying you of receipt of your request. Requests will be evaluated in the order in which they are received. If your request is approved, either in full or partially, you will receive an electronic notification upon shipment. If denied, you will receive an electronic verification of the decision.

 

PPE options for Non-profits and Governmental Entities

Because we know many of you continue to struggle with obtaining PPE items, we wanted to make sure you are aware that not-for-profit entities may purchase items from Missouri Vocational Enterprises (MVE). MVE operates through Missouri’s Department of Corrections and produces and sells a number of items. MVE may sell these items to any state agency, local government entities, or any not-for-profit agency.

MVE has a variety of janitorial supplies, personal products (soap, toilet tissue, etc.), laundry supplies, and disinfectant supplies. Most of these items can be found on the MVE website (https://docservices.mo.gov/mve/products/consumables/consumable.html). In addition, MVE has recently begun selling certain PPE items including cloth face coverings, isolation gowns, and hand sanitizer (gallon jugs). These items are not listed on their website at this time but information is attached or below. PPE items are being prioritized to state agencies but may also be purchased by local government and not-for-profit entities as supplies are available. For awareness, DMH has received cloth face coverings and hand sanitizer but have not yet received our order for isolation gowns. As with all PPE, some items are more readily available then others.

If you have a need for these items, we would encourage not-for-profit providers to explore all avenues to obtain needed items, including those available through MVE. You can visit their website to see items available and details for the ordering process. To order cloth face masks, isolation gowns, or sanitizer, you may need to call and speak with their customer service staff, they are very helpful – contact numbers can be found on the website. Again, only not-for-profit entities, state agencies, and local government entities may purchase items from MVE.

Finally, in regards to hand sanitizer, it is available in one gallon jugs only. The price per gallon is $20. Orders are limited to 100 gallons per order and no more than one order per week. The product number is F-617 Hand Sanitizer.

 

We hope this information is helpful to you. Thank you so much for all you do and are doing to provide care and services to our vulnerable populations.

Missouri COVID Supply Solution – Message to Health Care Providers

The State of Missouri has been actively engaged in outreach to businesses in an effort to open up new supply chains for PPE and other critical medical supplies. In an effort to streamline this process, we are very excited to announce the Missouri COVID Supply Solution is live and ready for your use. This application is designed to match health care providers to suppliers of PPE and other medical supplies.

To participate, please go to the Missouri COVID Supply Solution to register as a health care provider using Edge, Chrome, Firefox, or Opera as your internet browser (https://ppe-supply.uk.r.appspot.com/#/). Once your registration is complete, you can immediately begin adding your current PPE inventory and amounts you want to purchase. Once you complete this step, you can begin searching PPE suppliers. In order for the state to understand demand for PPE supplies, please update your PPE inventory amounts every three days within the solution.

Thank you for your participation in the Missouri COVID Supply Solution.