Personal Protective Equipment
- PPE Vendor Listing/Testing Solutions - Please note that this is not an endorsement of test/service efficacy or accuracy.
- DPH UPS Transportation of Personal Protective Equipment (PPE) Healthcare Request Process - eefective July 20
- GEMA PPE Vendor Listing
- PPE Burn Rate Calculator - Mobile App
- Beware of Scams During COVID-19: Supply Offers from Vendors or Others May Not Be Legitimate
- New CDC Guidance on Use of Masks, Gowns, and Eye Protection to Conserve Supplies - UPDATED March 18
- These documents can be printed and posted in your center to ensure your staff are aware of how to appropriately don and doff PPE:
- Demonstration of Donning (Putting On) Personal Protective Equipment (PPE) - CDC YouTube Video
- Demonstration of Doffing (Taking Off) Personal Protective Equipment (PPE) - CDC YouTube Video
- Updated Guidance for use of Certain Industrial Respirators by Health Care Personnel - https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and/guidance-use-certain-industrial-respirators-health-care-personnel
- PPE Use and Conservation
- PPE Burn Rate Calculator
COVID-19 Temporary Nurse Aide Training Program Effective March 20, 2020 - Updated April 14
We know workforce challenges continue to be an ongoing issue for providers during this time of crisis. As such, GHCA has been working with DCH and Alliant Quality on Georgia’s approval of the Temporary Nurse Aide Training Program. Under the authority of the March 20, 2020 Executive Order issued by Governor Kemp, and the Section 1135 blanket waiver issued by the Centers for Medicare and Medicaid Services (CMS) on March 30, 2020, HFRD is authorizing a temporary nurse aide training program, as follows:
- Nursing homes are not required to have a current CNA Training Program in order to participate in the temporary program.
- The temporary nurse aide training program may be administered by the nursing home utilizing the 8-hour online training course and associated skills competency checklist developed by the American Health Care Association in association with Academic Platforms, LLC (branded as CNAOnline.com).
- All nursing homes that intend to utilize the temporary nurse aide training program must complete the Temporary Nurse Aide Facility Application and send it to Alliant Health Solutions.
- Nursing homes also must maintain documentation at the facility of all nurse aides that complete the temporary training program including, at a minimum: evidence of successful completion of the online exam following the 8-hour training; and documentation of at least 2 hours of supervised training and completion of a skills checklist by a member of the nursing staff at the facility.
- • Nursing homes may employ current nursing students who are enrolled in an LPN or RN program in Georgia as temporary nurse aides. If a nursing student has completed Nursing 101 and Nursing 102, there is no requirement to complete the 8-hour training or take the online exam. These students can be onboarded at the facility with 2 hours of supervised training and completion of a skills checklist. Nursing students hired as temporary nurse aides do not have a larger scope of duties than other temporary nurse aides. Temporary nurse aides may only perform tasks that are consistent with typical CNA job responsibilities.
- Once the state of emergency has been lifted, the Department will allow a period of time for temporary nurse aides to complete any additional training necessary for them to pass the required Georgia Certified Nurse Aide Competency Test administered by Pearson VUE and to enroll in the Georgia Nurse Aide Registry.
Additionally, Georgia’s Nursing Board has developed a process to obtain a temporary permit for nurse graduates who have applied for license by exam to work as a Graduate Nurse in a role consistent with their scope of practice. This is a wonderful opportunity to strengthen relationships with local nursing programs and to fortify your workforce. Our hope is that centers would hire individuals through the various pathways created as a result of the public health emergency and demonstrate exceptional customer service and support as they assimilate with your teams. This will increase the likelihood these new associates will remain employed in your center long after the declared public health emergency has lifted. Embrace this opportunity and demonstrate why our health care teams are super heroes!
Please see below process for employing nursing students, allied health students and nurse graduates:
- Nursing Students
- Pre-requisite: Fundamentals in Nursing
- Upon hire, student will be required to complete a competency skills check-off (linked above) and perform with 2 hours supervision
- Allied Health Student (or other students) and external applicants interested in Temporary Nurse Aide employment opportunity
- Upon hire, student will be required to complete the 8-Hour AHCA Temporary Nurse Aide online training program and exam
- Upon successful completion of exam, will be designated as a Temporary Nurse Aide with appropriate job responsibilities
- Once public health emergency has passed, DCH and other stakeholders will define process to allow TNA to complete other requirements for Certified Nurse Assistant testing and certification
- Nurse Graduates
- Graduate of accredited nursing program
- Apply for a temporary permit
- SNF, ALs and other providers may employ appropriately permitted Graduate Nurses to perform duties commensurate with their scope of practice.
If you have questions, please contact GHCA VP Quality Advancement & Regulatory Affairs Pam Clayton at firstname.lastname@example.org or 678-902-9224
Click here for a template information document for center to use to recruit Temporary Nurse Aides or Graduate Nurses.
Updated Guidance for DPH Staffing Resource Requests
While DPH has indicated that centers should first utilize your local staffing agencies, resources, volunteers, and partnerships with schools, providers can also submit requests for staffing supports through your local EMA. The Department has indicated that staffing resources are limited, and request fulfillment cannot be guaranteed.
If you are in need of critical staffing, please include in your resource request the following information:
- Title the resource request “Staffing support”
- Type of facility (hospital, skilled nursing, assisted living)
- Name of contact person at the facility who understands the request with a verified telephone number and e-mail
- Date staffing is requested and length of time the assistance is needed.
- Total number of positive COVID cases of patients/residents
- Total number of staff that are confirmed COVID positive
- Total number of staff leave callouts due to COVID concerns
- Describe the type of assistance needed including any specific requests.
Your local EMA will submit your request into WebEOC. Once the resource request is submitted, it will be assigned to ESF8 and someone will contact you to discuss the request for clarity and planning.
Data Collection Changes Implemented July 6
Effective July 6, 2020, all personal care homes of 25 beds or more, assisted living communities and nursing homes should report COVID-19 data directly into the Georgia COVID-19 Long-Term Care Facility Database. Surveyors will not be calling or emailing to collect the data. Facilities should report the data each weekday using the instructions here.
- The COVID-19 Data Collection Form should be submitted online Monday through Friday by 2:00 PM even if there are no changes from the previous day.
- The database includes personal care homes of 25 beds or more, assisted living communities and nursing homes.
- Instructions on how to access the database and complete the online form can be found here.
- Surveyors will be reaching out to facility contacts the week of July 6th to assist in this transition.
Electronic Reporting to CDC’s National Healthcare Safety Network (NHSN)
- CMS Interim Final Rule for Reporting Requirements
- CMS QSO Memo
- LTCF COVID-19 Module
- CDC NHSN website
- Guide to using the COVID-19 module
- There is a lag time between initiating registration to NHSN and completion of the registration process due to the number of long term care facilities that are trying to gain access. NHSN is reporting a 24-48 hour, and in some instances longer, lag time between initial registration to actual completion of registration and the ability to use the COVID-19 reporting module. While waiting for the registration process to complete, you should download now the four data collection pathway forms and accompanying instructions to start collecting the data that you will be uploading to NHSN once registration process is complete. It is extremely important to download, and refer to, the instructions page for each of the four data collection pathways. Refer to the definitions of each term prior to completing the data collection form. The four data collection pathway forms are:
- On June 1, CMS released a memorandum (QSO-20-31-ALL) addressing NHSN data, COVID-19 survey activities, enhanced enforcement, and engagement of Quality Improvement Organizations (QIOs). Click here to read an overview of the memo.
- On June 4, CMS posted the first set of underlying coronavirus disease 2019 (COVID-19) nursing home data.
- Since March 4, CMS and its network of state-based inspectors have conducted over 8,300 surveys with the results of a total of 5,700 available today. The results of the completed surveys and the reports are available on Nursing Home Compare. CMS plans to post the results of the inspections monthly on an ongoing basis as they are completed.
- Important Information Related to Widespread Testing in SNFs - Governor Kemp has recommended a robust testing strategy to test as many residents and staff possible in skilled nursing centers over the next two weeks. The goal is to test all residents and staff at least once. If your residents or staff have not yet been tested, please follow the process below to request testing. A multi-agency collaboration was launched to assist providers with their testing efforts. Testing may be accomplished through several mechanisms:
- Testing may be facilitated by the provider through a commercial lab.
- Skilled nursing facility staff may go to any of the state testing sites (SPOCS) at no cost and report activity to your respective SNF employer.
- Department of Public Health may assist with testing on a case by case basis.
- National Guard may assist with testing by exception on a case by case basis.
- GEMA and DPH developed a requisition process whereby skilled nursing centers can procure test supplies and PPE to facilitate test efforts. Test supplies will probably not be needed if you are working with a commercial lab; however, the PPE supplies will likely be very beneficial. Use the Specimen Collection Support ReadyOp link to submit your request: https://ga.readyop.com/fs/4jfm/49a4
- Please note: If National Guard support is needed to assist in testing at your center, please make that request through your local EMA as soon as possible.
- Centers must continue to report testing activity on their daily reports to HFRD. These daily reports will be the source for tracking test activity for all stakeholders monitoring this effort and acute reporting is imperative. Confirmed or suspected cases should be reflected on your daily reports to HFR and reported to DPH, CDC, residents and representatives as required
- Staff may also get tested at a Covid 19 Testing Site
- CVS Health Opens 23 New Drive-Thru Test Sites in Georgia as Part of Nationwide COVID-19 Response - May 21
Guidance for Healthcare Facilities
- CMS Nursing Home Reopening Recommendations for State and Local Officials
- Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes
- CMS Lab Testing Guidance
- CMS Lab Lookup Tool
- New Guidance on Requirements for Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes
- Upcoming Requirements for Notification of Confirmed COVID-19 (or COVID-19 Persons under Investigation) Among Residents and Staff in Nursing Homes - April 19
- CMS Memo on COVID-19 Long-Term Care Facility Transfer Scenarios - April 13
- CMS Guidance Updated March 13, 2020
- CMS Guidance Prioritizing and Suspending Most Federal and State Survey Agency (SSA) Surveys
- CMS Communcal Dining Guidance
- Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens - Note that nasal swabs are now acceptable if nasopharyngeal swabs are not possible
- CMS Issues Waivers of 3-Day Stay and Spell of Illness: https://www.cms.gov/files/document/coronavirus-snf-1812f-waiver.pdf
- CDC updated the discontinuation of transmission-based precautions and disposition of patients with COVID-19 in healthcare settings - July 17
- Except for rare situations, a test-based strategy is no longer recommended to determine when to discontinue Transmission-Based Precautions for individuals who had tested positive for COVID-19
- For patients with severe to critical illness or who are severely immunocompromised, the recommended duration for Transmission-Based Precautions was extended to 20 days after symptom onset (or, for asymptomatic severely immunocompromised patients, 20 days after their initial positive COVID-19 diagnostic test).
- Other symptom-based criteria were modified as follows:
- Changed from “at least 72 hours” to “at least 24 hours” have passed since last fever without the use of fever-reducing medications during the time-based time window.
- Changed from “improvement in respiratory symptoms” to “improvement in symptoms” to address expanding list of symptoms associated with COVID-19
- A summary of current evidence and rationale for these changes is described in a decision memo.
- CDC Revised Duration of Isolation and Precautions for Adults with COVID-19 - July 17
- For patients with COVID-19 illness, isolation and precautions can generally be discontinued 10 days after symptom onset and resolution of fever for at least 24 hours, without the use of fever-reducing medications, and with improvement of other symptoms.
- For persons who never develop symptoms, isolation and other precautions can be discontinued 10 days after the date of their first positive RT-PCR tests for COVID-19 RNA.
- CDC provided recommendations for PCR testing to discontinue isolation precautions when time-based strategy is not used:
- For persons who are severely immunocompromised, a test-based strategy could be considered in consultation with infectious disease experts.
- For all others, a test-based strategy is no longer recommended except if providers want to discontinue isolation or precautions earlier than would occur under the time-based strategy outlined in in the duration of isolation precautions outlined above in consultation with infectious disease experts.
- CDC provided recommendations for the role of the PCR testing after a person's COVID case has resolved and the discontinuation of isolation or precautions:
- For persons previously diagnosed with symptomatic COVID-19 who remain asymptomatic after recovery, retesting is not recommended within 3 months after the date of symptom onset for the initial COVID-19 infection. In addition, quarantine is not recommended in the event of close contact with an infected person.
- For persons who develop new symptoms consistent with COVID-19 during the 3 months after the date of initial symptom onset, if an alternative etiology cannot be identified by a provider, then the person may warrant retesting; consultation with infectious disease or infection control experts is recommended. Quarantine may be considered during this evaluation based on consultation with an infection control expert, especially in the event symptoms develop within 14 days after close contact with an infected person or based on other infectious agents causing the person's symptoms.
- For persons who never developed symptoms, the date of first positive RT-PCR test for SARS-CoV-2 RNA should be used in place of the date of symptom onset.
- CDC outlined the role of serologic testing:
- Serologic testing should not be used to establish the presence or absence of COVID-19 infection or reinfection.
- Criteria for Return to Work for Healthcare Personnel with COVID-19 Infection (Interim Guidance). - July 17
- Except in rare situations, test-based strategy is no longer recommended to determine when to allow healthcare personnel (HCP) to return to work.
- For HCP with severe to critical illness or who are severely immunocompromised, the recommended duration for work exclusion was extended to 20 days after symptom onset (or for asymptomatic severely immunocompromised HCP, 20 days after their initial positive COVID-19 diagnostic test).
- Other symptom-based criteria were modified as follows:
- Changed from “at least 72 hours” to “at least 24 hours” have passed since last fever without the use of fever-reducing medications.
- A summary of current evidence and rationale for these changes is described in a decision memo.
- HCP with mild to moderate illness who are not severely immunocompromised:
- At least 10 days have passed since symptoms first appeared and
- At least 24 hours have passed since last fever without the use of fever-reducing medications and
- Symptoms (e.g., cough, shortness of breath) have improved
- Key Strategies to Prepare for COVID-19 in Long-Term Care Facilities (LTCFs)
- Use of Test-Based Strategies for Preventing SARS-CoV-2 Transmission in Nursing Homes
- Recommendations for Groups at Higher Risk for Severe Illness
- Interim Laboratory Biosafety Guidelines for Handling and Processing Specimens
- Healthcare Infection Prevention and Control FAQs for COVID-19
- Ten Clinical Tips on COVID-19 for Healthcare Providers Involved in Patient Care
- CDC Interim Additional Guidance for Infection Prevention and Control for Patients with Suspected or Confirmed COVID-19 in Nursing Homes
- CDC’s Guidance for Therapeutic Options for COVID-19 Patients
- Interim U.S. Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with Coronavirus Disease (COVID-19)
- Alternate Care Sites - Guidance for infection prevention practices in non-traditional environments
- Hospital and Healthcare Providers Checklists
- Priorities for Testing Patients with Suspected COVID-19 Infection
- CDC HAN 431: Severe Illness Associated with Using Non-Pharmaceutical Chloroquine Phosphate to Prevent and Treat Coronavirus Disease 2019 (COVID-19)
- Coronavirus Disease 2019 (COVID-19) Risk Assessment and Public Health Management Decision Making Chart - https://www.ghca.info//Files/public-health-management-decision-making-COVID19.pdf
- Guidelines for Environmental Infection Control in Health-Care Facilities
- CDC Resource: Implementation of Mitigation Strategies for Communities with Local COVID-19 Transmission
- Guidelines for Isolation Precautions
- FAQs about COVID-19 Testing at Laboratories
- CDC Informational Posters:
- DPH Memo: Alcohol Based Hand Rub Use in Long-Term Care Facilities
- Updated DPH Interim Guidance for Admitting Residents from a Hospital - Updated July 27
- DPH COVID-19 Guidance for Nursing Centers - Updated March 28
- DPH Issues Guidance to Restrict Visitation in Centers
- Healthcare Worker Return to Work Guidance
- Amended Administrative Order for Public Health Control Measures
- Letter from DPH Commissioner and OEMS Director - First Responder Agencies Receiving Information about the COVID-19 Status of Patients
- Public Health District Contact Information
- Revised Enforcement Guidance for Recording Cases of Coronavirus Disease 2019 (COVID-19)
- Tutorial on OSHA forms 300, 300A and 301
- Interim Enforcement Response Plan for Coronavirus Disease 2019 (COVID-19) - Note Sample Template Letters
- OSHA Form 301
- EPA’s Registered Antimicrobial Products for Use Against Novel Coronavirus SARS-CoV-2, the Cause of COVID-19
- Process for Making Claims Against Emerging Viral Pathogens not on EPA-Registered Disinfectant Labels
- GHCA Interim Long-Term Care Setting Guidance for Residents with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) and Their Caregivers
- Template Infection Control Transfer Form
- GHCA April 3 Webinar Q&A Document
- GHCA Communications:
- July 27 - COVID-19 Updates: REMINDER - GEMA Infection Control Supplies Being Shipped to Long Term Care Communities
- July 24 - Updates in Weekly Newsfront
- July 23 - COVID-19 Updates: GEMA Infection Control Supplies Being Shipped to Long Term Care Communities
- July 22 - COVID-19 Updates: CDC Updates Transmission Based Precautions, Duration of Isolation, and Return to Work Criteria
- July 20 - COVID-19 Updates: Deadline Extended - Medicaid Application for Provider Relief Fund
- July 17 - Updates in Weekly Newsfront
- July 16 - COVID-19 Updates: Gov. Kemp Extends Shelter in Place Order, Centers Should Continue to Restrict Visitation
Through August 11
- July 15 - COVID-19 Updates: CMS Call for Nursing Homes TODAY at 5:30 P.M
- July 10 - Updates in Weekly Newsfront
- July 8 - COVID-19 Updates: Upcoming NETEC COVID-19 Webinar Series, PPE Optimization Strategies
- July 7 - COVID-19 Afternoon Updates: Webcast on the Medicaid Distribution from the Provider Relief Fund This Wednesday, Updates to CDC Website
- July 7 - COVID-19 Updates: Data Collection Reminder, CDC Health Advisory Related to Methanol-Based Hand Sanitizers
- July 6 - URGENT ATTENTION NEEDED - COVID-19 Updates: Data Collection Changes Effective TODAY
- July 3 - COVID-19 Update: Effective July 6 Data Collection Changes Implemented
- July 2 - Updates in Weekly Newsfront
- June 30 - COVID-19 Updates: Gov. Kemp Extends Public Health State of Emergency, Shelter in Place Order
- June 26 - Updates in Weekly Newsfront
- June 23 - COVID-19 Updates: Shelter In Place and Outdoor Visitation, GEMA to Provide Infection Control Supplies for LTC
- June 19 - Updates in Weekly Newsfront
- June 18 - COVID-19 Updates: HHS Provider Relief Fund Medicaid Application Process
- June 17 - COVID-19 Updates: Outdoor Visitation in Long Term Care Centers
- June 15 - COVID-19 Updates: Update on NHSN Reporting and Related Citations & Fines, National Guard Resumes Testing Support
- June 12 - Updates in Weekly Newsfront
- June 11 - COVID-19 Updates: Relief Fund Portal for Medicaid Providers Launches, All Member Webinar Tomorrow
- June 10 - COVID-19 Updates: HHS Releases $15 Billion for Medicaid Provider Relief
- June 9 - COVID-19 Updates: Important Note about Contacting the CDC With NHSN Concerns
- June 5 - COVID-19 Afternoon Updates: Correcting NHSN Data Errors
- June 5 - Updates in GHCA Weekly Newsfront
- June 4 - COVID-19 Afternoon Updates: Nursing Home COVID-19 Data and Inspections Results Available on Nursing Home Compare
- June 4 - COVID-19 Updates: Implementation Strategies for COVID-19 Surveillance and Early Detection Webinar TODAY at 4 P.M., GHCA All Member Webinar Tomorrow
- June 3 - COVID-19 Updates: HHS Releases Guidance on Important CARES Fund Questions
- June 2 - COVID-19 Afternoon Updates: June 3 Attestation Deadline Applies Only to Medicare FFS Provider Relief Payment
- June 2 - COVID-19 Updates: CMS Announcement on NHSN Data and Guidance on COVID-19-Related Survey Activity
- May 29 - Updates in GHCA Weekly Newsfront
- May 28 - COVID-19 Afternoon Updates: Testing & Cohorting, Innovative Methods to Keeping Residents Connected
- May 28 - COVID-19 Updates: GHCA All Member Webinar Tomorrow, Updated DCH Interim Guidance for Admitting Residents from a Hospital
- May 27 - COVID-19 Updates: CDC Webinar on 2020 Hurricane Season During COVID-19 TODAY at 1 P.M., New FEMA Hurricane Preparedness Guide
- May 26 - COVID-19 Afternoon Updates: NHSN Update and FAQs
- May 26 - COVID-19 Updates: Important Clarification on ReadyOps Tests, DHHS Extends Attestation Window
- May 22 - Updates in GHCA Weekly Newsfront
- May 21 - COVID-19 Updates: GHCA All Member Webinar Tomorrow, CARES Act Provider Relief Fund CHOW FAQs
- May 20 - COVID-19 Updates: N95 Mask Shortages Expected, Enroll in Battelle Decontamination System
- May 20 - COVID-19 Updates: Widespread Testing in SNFs, Reimbursement & Legal Issues
- May 19 - COVID-19 Updates: CMS Issues Nursing Home Reopening Recommendations for State and Local Officials
- May 18 - COVID-19 Updates: Important Information Related to Widespread Testing in SNFs
- May 15 - Updates in GHCA Weekly Newsfront
- May 14 - COVID-19 Updates: Electronic Reporting to NHSN, First Set of Data Must Be Submitted by Sunday
- May 13 - COVID-19 Updates: CMS Issues Nursing Centers Best Practices Toolkit to Combat COVID-19, GHCA All Member Webinar Friday
- May 12 - COVID-19 Updates: White House Tells States to Test All Nursing Home Residents & Staff
- May 11 - COVID-19 Afternoon Updates: NHSN COVID-19 Reporting - Accurately Reporting Staffing & PPE Shortages
- May 11 - COVID-19 Updates: NHSN Enrollment Delays & Tips
- May 8 - Updates in GHCA Weekly Newsfront
- May 7 - COVID-19 Afternoon Updates: GHCA All Member Webinar Tomorrow
- May 7 - COVID-19 Updates: CMS Releases Interim Final Rule Updating Requirements for Reporting and Notification COVID-19 Cases
- May 6 - COVID-19 Updates: Still Waiting for NHSN to Complete Your Registration? Start Data Collection Now
- May 5 - COVID-19 Updates: Updated CDC Guidance Released on Return to Work and Clinical Care
- May 4 - COVID-19 Updates: FEMA Coronavirus Pandemic Response - PPE Packages for Nursing Centers
- May 3 - COVID-19 Updates: Correction - New Reporting Requirements for Nursing Homes Effective May 1
- May 2 - COVID-19 Updates: CMS Issues Interim Final Rule with New Requirements for COVID-19 Reporting for Nursing Homes
- May 1 - Updates in GHCA Weekly Newsfront
- April 30 - COVID-19 Updates: GHCA All Member Webinar Tomorrow, Getting Started with NHSN Reporting on COVID-19
- April 29 - COVID-19 Updates: CDC Webinar Trainings for LTCF COVID-19 Module - New Mandatory Reporting
- April 28 - COVID-19 Updates: Requesting Civil Money Penalty (CMP) Reinvestment Funds for Communicative Technologies
- April 27 - COVID-19 Afternoon Updates: PPE Vendors & Testing Solutions, Reminder on National Guard Testing Process, Empowering Staff to Maintain Social Distancing
- April 27 - COVID-19 Updates: CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program
- April 26 - COVID-19 Updates: EMS Transfer Recommendations
- April 24 - COVID-19 Afternoon Updates: Enroll in Battelle Decontamination System for N95 Respirators, Updated FAQs on Provider Relief Fund
- April 24 - Updates in GHCA Weekly Newsfront
- April 23 - COVID-19 Afternoon Updates: Friday Webinar Reminder, Preparing for Widespread Testing
- April 23 - COVID-19 Updates: All Member Webinar Friday, Additional Distribution of Provider Relief Funds
- April 22 - COVID-19 Updates: CDC Return to Work Guidance - Contingency & Crisis Strategies
- April 21 - COVID-19 Updates: GA Shelter in Place Order Will Expire After April 30, Gov. Kemp Executive Order to Restrict Visitation Remains in Place
- Aprill 20 - COVID-19 Afternoon Updates: New CMS Requirements for Reporting Confirmed Cases, SNFs and ALFs Should Continue Daily Reporting to HFRD
- April 20 - COVID-19 Updates: Potential National Guard Support for COVID-19 Testing, New CMS Requirements for Reporting Cases
- April 17 - Updates in GHCA Weekly Newsfront
- April 16 - COVID-19 Updates: GHCA COVID-19 Updates All Member Webinar Tomorrow
- April 15 - COVID-19 Updates: Gov. Kemp Designates Health Care Workers as Auxiliary Emergency Management Workers
- April 14 - COVID-19 Afternoon Updates: Employing Nursing Students, Allied Health Students and Nurse Graduates
- April 14 - COVID-19 Updates: DPH Announces Enhanced Testing Capabilities, Care’s Act Stimulus Grant Update
- April 13 - COVID-19 Updates: Battelle Decontamination System for N95 Respirators, HFRD Data Collection Update
- April 12 - COVID-19 Updates: Notification Guidelines for Confirmed COVID-19 Cases, Guidance on Collaborating with Hospice
- April 10 - Updates in GHCA Weekly Newsfront
- April 9 - COVID-19 Updates: All Member Webinar Tomorrow, Department of Public Health Infection Control Review
- April 8 - COVID-19 Updates: Nursing Students Serving as Temporary Nurse Aides
- April 7 - COVID-19 Updates: GHCA Issues Guidance Document for Centers with Suspected or Confirmed Cases of the Virus
- April 6 - COVID-19 Afternoon Updates: Further Clarification on HFRD Infection Control Desk Audit Process, Medicare Accelerated Payment Program
- April 6 - COVID-19 Updates: Clarification on HFRD's Infection Control Desk Audit Process, GHCA Associate Members Offering COVID-19 Testing Solutions
- April 5 - COVID-19 Updates: HFRD Infection Control Desk Audit Process Begins Tomorrow, When COVID-19 Gets into Your Center
- April 3 - COVID-19 Afternoon Updates: Assisted Living Center Infection Control Desk Audits, Proactive Care Planning
- April 3 - Updates in GHCA Weekly Newsfront
- April 2 - COVID-19 Afternoon Updates: Temporary Nurse Aide Training Program Authorization, CMS Approves Georgia’s Section 1135 Waiver Request
- April 2 - Additional Information Regarding the SBA Paycheck Protection Program
- April 2 - COVID-19 Updates: GHCA All Member Webinar Tomorrow
- April 1 - COVID-19 Updates: Waiver of State CON and Licensing Requirements, Additional Information Related to National Guard Support
- April 1 - COVID-19 Updates: Complete Survey to Indicate Bed Availability to Assist with Hospital Surge, CMS Call Later Today
- March 31 - COVID-19 Afternoon Updates: Governor Kemp, Georgia National Guard Deploys Guardsmen to Assist Centers
- March 31 - COVID-19 Updates: CMS Issues Blanket Regulatory Waivers
- March 30 - COVID-19 Updates: GHCA Pandemic Response Webinar Series Starts Today, Communicating with DPH/Other Providers Regarding COVID-19 Activity
- March 29 - Important New DPH Guidance for COVID-19
- March 29 - COVID-19 Updates: CMS Telehealth and Telemedicine Tool Kit, Medicare Accelerated and Advanced Payments Now Available
- March 27 - Updates in the GHCA Weekly Newsfront
- March 26 - COVID-19 Afternoon Updates: Provide Status Clarification to Local EMAs, Allowing Visitation for End-of-Life Situations
- March 26 - COVID-19 Updates: Implement PPE Optimization Strategies, Upcoming Webinars
- March 25 - COVID-19 Updates: CDC COCA Call TODAY, GHCA Member Webinar Friday, PPE Request Process Reminder
- March 24 - COVID-19 Afternoon Updates: HFRD Extends Grace Period for Fingerprint Criminal Background Checks, CDC COCA Call Tomorrow on Optimization Strategies for PPE
- March 24 - COVID-19 Updates: CMS Prioritization of Survey Activities, Information for Clinicians on Therapeutic Options for COVID-19 Patients
- March 23 - COVID-19 Afternoon Updates: DPH Issues Guidance to Restrict Visitation in Centers, SNF QRP and VBP Relief
- March 23 - COVID-19 Updates: Relief for Clinicians, Providers, and Facilities Participating in Quality Reporting Programs, HCP Return to Work Guidance
- March 22 - COVID-19 Updates: DPH Revises PPE Resource Request Process, YMCA of Metro Atlanta Childcare Program, Communicating After a Confirmed Case
- March 21 - COVID-19 Updates: Working with State Officials, Beware of PPE Scams, Laundry Guidance
- March 20 - COVID-19 Afternoon Updates: Interim Guidance on SNFs Accepting Patients from Hospitals, Transfers from SNFs to the Hospital
- March 20 - Updates in the GHCA Weekly Newsfront
- March 19 - COVID-19 Updates: Gov. Kemp, DPH & GEMA Prioritize Testing for Most Vulnerable, First Responders, Health Workers
- March 18 - COVID-19 Afternoon Updates: NEW CDC Guidance on Use of Masks, Gowns, and Eye Protection to Conserve Supplies
- March 18 - COVID-19 Updates: Testing Priorities, New Information Regarding Stability of Virus, Expanded Telehealth Benefits, Fingerprint Screen Guidance
- March 17 - COVID-19 Updates: Important Note About Today’s CDC Call, HCP Guidance, DPH PPE Webinar, Spreading Cheer
- March 16 - COVID-19 Updates: CDC Call, Communal Dining Guidance, PPE Supply Shortages
- March 15 - COVID-19 Updates: Gov. Kemp Declares Public Health Emergency, New CMS Guidance Overview, CMS Issues Waivers of 3-Day Stay and Spell of Illness
- March 14 - COVID-19 Updates: Updated CMS Guidance, Testing Guidance, Update Bed Counts Daily, New Resources
- March 13 - Updates in the GHCA Weekly Newsfront
- March 12 - COVID-19 Afternoon Updates: Hospice Visits, Updating Care Plans, Employee Support, Communication Strategies
- March 12 - COVID-19 Updates: Virus Now A Pandemic, GHCA Webinar Recording Now Available, New Resources
- March 11 - COVID-19 Updates: GHCA Will Host All Member Webinar TODAY, PPE Needs Assessment, CMS Issues Key Protective Mask Guidance
- March 10 - COVID-19 Afternoon Update: GHCA to Host an All Member Webinar TOMORROW
- March 10 - COVID-19 Updates: AHCA/NCAL Issues Guidance to Restrict Visitors to Prevent COVID-19 from Entering Your Center
- March 9 - COVID-19 Updates: New Cases Identified in GA, PPE Guidance, DPH Lab Testing Request Processes, New Resources
- March 6 - Updates in the GHCA Weekly Newsfront
- March 5 - COVID-19 Updates: CMS Announces Actions to Address Spread of Virus
- March 4 - COVID-19 Updates: AHCA Webinar Recording Now Available, Updated Guidance for Clinicians
- March 3 - COVID-19 Updates: Gov. Kemp, Officials Confirm Two Cases in Georgia, AHCA Webinar Today at 4 P.M.
- March 2 - COVID-19 Updates: AHCA to Host a Webinar for all LTC Providers Tomorrow at 4 P.M.
- February 27 - DPH Preparations for Potential Spread of COVID-19
- February 12 - DPH Update on Novel Coronavirus (COVID-19)
- July 27 - COVID-19 Updates: REMINDER - GEMA Infection Control Supplies Being Shipped to Long Term Care Communities
- Innovative Methods to Keeping Residents Connected
- Algorithm for Testing and Cohorting Nursing Home Residents
- CARES ACT PROVIDER RELIEF FUND GENERAL GUIDANCE
- IPCO Training Version 2 - Bonus COVID-19 Content
- AHCA/NCAL Grant & Loan Management Resource Guide - Login Required
- COVID-Related Loss and Cost Calculator - Login Required
- Screening Checklist for SNF Visitors - Revised March 31
- AHCA Guidance on Hospital Transfers - Revised March 30
- AHCA/NCAL Guidance to Prevent the Spread of COVID-19 Into Your Center - March 9, 2020:
- AHCA Medicare Accelerated and Advance Payment FAQs
- AHCA COVID-19 Webinar Recording - https://educate.ahcancal.org/p/COVID19
- Guidelines for Residents’ Personal Laundry During COVID-19
- Template Handout for Housekeeping Staff on Cleaning Protocol
Requesting Civil Money Penalty (CMP) Reinvestment Funds for Communicative Technologies - UPDATED APPLICATION TEMPLATE
Recognizing that visitor restrictions may be difficult for residents and families, CMS has developed an application template for requests for the use of Civil Money Penalty (CMP) Reinvestment funds to provide residents with adaptive communicative technologies and accessories (iPads, tablets, headphones etc.).
Click Here for the CMPRP Application Template - Updated 4.29.20
Click Here for Special Instructions for Submitting CMPRP Application Template for Georgia Nursing Centers
Applications must be submitted electronically to email@example.com and must be submitted on the application template linked above. NOTE: This template can only be used for communicative technology and accessories for nursing homes.
COVID-19 Specimen Collection Demonstration Videos
AMDA Resource Pages
- https://paltc.org/sites/default/files/Statement on the March 25 NYSDOH Advisory.pdf
Optimizing N95 Strategies
- Template Letter to Local Officials
- AHCA #CareNotCOVID Website
- Notice to Families Restricting Visitors
- Template Letter to Employees
- Template Letter to Residents & Family Members
- Template document for Providers to Use to Explain to Families the Need for Restricting Visitors
- Talking Points for Centers Without Any Confirmed Cases
- Talking Points for Centers With Confirmed Cases
- Letter to Family Members - Confirmed Cases
- AHCA/NCAL Resource on Emergency Communication Plans
- World Health Organization Communications Package
Childcare for Health Care Profesionals
- YMCA of Metro Atlanta Childcare Program for Hospital Staff & Medical Professionals
- Georgia Department of Early Care and Learning Child Care Resources - The Georgia Department of Early Care and Learning has provided a resource for the public to search for child care that is still open while schools are closed amid COVID-19. You may search available child care programs online at www.qualityrated.org, or you can do so by calling 1-877-ALL GA Kids (1-877-255-4254). Employers seeking child care options for a group of 25 employees or more can call 470-426-2610 for direct support.
- CMS Telehealth and Telemedicine Tool Kit
- TELEMEDICINE HEALTH CARE PROVIDER FACT SHEET
- Medicare Telehealth Frequently Asked Questions (FAQs)
- DPH Waiving Certain Telehealth Policies
General Infection Prevention Resources
- CDC Free Antibiotic Stewardship Online Training
- Facility Guidance for Control of Carbapenem-resistant Enterobacteriaceae (CRE)
- DPH CRE Letter to Labs
- Carbapenem-Resistant Enterobacteriaceae (CRE) Frequently Asked Questions
- DPH Notifiable Disease/Condition Reporting
- CDC Hand Hygiene Education
- 2017 Updated Clinical Practice Guidelines for Clostridium difficile by Infectious Disease Society of America (IDSA) and Society for Healthcare Epidemiology (SHEA): These guidelines provide recommendations for diagnostic stewardship (i.e., selecting the correct patient for C. difficile testing), surveillance, diagnosis, infection prevention and control, and treatment for adult and pediatric patients.
- The Georgia Healthcare Associated Infections Advisory Committee has released a Policy Statement on C. difficile Laboratory Diagnosis that complements the IDSA/SHEA guidelines: This document highlights best practices of C. difficile laboratory testing and provides resources for implementation, including long-term care settings.
Infection Prevention Control Recommendations for Patients with Candida Auris
The Centers for Disease Control and Prevention (CDC) is alerting U.S. healthcare facilities to be on the lookout for Candida Auris due to concerns of an increased incidence of Candida Auris. Candida Auris is a type of yeast that may cause severe illness in residents and patients in a variety of health care settings, including long-term care. The yeast can enter the bloodstream and spread throughout the body causing serious invasive infections. Unfortunately, this strain of yeast does not respond to common antifungal drugs, making infections more difficult to treat. People at highest risk of infection with this type of yeast are people who have been hospitalized or live in a healthcare facility a long time, have central venous catheters, or other lines or tubes entering their body, or have previously been receiving antibiotics or antifungal medications. Common symptoms include fever and chills that don’t improve after antibiotic treatment for suspected bacterial infection. Only laboratory testing can diagnose Candida Auris infection. Georgia’s Department of Public Health recommends the following:
- Place patients infected or colonized with C. auris in a single room on standard and contact precautions.
- Assess and enhance gown and glove use. This should include ensuring staff have completed PPE donning and doffing training with return demonstration. Audit compliance with PPE selection, use, donning, and doffing for all disciplines and all shifts. Set a facility goal for compliance. Graph results monthly to easily detect trend and provide feedback to all stakeholders regularly. During auditing, perform real time coaching when non-adherence is observed. Once facility goal is achieved and sustained for a minimum of 3 months, consider de-escalation of auditing frequency (e.g., from monthly to quarterly). Escalation and de-escalation of auditing can be determined by performance.
- Reinforce hand hygiene. This should include ensuring staff have completed hand hygiene training with return demonstration. Perform auditing and feedback as described for PPE. Hand hygiene auditing should be performed for both opportunity and technique.
- Coordinate with environmental services to ensure the patient care environment is cleaned with a disinfectant that is effective against C. auris (i.e., those effective against Clostridioides difficile). Learn more.
- Work with the environmental services team to monitor the cleaning and disinfection process.
Further details regarding CDC’s recommendations for infection prevention for C. auris can be found here. Below are additional resources that may assist with your infection control program review and staff education:
- Appendix B - Objective Methods for Evaluating Environmental Hygiene
- Implementation of Personal Protective Equipment (PPE) in Nursing Homes to Prevent Spread of Novel or Targeted Multidrug-resistant Organisms (MDROs)
- Hand Hygiene Competency Validation
- How to Remove Gloves Poster
- Personal Protective Equipment (PPE) Competency Validation
- Personal Protective Equipment (PPE) Sequence Poster
- Egress Contact Precautions for Residents Colonized with Tier 3 Organisms for Long Term Care Facilities
- CDC Informational Posters: