Coronavirus Disease 2019 (COVID-19)

An outbreak of respiratory disease caused by a novel coronavirus that was first detected in China and has now been detected in 210 countries and territories internationally, including the United States, has hit close to home. As of March 4/23/2020, there were 854,696 confirmed cases in the US.  While long term care facilities practice quality infection control procedures, the coronavirus (COVID-19) has heightened focus on infection prevention and control. We are providing resources to assist long term care facilities with issues surrounding the COVID-19 and this rapidly evolving situation.

As of 3/13/2020 restrictions for visitors to long term care facilities was implemented. You can find the CMS memo here

ON 3/27/2020 the Governor of Utah issued a Stay_Home_Directive_FAQs.pdf. On 4/17/2020 the dirctive was extended to 5/2/2020. The directive can be accessed here

On 5/1/2020 the Governor of Utah changed to utah to an Orange/Moderate Risk phase. Guidelines for the Moderate risk phase can be found here

As of 5/26/2020 Many of the areas of the state have moved to the Yellow/Low Risk phase. Guidelines for the Low risk phase can be found here. The Utah map of risk phases can be found here. 

The full document for Utah Leads Together Risk phases can be found here

If you are a health care provider evaluating a patient for suspected novel coronavirus (COVID-19) infection, pleaes contacc the Utah Department of Health immediately at 888-374-8824

 Watch for symptoms

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness.

These symptoms may appear 2-14 days after exposure to the virus:

  • Fever
  • Cough
  • Shortness of breath or difficulty breathing
  • Chills
  • Repeated shaking with chills
  • Muscle pain
  • Headache
  • Sore throat
  • New loss of taste or smell

A list of symptoms and additional information including when to seek medical attention can be found here

 

JOIN NATIONAL NURSING HOME DAILY HUDDLES with COVID-19 RAPID RESPONSE FOR NURSING HOMES: JOHN A. HARTFORD FOUNDATION HERE

 

COIMAGINE Infection Prevention COVID-19 Education 

COIMAGINE UPDATES Education Infection Prevention

 

Visitiation and LOA

UDOH LOA guidance from 3/30/2020

CDC guidance for limiting visitors 

CMS guidelines for limitations including visitors, and communal dining  

 

Webinars/Recordings

The AHCA/NCAL webinar presented by officials from the Centers for Disease Control and Prevention on March 3 was recorded. You can access the recording here.

The CDC Webinar regarding COVID-19 presented on March 5 was recorded. You can access the recording and slides here.

 

Ongoing Resources

Utah State Department of Health is providing resources and information here. Their public hotline number is 1-800-456-7707. 

The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) is providing online resources. Click here to access their information.

The Centers for Disease Control and Prevention (CDC) recommends that everyone practice effective handwashing and to stay at home if you have any symptoms of illness. Click here for CDC resources for preventing the spread of COVID-19 in the general public.

he World Health Organization (WHO) is also providing insight and resources around COVID-19. Even if you are not seeing the illness in your community, WHO recommends Critical Steps  you can take now.

 

 

Testing/screening

Work Med Contacts and Locations guide here 

UDOH guidance for Assessing Healthcare Worker Risk Assessment 

The Utah Department of Health has COVID-19 testing guidance here

The Utah Department of Health has a COVID-19 testing evaluation form here

 Testing Sites for COVID-19 in the US

UDOH COVID-19 Self-Screening and Monitoring Tools for Healthcare Workers

 

PPE/Disinfection

Belfor ViaClean technologies announcement 

Beflor 3 step cleaning information sheet 

Premier Pharma Lamaguard Gown Information sheet 

Premier Pharma Lamart Isolation gown information 

Premier Pharma Lamgauard Disposable Gown info

Premier Pharma contact information below 

Adrian Constance

Sales Manager

Premier Pharmaceuticals

7259 W Franklin Road, Boise ID 83709

O: (208) 639-0241 | C: (208) 910-9587

thepremierpharma.com

Adrian Constance

Sales Manager

Premier Pharmaceuticals

7259 W Franklin Road, Boise ID 83709

O: (208) 639-0241 | C: (208) 910-9587

thepremierpharma.com

Local Health Department PPE Contacts List

Open Jar PPE relief resource 

FORD PPE resource 

Resource for Respiraory Fit testing 

LTC PPE INFO 

Olley May PPE Supply ordering Flyer 

CDC Strategy for Optimizing the Supply of PPE

CMS guidance for use of Industrial Respirators

The Environmental Protection Agency (EPA) is providing a list of disinfectants  to fight COVID-19.

The CDC is providing information on Strategies for Optimizing the Supply of N95 Respirators.

AHCA Video for PPE and Handwashing 

Guidance for PPE update UDOH 4/6/2020 

https://www.ecolab.com/coronavirus 

ECOLAB Peroxide Cleaning Agent Letter 

ECOLAB COVID-19 Fact Sheet 

ECOLAB EPA approved product list COVID-19

ECOLAB Dishmachine guidance regarding COVID-19

Fit Testing CMS

Local Health Department Emergency Responses Coordinators and Health care Coalition Coordinators 

 

LTC information and resources 

QSO-20-34-NH

QSO-20-33-NH 

QSO 20-32-NH 

QSO-20-31-ALL survey 

QSO-20-30-NG Reopening 

AHCA/NCAL Interim Guidance: Accepting Admissions from Hospitals During COVID-19 Pandemic

 AHCA/NCAL What to do when COVID-19 gets in your LTC facility 

The professional team at Consonus Health has created a physician/NP provider decision-making tool for SNF, AL, and residential care setting. Click here for the protocol.

CMS QSO-20-25-NH

CMS QSO 2-26-NH Updated notification requirements 

COVID-19 only facility annoucement 

Preparing Nursing homes and Assisted Living Facilities for COVID-1

The CDC is providing information and resources specific to Preventing the Spread of COVID-19 in LTC Facilities.

The CDC has provided a guidance on implementing home care. Click here  to access this guidance.

 

FAQ's 

You can keep up with the facts provided by the CDC here.

Utah COVID-19 Frequently asked questions

SNF FAQ SHEET COVID-19

ALF FAQ SHEET COVID-19 

COVID-19 Fact Sheet 

 

Misc

Pocket Guide Palliative Care for COVID-19

COVID-19 conversation guide

ED Code Status Converstaion Guide 

Medicare Kepro Advocacy Flyer

CMS QSO-20-29-NH Reporting Regulations

The Utah Department of Health has provided a LTC Guidance Resource and LTC Talking Points 

The Utah Deparment of Health has a COVID-19 Incident Action Plan here

CDC Commercial Establishment Guidelines

First Responder Guidance 

Utah Regional Healthcare Coalition Map and Contacts 

The CDC is providing information on Interim Infection Prevention and Control Recommendations for Patients with Confirmed COVID-19 or Persons Under Investigations for COVID-19 in Healthcare Settings.

The CDC has Interim Guidance for Businesses and Employers to Plan and Respond to COVID-19.

The CDC has issued Interim Guidance for Public Health Professionals Managing People with COVID-19 in Home Care and Isolation Who Have Pets or Other Animals.

COVID-19 Return to work guide SLC and Return to work Criteria for Healthcare workers CDC here. 

Confronting the Crisis: How Hospitals can prepare for the Coronavirus: https://www.ajg.com/us/news-and-insights/2020/feb/confronting-the-crisis/

See locations below for drive up COVID-19 Testing

Intermountain Healthcare (IHC)

As of 3/17/20, IHC labs have the capacity to test for COVID-19. IHC has asked that patients call ahead to 844-442-5224 before going to an IHC provider for a COVID-19 test. 

IHC is setting up or has functional curbside testing locations at the following InstaCares and Family Medicine Clinics

  • Salt Lake Area
    • Alta View InstaCare
    • Southridge InstaCare
    • Salt Lake Clinic InstaCare
    • Taylorsville InstaCare
    • Cottonwood InstaCare
  • Lehi InstaCare
  • Layton Parkway InstaCare
  • North Ogden InstaCare
  • Park City InstaCare
  • North Cache Valley InstaCare
  • Bear River Clinic
  • Cassia Family Practice and WorkMed (Burley, ID)
  • Southern Utah
    • River Road InstaCare (St. George)
    • Cedar City InstaCare
    • Springville InstaCare
  • Rural Areas
    • Sevier Valley Clinic
    • Fillmore Clinic
    • Ephraim Clinic

Steward Health

Steward health has 3 drive-up testing locations. The website states that these locations will be open from Monday to Friday, 9am - 5pm. The website says “Please note, in order to secure a test, all patients must first contact their primary care provider (PCP) prior to coming to any of the hospital testing locations. If all of the screening protocols are met, the PCP will write a physician order for the COVID-19 test. Any patient who arrives without one will be sent to the Emergency Department.

For any additional questions please contact Jodi DeJong, 801-647-0477.”

University of Utah Health Clinics (U of U)

The U of U health system is operating 3 drive-up clinics at the following locations. From the website “We respectfully ask that before traveling to the hospital or one of our health centers for symptoms such as high fever or cough, please contact us first at 801-587-0712 or Toll Free: 844-745-9325. Experts at U of U health can discuss your symptoms with you and address many concerns over the phone to determine if a visit, or further testing, is necessary.”

  • U of U Health - South Jordan
  • U of U Health - Farmington
  • U of U Health - Sugarhouse

  Not confirmed but I believe also add: U of U Redwood, U of U Park City  

A patient must present with symptoms and a provider order.