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Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Quisque nisl felis venenatis tristique','','publish','open','open','','quisque-nisl-felis-venenatis-tristique','','','2020-04-24 00:36:37','2020-04-24 00:36:37','',0,'https://oceanwp.org/blogger/?p=69',0,'post','',0),(72,1,'2016-07-31 22:53:23','2016-07-31 22:53:23','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. 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SiteGround is proud to host this particular WordPress installation and provide users with multiple resources to facilitate the management of their WP websites:\n<h3>Expert <a href=\"http://www.siteground.com/wordpress-hosting.htm\">WordPress Hosting</a></h3>\nSiteGround provides superior WordPress hosting focused on speed, security and customer service. We take care of WordPress sites security with unique server-level customizations, WP auto-updates, and daily backups. We make them faster by regularly upgrading our hardware, offering free CDN with Railgun and developing our SuperCacher that speeds sites up to 100 times! And last but not least, we provide real WordPress help 24/7! Learn more about SiteGround WordPress hosting\n<h3>Wordpress tutorial and knowledgebase articles</h3>\nWordPress is considered an easy to work with software. Yet, if you are a beginner you might need some help, or you might be looking for tweaks that do not come naturally even to more advanced users. SiteGround <a href=\"http://www.siteground.com/tutorials/wordpress/\">WordPress tutorial</a> includes installation and theme change instructions, management of WordPress plugins, manual upgrade and backup creation, and more. If you are looking for a more rare setup or modification, you may visit <a href=\"http://kb.siteground.com\">SiteGround Knowledgebase</a>.\n<h3><a href=\"http://www.siteground.com/wordpress-hosting/wordpress-themes.htm\">Free WordPress themes</a></h3>\nSiteGround experts not only develop various solutions for WordPress sites, but also create unique designs that you could download for free. SiteGround WordPress themes are easy to customize for the particular use of the webmaster.','WordPress Resources at SiteGround','','publish','closed','closed','','wordpress-resources-at-siteground','','','2018-08-15 11:50:35','2018-08-15 11:50:35','',0,'https://digiwised.com/hvper/wordpress-resources-at-siteground/',0,'post','',1),(78,0,'2018-09-12 06:15:01','2018-09-12 06:15:01','<p>This is the WPForms preview page. All your form previews will be handled on this page.</p><p>The page is set to private, so it is not publicly accessible. Please do not delete this page :) .</p>','WPForms Preview','','private','closed','closed','','wpforms-preview-2','','','2018-09-12 06:15:01','2018-09-12 06:15:01','',0,'https://sgwpdemo.com/default/wpforms-preview/',0,'page','',0),(80,1,'2016-07-31 22:59:38','2016-07-31 22:59:38','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. 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Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Integer nec odio praesent libero sed cursus','','publish','open','open','','integer-nec-odio-praesent-libero-sed-cursus','','','2020-04-23 21:14:22','2020-04-23 21:14:22','',0,'https://oceanwp.org/blogger/?p=80',0,'post','',0),(83,1,'2016-07-31 23:03:04','2016-07-31 23:03:04','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. 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Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Elementum imperdiet duis sagittis ipsum','','publish','open','open','','elementum-imperdiet-duis-sagittis-ipsum','','','2016-07-31 23:03:04','2016-07-31 23:03:04','',0,'https://oceanwp.org/blogger/?p=83',0,'post','',0),(86,1,'2016-07-31 23:05:11','2016-07-31 23:05:11','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Tincidunt malesuada tellus ut ultrices ultrices enim','','publish','open','open','','tincidunt-malesuada-tellus-ut-ultrices-ultrices-enim','','','2016-07-31 23:05:11','2016-07-31 23:05:11','',0,'https://oceanwp.org/blogger/?p=86',0,'post','',0),(89,1,'2016-07-31 23:06:36','2016-07-31 23:06:36','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. 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Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Integer lacinia sollicitudin massa','','publish','open','open','','integer-lacinia-sollicitudin-massa','','','2020-04-23 21:14:06','2020-04-23 21:14:06','',0,'https://oceanwp.org/blogger/?p=92',0,'post','',0),(95,1,'2016-07-31 23:12:38','2016-07-31 23:12:38','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Chuck Thompson','','publish','open','open','','chuck-thompson','','','2016-07-31 23:12:38','2016-07-31 23:12:38','',0,'https://oceanwp.org/blogger/?p=95',0,'post','',1),(97,1,'2016-07-31 23:16:08','2016-07-31 23:16:08','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Pharetra auctor sem massa mattis sem','','publish','open','open','','pharetra-auctor-sem-massa-mattis-sem-2','','','2020-04-23 21:15:24','2020-04-23 21:15:24','',0,'https://oceanwp.org/blogger/?p=97',0,'post','',0),(101,1,'2016-07-31 23:18:52','2016-07-31 23:18:52','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Conubia nostra per inceptos himenaeos','','publish','open','open','','conubia-nostra-per-inceptos-himenaeos','','','2016-07-31 23:18:52','2016-07-31 23:18:52','',0,'https://oceanwp.org/blogger/?p=101',0,'post','',2),(104,1,'2016-07-31 23:22:27','2016-07-31 23:22:27','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Lacinia nunc curabitur tortor pellentesque nibh','','publish','open','open','','lacinia-nunc-curabitur-tortor-pellentesque-nibh','','','2016-07-31 23:22:27','2016-07-31 23:22:27','',0,'https://oceanwp.org/blogger/?p=104',0,'post','',3),(107,1,'2016-07-31 23:36:45','2016-07-31 23:36:45','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Pellentesque nibh aenean quam in scelerisque','','publish','open','open','','pellentesque-nibh-aenean-quam-in-scelerisque','','','2020-04-23 20:45:14','2020-04-23 20:45:14','',0,'https://oceanwp.org/blogger/?p=107',0,'post','',0),(110,1,'2016-07-31 23:39:29','2016-07-31 23:39:29','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Luctus non massa fusce ac turpis quis','','publish','open','open','','luctus-non-massa-fusce-ac-turpis-quis','','','2020-04-23 21:15:58','2020-04-23 21:15:58','',0,'https://oceanwp.org/blogger/?p=110',0,'post','',0),(113,1,'2016-07-31 23:42:06','2016-07-31 23:42:06','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. 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Halvah chocolate lemon drops brownie.','This drone shots from Alaska are stunning','','inherit','closed','closed','','49-revision-v1','','','2020-04-21 03:37:12','2020-04-21 03:37:12','',49,'https://digiwised.com/hvper/49-revision-v1/',0,'revision','',0),(221,1,'2020-04-23 02:43:19','2020-04-23 02:43:19','','Default','','publish','closed','closed','','default','','','2020-04-23 03:06:45','2020-04-23 03:06:45','',0,'https://digiwised.com/hvper/feed-templates/default/',0,'wprss_feed_template','',0),(222,0,'2020-04-23 02:44:32','2020-04-23 02:44:32','','Home Health Care News','','publish','closed','closed','','home-health-care-news','','','2020-04-23 02:44:32','2020-04-23 02:44:32','',0,'https://digiwised.com/hvper/feeds/home-health-care-news/',0,'wprss_feed','',0),(223,0,'2020-04-22 22:19:46','2020-04-22 22:19:46','<p>For the past several weeks, home health providers throughout the country have been preparing their operations for an impending surge of COVID-19 patients.<br></p>\n\n\n\n<p>Many &mdash; including the Visiting Nurse Service of New York (VNSNY) &mdash; <a href=\"https://homehealthcarenews.com/2020/04/vnsny-repurposing-staff-teaming-up-with-hospitals-to-fight-coronavirus/\">have already found themselves on the front lines</a>.<br></p>\n\n\n\n<p>If the coronavirus continues to spread at the current rate, some home health providers will likely need to work harder than others moving forward. In particular, providers with footprints in rural, low-income areas should start thinking about shifting their COVID-19 strategy into high gear.<br></p>\n\n\n\n<p>&ldquo;The distribution of health care status across the United States is not an even distribution,&rdquo; Chris Sloan, an associate principal at Washington, D.C.-based consulting firm Avalere Health, told Home Health Care News. &ldquo;People are not at the same level of health across all counties. It varies dramatically &mdash; and it varies based on a lot of different things.&rdquo;<br></p>\n\n\n\n<p>To help health care organizations understand which parts of the U.S. are especially vulnerable to the coronavirus, Sloan and his colleagues at Avalere Health recently <a href=\"https://avalere.com/press-releases/two-thirds-of-seniors-have-high-risk-conditions-in-counties-with-the-most-covid-19-cases\">mapped out Centers for Medicare &amp; Medicaid Services (CMS) data</a> linked to high-risk populations.<br></p>\n\n\n\n<p>Specifically, they used a sample of fee-for-service (FFS) Medicare claims data from 2019 to see which counties had the highest share of 65-and-older individuals living with at least one known COVID-19 risk factor. Those risk factors included underlying medical conditions like cancer, autoimmune disorders and metabolic conditions, in addition to heart and lung disease.<br></p>\n\n\n\n<p>Examples of metabolic conditions include diabetes and obesity. <br></p>\n\n\n\n<p>&ldquo;We know where the COVID-19 cases are, and we at Avalere have all this data on health care conditions and Medicare beneficiaries, so we wanted to see how much of that lines up,&rdquo; Sloan said. &ldquo;We wanted to see if there are areas where &mdash; if COVID-19 goes to that county or ends up in a heavy outbreak &mdash; seniors could be at risk.&rdquo;<br></p>\n\n\n\n<p>Compared to other states, Alabama, Georgia and Florida have a noticeably large volume of Medicare FFS beneficiaries with one or more high-risk diseases, according to Avalere&rsquo;s analysis. Regionally, Appalachia looks to be a potential COVID-19 hotspot as well. <br></p>\n\n\n\n<p>On a county level, Wisconsin&rsquo;s Menominee County, Kentucky&rsquo;s Leslie County and Georgia&rsquo;s Crawford and Treutlen counties have the highest share of Medicare FFS beneficiaries with one or more high-risk diseases. About 75% of Medicare FFS beneficiaries in those counties have at least one of the factors Avalere looked for.<br></p>\n\n\n\n<p>&ldquo;You look at a map and you say, &lsquo;Oh, there are some places where individuals with a lot of these conditions, where seniors with a lot of these conditions are concentrated,&rsquo;&rdquo; Sloan said.<br></p>\n\n\n\n<div><figure><img src=\"https://homehealthcarenews.com/wp-content/uploads/sites/2/2020/04/Screen-Shot-2020-04-22-at-5.16.07-PM-1024x791.png\" alt=\"\"></figure></div>\n\n\n\n<p>While there are some particularly vulnerable geographic clusters, the vast majority of FFS Medicare beneficiaries nationwide have significant underlying health issues.<br></p>\n\n\n\n<p>Overall, about 61% of them have one or more high-risk health conditions, according to Avalere.<br></p>\n\n\n\n<p>&ldquo;This is not a surprise. We know a lot of seniors have significant underlying health issues,&rdquo; Sloan said. &ldquo;That&rsquo;s not going to be the lead story in a newscast.&rdquo;<br></p>\n\n\n\n<p>Roughly eight out of 10 deaths reported in the U.S. have been from adults 65 years old and older, according to the U.S. Centers for Disease Control and Prevention (CDC).<br></p>\n\n\n\n<p>Even after the immediate coronavirus crisis subsides, data on where older adults are living with underlying health conditions will be extremely important.<br></p>\n\n\n\n<p>That information won&rsquo;t just be helpful for home health  providers, according to Avalere. It also has implications for future outbreaks, future spending in the Medicare program, benefit offerings by <a href=\"https://avalere.com/insights/covid-19-considerations-for-medicare-advantage-plans\">Medicare Advantage</a> plans and the federal budget.<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/possible-covid-19-hotspots-for-home-health-providers-to-watch/\">Possible COVID-19 Hotspots for Home Health Providers to Watch</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Possible COVID-19 Hotspots for Home Health Providers to Watch','For the past several weeks, home health providers throughout the country have been preparing their operations for an impending surge of COVID-19 patients. Many — including the Visiting Nurse Service of New York (VNSNY) — have already found themselves on the front lines. If the coronavirus continues to spread at the current rate, some home […]\nThe post Possible COVID-19 Hotspots for Home Health Providers to Watch appeared first on Home Health Care News.','publish','closed','closed','','possible-covid-19-hotspots-for-home-health-providers-to-watch','','','2020-04-22 22:19:46','2020-04-22 22:19:46','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=223',0,'wprss_feed_item','',0),(224,0,'2020-04-22 22:15:03','2020-04-22 22:15:03','<p>In a normal week, Rexanne Domico &mdash; president of home health care and rehabilitation at BrightSpring Health Services &mdash; might be back and forth between Charlotte, North Carolina, where she lives, and Louisville, Kentucky, where her company is headquartered. <br></p>\n\n\n\n<p>Or maybe she&rsquo;d be hopping around the South, visiting BrightSpring&rsquo;s newest locations, which the home- and community-based care provider gained as a result of its March 1 <a href=\"https://homehealthcarenews.com/2020/03/brightspring-adds-to-suite-of-services-after-acquiring-home-health-home-infusion-businesses/\">acquisition of Advanced Home Care</a>. <br></p>\n\n\n\n<p>But amid the COVID-19 emergency, Domico&rsquo;s days are anything but normal. In fact, she hasn&rsquo;t traveled in weeks &mdash; since March 10, to be precise, when she went to Nashville for some business in the market. <br></p>\n\n\n\n<p>&ldquo;[I was] thinking that I could get in and out &hellip; before things got really complicated,&rdquo; Domico told Home Health Care News. &ldquo;But my travel time there was almost useless because it ended up turning into me having to sit in a room and firefight around what was starting to happen with COVID. &hellip; [From there,] it became very constant, every part of our day.&rdquo;<br></p>\n\n\n\n<p>Since then, her schedule has been packed with all things coronavirus, all the time. On top of that, her to-do list is longer than ever &mdash; which is saying something, considering how busy BrightSpring has been in the past year and a half or so. <br></p>\n\n\n\n<p>In August 2018, the <a href=\"https://homehealthcarenews.com/2018/08/rescare-rebrands-as-brightspring-health-services/\">company rebranded</a>, changing its name from ResCare to the one it holds today.<br></p>\n\n\n\n<p>Then, in March of last year, BrightSpring <a href=\"https://homehealthcarenews.com/2019/03/brightspring-pharmerica-merge-in-1-32-billion-deal/\">was acquired</a> by global investment firm KKR and an affiliate of Walgreens Boots Alliance Inc. (Nasdaq: WBA) for $1.32 billion. As part of the deal, BrightSpring merged with PharMerica Corporation. <br></p>\n\n\n\n<p>All the while, the provider continued to do mergers and acquisitions of its own. BrightSpring cares for tens of thousands of patients per day across 49 states, with a total of 11 service lines. That includes home health, which BrightSpring offers in six states.  <br></p>\n\n\n\n<p>Domico oversees those operations and a total of four business lines, which in the new COVID-19 climate means early mornings, late nights and entire afternoons spent trying to procure personal protective equipment (PPE). <br></p>\n\n\n\n<p>She gave HHCN an hour-by-hour account of a recent day in her life. <br></p>\n\n\n\n<h3><strong>Monday, April 6 </strong><br></h3>\n\n\n\n<p>Domico&rsquo;s mornings usually start around 5 a.m., with her work days kicking off shortly after. Such was the case on Monday, April 6. <br></p>\n\n\n\n<p>First thing&rsquo;s first: Every day, she checks to make sure nothing major has happened overnight that needs her immediate attention. Then she&rsquo;s out the door. <br></p>\n\n\n\n<p>&ldquo;On my way into work every morning, I call a person that I either work with currently and haven&rsquo;t talked to in the last couple of days or someone from a competitive organization that I know or have worked with,&rdquo; she said. &ldquo;[The goal is to] stay as up-to-date and current with what&rsquo;s going on as possible &mdash; and to touch as many employees as possible.&rdquo; <br></p>\n\n\n\n<p>By 7:15 a.m. or shortly thereafter, Domico&rsquo;s in her office. While many home-based care organizations have chosen to move to an entirely remote corporate and leadership structure amid COVID-19, BrightSpring has taken a different approach. <br></p>\n\n\n\n<p>That means a combination of staggered start times and reduced scheduling, as well as having some leaders come in on different days. <br></p>\n\n\n\n<p>&ldquo;We&rsquo;re trying to keep our offices open, even if it&rsquo;s on a reduced schedule,&rdquo; Domico said. &ldquo;We just find that in certain cases, every single thing can&rsquo;t be done from home.&rdquo; <br></p>\n\n\n\n<p>The reasoning behind the decision is that BrightSpring&rsquo;s offices, in many cases, have become mini-distribution centers, where PPE is delivered and then picked up by caregivers. But, ultimately, office logistical decisions vary by market and are up to the local leaders in those geographies &mdash; folks Domico is trying to check in with regularly. <br></p>\n\n\n\n<p>As one could probably deduce from Domico&rsquo;s early morning calls, communication has been a key part of BrightSpring&rsquo;s coronavirus response. <br></p>\n\n\n\n<p>Early on, the organization set up Microsoft Teams channels to allow leaders to seamlessly communicate updates with those in the field and across the organization. It works like a bulletin board, giving employees &ldquo;one source of truth&rdquo; for best practices and procedural changes. Leaders have also worked with their IT teams to blast out messages to caregivers. <br></p>\n\n\n\n<p>In that same vein, Domico spends large swaths of time wrapped up on conference calls, on top of her regular duties. In fact, her days are somewhat dominated by them. She flipped through her April 6 schedule and rattled off the full list. <br></p>\n\n\n\n<p>&ldquo;I had one, two, three, four [calls],&rdquo; she counted, trailing off before settling on the final number. &ldquo;[On April 6,] I had nine conference calls.&rdquo;  <br></p>\n\n\n\n<p>Topics for those usually run the gamut. First, on April 6, it was telehealth and all the logistical complexities that come with it. While BrightSpring has always had a telehealth component, COVID-19 has prompted the company to look into how to best expand those capabilities.<br></p>\n\n\n\n<p>&ldquo;We&rsquo;re exploring whether picking up the phone and talking to a patient is enough and whether we should be bringing some of those calls into our call center and having clinicians actually managing that,&rdquo; Domico said. &ldquo;Then also, do we need technology in the home to support telehealth?&rdquo; <br></p>\n\n\n\n<p>BrightSpring&rsquo;s aim is to do what&rsquo;s best for patients, even if it&rsquo;s not always best for the company&rsquo;s bottom line. That means offering necessary telehealth services to home health patients, even though the Centers for Medicare &amp; Medicaid Services (CMS) won&rsquo;t pay for them. <br></p>\n\n\n\n<p>As a large PE-backed provider, the organization is in a good place to do that; but other providers aren&rsquo;t so lucky. <br></p>\n\n\n\n<p>&ldquo;We would like to think that CMS will recognize the opportunity to increase reimbursement around telehealth or to provide reimbursement around telehealth,&rdquo; Domico said. &ldquo;We think that this crisis has certainly shined a light on the need for telehealth and the need for providers to have some reimbursement in that area so that we can better take care of people.&rdquo; <br></p>\n\n\n\n<p>Next up on the call log was troubleshooting background checks. Namely, how can BrightSpring hire new caregivers in states where courts and fingerprinting establishments are closed? It&rsquo;s something they&rsquo;re figuring out. <br></p>\n\n\n\n<p>While elective surgeries are down, the company is preparing for an onslaught of coronavirus cases, Domico told HHCN during the early April conversation.<br></p>\n\n\n\n<p>&ldquo;I am having regular &hellip; check-in calls with our hospital partners, just to make sure that we are prepared for what they need,&rdquo; she said. &ldquo;They are talking to us about what they are seeing and forecasting &mdash; and what they believe that their needs are going to be.&rdquo;<br></p>\n\n\n\n<p>An executive committee meeting call came next, followed by a new site planning check in to determine whether or not to proceed with opening new rehab facilities that were planned pre-coronavirus. Then, an integration call with Advanced Home Care.<br></p>\n\n\n\n<p>By that point, Domico was well into the afternoon. <br></p>\n\n\n\n<p>&ldquo;Talk about interesting &mdash; to do an acquisition on March 1 &mdash; then be full out dealing with COVID-19 by March 6,&rdquo; she said.<br></p>\n\n\n\n<p>Call No. 6 was a check in with the new acquisition&rsquo;s leadership team. By the time that finished, the clock read 4 p.m. &mdash; time for Domico&rsquo;s daily standup with her direct reports and other key members of BrightSpring&rsquo;s leadership team. <br></p>\n\n\n\n<p>Like always, the call centered around COVID-19 cases and concerns, as well as considerations for employees. Every day, the team goes over new positive COVID-19 cases and how to adapt.  <br></p>\n\n\n\n<p>The team keeps track of cases in a database, which includes information on both patients and employees. The database helps BrightSpring keep track of individuals who have tested positive and those who are presumed-positive; it also helps the company keep track of untested individuals who are showing symptoms.<br></p>\n\n\n\n<p>&ldquo;We go through that list, &hellip; [and] I&rsquo;m determining whether I need to check on any one group or any one individual &mdash; it might be an employee,&rdquo; Domico said. <br></p>\n\n\n\n<p>At the time of the interview, Domico noted a total of about 15 cases across her divisions, whether those be patient or employee cases, but said BrightSpring was prepared to take on more as needed to help free up the beds of hospital partners. <br></p>\n\n\n\n<p>In general, data has been key to guiding Domico&rsquo;s decision-making across the four arms of business she oversees. She uses the information, along with projections, to inform what will be best for BrightSpring in the days and months to come. But because the landscape is quickly changing, there&rsquo;s also a lot of contingency planning. <br></p>\n\n\n\n<p>&ldquo;I am looking at my metrics differently, understanding how we impact and improve them in this environment,&rdquo; she said. &ldquo;Do I need to do something about shifting resources or shifting cost? Do I need to have more people looking at a certain issue before it becomes a larger issue? There&rsquo;s just a lot of room for new logistics that come in.&rdquo;<br></p>\n\n\n\n<p>One of those logistics is PPE, which is usually a pervasive part of Domico&rsquo;s day-to-day, making its way into many of her conversations. She estimates that two to three hours of her afternoons are typically spent on PPE management. <br></p>\n\n\n\n<p>In fact, after a 5 p.m. COVID-19 executive call, still on April 6, Domico spent her last conference call of the day discussing PPE needs across her markets.  <br></p>\n\n\n\n<p>BrightSpring quickly went through the PPE it had on hand at its facilities when the coronavirus first broke out, with leaders realizing they would need to shore up a lot more. In response, they set up a central PPE supply center in Kentucky, where emergency kits are assembled and then sent across the country to locations with positive patients. <br></p>\n\n\n\n<p>BrightSpring aims to equip every caregiver with masks and gloves for a home visit. For COVID-19 positive patients, that&rsquo;s not enough and more supplies are required. But getting adequate amounts of PPE is a challenge for any provider, BrightSpring included.<br></p>\n\n\n\n<p>&ldquo;My biggest surprise has been how difficult it would be to get PPE into the hands of the people who need it,&rdquo; Domico said. <br></p>\n\n\n\n<p>Every day, she and BrightSpring&rsquo;s purchasing experts check in with vendors and other sources to make sure they&rsquo;ll be able to get the PPE they need to keep caregivers safe. It&rsquo;s a team effort, with assists even coming from outside the organization. <br></p>\n\n\n\n<p>&ldquo;We also got very busy contacting our local distilleries,&rdquo; Domico said. &ldquo;I have put family members to work going to pick up hand sanitizer from our local distilleries, and we&rsquo;ve been driving and distributing it very quickly in the Carolinas and as far as Georgia. We have co-workers doing the same things in Kentucky, the Midwest and other areas so that we can get &hellip; our staff the things that they really need to feel comfortable continuing to do their jobs.&rdquo;<br></p>\n\n\n\n<p>PPE remains a struggle for BrightSpring.<br></p>\n\n\n\n<p>Back on April 6, by the time Domico is wrapping up, it is about 8 p.m. <br></p>\n\n\n\n<p>&ldquo;So I go home and try to eat something,&rdquo; she said. &ldquo;Take a walk, so that I can breathe and have a little bit of mental health, then go to bed and start all over again.<br></p>\n\n\n\n<p>And for as long as the COVID-19 crisis persists, that&rsquo;s Domico&rsquo;s new normal. <br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/the-new-normal-a-day-in-the-life-of-brightsprings-home-health-leader-amid-covid-19/\">The New Normal: Day in the Life of BrightSpring&rsquo;s Home Health Leader Amid COVID-19</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19','In a normal week, Rexanne Domico — president of home health care and rehabilitation at BrightSpring Health Services — might be back and forth between Charlotte, North Carolina, where she lives, and Louisville, Kentucky, where her company is headquartered. Or maybe she’d be hopping around the South, visiting BrightSpring’s newest locations, which the home- and […]\nThe post The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19 appeared first on Home Health Care News.','publish','closed','closed','','the-new-normal-day-in-the-life-of-brightsprings-home-health-leader-amid-covid-19','','','2020-04-22 22:15:03','2020-04-22 22:15:03','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=224',0,'wprss_feed_item','',0),(225,0,'2020-04-22 22:13:27','2020-04-22 22:13:27','<p>Physician leaders from Louisville, Kentucky-based Humana Inc. (NYSE: HUM) and the National Quality Forum <a href=\"https://www.nejm.org/doi/full/10.1056/NEJMp1913993\">have published a joint article in the New England Journal of Medicine </a>examining the role social, behavioral and environmental factors play in overall health &mdash; and why those aspects should be incorporated into future payment models.&nbsp;<br></p>\n\n\n\n<p>Published Wednesday, the piece is yet another reminder of how health care is embracing and being changed by social determinants of health.<br></p>\n\n\n\n<p>In their article, Humana CMO Dr. William Shrank and National Quality Forum CEO Dr. Shantanu Agrawal argue for including social factors, in addition to clinical factors, when constructing population-based payment models. <br></p>\n\n\n\n<p>Broadly, the authors believe increased consideration of social risk factors in payment models would create provider incentives for addressing health-related social needs, in turn improving outcomes. Those needs include access to health food, safe environments and social support, among others. <br></p>\n\n\n\n<p>Humana has been one of the payers &mdash; and providers &mdash; at the forefront of the social determinants conversation. <br></p>\n\n\n\n<p>In 2014, for example, Humana launched its &ldquo;Bold Goal&rdquo; strategy, which aimed to tackle some of the problems related to social determinants of health. Since then, Humana&rsquo;s legacy at home division and Kindred at Home operations have focused on how they can improve the overall health of their patients by addressing social and environmental factors. <br></p>\n\n\n\n<p>&ldquo;Some evidence shows that performance-based reimbursement programs penalize or reduce payments to providers who care for socially disadvantaged people, which suggests that existing risk-adjustment methods don&rsquo;t sufficiently address social context,&rdquo; the New England Journal of Medicine article read. <br></p>\n\n\n\n<p>Explicitly accounting for those social characteristics would &ldquo;level the playing field&rdquo; by providing clinicians with the right resources to care for more vulnerable patient populations.<br></p>\n\n\n\n<p>&ldquo;Growing evidence indicates that socially disadvantaged people have comparatively worse health outcomes, suggesting that clinical and social risk are related,&rdquo; Dr. Agrawal, who also serves as president of the National Quality Forum, said in a statement. &ldquo;To improve the health outcomes of all people, including the disadvantaged, we must consider this growing body of evidence as part of a comprehensive, 21st century approach to risk adjustment.&rdquo;<br></p>\n\n\n\n<p>The topics of social determinants of health and improving outcomes is particularly relevant at this point in time. The COVID-19 crisis, Shrank and Agrawal point out, can exacerbate these social, behavioral and environmental gaps in health care.<br></p>\n\n\n\n<p>Those with reduced access to adequate health care, for instance, are more likely to have underlying conditions such as hypertension and diabetes. Such underlying conditions make bouts with the coronavirus more dangerous. <br></p>\n\n\n\n<p>On its end, Humana waived customer cost-sharing and co-pays related to coronavirus treatment.<br></p>\n\n\n\n<p>&ldquo;Our proactive outreach to our COVID-19-positive and highest risk members has uncovered high rates of social isolation and considerable barriers to accessing healthy food, which put them at higher risk for bad outcomes,&rdquo; Shrank said in a statement. &ldquo;Given the associations between social risk and clinical risk, it stands to reason that risk adjustment for payment models should incorporate the breadth of patient characteristics that predict the need for health care services.&rdquo;<br></p>\n\n\n\n<p>The Centers for Medicare &amp; Medicaid Services (CMS) has aimed to address social determinants of health in recent years, in part by expanding Medicare Advantage (MA) supplemental benefits.<br></p>\n\n\n\n<p>The Special Supplemental Benefits for the Chronically Ill (SSBCI) program, for instance, allows plans to cover services like non-medical transportation, meal support and home modification, among others. <br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/humana-national-quality-forum-execs-future-payment-models-must-consider-social-determinants-of-health/\">Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health','Physician leaders from Louisville, Kentucky-based Humana Inc. (NYSE: HUM) and the National Quality Forum have published a joint article in the New England Journal of Medicine examining the role social, behavioral and environmental factors play in overall health — and why those aspects should be incorporated into future payment models.  Published Wednesday, the piece is […]\nThe post Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health appeared first on Home Health Care News.','publish','closed','closed','','humana-national-quality-forum-execs-future-payment-models-must-consider-social-determinants-of-health','','','2020-04-22 22:13:27','2020-04-22 22:13:27','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=225',0,'wprss_feed_item','',0),(226,0,'2020-04-22 21:17:42','2020-04-22 21:17:42','<p><em>During this critical time, Home Health Care News remains committed to bringing you all the essential news related to home-based care operations. At the same time, we also recognize the seriousness of the COVID-19 pandemic. In addition to our regular content, we&rsquo;ll continue to highlight industry-related developments and mitigation strategies in this rolling bulletin.</em><br></p>\n\n\n\n<h3><strong>What you need to know from Wednesday (April 22)</strong></h3>\n\n\n\n<p>&mdash; Interim Healthcare Inc. has launched <a href=\"https://www.ppeforhomecare.org/home/\">PPEforhomecare.org</a>, which aims to be a resource for home-based care providers having difficulty securing PPE. </p>\n\n\n\n<p>&mdash; The FDA has <a href=\"https://www.medpagetoday.com/infectiousdisease/covid19/86069?xid=nl_popmed_2020-04-22&amp;eun=g1253312d0r&amp;utm_source=Sailthru&amp;utm_medium=email&amp;utm_campaign=CoronaBreak_042220&amp;utm_term=NL_Daily_Breaking_News_Active\">authorized its first in-home diagnostic test for the COVID-19 virus</a>, the agency announced. The kit contains a swab that enables the patient to collect a sample. The FDA said tests should be available to patients through prescription in the coming weeks. LabCorp, the producer of the tests, says it will give priority to health care workers and first responders.<br></p>\n\n\n\n<p>&mdash; <a href=\"https://www.ahcancal.org/News/news_releases/Pages/Long-Term-Care-Needs-More-Testing-to-Protect-Residents-and-Save-Lives.aspx\">The American Health Care Association (AHCA) and National Center for Assisted (NCAL) released a statement </a>emphasizing the dire need for more personal protective equipment (PPE) and COVID-19 testing for nursing and assisted living facilities. The lack of PPE and testing for these facilities shines a light on just how difficult it is to acquire these resources for home health agencies, which are on a tier even lower on the priority list.&nbsp;</p>\n\n\n\n<p>&mdash; An infectious disease specialist <a href=\"https://www.medpagetoday.com/infectiousdisease/covid19/86083?xid=nl_popmed_2020-04-22&amp;eun=g1253312d0r&amp;utm_source=Sailthru&amp;utm_medium=email&amp;utm_campaign=CoronaBreak_042220&amp;utm_term=NL_Daily_Breaking_News_Active\">outlined the unique challenges</a> that rural communities face in the fight against the coronavirus. They&rsquo;re less susceptible to the outbreak because of heightened isolation and less public transportation. These communities are, however, less likely to have jobs that can be done from home and are more reliant on frequent town gatherings.&nbsp;<br></p>\n\n\n\n<p>&mdash; While CMS granting further telemedicine capabilities to providers has been a welcomed update, <a href=\"https://khn.org/news/coronavirus-fuels-explosive-growth-in-telehealth-%E2%80%95-and-concern-about-fraud/?utm_campaign=KHN%3A%20Daily%20Health%20Policy%20Report&amp;utm_source=hs_email&amp;utm_medium=email&amp;utm_content=86673485&amp;_hsenc=p2ANqtz-8H337o8LgNqQKy4ExfVBtAhDWfgHAbduCR3DlCw4xWuCsGfdRdmVsluoIBsQYsdLN22lhX9XHpXNPkO59DerqH4v5XMrG8iaiXL0ZmY6JuHzVQxVA&amp;_hsmi=86673485\">it also has raised concerns about billing fraud</a>. The sudden increase in access to telehealth and reduced guardrails to preventing fraud could present future problems, <a href=\"https://khn.org/news/coronavirus-fuels-explosive-growth-in-telehealth-%E2%80%95-and-concern-about-fraud/?utm_campaign=KHN%3A%20Daily%20Health%20Policy%20Report&amp;utm_source=hs_email&amp;utm_medium=email&amp;utm_content=86673485&amp;_hsenc=p2ANqtz-8H337o8LgNqQKy4ExfVBtAhDWfgHAbduCR3DlCw4xWuCsGfdRdmVsluoIBsQYsdLN22lhX9XHpXNPkO59DerqH4v5XMrG8iaiXL0ZmY6JuHzVQxVA&amp;_hsmi=86673485\">Kaiser Health News suggests</a>.&nbsp;<br></p>\n\n\n\n<p>&mdash; The National Mobilization Against Sweatshops (NMASS), a grassroots labor organization based in New York City&rsquo;s Chinatown, <a href=\"https://gothamist.com/news/city-struggles-get-protective-gear-home-health-aides-while-labor-groups-step\">has stepped up to acquire and distribute PPE to home health care workers</a>.&nbsp;<br></p>\n\n\n\n<h4><strong>Interim Healthcare launches PPE website&nbsp;</strong><br></h4>\n\n\n\n<p>Florida-based Interim HealthCare, a franchiser that provides home care and home health, among other services, launched a website Wednesday to help the home-based care industry better access PPE.&nbsp;<br></p>\n\n\n\n<p>In tandem with its parent company, Caring Brands International (CBI), Interim has sourced, vetted and negotiated resources such as disposable gowns, surgical masks, digital thermometers, hand sanitizers, latex gloves, KN95 masks and other equipment, making it all available via <a href=\"http://ppeforhomecare.org/\">PPEforhomecare.org</a>.&nbsp;<br></p>\n\n\n\n<p>&ldquo;Interim HealthCare has always played a leading role to ensure clinicians and caregivers have the support and resources they need to care for our most vulnerable populations,&rdquo; Jennifer Sheets, CEO of Interim Healthcare, told Home Health Care News in an email. &ldquo;After quickly mobilizing our own effort to source, vet and negotiate critically-needed PPE for our network, we continue to work tirelessly to ensure all care providers are fully-equipped to safely enter any client&rsquo;s home. As we expect a surge to home care services over the next few weeks, to help COVID-19 patients recover at home, our clinicians and nurses must be protected.&rdquo;</p>\n\n\n\n<h3><strong>What you need to know from Tuesday (April 21)</strong></h3>\n\n\n\n<p>&mdash; The U.S. News &amp; World Report listed home health and home care workers among those with <a href=\"https://finance.yahoo.com/news/19-careers-most-job-security-175518233.html\">the most job security</a> amid the coronavirus. In Minnesota, data shows that <a href=\"https://www.southernminn.com/waseca_county_news/news/state/article_61078163-9970-5973-bf45-de77636b10df.html\">less than 5%</a> of those in nursing &mdash; a category which includes psychiatric aides and home health workers &mdash; have filed for unemployment during the COVID-19 emergency.<br></p>\n\n\n\n<p>&mdash; Congress and the White House have <a href=\"https://www.nytimes.com/2020/04/21/us/politics/congress-business-relief-ppp.html\">finalized a $484 billion coronavirus relief package</a>, which would provide more funding for small business loans, hospitals and coronavirus testing. The Senate <a href=\"https://www.usatoday.com/story/news/politics/2020/04/21/coronavirus-congress-reaches-deal-replenish-small-business-program/5151695002/\">approved the measure Tuesday</a>, with the House expected to vote on the legislation Thursday.  <br></p>\n\n\n\n<p>&mdash; Kindred Healthcare LLC has cut wages for many of its employees by 10%, and CEO Benjamin Breier is taking a 15% pay cut, a Louisville, Kentucky <a href=\"https://www.wdrb.com/in-depth/kindred-healthcare-cuts-pay-10-for-many-employees-amid-pandemic/article_b263ba6e-833d-11ea-9c59-4739747c1dc5.html\">news station reported</a>. Kindred Healthcare is owned by Humana and two private equity firms, Welsh, Carson, Anderson &amp; Stowe and TPG Capital. It doesn&rsquo;t appear that there have been any pay cuts at Kindred at Home, which is separate. <br></p>\n\n\n\n<p>&mdash; President Donald Trump has announced that he plans to start <a href=\"https://www.politico.com/news/2020/04/20/trump-suspend-immigration-coronavirus-197755\">suspending immigration</a> into the U.S. The goal is to &ldquo;protect the jobs of our GREAT American Citizens,&rdquo; he said in a tweet. Though the proposal is still being drafted, experts expect certain industries will be exempted. <br></p>\n\n\n\n<p>&mdash; Crude oil values <a href=\"https://www.washingtonpost.com/business/2020/04/20/stocks-markets-today-oil-coronavirus/\">hit historic lows</a> Monday, with prices turning negative. In other words, traders were paying people to take it off their hands. The never-before-seen occurrence caused the Dow to plunge more than 600 points, another example of how the coronavirus continues to wreak havoc on the economy. <strong> </strong></p>\n\n\n\n<h3><strong>April 20</strong><br></h3>\n\n\n\n<p>&mdash; The Partnership for Quality Home Healthcare (PQHH) wrote to CMS, urging the agency to consider paying home health providers for telehealth visits and more flexible certification requirements. Providers that signed the letter include Bayada Home Health Care, LHC Group and Kindred at Home, in addition to Encompass Health&rsquo;s home health and hospice segment. <br></p>\n\n\n\n<p>&mdash; Health officials in North Carolina believe at least 14 cases of the coronavirus can be traced back to a home health agency in Rutherford County, <a href=\"https://wlos.com/news/local/covid19-linked-rutherford-county-home-health-agency\">according to local newsroom WLOS</a>. Home health agencies can often help prevent the spread of the virus, but, like other providers, are left vulnerable when not fully equipped with appropriate PPE. <br></p>\n\n\n\n<p>&mdash; In a Los Angeles Times op-ed, Sirina Keesara and Nicholas Bott argued on behalf of hospital-at-home models. Keesara is an obstetrician-gynecologist and fellow at Stanford University&rsquo;s Clinical Excellence Research Center, while Bott is a clinical neuropsychologist and associate fellowship director at the center. &ldquo;Most hospitalizations for patients with mild or moderate illness require a set of initial tests, a daily evaluation from a doctor, intravenous medication on occasion, and check-ins from a nurse a few times a day,&rdquo; <a href=\"https://www.latimes.com/opinion/story/2020-04-20/hospitals-beds-home-care-coronavirus\">they wrote</a>. &ldquo;All of this can be provided in a patient&rsquo;s home with current technology.&rdquo;<br></p>\n\n\n\n<p>&mdash; More home health agencies are reporting challenges associated with clinicians refusing work due to PPE shortages. They include Reliance Home Senior Services, a home health aide agency with about 350 employees in Massapequa, New York. &ldquo;We&rsquo;re having an abundance of people calling us for care in the house after they tested positive, and you can&rsquo;t get caretakers to go to the house for them,&rdquo; Dana Arnone, owner of Reliance,<a href=\"https://www.newsday.com/news/health/coronavirus/coronavirus-home-health-aides-quarantine-1.43915633\"> told Newsday</a>.<br></p>\n\n\n\n<p>&mdash; While there are signs that coronavirus cases are starting to level off in some places, the threat of the virus is continuing to grow in others, <a href=\"https://www.nytimes.com/2020/04/20/us/coronavirus-live-news.html#link-4babf436\">according to The New York Times</a>. Growth has been particularly evident in Massachusetts.<br></p>\n\n\n\n<h4><strong>LUPA rates rising</strong><br></h4>\n\n\n\n<p>The Washington, D.C.-based PQHH &mdash; an industry association representing many of the largest home health providers in the country &mdash; implored CMS to take several key steps to further support in-home care during the coronavirus emergency.<br></p>\n\n\n\n<p>&ldquo;As you know, the nature of this crisis is like nothing the nation has ever experienced and the entire health care sector (including the home health provider community) has been challenged in ways that were not imaginable,&rdquo; PQHH  wrote to CMS. &ldquo;Home health providers are experiencing significant difficulties in providing critically needed care to existing Medicare patients (whose fears about COVID19 infection cause them to restrict access to the home), a severe reduction in referrals from hospitals, nursing homes and physicians, and a significant increase in low utilization payments (LUPA payments) in place of full episode payments for existing patients. In addition, staffing challenges are widespread, with personal protective equipment (PPE) in short supply and increased costs for training, screening and other activities related to COVID19.&rdquo;<br></p>\n\n\n\n<p>Specifically, PQHH called for telehealth payment as well as flexibilities surrounding signed orders and certifications.<br></p>\n\n\n\n<p>A lack of telehealth reimbursement, in particular, has caused &ldquo;extreme hardship for providers,&rdquo; in part by dramatically increasing  LUPA rates.<br></p>\n\n\n\n<p>Early data from PQHH suggests that providers are experiencing at least a doubling of their 2019 LUPA visits.<br></p>\n\n\n\n<p>&ldquo;While telehealth visits certainly do not take the place of in-person visits, during the [public health emergency], it would make policy and public health sense to facilitate telehealth for home health providers by instituting a temporary payment mechanism to count them as in-person visits,&rdquo; PQHH noted.<br></p>\n\n\n\n<p><a href=\"https://homehealthcarenews.com/2020/04/coronavirus-daily-update-npr-digs-into-lhc-groups-covid-19-testing-medicaid-providers-seek-support/\">For daily updates from the week of April 13, click here.</a><br></p>\n\n\n\n<p><a href=\"https://homehealthcarenews.com/2020/04/coronavirus-daily-update-thieves-target-ppe-few-offering-virtual-care-services/\">For daily updates from the week of April 6, click here.</a><br></p>\n\n\n\n<p><a href=\"https://homehealthcarenews.com/2020/04/coronavirus-daily-update-cms-will-reimburse-telehealth-at-in-person-rates-home-health-exempt-from-paid-sick-leave-rule/\">For daily updates from the week of March 30, click here.</a><br></p>\n\n\n\n<p><a href=\"https://homehealthcarenews.com/2020/03/coronavirus-daily-update-cms-will-not-authorize-standard-surveys-for-home-health-agencies/\">For daily updates from the week of March 23, click here.</a><br></p>\n\n\n\n<p><a href=\"https://homehealthcarenews.com/2020/03/coronavirus-daily-updates-cms-gives-home-health-agencies-oasis-flexibility/\">For daily updates from the week of March 16, click here.</a><br></p>\n\n\n\n<p><em>HHCN encourages you to reach out to us individually or at </em><strong><em>Editor@HomeHealthCareNews.com</em></strong><em> for story ideas, tips or general feedback.</em></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/coronavirus-daily-update-lupa-rates-up-covid-19-outbreak-linked-to-home-health-agency/\">Coronavirus Daily Update: Interim Launches PPE Tool; FDA Approves In-Home COVID-19 Test</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Coronavirus Daily Update: Interim Launches PPE Tool; FDA Approves In-Home COVID-19 Test','During this critical time, Home Health Care News remains committed to bringing you all the essential news related to home-based care operations. At the same time, we also recognize the seriousness of the COVID-19 pandemic. In addition to our regular content, we’ll continue to highlight industry-related developments and mitigation strategies in this rolling bulletin. What […]\nThe post Coronavirus Daily Update: Interim Launches PPE Tool; FDA Approves In-Home COVID-19 Test appeared first on Home Health Care News.','publish','closed','closed','','coronavirus-daily-update-interim-launches-ppe-tool-fda-approves-in-home-covid-19-test','','','2020-04-22 21:17:42','2020-04-22 21:17:42','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=226',0,'wprss_feed_item','',0),(227,0,'2020-04-21 21:10:56','2020-04-21 21:10:56','<p>Prior to the onset of the COVID-19 crisis, the Medicare Advantage (MA) landscape looked like a promising business opportunity for in-home care providers. That was, in part, thanks to two major expansions of MA supplemental benefits in 2018 and 2019. <br></p>\n\n\n\n<p>But the U.S. is now more than a month removed from a coronavirus public health emergency being declared. And similar to everything else in health care, a lot has changed in the MA space.<br></p>\n\n\n\n<p>The way insurance plans operate has been altered. The way their members carry out their regular, day-to-day lives has been upended. <br></p>\n\n\n\n<p>For home care providers, the impact that the coronavirus has had on MA could ultimately mean more opportunity in 2021. Yet it could also mean less. Either way, the virus means home care operators will need to sift through even more unknowns to develop their MA strategies moving forward.<br></p>\n\n\n\n<p>&ldquo;For the last couple years, the trends related to Medicare Advantage have been strong,&rdquo; Matt Kazan, principal at Avalere Health, told Home Health Care News. &ldquo;Congress and the Centers for Medicare &amp; Medicaid Services (CMS) have seemed to err on the side of providing plans with greater flexibility.&rdquo;<br></p>\n\n\n\n<p>Washington, D.C.-based Avalere Health is a health care research and consulting firm. Prior to Kazan&rsquo;s time at Avalere, he was a senior health policy advisor on the Senate&rsquo;s Committee on Finance, where one of his main focuses was MA.<br></p>\n\n\n\n<p>&ldquo;I think COVID-19, obviously, presents challenges for the entire health care system &mdash; and MA is not unique there,&rdquo; Kazan said. <br></p>\n\n\n\n<p>Specifically, there are questions related to the Special Supplemental Benefits for the Chronically Ill (SSBCI) program, one of the two major MA expansions over the past few years.<br></p>\n\n\n\n<p>Announced in 2019 for the 2020 plan year, SSBCI allows MA plans to cover home-focused services like non-medical transportation, meal support, home modification and other &ldquo;general supports for living&rdquo; for certain populations. As of March, there were at least 245 plans offering one or more of the SSBCI options, according to ATI Advisory.<br></p>\n\n\n\n<h3><strong>A new door</strong><br></h3>\n\n\n\n<p>With its focus on social determinants of health and the chronically ill, SSBCI promptly opened a new door for home care providers.<br></p>\n\n\n\n<p>And in months to come, the MA program could be a vital tool for keeping chronically ill seniors healthy during the COVID-19 crisis. With the at-risk population expanding due to the threat of the COVID-19 virus, mitigating hospital visits and unnecessary trips outside the home will be more important than ever. <br></p>\n\n\n\n<p>Currently, SSBCI services are offered to patients that have at least one of 45 specified chronic conditions. CMS has proposed expanding that list for 2021, with some MA experts predicting the inclusion of new COVID-19-related conditions.<br></p>\n\n\n\n<p>Additionally, beyond adding to that list of 45 conditions, some believe CMS could also open up SSBCI for MA enrollees more broadly, perhaps expanding it to more than just the chronically ill.<br></p>\n\n\n\n<p>If either &mdash; or both &mdash; of those adjustments are made to SSBCI eligibility requirements, it could mean a lot more potential MA enrollees for home care agencies to serve. <br></p>\n\n\n\n<p>&ldquo;CMS has proposed to expand the list of enrollees who could get these types of supplemental benefits to basically anyone who&rsquo;s at risk of a hospitalization or has a life-threatening disease,&rdquo; Kazan said. &ldquo;Clearly, that would include patients with COVID-19. &hellip; So, I think that&rsquo;s one issue to watch for, in terms of kind of an expansion of this supplemental benefit population and kind of the intersection with COVID-19.&rdquo;<br></p>\n\n\n\n<p>According to Kaiser Family Foundation statistics, nearly 20 million Americans had enrolled in MA as of 2018, almost double the number enrolled in 2010.<br></p>\n\n\n\n<p>Typically, MA benefits are set in June for the following year. Assuming the coronavirus is still at the forefront of health care concerns in two months, 2021&rsquo;s MA environment will likely reflect ongoing priorities. <br></p>\n\n\n\n<p>&ldquo;What is 2021 going to look like in terms of utilization and COVID-19?&rdquo; Kazan said. &ldquo;We know that there are certain communities and certain patients who have difficulties generally accessing nutritious food, transportation and feel the effects of social isolation &mdash; all of those get exacerbated with COVID-19. Plans do have an opportunity to try to show how this flexibility could benefit in ways that we hadn&rsquo;t thought about several years ago.&rdquo;<br></p>\n\n\n\n<p>Likewise, home care providers have an opportunity to flex their muscles and show how they can contribute to the mitigation of COVID-19, without necessarily treating patients who have been infected. <br></p>\n\n\n\n<h3><strong>Leveraging MA </strong><br></h3>\n\n\n\n<p>Regardless of how the COVID-19 crisis affects insurers in the future, the increased attention paid to SSBCI and home care services is obvious &mdash; and that attention has led to robust demand.<br></p>\n\n\n\n<p>Cincinnati-based home care franchise company FirstLight Home Care has been among the home care providers scrambling to accelerate their MA involvement, its founder and CEO, Jeff Bevis, told HHCN.<br></p>\n\n\n\n<p>&ldquo;We&rsquo;re more on the acceleration side,&rdquo; Bevis said. &ldquo;We&rsquo;re just trying to actually gear up even faster now.&rdquo;<br></p>\n\n\n\n<p>With locations in more than 30 states overall, FirstLight was already active in MA across the country, having contracted with two large MA plans in the year leading up to COVID-19. Multiple of the seven states that those contracts cover have thus far exceeded FirstLight&rsquo;s expectations in terms of referrals and utilization, Bevis said.&nbsp;<br></p>\n\n\n\n<p>&ldquo;We are seeing even more referral flow coming from [the states we&rsquo;re operating in] and we have some additional plans that are pending to be finalized and approved as well,&rdquo; Bevis said. &ldquo;We think [MA] is going to be accelerating and become even a bigger opportunity.&rdquo;<br></p>\n\n\n\n<p>FirstLight, like other home care companies, had been bullish on MA &mdash; and SSBCI, in particular &mdash; for a while. But the franchiser has been presented with new issues and opportunities to consider over the past month or two. <br></p>\n\n\n\n<p>&ldquo;The primary one for us has been personal care services &mdash; the one we picked up with Medicare Advantage supplement benefit plans starting in 2019,&rdquo; Bevis said. &ldquo;But some of these new plans and added contracts that [we&rsquo;ve partnered with] in the last 90 to 120 days &mdash; pre-crisis &mdash; have asked us to focus on some other, more disease-specific services.&rdquo;<br></p>\n\n\n\n<p>That has given FirstLight reason to believe it can expand the services it provides to MA beneficiaries around the country. <br></p>\n\n\n\n<p>&ldquo;I do think that the COVID-19 crisis has put home care even more front and center, especially as it relates to Medicare Advantage benefits,&rdquo; Bevis said. &ldquo;And I do think it&rsquo;s going to be kind of a wind at our backs to probably add more services under Medicare sooner versus later.&rdquo;<br></p>\n\n\n\n<p>Kerin Zuger, chief of strategic growth for Right at Home, agreed. Omaha, Nebraska-based Right at Home is a home care franchise company with more than 500 locations across the U.S.<br></p>\n\n\n\n<p>&ldquo;For many seniors, home care continues to be an attractive care setting, particularly considering the  spread of Coronavirus in institutional settings &mdash; so the MA opportunity will continue to be there,&rdquo; Zuger told HHCN in an email. &ldquo;Many in the industry believe there will be a lasting uptick in seniors seeking to stay at home because of the COVID-19 infection and fatality rates among seniors.&rdquo;<br></p>\n\n\n\n<p>Right at Home continues to service Medicare Advantage members during the coronavirus emergency and is reviewing &ldquo;significant expansion opportunities for 2021,&rdquo; she noted.<br></p>\n\n\n\n<h3><strong>Home-focused companies proving their worth</strong><br></h3>\n\n\n\n<p>Most home care operators assumed that the adoption of expanded MA benefits would be a multi-year process, but the presence of the coronavirus does have the potential to speed things up. <br></p>\n\n\n\n<p>The companies that have made strong partnerships in the field, even outside of traditional home care, are welcoming the increased interest in non-medical care and social determinants of health. <br></p>\n\n\n\n<p>Like FirstLight, Papa Inc., a Miami-based company that provides companionship and wide-ranging assistance to seniors, has also seen a bump in interest for its services, CEO Andrew Parker told HHCN.<br></p>\n\n\n\n<p>&ldquo;It&rsquo;s been pretty significant for us,&rdquo; Parker said. &ldquo;Both our [current] health plan partners and new health plans have been reaching out to us to offer Papa as a benefit to their members.&rdquo;<br></p>\n\n\n\n<p>Papa&rsquo;s non-medical capabilities are in line with SSBCI offerings and are similarly well-suited to deal with COVID-19 challenges, like seniors being isolated in their homes. <br></p>\n\n\n\n<p>Normally, Papa offers an in-person service that pairs &ldquo;Papa Pals&rdquo; with seniors, while also offerings support for technology assistance, transportation and light housework. The company is still providing over 1,000 visits per day, though many services are now only delivered virtually.<br></p>\n\n\n\n<p>&ldquo;We&rsquo;re able to get members groceries, medicine and much more,&rdquo; Parker said. &ldquo;We&rsquo;re [continuing] to partner with organizations &mdash; especially with the health plans that already have some services, but need to be able to get specific benefits to their members and are leveraging Papa to do so.&rdquo;<br></p>\n\n\n\n<p>It&rsquo;s never a bad time to prove your worth. And for providers aiming to be a part of the solution to the spread of the coronavirus, the ever-changing MA world is serving as an outlet to do just that &mdash; with an increase in business along the way.  <br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/home-care-companies-accelerate-medicare-advantage-strategies-despite-covid-19-uncertainty/\">Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty','Prior to the onset of the COVID-19 crisis, the Medicare Advantage (MA) landscape looked like a promising business opportunity for in-home care providers. That was, in part, thanks to two major expansions of MA supplemental benefits in 2018 and 2019. But the U.S. is now more than a month removed from a coronavirus public health […]\nThe post Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty appeared first on Home Health Care News.','publish','closed','closed','','home-care-companies-accelerate-medicare-advantage-strategies-despite-covid-19-uncertainty','','','2020-04-21 21:10:56','2020-04-21 21:10:56','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=227',0,'wprss_feed_item','',0),(228,0,'2020-04-21 21:10:25','2020-04-21 21:10:25','<p>Home care is one of the fastest-growing segments of the long-term care sector. Even so, the segment is still made up of mostly small businesses, a new report reveals.<br></p>\n\n\n\n<p>Overall, about 78% of home care providers employ fewer than 50 workers, according to a Tuesday report from PHI, a New York-based direct-care workforce advocacy organization.<br></p>\n\n\n\n<p>In the context of the coronavirus, the findings underscore the need for additional support for mom-and-pop home care providers, many of whom are currently struggling to source and pay for personal protective equipment (PPE) for their workers.<br></p>\n\n\n\n<p>&ldquo;Because we are dealing with many small businesses, they are having trouble getting the necessary masks, gloves, sanitizers, gowns, etc.,&rdquo; <a href=\"https://homehealthcarenews.com/2019/11/new-hcaoa-executive-director-looks-to-grow-membership-strengthen-home-cares-data-capabilities/\">Vicki Hoak, executive director of the Home Care Association of America (HCAOA)</a>, told Home Health Care News. [According to preliminary results from a recent HCAOA poll], 13% of our members said they have insufficient PPE.&rdquo;<br></p>\n\n\n\n<p>Washington, D.C.-based HCAOA represents nearly 3,000 companies that employ more than 500,000 caregivers.<br></p>\n\n\n\n<p>Rapid growth and a highly fragmented home care landscape have made it difficult for states to identify and meet provider needs during the COVID-19 emergency, according to Stephen Campbell, data and policy analyst at PHI.<br></p>\n\n\n\n<p>&ldquo;The lack of coordination in the home care sector means that many providers have to navigate this crisis alone,&rdquo; Campbell, the author of the report, told HHCN in an email. &ldquo;They often compete against each other to get a hold of personal protective equipment, among other critical supplies. This is especially problematic for the many small businesses in the home care sector, which might have limited resources.&rdquo; <br></p>\n\n\n\n<p>Overall, the home care industry saw 22,200 new establishments from 2007 to 2017.<br></p>\n\n\n\n<p>In part, the increase is due to a growing demand to age in place among older adults. <br></p>\n\n\n\n<p>&ldquo;For the last decade, we have seen the shift of people wanting to remain in their homes as they age,&rdquo; Hoak said. &ldquo;Many times, older adults have chronic conditions that require assistance. In order for them to stay at home, &hellip; they turn to an outside organization, like a home care agency.&rdquo;<br></p>\n\n\n\n<p>Despite the high demand for home care services, the financing structure of home care is inadequate, according to the report.<br></p>\n\n\n\n<p>The majority of financing for home care and other long-term care services comes from Medicaid, which systematically underfunds long-term care, PHI argues.<br></p>\n\n\n\n<p>&ldquo;One of the main reasons is that, as a means-tested social assistance program, Medicaid is funded through general tax revenues rather than through universal payroll contributions,&rdquo; PHI wrote in the report. &ldquo;Therefore, Medicaid programs must always compete with other state budget items, like transportation and education.&rdquo;<br></p>\n\n\n\n<p>Looking ahead, policymakers have started to develop proposals focused on improving publicly financed long-term services and supports in the U.S., according to the report. <br></p>\n\n\n\n<p>&ldquo;As a leading example, <a href=\"https://homehealthcarenews.com/2019/05/new-long-term-care-law-could-lead-to-a-home-care-business-boom/\">Washington State has established a Long-Term Care Trust</a> that,</p>\n\n\n\n<p>beginning in 2025 will provide a daily benefit of $100, up to a lifetime benefit of $36,500, to people who require assistance with three or more activities of daily living,&rdquo; PHI noted.<br></p>\n\n\n\n<p>Other states, such as Maine and Michigan, have also begun considering long-term care social insurance programs. <br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/fast-growing-home-care-industry-still-dominated-by-small-providers/\">Fast-Growing Home Care Industry Still Dominated by Small Providers</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Fast-Growing Home Care Industry Still Dominated by Small Providers','Home care is one of the fastest-growing segments of the long-term care sector. Even so, the segment is still made up of mostly small businesses, a new report reveals. Overall, about 78% of home care providers employ fewer than 50 workers, according to a Tuesday report from PHI, a New York-based direct-care workforce advocacy organization. […]\nThe post Fast-Growing Home Care Industry Still Dominated by Small Providers appeared first on Home Health Care News.','publish','closed','closed','','fast-growing-home-care-industry-still-dominated-by-small-providers','','','2020-04-21 21:10:25','2020-04-21 21:10:25','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=228',0,'wprss_feed_item','',0),(229,0,'2020-04-21 20:24:59','2020-04-21 20:24:59','<p>One of the nation&rsquo;s largest providers of infusion therapy is shifting its attention to the COVID-19 virus and further migrating key health care services into the home. <br></p>\n\n\n\n<p>Illinois-based Option Care Health &mdash; which specializes in home and alternate infusion services &mdash; is partnering with health systems across the U.S. to transfer patients out of the hospital as quickly as possible. Doing so is essential in the coronavirus battle, as hospital resources are largely being reserved for intensive care and highly acute COVID-19 cases.<br></p>\n\n\n\n<p>Specifically, Option Care Health is working to support hospitals by assisting with the discharge of patients who require infusion therapy. The company is reallocating a portion of its 2,900 clinicians to COVID-19 hotspots to facilitate the delivery of infusion therapy in the home.&nbsp;&nbsp;<br></p>\n\n\n\n<p>Option Care Health operates in all 50 states, primarily serving patients with a wide variety of acute and chronic needs. As part of its model, the company provides treatment for autoimmune disorders, neurological conditions and infections, while also assisting with nutrition support when necessary.</p>\n\n\n\n<p>Harriet Booker, the COO of Option Care Health, has been in the home infusion business for the past 25 years. Like many other home-based care providers, her company has seen its services become even more valuable during the COVID-19 outbreak.<br></p>\n\n\n\n<p>&ldquo;Home infusion therapy &mdash; and in particular Option Care Health &mdash; has a long standing history of working very closely with our hospital partners to facilitate discharge for their patients,&rdquo; Booker told Home Health Care News. &ldquo;We&rsquo;ll be working directly with the hospital to identify those key characteristics that would allow that patient to go home.&rdquo; <br></p>\n\n\n\n<p>While a patient is in the hospital, Option Care Health works with that individual, his or her insurance provider and the hospital to achieve a safe discharge home. Through a network of compounding pharmacies, the company develops personalized care plans and dispenses customized medicines and supplies and distributes to their home. Once the patient is safely sent home, the company then teaches the patient best practices for self care when a clinician is not physically present. <br></p>\n\n\n\n<p>The ability to discharge patients in a timely and efficient manner is beneficial for all stakeholders, according to Booker. <br></p>\n\n\n\n<p>Coram &mdash; a specialty CVS Health branch that delivers infusion therapy services &mdash; <a href=\"https://homehealthcarenews.com/2020/04/aiming-to-ease-burden-on-hospitals-cvs-health-enhances-its-in-home-capabilities/\">also recently announced that it was enhancing its existing capacity and capabilities</a> to treat more patients in home-based settings. <br></p>\n\n\n\n<p>Broadly, Option Care Health and Coram&rsquo;s strategies reflect the growing need to keep seniors in their homes in lieu of hospitals and skilled nursing facilities (SNFs). They also reflect the need for policymakers to open their eyes to the risk-reducing and cost-saving benefits of in-home care in general. </p>\n\n\n\n<p>Without the option of a home or alternative site to deliver infusion therapy, patients could be in the hospital anywhere from a couple days to a week longer than necessary, Booker said. Apart from faster discharges, the majority of patients also would rather recover in the comfort of their homes rather than a hospital. </p>\n\n\n\n<p>&ldquo;Patients prefer to be in the home or an alternate infusion setting, there&rsquo;s no doubt about that,&rdquo; Booker said. &ldquo;I think that they find that the kind of care that is being provided is also &hellip; equal compared to a hospital.&rdquo;</p>\n\n\n\n<p>There are other benefits to being in the home for the treatment as well. Readmission rates and prolonged infection rates improve when a patient is able to get out of the hospital and into a comfortable and controlled environment, Booker said. </p>\n\n\n\n<p>The Centers for Medicare &amp; Medicaid Services (CMS) acknowledged this, in part, when it <a href=\"https://homehealthcarenews.com/2019/11/why-cmss-new-home-infusion-benefit-falls-short-and-how-to-fix-it/\">released plans for a home infusion benefit for 2021 last year</a>. While some providers thought that the benefit was not adequate, the idea behind it excited home health providers, who saw it as a new potential avenue to reimbursement. </p>\n\n\n\n<p>As to whether CMS will further its support of home-based infusion services in the future, well, that&rsquo;s what everyone in the industry is wondering, Booker said.  </p>\n\n\n\n<p>&ldquo;That&rsquo;s kind of the crystal-ball question,&rdquo; Booker said. &ldquo;I hope that CMS continues to not only evaluate, but take action. [And that it] recognizes the value of home infusion therapy, both from a quality and clinical outcomes standpoint for the patient and for the financial outcomes for our health care community at large.&rdquo; <br></p>\n\n\n\n<p>Home-based care providers from all different backgrounds are seeing their services come in handy more than ever.<br></p>\n\n\n\n<p>The home infusion industry is no different. The question will be whether CMS recognizes infusion providers for their value during the COVID-19 crisis. <br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/coronavirus-paving-the-way-for-home-infusion-services-moving-forward/\">Coronavirus Paving the Way for Home Infusion Services Moving Forward</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Coronavirus Paving the Way for Home Infusion Services Moving Forward','One of the nation’s largest providers of infusion therapy is shifting its attention to the COVID-19 virus and further migrating key health care services into the home. Illinois-based Option Care Health — which specializes in home and alternate infusion services — is partnering with health systems across the U.S. to transfer patients out of the […]\nThe post Coronavirus Paving the Way for Home Infusion Services Moving Forward appeared first on Home Health Care News.','publish','closed','closed','','coronavirus-paving-the-way-for-home-infusion-services-moving-forward','','','2020-04-21 20:24:59','2020-04-21 20:24:59','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=229',0,'wprss_feed_item','',0),(230,0,'2020-04-20 21:19:51','2020-04-20 21:19:51','<p>Some health systems will soon be able to begin performing elective procedures again, thanks to a new set of guidelines from the Centers for Medicare &amp; Medicaid Services (CMS) released Sunday.<br></p>\n\n\n\n<p>A return of elective procedures could be a boost for home health providers, who have experienced a decrease in revenue during the COVID-19 public health emergency. Home health agencies that have historically cared for a large number of hip and knee patients post-surgery have been hit especially hard.<br></p>\n\n\n\n<p>In March, CMS recommended reducing &ldquo;non-essential&rdquo; medical and surgical procedures in order to preserve personal protective equipment (PPE), beds and ventilators. The recommendation was also meant to help ensure a health care workforce was available to care for those most in need during the COVID-19 emergency. <br></p>\n\n\n\n<p>For home providers, though, an overall decrease in elective procedures has meant fluctuations in patient volumes and other bottom-line challenges. <br></p>\n\n\n\n<p>&ldquo;Home health agencies often care for patients who have had elective surgeries, such as joint replacements,&rdquo; Bill Dombi, president of the National Association for Home Care &amp; Hospice (NAHC), told Home Health Care News in an email. &ldquo;The suspension of elective surgeries has had a significant revenue impact for home health agencies.&rdquo;<br></p>\n\n\n\n<p>Some home health agencies have reported reductions in revenue exceeding 25%, according to Dombi.<br></p>\n\n\n\n<p>&ldquo;When those surgeries return, agencies can be counted on to be there for post-surgical care,&rdquo; he said. <br></p>\n\n\n\n<p>CMS&rsquo;s new guidelines are for states or regions that are seeing a relatively low or stable number of coronavirus cases. The guidelines are part of the first phase of the Trump administration&rsquo;s &ldquo;Guidelines for Opening Up America Again.&rdquo;<br></p>\n\n\n\n<p>&ldquo;Today, some areas of the country are experiencing fewer cases and lower incidence of the virus, necessitating a more tailored and flexible approach,&rdquo; CMS Administrator Seema Verma said in a statement. &ldquo;Every state and local official will need to assess the situation on the ground to determine the best course forward, but these guidelines provide a gradual process for restarting non-COVID-19 essential care while keeping patients safe.&rdquo;<br></p>\n\n\n\n<p>CMS&rsquo;s guidelines specify that health care organizations that have the resources to do so should provide non-COVID-19 care. These decisions should align with public health information and be made with state public health authorities. <br></p>\n\n\n\n<p>Additionally, the guidelines address evaluating care based on clinical needs, screening all patients for COVID-19 symptoms and following the Centers for Disease Control and Prevention (CDC) recommendations surrounding PPE. <br></p>\n\n\n\n<p>About 88% of medical personnel in more than 200 U.S. cities do not have an adequate supply of PPE, according to <a href=\"https://www.usmayors.org/issues/covid-19/equipment-survey/\">a U.S. Conference of Mayors survey</a>. A lack of PPE has been particularly challenging for in-home care providers, often left off equipment prioritization lists. </p>\n\n\n\n<p>&ldquo;I&rsquo;ve heard interesting stories about providers reaching out to construction supply stores, baby supply stores, restaurant supply stores, beauty supply stores and wherever they can get masks and gloves,&rdquo; Dean Chalios, president and CEO of the California Association for Health Services at Home (CAHSAH), <a href=\"https://homehealthcarenews.com/2020/04/home-health-industry-turns-to-tattoo-parlors-department-stores-for-ppe-help/\">previously told HHCN</a>. &ldquo;One agency even reached out to a tattoo parlor because they had gloves. It&rsquo;s all hands on deck.&rdquo;</p>\n\n\n\n<p>CMS <a href=\"https://www.cms.gov/files/document/covid-flexibility-reopen-essential-non-covid-services.pdf\">made several specific recommendations</a> for what health care facilities need to do to open back up for non-coronavirus care.<br></p>\n\n\n\n<p>Those recommendations, for example, included establishing non-COVID Care (NCC) zones where patients and staff are routinely screened for symptoms. Additional recommendations included creating administrative guidelines that uphold social distancing and establishing rigorous sanitation protocols. <br></p>\n\n\n\n<p>As more health systems begin implementing reopening efforts, it&rsquo;s likely that home health providers will see a surge in patients in the next few months, according to Mark Sharp, a partner at BKD, a Springfield, Missouri-based accounting services firm.<br></p>\n\n\n\n<p>&ldquo;Elective procedures will likely begin to pick back up soon due to the reopening efforts,&rdquo; Sharp told HHCN in an email. &ldquo;It may not pick back up as much as we would like due to the continued fear of COVID-19. We also anticipate there could be a new trend of sicker patients coming to home health as these patients and their families are trying to stay out of institutional care at all costs.&rdquo;<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/cms-plan-to-resume-elective-procedures-could-end-home-health-business-lull/\">CMS Plan to Resume Elective Procedures Could End Home Health Business Lull</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','CMS Plan to Resume Elective Procedures Could End Home Health Business Lull','Some health systems will soon be able to begin performing elective procedures again, thanks to a new set of guidelines from the Centers for Medicare & Medicaid Services (CMS) released Sunday. A return of elective procedures could be a boost for home health providers, who have experienced a decrease in revenue during the COVID-19 public […]\nThe post CMS Plan to Resume Elective Procedures Could End Home Health Business Lull appeared first on Home Health Care News.','publish','closed','closed','','cms-plan-to-resume-elective-procedures-could-end-home-health-business-lull','','','2020-04-20 21:19:51','2020-04-20 21:19:51','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=230',0,'wprss_feed_item','',0),(231,0,'2020-04-20 20:32:59','2020-04-20 20:32:59','<h3><strong>Best Life Brands names new CEO</strong><br></h3>\n\n\n\n<p>Best Life Brands &mdash; a holding company that owns the franchised home care providers ComForCare and At Your Side &mdash; has hired a new CEO. <br></p>\n\n\n\n<p>J.J. Sorrenti stepped into the role earlier this month and will oversee the strategic growth plans for all Best Life Brands. Those include ComForCare and At Your Side, as well as CarePatrol, a senior placement franchise, and Blue Moon Estate Sales, a real estate franchise. <br></p>\n\n\n\n<p>Backed by New York-based private equity firm Riverside Company, ComForCare has more than 200 independently owned and operated locations in the U.S., with additional locations in Canada. In Houston, Texas, ComForCare operates as At Your Side. <br></p>\n\n\n\n<p>Sorrenti plans to help grow those businesses, as well as the others, according to a press release announcing the news.  <br></p>\n\n\n\n<p>&ldquo;My focus is on supporting our current franchise owners in growing their business and acquiring more brands whose services align with our overall mission,&rdquo; Sorrenti said in the press release. &ldquo;With the number of people aged 65 and older expected to reach 70 million by 2030, I am ready to partner with the Best Life Brands leadership team and our franchisees to help meet the needs of this rapidly aging population.&rdquo;<br></p>\n\n\n\n<p>Sorrenti brings years of franchise and retail experience to the job. He was most recently president of Safeguard Business Systems and has also held CEO positions at Hollywood Tans and Huntington Learning Centers. <br></p>\n\n\n\n<h3><strong>Synergy HomeCare shakes up executive team </strong><br></h3>\n\n\n\n<p>Synergy HomeCare has hired a new CEO and promoted its company founder to executive chairman. <br></p>\n\n\n\n<p>Gilbert, Arizona-based Synergy is a home care franchisor with locations in 338 markets across the country.&nbsp;<br></p>\n\n\n\n<p>Peter Tourian &mdash; who started the company back in 1999 &mdash; moved out of the CEO role earlier this month. His promotion to executive chairman cleared the way for Charlie Young, a franchise veteran with more than 18 years of experience who Synergy tapped to succeed Tourian.  <br></p>\n\n\n\n<p>Before becoming CEO of the home care company, Young served as president and CEO of Coldwell Banker Real Estate. Before that, he was president and CEO of ERA Franchise Systems. <br></p>\n\n\n\n<p>&ldquo;Synergy is a leading brand that is poised for explosive growth and I&rsquo;m looking forward to enhancing our presence, working with Peter and the incredible team of franchisees,&rdquo; Young said in a press release announcing the news.</p>\n\n\n\n<p>The leadership changes come as Synergy&rsquo;s business continues to boom. Since 2010, the franchise system has seen a 194% growth increase and was recently named the third fastest growing franchise in the home-based care industry by Franchise Times. <br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/best-life-brands-synergy-homecare-tap-new-ceos/\">Best Life Brands, Synergy HomeCare Tap New CEOs</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Best Life Brands, Synergy HomeCare Tap New CEOs','Best Life Brands names new CEO Best Life Brands — a holding company that owns the franchised home care providers ComForCare and At Your Side — has hired a new CEO. J.J. Sorrenti stepped into the role earlier this month and will oversee the strategic growth plans for all Best Life Brands. Those include ComForCare […]\nThe post Best Life Brands, Synergy HomeCare Tap New CEOs appeared first on Home Health Care News.','publish','closed','closed','','best-life-brands-synergy-homecare-tap-new-ceos','','','2020-04-20 20:32:59','2020-04-20 20:32:59','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=231',0,'wprss_feed_item','',0),(232,0,'2020-04-20 20:29:38','2020-04-20 20:29:38','<p>If the COVID-19 emergency has made anything clearer, it&rsquo;s the need for investment in care that takes place in home- and community-based settings. <br></p>\n\n\n\n<p>While it took a global emergency to open people&rsquo;s eyes to that reality, Dr. Bill Thomas has been preaching its importance for decades. Thomas is a thought leader in elder care who currently serves as a senior adviser at Lifesprk, a Minnesota-based home-based care provider.<br></p>\n\n\n\n<p>Thomas is a senior care innovator who is also known as the co-founder of Minka, a company that makes 3D-printed tiny homes and communities. He also co-founded ChangingAging, a publishing platform that covers a variety of topics surrounding aging. <br></p>\n\n\n\n<p>Home Health Care News recently caught up with Thomas to discuss the long-term impact he expects the coronavirus to have on senior care and why he believes the COVID-19 virus is a home- and community-based emergency.  <br></p>\n\n\n\n<p>Below are highlights from HHCN&rsquo;s conversation with Thomas, edited for length and clarity.<br></p>\n\n\n\n<h4><strong>HHCN: The senior care industry is on the front line of the COVID-19 emergency. Have you ever seen anything like this before?</strong><br></h4>\n\n\n\n<p><strong>Thomas:</strong> The COVID-19 emergency is really a home- and community-based issue. When we&rsquo;re watching the news, we get the pictures and stories of what&rsquo;s going on in the hospital, but according to the best evidence we have, only about 10% of the cases actually wind up in the hospital. <br></p>\n\n\n\n<p>Overall, about 90% of this global pandemic is unfolding in people&rsquo;s homes and in their communities. I find it kind of interesting that our health care system is so unbalanced in its approach. We have devoted tremendous attention to ensuring adequate hospital resources, but there&rsquo;s been no comparable effort to-date to ensure adequate resources at the home- and community-based level.<br></p>\n\n\n\n<h4><strong>How does it compare to other major outbreaks we&rsquo;ve seen in the past?</strong><br></h4>\n\n\n\n<p>Well, the most important thing about COVID-19 is that it&rsquo;s what&rsquo;s called a novel virus &mdash; novel not in the sense of a fictional book, but meaning no human being before the first case had ever encountered this virus before.<br></p>\n\n\n\n<p>We have strategies for dealing with viruses that are known to us, but we are struggling without access to any of those same tools for the coronavirus. No vaccine. NNo effective medications. And furthermore, no chapters in textbooks explaining what to do. <br></p>\n\n\n\n<p>This is a brand new thing in the experience of humanity. That makes it unlike say, a bad flu season or an outbreak of Ebola. We understand Ebola, we know what to do, we know what works, and we can manage outbreaks effectively. None of that is true for this virus.<br></p>\n\n\n\n<h4><strong>Can you break down the current challenges and opportunities that you are seeing in home care?</strong><br></h4>\n\n\n\n<p>For too long, home care has been relegated to sort of outsider status in terms of the health care system. As I was saying before, that&rsquo;s where 90% of the outbreak is. <br></p>\n\n\n\n<p>The challenge there is, when it comes to the resources &mdash; the tools, the technology, the protective equipment and the systems that are needed to manage [those] cases &mdash; providers have largely been left to their own devices to figure out how to get that stuff.<br></p>\n\n\n\n<p>That&rsquo;s in contrast to some of the much more structured programs you see for hospitals and other parts of the health care system. <br></p>\n\n\n\n<p>In essence, the biggest part of the outbreak has been offered the least support and assistance in terms of meeting the challenge. I think that&rsquo;s a big mistake that we&rsquo;re going to regret going forward. <br></p>\n\n\n\n<h4><strong>Over the past few weeks, we&rsquo;ve seen CMS make moves that focus on other health care settings. Do you think that in-home care takes a back seat when it comes to CMS&rsquo;s priorities? </strong><br></h4>\n\n\n\n<p>If you look at the numbers, it&rsquo;s pretty clear that home health care has been the lower priority. I can kind of understand that in the early phase of the epidemic. <br></p>\n\n\n\n<p>But that&rsquo;s a bad idea going forward. Let&rsquo;s say that the intense focus on hospitals, ventilators and ICU beds was the right thing in the early weeks of the outbreak. Maintaining that focus, going forward, is actually counterproductive. If we&rsquo;re going to control the virus in the months before we have a vaccine, it&rsquo;s not the hospitals that are going to get control of the virus, it&rsquo;s the home. That&rsquo;s where we will hold the virus at bay.<br></p>\n\n\n\n<p>What we have to do as we get through the most acute phase of the first wave of this virus is begin to balance our efforts. The more we put into effective home- and community-based responses, the lower the surge that hospitals have to deal with. It&rsquo;s really about an ounce of prevention being worth a pound of cure.<br></p>\n\n\n\n<h4><strong>During this public health emergency, does the in-home care setting have natural advantages over other care settings?</strong><br></h4>\n\n\n\n<p>A couple of weeks ago, there was <a href=\"https://homehealthcarenews.com/2020/04/lessons-learned-home-based-care-is-key-to-fighting-coronavirus-italian-doctors-advise/\">a really powerful article</a> in the New England Journal of Medicine written by physicians in Italy. <br></p>\n\n\n\n<p>They argued in their article that their own hospital-centric focus had worsened the epidemic. All these people were being poured into the hospitals, which became sources of cross-contamination. The hospital itself was accelerating the pace of the outbreak.<br></p>\n\n\n\n<p>They were saying that, going forward, they need to shift to a community-based focus and empower providers to deliver supportive services in the home. <br></p>\n\n\n\n<p>I saw an [HHCN] article that said the epidemic is accelerating some of the existing changes in the field. I endorse that. <br></p>\n\n\n\n<p>A couple of things will come out as strong winners after this initial phase of the crisis. One is hospital-at-home. I think hospital-at-home is going to move from, &ldquo;Wow, that&rsquo;s an interesting idea,&rdquo; to a must-have model. <br></p>\n\n\n\n<p>There are health care systems that are moving really aggressively to align with home care providers to stand up hospital-at-home in a way that they never would&rsquo;ve done before.<br></p>\n\n\n\n<p>Here&rsquo;s the kicker: We&rsquo;re talking about COVID-19, but everything I was saying about the distribution of disease and the distribution of the response is also true for chronic disease. Most chronic illness is experienced by people at home. Ironically, by moving faster and getting better at shifting the focus of care toward the community, after the virus, we&rsquo;re going to have a stronger home- and community-based system for dealing with chronic illness.<br></p>\n\n\n\n<p>This virus is going to rewrite the rules of the health care system. I predict that home- and community-based services &mdash; especially those that are really integrated and based on population health &mdash; are going to come to the forefront as a result of this COVID-19 epidemic.<br></p>\n\n\n\n<p>That probably would have taken many years to achieve otherwise. <br></p>\n\n\n\n<h4><strong>As we go on, how will the COVID-19 crisis impact the home care workforce, something the industry already struggles with?</strong><br></h4>\n\n\n\n<p>Tens of millions of people have filed for unemployment. We know that home care continues to struggle to attract and retain talented candidates who can take on the task of doing this work. <br></p>\n\n\n\n<p>In the near term, we&rsquo;re going to have lots of really skilled people who are going to want to do this work because it&rsquo;s work that must go on, unlike maybe running that restaurant or working at a car-rental agency. I do believe we&rsquo;re going to be able to recruit from the, unfortunately, large pool of unemployed people who are really talented and need work. <br></p>\n\n\n\n<p>In the long-term, I believe that as resources and priorities shift from a hospital-centric model to a more community-based model, we&rsquo;re going to be able to have better funding and offer better pay and have better technology and systems. That&rsquo;s going to help us recruit and retain a workforce that can meet the needs.<br></p>\n\n\n\n<h4><strong>What should home care providers know about caring for older adults that may be cut off or isolated from the rest of the world during the crisis? Any tips or best practices?</strong><br></h4>\n\n\n\n<p>It&rsquo;s very important for home care providers to regard social isolation as a clinical risk factor. <br></p>\n\n\n\n<p>There&rsquo;s been over the years the idea in our health care system that there&rsquo;s <em>real medicine</em> and <em>real nursing</em> that deals with <em>real problems</em>. And then there&rsquo;s that other &ldquo;squishy&rdquo; stuff, like loneliness, helplessness and boredom. <br></p>\n\n\n\n<p>Social isolation is an important clinical risk factor and needs to be part of a plan. Home care providers who are supporting older people need to be in contact with that person&rsquo;s social network. The more robust your social network, the less isolated you are [and] the less lonely you feel. The more connected you are, the more likely you are to have a better outcome. This is especially true for older people.<br></p>\n\n\n\n<p>The irony is that social distancing that protects us also inflames the problem of isolation and loneliness.<br></p>\n\n\n\n<h4><strong>How do you think the COVID-19 emergency will change the home care industry after this?</strong><br></h4>\n\n\n\n<p>First, we&rsquo;re going to finally see an awareness from health care systems that home care is an essential part of the equation and not just someone to call at the end of a hospitalization. Home care providers need to be at the table, working side-by-side with health care systems to design responses.<br></p>\n\n\n\n<p>Second, in terms of public policy, there&rsquo;s been a desire to shift resources and energy away from a system that&rsquo;s dominated by the hospital and toward something that&rsquo;s more focused on social determinants of health, population health and support supportive services at home. I think that&rsquo;s going to accelerate. In order to manage the second, third and fourth wave of this COVID virus, we&rsquo;re going to need a really powerful, well organized, well-resourced home care system nationally.<br></p>\n\n\n\n<p>Third, this is the dawning of a new era of technology that brings telehealth and telepresence right into the home. Going forward, you&rsquo;re going to see people putting together bundles of technology that can be deployed in households for COVID-19 or an exacerbation of chronic illness. The technology is going to help us support people more effectively than we ever could before.<br></p>\n\n\n\n<h4><strong>Is there any aspect of this pandemic that isn&rsquo;t on everyone&rsquo;s radar but should be?</strong><br></h4>\n\n\n\n<p>I believe that going forward, we&rsquo;re going to be finding a significant number of people who have post-COVID complications.<br></p>\n\n\n\n<p>Based on some of the early writings I&rsquo;m seeing in the medical journals, there&rsquo;s going to be a significant number of people who have clinical changes that persist over the long-term. That&rsquo;s going to be expensive and challenging to manage, in addition to the chronic illness burden that our society already has in front of it.<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/senior-care-innovator-bill-thomas-covid-19-rewriting-health-care-rules-pushing-home-care-into-the-spotlight/\">Senior Care Innovator Bill Thomas: COVID-19 Rewriting Health Care Rules, Pushing Home Care into the Spotlight</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Senior Care Innovator Bill Thomas: COVID-19 Rewriting Health Care Rules, Pushing Home Care into the Spotlight','If the COVID-19 emergency has made anything clearer, it’s the need for investment in care that takes place in home- and community-based settings. While it took a global emergency to open people’s eyes to that reality, Dr. Bill Thomas has been preaching its importance for decades. Thomas is a thought leader in elder care who […]\nThe post Senior Care Innovator Bill Thomas: COVID-19 Rewriting Health Care Rules, Pushing Home Care into the Spotlight appeared first on Home Health Care News.','publish','closed','closed','','senior-care-innovator-bill-thomas-covid-19-rewriting-health-care-rules-pushing-home-care-into-the-spotlight','','','2020-04-20 20:29:38','2020-04-20 20:29:38','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=232',0,'wprss_feed_item','',0),(233,1,'2020-04-23 03:09:56','2020-04-23 03:09:56','','Kaiser Health News','','publish','closed','closed','','kaiser-health-news','','','2020-04-23 03:09:56','2020-04-23 03:09:56','',0,'https://digiwised.com/hvper/?post_type=wprss_feed&#038;p=233',0,'wprss_feed','',0),(240,1,'2020-04-23 03:12:02','2020-04-23 03:12:02','','HomeCareDaily','','publish','closed','closed','','homecaredaily','','','2020-04-23 03:15:56','2020-04-23 03:15:56','',0,'https://digiwised.com/hvper/?post_type=wprss_feed&#038;p=240',0,'wprss_feed','',0),(245,0,'2020-01-29 14:33:21','2020-01-29 14:33:21','<p>Considerable news coverage revolving around the home care industry tends to be focused on more metropolitan areas. Major cities where the population can be numbered in the millions has a tendency to garner the most attention when it comes to health care of any kind.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/2020/01/29/throughout-much-of-rural-america-home-care-needs-continue-to-grow/\">Throughout Much of Rural America, Home Care Needs Continue to Grow</a> appeared first on <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/\">HomeCareDaily.com</a>.</p>','Throughout Much of Rural America, Home Care Needs Continue to Grow','Considerable news coverage revolving around the home care industry tends to be focused on more metropolitan areas. Major cities where the population can be numbered in the millions has a tendency to garner the most attention when it comes to health care of any kind.\nThe post Throughout Much of Rural America, Home Care Needs Continue to Grow appeared first on HomeCareDaily.com.','publish','closed','closed','','throughout-much-of-rural-america-home-care-needs-continue-to-grow','','','2020-01-29 14:33:21','2020-01-29 14:33:21','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=245',0,'wprss_feed_item','',0),(246,0,'2020-01-24 14:27:45','2020-01-24 14:27:45','<p>While the United States and Canada differ in many respects regarding healthcare, there are similarities in how patients are served and the level of support they may receive following a hospital stay. When patients have adequate access to effective home care, outcomes for both short and long-term can improve.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/2020/01/24/home-care-makes-a-difference-following-a-hospital-stay/\">Home Care Makes a Difference Following a Hospital Stay</a> appeared first on <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/\">HomeCareDaily.com</a>.</p>','Home Care Makes a Difference Following a Hospital Stay','While the United States and Canada differ in many respects regarding healthcare, there are similarities in how patients are served and the level of support they may receive following a hospital stay. When patients have adequate access to effective home care, outcomes for both short and long-term can improve.\nThe post Home Care Makes a Difference Following a Hospital Stay appeared first on HomeCareDaily.com.','publish','closed','closed','','home-care-makes-a-difference-following-a-hospital-stay','','','2020-01-24 14:27:45','2020-01-24 14:27:45','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=246',0,'wprss_feed_item','',0),(251,1,'2020-04-23 03:13:13','2020-04-23 03:13:13','','McKnights','','publish','closed','closed','','mcknights','','','2020-04-23 03:13:16','2020-04-23 03:13:16','',0,'https://digiwised.com/hvper/?post_type=wprss_feed&#038;p=251',0,'wprss_feed','',0),(252,0,'2020-04-23 01:55:41','2020-04-23 01:55:41','<div><figure><img src=\"https://www.mcknights.com/wp-content/uploads/sites/5/2019/04/joelvaneaton.jpg\" alt=\"\" height=\"230\"><figcaption>Joel VanEaton</figcaption></figure></div>\n\n\n\n<p>So much is being written recently about the current trends that many are seeing with regard to the PDPM [Payment Driven Payment Model]. Early predictions warned about significant reductions to the amount and type of therapy provided and how that reality would draw the attention of CMS [Centers for Medicare &amp; Medicaid Services]. In part that has come true. We have all seen the stories and testimonials of reductions in therapy provisions. And CMS, true to its word, is looking. You may get an opportunity to know your Unified Program Integrity Contractor, or UPIC, up close and personal.</p>\n\n\n\n<p><br> However, some recent indications are that the general trend is not as dire as was first predicted. Some now feel that the overall industry turn to the PDPM did not take as dramatic a shift as was predicted. Rather, some now seem to indicate that the reductions in therapy services and increases in group and concurrent therapy are slight enough to warrant neither significant scrutiny from CMS nor an imminent major correction to the non-budget neutral payment structure. Who knows? Your personal experience in your SNF will tell a specific tale and the FY 2021 Proposed Rule, due out this spring, will certainly give us more of a reality check.<br></p>\n\n\n\n<p>A game called SPADEs</p>\n\n\n\n<p>With that said, as we wait for more, it&rsquo;s time to be turning our collective attentions to what we already know will be part of our FY 2021 reality, namely a new game we will all be learning called SPADEs. With the publication of the FY 2020 final rule and the posting of the DRAFT MDS data set v1.18.0 with the associated change history document, it has become clear that in addition to adjusting to whatever CMS decides to do related to the PDPM this fall, we most certainly will have to accommodate SPADEs.<br></p>\n\n\n\n<p> SPADEs is an acronym for Standardized Patient Assessment Data Elements. Required by the IMPACT Act, SPADEs are elements that will be required to be reported in each of the post-acute  are setting assessment tools (MDS, IRF PAI, OASIS and LCDS), and will significantly reshape these tools. The QRP is a residual of IMPACT, Section GG, Falls with Major injury and Pressure Ulcers New or Worsening were the first QRP measures to contain SPADEs. The goals of implementing cross-setting SPADEs are to facilitate care coordination and interoperability and to improve Medicare beneficiary outcomes. Another key aim is cross setting comparisons and referral placement. You will have to look good compared to your Post-Acute care competitors. In short, the changes coming to the MDS this fall are the biggest change to MDS 3.0 since MDS 3.0. The comprehensive assessment is growing by 10 pages to 61. Now is the time to begin familiarizing yourself with these new data elements.</p>\n\n\n\n<p><br> In the FY 2020 Final Rule, CMS finalized new standardized patient assessment data elements, or SPADEs, to be reported with SNF admissions and discharges for five categories specified in the IMPACT Act; Cognitive function (e.g., able to express ideas and to understand normal speech)<br> and mental status (e.g., depression and dementia); Special services, treatments and interventions (e.g., need for ventilator, dialysis, chemotherapy and total parenteral nutrition); Medical conditions and co-morbidities (e.g., diabetes, heart failure and pressure ulcers), Impairments (e.g., incontinence; impaired ability to hear, see, or swallow); Other categories as deemed necessary by the secretary.</p>\n\n\n\n<p><br> In order to get ahead of the curve, download a copy of the DRAFT data set. Getting a handle on the changes to this document now will serve you well as we move through the proposed and final rulemaking process and the inevitable publication of the significantly revised RAI manual. The changes to the MDS data set due to the addition of SPADEs are significant. SPADEs have been added to all federally required assessments, PPS as well as OBRA, and even Section A has been revised in the OSA. As you may have heard, Section G has been replaced by section GG in all federally required assessments and section Q has had a much-needed update.</p>\n\n\n\n<p><br> So just what are the SPADEs and how has the MDS changed? The tables below review the new and revised QRP measures as well as each SPADE along with the the MDS items affected by these additions. Have your copy of the DRAFT data set handy as you review these changes. Context is key and will help you get a sense of the scope of the actual revisions.<br></p>\n\n\n\n<p>Quality measures</p>\n\n\n\n<p>Also, as you consider these updates, consider the following implications. With the removal of section G, not only will states need to consider alternatives to their case mix calculations, CMS will need to revise the technical specifications for the following quality measures:</p>\n\n\n\n<ul><li>Short Stay &ndash; Percent of Residents or Patients with Pressure Ulcers That are New or worsened, Percent of Residents Who Made Improvement in Function.<br></li><li>Long Stay &ndash; Percent of High-Risk Residents with Pressure Ulcers, Percent of Residents Whose Need for Help with ADLs has Increased, Percent of Residents whose Ability to Move Independently Worsened, Percent of Low Risk Residents Who Lose control of Their Bowel or Bladder.<br></li><li>Claims Based Measures &ndash; Residents who Were Re-Hospitalized after a Nursing Home Admission, Number of hospitalizations per 1,000 Long-Stay Resident Days, Residents Who Had an Outpatient ED Visit, Number of Outpatient ED Visits per 1,000 Long-Stay Resident Days.<br><br> CMS will also need to update 17 of the current 20 CAAS that will also be affected:</li><li>CAA 1 &ndash; Delirium, CAA 2 &ndash; Cognitive Loss/Dementia, CAA 4 &ndash; Communication, CAA 5 &ndash; Activity of Daily Living (ADL) Functional/Rehabilitation Potential, CAA 6 &ndash; Urinary Incontinence and Indwelling Catheter, CAA 7 &ndash; Psychosocial Well-Being, CAA 8 &ndash; Mood State, CAA 10 &ndash; Activities, CAA 11 &ndash; Falls, CAA 12 &ndash; Nutritional Status, CAA 14 &ndash; Dehydration/Fluid Maintenance, CAA 15 &ndash; Dental Care, CAA 16 &ndash; Pressure Ulcer/Injury, CAA 17 &ndash; Psychotropic Medication Use, CAA 18 &ndash; Physical Restraints, CAA 19 &ndash; Pain, CAA 20 &ndash; Return to Community Referral.<br></li></ul><figure><img src=\"https://www.mcknights.com/wp-content/uploads/sites/5/2020/04/VanEaton-grid_800x3098-scaled.jpg\" alt=\"\"></figure><p>The takeaway: SPADEs are here to stay. CMS is already considering future SPADEs and QRP measures as well. So, stay tuned to what may or may not happen with the PDPM this fall. But start now and get up to speed with SPADEs. The revised data set will be here in a few short months. Don&rsquo;t wait to become a pro. You don&rsquo;t want to lose at this game.</p>\n\n\n\n<p><em>Joel VanEaton, BSN, RN, RAC-CT, is the VP of compliance and regulatory affairs at Broad River Rehab.</em></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/blogs/have-you-learned-how-to-play-spades-in-the-new-world-of-pdpm/\">Have you learned how to play SPADEs in the new world of PDPM?</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Have you learned how to play SPADEs in the new world of PDPM?','So much is being written recently about the current trends that many are seeing with regard to the PDPM [Payment Driven Payment Model]. Early predictions warned about significant reductions to the amount and type of therapy provided and how that reality would draw the attention of CMS [Centers for Medicare & Medicaid Services]. In part…\nThe post Have you learned how to play SPADEs in the new world of PDPM? appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','have-you-learned-how-to-play-spades-in-the-new-world-of-pdpm','','','2020-04-23 01:55:41','2020-04-23 01:55:41','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=252',0,'wprss_feed_item','',0),(253,0,'2020-04-23 01:11:28','2020-04-23 01:11:28','<p>The National Institutes of Health has released comprehensive new COVID-19 treatment guidelines, including evidence-based direction on drug therapies.</p>\n\n\n\n<p>The <a href=\"https://covid19treatmentguidelines.nih.gov/introduction/\">guideline web page</a> is a &ldquo;living document,&rdquo; which will change as new information and evidence emerges, the agency announced Tuesday. The recommendations were developed by a panel of physician experts and cover the following:</p>\n\n\n\n<ul><li>Therapies currently in use for COVID-19, namely antivirals and host modifiers and immune-based therapies. Notably, the panel recommends against combined treatment with hydroxychloroquine plus azithromycin due to its potential effect on the heart.</li><li>Evaluating and stratifying patients based on their infection risk and illness severity.&nbsp;</li><li>Best practices for managing different stages of infection.</li><li>The use of related medications. These include statins, corticosteroids, non-steroidal anti-inflammatory drugs, as well as ACE inhibitors and ARBs.</li><li>Considerations for clinicians caring for the most critically ill hospitalized patients.</li></ul><p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/nih-releases-covid-19-treatment-guidelines-warns-against-drug-combo/\">NIH releases COVID-19 treatment guidelines, warns against drug combo</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','NIH releases COVID-19 treatment guidelines, warns against drug combo','The comprehensive guidelines are posted in a \"living document\" that will be updated as new information and evidence emerges, the agency announced Tuesday. \nThe post NIH releases COVID-19 treatment guidelines, warns against drug combo appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','nih-releases-covid-19-treatment-guidelines-warns-against-drug-combo','','','2020-04-23 01:11:28','2020-04-23 01:11:28','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=253',0,'wprss_feed_item','',0),(254,0,'2020-04-23 01:00:14','2020-04-23 01:00:14','<p>Mood regulation via activity choices can help reduce pandemic-related depression risks, according to researchers.<br></p>\n\n\n\n<p>The investigators followed more than 58,000 participants, comparing those with low mood or a history of depression with those who have high mood. They found a strong link between how a person feels in the moment and the activities they choose to engage in next. In fact, people will naturally choose activities that lower their mood when it is up, and activities that raise their mood when they feel down, said Maxime Taquet, Ph.D., and colleagues from the University of Oxford.&nbsp;<br></p>\n\n\n\n<p>But this ability to stabilize mood using activities is impaired in people with low mood and may even be absent in some people diagnosed with depression, Taquet explained.<br></p>\n\n\n\n<p>&ldquo;This is likely to be important at times of lockdown and social isolation when people are more vulnerable to depression and when choices of activities appear restricted,&rdquo; he said. &ldquo;Our research findings open the door to new opportunities for developing and optimizing treatments for depression.&rdquo;<br></p>\n\n\n\n<p>The researchers suggest that artificial intelligence or smartphone apps could someday be used to remotely make activity recommendations, helping technology users to regulate mood when face-to-face care is unavailable. But existing options could work as well, they wrote &ndash; including good old-fashioned activity scheduling.<br></p>\n\n\n\n<p>Depression affects one in five people during their lifetime. Current lockdown restrictions intended to control the COVID-19 pandemic are expected to cause more cases, according to the researchers.&nbsp;<br></p>\n\n\n\n<p><a href=\"https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2764306\">The study</a> was published Wednesday in <em>JAMA Psychiatry</em>.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/activity-options-can-help-lower-depression-risks-during-lockdown-researchers-find/\">Activity options can help lower depression risks during lockdown, researchers find</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Activity options can help lower depression risks during lockdown, researchers find','People naturally regulate their own mood by choosing activities that keep it in balance. But some may need help with this skill to prevent or manage depression, a new study finds.\nThe post Activity options can help lower depression risks during lockdown, researchers find appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','activity-options-can-help-lower-depression-risks-during-lockdown-researchers-find','','','2020-04-23 01:00:14','2020-04-23 01:00:14','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=254',0,'wprss_feed_item','',0),(255,0,'2020-04-23 00:28:22','2020-04-23 00:28:22','<p>Eldercare facility residents given same-day access to a physician have lower hospitalization rates and emergency department visits than those who face longer wait times.<br></p>\n\n\n\n<p>That&rsquo;s according to investigators who surveyed long-term care facilities about physician visits during a three-month period. About 32% of the facilities, located in Ontario, Canada, reported same-day physician access. These facilities had 21% lower hospitalization rates and 14% lower ED visit rates, reported Daniel M. Kobewka, M.D., MSc.<br></p>\n\n\n\n<p>Nurse practitioner availability was also independently linked to fewer transfers. Yet 60% of facilities without same-day physician access also had no same-day access to nurse practitioners, wrote Kobewka, from the Ottawa Hospital Research Institute, Canada.<br></p>\n\n\n\n<p>The researchers suggest that many transfers could be prevented if all facilities had urgent access to clinical care.<br></p>\n\n\n\n<p><a href=\"https://www.jamda.com/article/S1525-8610(19)30490-6/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">The study</a> was published in the April issue of <em>JAMDA</em>. </p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/same-day-physician-access-leads-to-fewer-resident-hospitalizations-ed-visits/\">Same-day physician access leads to fewer resident hospitalizations, ED visits</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Same-day physician access leads to fewer resident hospitalizations, ED visits','Surveyed facilities with same-day physician access had 21% lower hospitalization rates. Urgent access to nurse practitioners is also linked to fewer transfers.\nThe post Same-day physician access leads to fewer resident hospitalizations, ED visits appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','same-day-physician-access-leads-to-fewer-resident-hospitalizations-ed-visits','','','2020-04-23 00:28:22','2020-04-23 00:28:22','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=255',0,'wprss_feed_item','',0),(256,0,'2020-04-22 22:38:20','2020-04-22 22:38:20','<p>Start today off with critical insights into three vital areas of the battle against COVID-19 during McKnight&rsquo;s first coronavirus-related <a href=\"https://www.workcast.com/register?cpak=6367433895494918&amp;referrer=042320-EDT\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Online Forum (opens in a new tab)\">Online Forum</a>.<br></p>\n\n\n\n<p>On Thursday, April 23, attendees will learn skilled nursing- and senior living-specific information and strategies from national experts &mdash; and be eligible for three, free CE credits.<br></p>\n\n\n\n<p>The three consecutive webinars will focus on leadership, staffing, and managing the mental health of residents and workers in a time of stress and social distancing.<br></p>\n\n\n\n<p>The first webinar kicks off at 10:30 a.m. ET, with hour-long sessions to follow at 12 p.m. ET and 1:30 p.m. ET. For a full roster of speakers and session descriptions, or to register, please <a href=\"https://www.workcast.com/register?cpak=6367433895494918&amp;referrer=042320-EDT\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">visit here.</a><br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/today-is-the-day-experts-offer-covid-19-insights-at-mcknights-online-forum/\">Today is the day! Experts offer COVID-19 insights at McKnight&rsquo;s Online Forum</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Today is the day! Experts offer COVID-19 insights at McKnight’s Online Forum','Today\'s attendees will learn skilled nursing- and senior living-specific information and strategies from national experts — and be eligible for three, free CE credits.\nThe post Today is the day! Experts offer COVID-19 insights at McKnight’s Online Forum appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','today-is-the-day-experts-offer-covid-19-insights-at-mcknights-online-forum','','','2020-04-22 22:38:20','2020-04-22 22:38:20','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=256',0,'wprss_feed_item','',0),(257,0,'2020-04-22 22:29:37','2020-04-22 22:29:37','<p>New technology could block <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https://www.uoflnews.com/section/science-and-tech/uofl-breakthrough-technology-shows-promise-fighting-novel-coronavirus/\" target=\"_blank\">the coronavirus</a> from infecting human cells &hellip; Industry at a &lsquo;severe disadvantage&rsquo; identifying <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https://www.ahcancal.org/News/news_releases/Pages/Long-Term-Care-Needs-More-Testing-to-Protect-Residents-and-Save-Lives.aspx\" target=\"_blank\">asymptomatic residents</a> and staff: AHCA/NCAL &hellip; Second <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https://www.reuters.com/article/us-health-coronavirus-usa-winter/cdc-chief-warns-second-covid-19-wave-may-be-worse-arriving-with-flu-season-idUSKCN2233E8\" target=\"_blank\">COVID-19 wave</a> in winter could be worse &hellip; <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"http://www.menopause.org/docs/default-source/press-release/metabolic-syndrome-and-osteoporosis-link-with-social-inequalities-and-diet-4-22-20.pdf\" target=\"_blank\">Metabolic syndrome</a> and osteopenia in older women tied to socioeconomic status &hellip; FDA: Pharmacies may temporarily compound <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https://www.fda.gov/regulatory-information/search-fda-guidance-documents/temporary-policy-compounding-certain-drugs-hospitalized-patients-pharmacy-compounders-not-registered\" target=\"_blank\">COVID-19 drugs</a> without prescriptions<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/clinical-briefs-for-thursday-april-23/\">Clinical Briefs for Thursday, April 23</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Clinical Briefs for Thursday, April 23','New technology could block the coronavirus from infecting human cells … Industry at a ‘severe disadvantage’ identifying asymptomatic residents and staff: AHCA/NCAL … Second COVID-19 wave in winter could be worse … Metabolic syndrome and osteopenia in older women tied to socioeconomic status … FDA: Pharmacies may temporarily compound COVID-19 drugs without prescriptions\nThe post Clinical Briefs for Thursday, April 23 appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','clinical-briefs-for-thursday-april-23','','','2020-04-22 22:29:37','2020-04-22 22:29:37','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=257',0,'wprss_feed_item','',0),(258,0,'2020-04-22 20:47:48','2020-04-22 20:47:48','<div><figure><img src=\"https://www.mcknights.com/wp-content/uploads/sites/5/2018/07/charlesdevilmorin230_1225595-9.jpg\" alt=\"Charles de Vilmorin\"><figcaption>Charles de Vilmorin</figcaption></figure></div>\n\n\n\n<p>My brother lives in Shanghai, China with his wife and 6-year old son. As COVID-19 unfolded they were lucky to escape the crisis to France in order to live with our parents.</p>\n\n\n\n<p>A few weeks later, though, the exact same situation happened in France and in other countries in Europe. He witnessed not once, but twice, the spread of the virus and how quickly it can lead to school closures, food hoarding, panic in communities and finally shelter-in-place orders that result in increased isolation.</p>\n\n\n\n<p>I listened to these stories sitting in Washington, D.C., but it was hard for me to process what he was sharing until Washington state and New York became epicenters of this pandemic in the United States. I still find it difficult to understand what is coming next and how best to prepare for it, but I remain hopeful. &nbsp;</p>\n\n\n\n<p>There will be an end to this situation, other countries who experienced the outbreak first are starting to pave their roads to recovery. However, as the virus spread and with each more dramatic step, my brother warned me that people started focusing exclusively on the shorter-term and more immediate needs such as food, shelter and safety.</p>\n\n\n\n<p>As a result, I have felt the need to remind myself that we choose how we live through this as with anything else in our lives. We can, as my brother described, focus on the immediate needs of food, shelter and safety or we can decide to think beyond this by nourishing our sense of purpose, integrating with our communities as best we can, and making this mental leap of faith that things will be better.</p>\n\n\n\n<p>Reflecting\non the lives of our residents and the discussions I&rsquo;ve had with providers since\nthe beginning of COVID-19, I find that our industry is stepping up to meet this\nchallenge in ways that are breathtaking in their bravery, creativity and\nresilience. &nbsp;We are gifted with one of the best and most passionate\nworkforces in the world, who love older adults, and we have a real mission to\nhonor and help older adults live with purpose.</p>\n\n\n\n<p>Of\ncourse, providing basic needs is critical but the real opportunity is for us to\ndecide to nurture the spirit and soul of our older adults and deliver on our\npromise of supporting their sense of purpose. This is what resident engagement\nis about, and this is the key to transform our industry through this crisis. </p>\n\n\n\n<p>I believe we as an industry will overcome this by consciously deciding our fate by simply focusing on serving our older adults so they can live with purpose. To do this, we need to keep our cool and manage the basics, celebrate our staff and make them successful, we need to control our future and engage our residents, we need to make #ActivitiesStrong. We are <a href=\"https://www.linkedsenior.com/activities-strong/\">#ActivitiesStrong</a>.</p>\n\n\n\n<p><em>Charles de Vilmorin is the CEO and co-founder of Linked Senior.</em></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/marketplace/we-are-activitiesstrong/\">We are #ActivitiesStrong</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','We are #ActivitiesStrong','My brother lives in Shanghai, China with his wife and 6-year old son. As COVID-19 unfolded they were lucky to escape the crisis to France in order to live with our parents. A few weeks later, though, the exact same situation happened in France and in other countries in Europe. He witnessed not once, but…\nThe post We are #ActivitiesStrong appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','we-are-activitiesstrong','','','2020-04-22 20:47:48','2020-04-22 20:47:48','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=258',0,'wprss_feed_item','',0),(259,0,'2020-04-22 13:25:19','2020-04-22 13:25:19','<p>Responding to a 150% increase in telehealth use among its clients, Netsmart has created an EHR- and consumer-friendly telehealth mobile app.<br></p>\n\n\n\n<p>The <a href=\"https://cts.businesswire.com/ct/CT?id=smartlink&amp;url=https%3A%2F%2Fwww.ntst.com%2FSolutions-and-Services%2FOfferings%2FTelehealth&amp;esheet=52204687&amp;newsitemid=20200416005638&amp;lan=en-US&amp;anchor=Netsmart+Telehealth+Mobile+App&amp;index=2&amp;md5=9169866f8cdb33b4b6d26fe41669d239\">Netsmart Telehealth Mobile App</a> is available to all Netsmart providers as a secure HIPAA-compliant platform that works on Android and iOS devices. The app provides an integrated EHR engagement platform for users, as well as a standard solution that can be used with any EHR.<br></p>\n\n\n\n<p>While reimbursement models have been slow to enable telehealth adoption to become broad-based across community service lines, the recent COVID-19 pandemic has quickly driven telehealth expansions.<br></p>\n\n\n\n<p>Using the new app, Netsmart said providers can schedule and launch virtual appointments, create dedicated virtual practices by service line or location, and provide strict compliance with industry safety and security standards.<br></p>\n\n\n\n<p>&ldquo;The integration of the Netsmart Telehealth Mobile App also allows individuals to engage with their care team from any location,&rdquo; said Netsmart CEO Mike Valentine. &ldquo;As many of our clients are on the forefront of fighting COVID-19, we are committed to continuing to quickly develop solutions that enable the critical service delivery our clients provide.&rdquo;<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/products/netsmart-launches-telehealth-app/\">Netsmart launches telehealth app</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Netsmart launches telehealth app','Responding to a 150% increase in telehealth use among its clients, Netsmart has created an EHR- and consumer-friendly telehealth mobile app. The Netsmart Telehealth Mobile App is available to all Netsmart providers as a secure HIPAA-compliant platform that works on Android and iOS devices. The app provides an integrated EHR engagement platform for users, as…\nThe post Netsmart launches telehealth app appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','netsmart-launches-telehealth-app','','','2020-04-22 13:25:19','2020-04-22 13:25:19','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=259',0,'wprss_feed_item','',0),(260,0,'2020-04-22 13:22:05','2020-04-22 13:22:05','<div><figure><img src=\"https://www.mcknights.com/wp-content/uploads/sites/5/2020/04/2020_MLTCN_OnlineForum_Prestitial-1-300x225.jpg\" alt=\"\"></figure></div>\n\n\n\n<p>Start tomorrow off with critical insights into three vital areas of the battle against COVID-19 during <em>McKnight&rsquo;s</em> first coronavirus-related Online Forum.</p>\n\n\n\n<p>Attendees will learn skilled nursing- and senior living-specific information and strategies from national experts &mdash; and be eligible for three, free CE credits.<br></p>\n\n\n\n<p>The three consecutive webinars will focus on leadership, staffing, and managing the mental health of residents and workers in a time of stress and social distancing.<br></p>\n\n\n\n<p>The first webinar kicks off at 10:30 a.m. ET, with hour-long sessions to follow at 12 p.m. ET and 1:30 p.m. ET. For a full roster of speakers and session descriptions, or to register, please <a href=\"https://www.workcast.com/register?cpak=6367433895494918&amp;referrer=042320-EDT\">visit here.</a><br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/products/get-the-latest-on-covid-19-during-thursdays-mcknights-online-forum/\">Get the latest on COVID-19 during Thursday&rsquo;s McKnight&rsquo;s Online Forum</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Get the latest on COVID-19 during Thursday’s McKnight’s Online Forum','Start tomorrow off with critical insights into three vital areas of the battle against COVID-19 during McKnight’s first coronavirus-related Online Forum. Attendees will learn skilled nursing- and senior living-specific information and strategies from national experts — and be eligible for three, free CE credits. The three consecutive webinars will focus on leadership, staffing, and managing…\nThe post Get the latest on COVID-19 during Thursday’s McKnight’s Online Forum appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','get-the-latest-on-covid-19-during-thursdays-mcknights-online-forum','','','2020-04-22 13:22:05','2020-04-22 13:22:05','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=260',0,'wprss_feed_item','',0),(261,0,'2020-04-22 13:12:48','2020-04-22 13:12:48','<p>With long-standing <a href=\"https://www.leadingage.org/sites/default/files/LA_Workforce_Infographics_FULLPAGE%202%2020.pdf\">turnover issues</a> already plaguing the industry, recruiting companies are encouraging providers to rethink hiring and retention efforts to stave off potential crises during the coronavirus pandemic.<br></p>\n\n\n\n<p>Arena is leveraging data-based technology and forming partnerships with the hospitality sector to get ahead of the curve. The company will offer its sourcing product as a complimentary service to clients in the senior living and skilled nursing sectors through September. Arena&rsquo;s predictive analytics identify job candidates most likely to achieve desired outcomes in specific post-acute roles and communities<br></p>\n\n\n\n<p>&ldquo;The pending escalation in COVID-19 patients is projected to disproportionately affect our vulnerable seniors and the heroic healthcare workers who currently care for them,&rdquo; said founder and CEO Michael Rosenbaum. &ldquo;Our technology can help identify former employees from other sectors who can succeed at essential healthcare jobs in this critical period.&rdquo;<br></p>\n\n\n\n<p>New strategies for hiring goals<br></p>\n\n\n\n<p>OnShift is also positioning its <a href=\"https://www3.onshift.com/e2t/c/*W30FCl-7VYBnMW4VFPlX91gc_t0/*W6dlxv75sPjVtW1gYQ0M4_qvCF0/5/f18dQhb0S9r29hxV_KW6pB_tW2YX2v6W7NV3Vl7F0lThW73CRhN2zHMkcW6vp1yH4rHNDnW4Dl7_x3LZq6PW49X0wH2nVrfMW3T2YrB4D9nKlW3VVg2l3Cf7_LW3M6XZZ3Mdr3jW47YkDh4rw1CgW4Bs6cn4yym9nW2p0tdz5PBVSMW30Bp-T5jj8KRW23-nGK265VBJW22-vhJ1Q40wbW5w8KG83gPWlhVC72nL1zSZrVW3XV8GB8dt3mnW4yc3CK3sSDqDW5kmcLG2Jb9NwW6MsRG43XQN9JW36cMRk3DYHXmW3gmG0_3zMtfkW4R_ZRc4rrn6SW6NL4zx5TxcwGW2J82K32MHBY-W3KwYHS4rSvFVW5jR_Z352SXmKW448yZm4dkDZQW3c0_JS3jn_kMW5Pxz8Y3KkXmKW3xCq0Q5CLH-DW3gNdNs3dgsP7W4SRW_j3JX21vW7jD_sy2mYJGZW1yRZ713Cdk0dW3wv7Sm4bH93HW7z1Qj72RgsmxW7w2sMK7kcGnYW7r6Vsx1vYW-QV10N9F5xftyCW9fY0P37WCrHrW18qVD18Dd7LtW4sZGyy5wMKyQN4dJ7kZ9XfwsD7s2GRHd_Sf6jmGWR03\">Employ</a> system as a way to quickly reposition and launch new strategies to meet hiring goals. OnShiftEmploy was created with the February acquisition of Avesta Systems. A variety of tools seamlessly manage the talent acquisition process offering sourcing, recruitment, screening, hiring and onboarding.<br></p>\n\n\n\n<p>The system was highlighted on a webinar earlier this month, during which OnShift experts also discussed combining technology and grassroots efforts to recruit displaced workers and others quickly during the COVID-19 crisis.<br></p>\n\n\n\n<p>OnShift is also waiving fees for users of its financial wellness solution, OnShift Wallet, powered by PayActiv, which provides instant access to earned wages between paychecks. The OnShift Wallet fee waiver program is made possible by PayActiv, the leading provider of employer-sponsored earned wage and tip access. <a href=\"https://www.payactiv.com/press-release/payactiv-provides-free-liquidity-for-workers-during-crisis/\">PayActiv launched a fee waiver program</a> and extended it to OnShift customers to help post-acute care and senior living employees and their families during the COVID crisis.<br></p>\n\n\n\n<p>In a <a href=\"https://www.payactiv.com/press-release/payactiv-provides-free-liquidity-for-workers-during-crisis/\">recent survey</a> conducted by PayActiv, 82% of respondents said their greatest concern about the coronavirus is a loss of income. So far this year, over $12 million in earned wages has been distributed to employees prior to payday using the non-traditional employee benefit.<br></p>\n\n\n\n<p>Solution for small providers<br></p>\n\n\n\n<p>Meanwhile, <a href=\"https://www.healthcaresource.com/\">HealthcareSource</a> released its HealthcareSource Hiring System Express for small healthcare providers, typically under 500 employees, who need to establish an applicant tracking system quickly. HHS Express enables organizations to organize their hiring process, increase the speed of hiring, onboard new hires faster and ensure compliance.<br></p>\n\n\n\n<p>And <a href=\"http://www.worktaps.com/\">WorkTaps</a>, the mobile-first employee referral solution for hourly and &ldquo;deskless&rdquo; workforces, announced that it is offering its hiring software at no cost through Aug. 15. WorkTaps can help fill recruiting pipelines with displaced workers from industries including hospitality and retail.<br></p>\n\n\n\n<p>On average, WorkTap said businesses receive applicants within hours of sharing a job and hire within a matter of days.&nbsp;<br></p>\n\n\n\n<p>&ldquo;From healthcare and assisted living to grocery stores, delivery services and essential retailers, maintaining the frontline workforce is critical to keeping our communities and economy alive,&rdquo; said Bradley Harris, CEO and co-founder of WorkTaps.&nbsp;<br></p>\n\n\n\n<p>With a &ldquo;gamified&rdquo; user experience, WorkTaps provides an engaging way to earn money through referrals while incentivizing teams to recruit within their most trusted networks, such as former employees or teams. WorkTaps also provides employers visibility into their entire referral program with insights on the source of hires, number of applicants interested, shares, views and more.&nbsp;&nbsp;<br></p>\n\n\n\n<p>Fill vacancies&nbsp;<br></p>\n\n\n\n<p><a href=\"http://www.crosscountryhealthcare.com/\">Cross Country Healthcare</a> also announced that its Cross Country Medical Staffing Network business has developed an application for healthcare professionals to search, book and organize per diem and local contract jobs.<br></p>\n\n\n\n<p>The Marketplace App can fill nursing and allied healthcare vacancies from more than 35 branch locations nationwide. Marketplace permits healthcare professionals to bypass some manual processes, including paperwork and telephone calls, previously required to book shifts.<br></p>\n\n\n\n<p>The app also features a proprietary, personalized calendar to help providers organize their work calendars. After first rolling out the app to healthcare providers working for Cross Country Medical Staffing Network, the company eventually plans to expand service to its other businesses, which employ a full spectrum of healthcare professionals and educational professionals.<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/products/recruiting-firms-help-snfs-address-turnover-due-to-covid-19-2/\">Recruiting firms help SNFs address turnover due to COVID-19</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Recruiting firms help SNFs address turnover due to COVID-19','With long-standing turnover issues already plaguing the industry, recruiting companies are encouraging providers to rethink hiring and retention efforts to stave off potential crises during the coronavirus pandemic. Arena is leveraging data-based technology and forming partnerships with the hospitality sector to get ahead of the curve. The company will offer its sourcing product as a…\nThe post Recruiting firms help SNFs address turnover due to COVID-19 appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','recruiting-firms-help-snfs-address-turnover-due-to-covid-19','','','2020-04-22 13:12:48','2020-04-22 13:12:48','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=261',0,'wprss_feed_item','',0),(262,0,'2020-02-26 14:36:35','2020-02-26 14:36:35','<p>With the constant changes to Medicaid and Medicare reimbursements for home care services, sometimes agencies and other providers can no longer offer services to certain clients. When that happens, too often it appears as though elderly and disabled individuals (as well as family members) are caught completely off guard.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/2020/02/26/how-home-care-agencies-can-help-clients-if-they-dont-need-or-qualify-for-services-any-longer/\">How Home Care Agencies Can Help Clients If They Don&rsquo;t Need (or Qualify for) Services Any Longer</a> appeared first on <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/\">HomeCareDaily.com</a>.</p>','How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer','With the constant changes to Medicaid and Medicare reimbursements for home care services, sometimes agencies and other providers can no longer offer services to certain clients. When that happens, too often it appears as though elderly and disabled individuals (as well as family members) are caught completely off guard.\nThe post How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer appeared first on HomeCareDaily.com.','publish','closed','closed','','how-home-care-agencies-can-help-clients-if-they-dont-need-or-qualify-for-services-any-longer','','','2020-02-26 14:36:35','2020-02-26 14:36:35','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=262',0,'wprss_feed_item','',0),(263,0,'2020-02-19 14:44:16','2020-02-19 14:44:16','<p>Due to certain rule changes regarding Medicare reimbursements, some in-home health care services are no longer being provided by various agencies across the country. On January 1, 2020, the Center for Medicare and Medicaid Services (CMS) implemented a new rule where it would no longer cover therapeutic services for patients who have diagnoses from which they are unlikely to recover (or who would need these services long-term, with no discernible end date in view).</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/2020/02/19/new-medicare-rules-make-it-harder-for-some-clients-to-continue-receiving-in-home-therapy-care-services/\">New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services</a> appeared first on <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/\">HomeCareDaily.com</a>.</p>','New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services','Due to certain rule changes regarding Medicare reimbursements, some in-home health care services are no longer being provided by various agencies across the country. On January 1, 2020, the Center for Medicare and Medicaid Services (CMS) implemented a new rule where it would no longer cover therapeutic services for patients who have diagnoses from which they are unlikely to recover (or who would need these services long-term, with no discernible end date in view).\nThe post New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services appeared first on HomeCareDaily.com.','publish','closed','closed','','new-medicare-rules-make-it-harder-for-some-clients-to-continue-receiving-in-home-therapy-care-services','','','2020-02-19 14:44:16','2020-02-19 14:44:16','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=263',0,'wprss_feed_item','',0),(264,0,'2020-02-14 13:48:46','2020-02-14 13:48:46','<p>Social isolation can be a very real and debilitating condition for people who lose the ability to get around on their own. Aging seniors are often struggling with isolation, which can lead to an increased risk of depression and take a greater toll on their mental and physical health.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/2020/02/14/home-care-may-help-reduce-social-isolation-among-seniors/\">Home Care May Help Reduce Social Isolation Among Seniors</a> appeared first on <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/\">HomeCareDaily.com</a>.</p>','Home Care May Help Reduce Social Isolation Among Seniors','Social isolation can be a very real and debilitating condition for people who lose the ability to get around on their own. Aging seniors are often struggling with isolation, which can lead to an increased risk of depression and take a greater toll on their mental and physical health.\nThe post Home Care May Help Reduce Social Isolation Among Seniors appeared first on HomeCareDaily.com.','publish','closed','closed','','home-care-may-help-reduce-social-isolation-among-seniors','','','2020-02-14 13:48:46','2020-02-14 13:48:46','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=264',0,'wprss_feed_item','',0),(265,0,'2020-02-10 19:01:39','2020-02-10 19:01:39','<p>The Center for Medicare and Medicaid Services (CMS) began cutting reimbursement rates for in-home health care as a way to help pay for the Affordable Care Act passed in 2010. Those cuts, spread out over a series of years, equaled about 14 percent.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/2020/02/10/medicare-reimbursement-rate-cuts-having-a-direct-negative-impact-on-accessibility-to-in-home-care/\">Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care</a> appeared first on <a rel=\"nofollow\" href=\"https://www.homecaredaily.com/\">HomeCareDaily.com</a>.</p>','Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care','The Center for Medicare and Medicaid Services (CMS) began cutting reimbursement rates for in-home health care as a way to help pay for the Affordable Care Act passed in 2010. Those cuts, spread out over a series of years, equaled about 14 percent.\nThe post Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care appeared first on HomeCareDaily.com.','publish','closed','closed','','medicare-reimbursement-rate-cuts-having-a-direct-negative-impact-on-accessibility-to-in-home-care','','','2020-02-10 19:01:39','2020-02-10 19:01:39','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=265',0,'wprss_feed_item','',0),(266,0,'2020-04-23 04:03:00','2020-04-23 04:03:00','<p>The nation&rsquo;s largest nursing home association is once again urging more COVID-19 testing available for long-term care facilities.&nbsp;</p>\n\n\n\n<p>&ldquo;Plain and simple, whether it&rsquo;s our federal, state or local health agencies, long term care facilities need adequate testing kits and personal protective equipment.&nbsp; And we need them now,&rdquo; Mark Parkinson, president and CEO of the American Health Care Association/National Center for Assisted Living, said in a <a href=\"https://www.ahcancal.org/News/news_releases/Pages/Long-Term-Care-Needs-More-Testing-to-Protect-Residents-and-Save-Lives.aspx\">statement</a>.&nbsp;</p>\n\n\n\n<p>Parkinson issued the plea after Deborah Birx, MD, the White House&rsquo;s coronavirus task force coordinator, called for states to prioritize testing at long-term care facilities during a <a href=\"https://www.whitehouse.gov/briefings-statements/remarks-president-trump-members-coronavirus-task-force-press-briefing-3/\">press briefing</a> Tuesday.</p>\n\n\n\n<p>He reiterated that officials need to start making long-term care a priority as the pandemic pushes on, claiming more lives every day. The Wall Street Journal <a href=\"https://www.wsj.com/articles/coronavirus-deaths-in-u-s-nursing-long-term-care-facilities-top-10-000-11587586237?utm_source=&amp;utm_medium=email&amp;utm_campaign=29257\">reported Wednesday</a> that COVID-19 deaths in nursing homes had topped 10,000.</p>\n\n\n\n<p>Parkinson noted that providers are discovering now seeing more cases of asymptomatic carriers of the disease. In California, public health officials are now <a href=\"https://www.latimes.com/science/story/2020-04-21/california-first-state-coronavirus-tests-without-symptoms\">allowing asymptomatic people</a> who live or work in highly susceptible places, like nursing homes, to be tested for COVID-19.</p>\n\n\n\n<p>&ldquo;Without access to more testing, long term care providers are at a severe disadvantage in identifying more of these asymptomatic residents and staff,&rdquo; Parkinson said.&nbsp;</p>\n\n\n\n<p>&ldquo;And without more personal protective equipment, our staff is at a serious disadvantage in protecting themselves so they can care for the vulnerable population who reside in our facilities,&rdquo; he added.</p>\n\n\n\n<p><strong>In other coronavirus-related news:&nbsp;</strong></p>\n\n\n\n<p>&bull; The federal government released a <a href=\"https://asprtracie.hhs.gov/Workforce-Virtual-Toolkit\">new toolkit</a> aimed at helping states and healthcare providers retain staff and navigate workforce challenges during the coronavirus pandemic.&nbsp;</p>\n\n\n\n<p>&bull; One West Coast provider celebrated in a <a href=\"https://www.facebook.com/watch/?v=2854344951349736\">tribute video</a> all the &ldquo;Healthcare Heroes&rdquo; who have cared for long-term care residents since &ldquo;long before the storm&rdquo; that is the coronavirus. While the images show frontline caregivers and staff from Marquis Companies and Consonus Healthcare, the narrative is an insightful essay into the character and courage of long-term care workers everywhere.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/asymptomatic-covid-19-carriers-start-getting-tested-as-nursing-homes-pleas-for-help-intensify/\">Asymptomatic COVID-19 carriers getting tested as nursing homes&rsquo; pleas for help intensify</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify','The nation’s largest nursing home association is once again urging more COVID-19 testing available for long-term care facilities. \nThe post Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','asymptomatic-covid-19-carriers-getting-tested-as-nursing-homes-pleas-for-help-intensify','','','2020-04-23 04:03:00','2020-04-23 04:03:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=266',0,'wprss_feed_item','',0),(267,0,'2020-04-23 04:02:00','2020-04-23 04:02:00','<p>New York&rsquo;s decision to place coronavirus patients into a nursing home is now facing backlash from providers and advocates.&nbsp;</p>\n\n\n\n<p>The concerns stem from state officials recently allowing COVID-19 hospital patients to be placed into the Coler Rehabilitation and Nursing Care Center, in Roosevelt Island, NY. The facility has since seen longtime residents die or become infected since the change as the disease spreads from room to room, ProPublica <a href=\"https://www.propublica.org/article/nyc-mayor-and-health-officials-misled-public-about-plans-to-move-covid-19-patients-into-nursing-home-advocates-say\">reported</a>.</p>\n\n\n\n<p>Several advocates and local elected officials have accused the state of misleading providers about its ability to protect nursing home residents and prevent the spread of the disease.&nbsp;</p>\n\n\n\n<p>&ldquo;Placing COVID patients in a nursing home is a bad idea,&rdquo; Richard Mollot, executive director of the Long Term Care Community Coalition, said. &ldquo;They are potentially infecting the most vulnerable people.&rdquo;</p>\n\n\n\n<p>Officials, however, downplayed concerns, saying the state is ensuring that all infection control measures are being followed under its watch.&nbsp;</p>\n\n\n\n<p>In late March, providers <a href=\"https://www.mcknights.com/news/providers-outcry-efforts-to-place-covid-19-patients-into-nursing-homes-to-alleviate-hospital-overcrowding/\">warned against efforts</a> that called on nursing homes to accept all discharged hospital patients, regardless of their COVID-19 status. New York implemented the policy to enhance &ldquo;surge capacity&rdquo; at hospitals.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/nyc-under-fire-for-placing-covid-19-patients-in-nursing-home/\">NYC under fire for placing COVID-19 patients in nursing home</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','NYC under fire for placing COVID-19 patients in nursing home','New York’s decision to place coronavirus patients into a nursing home is now facing backlash from providers and advocates. \nThe post NYC under fire for placing COVID-19 patients in nursing home appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','nyc-under-fire-for-placing-covid-19-patients-in-nursing-home','','','2020-04-23 04:02:00','2020-04-23 04:02:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=267',0,'wprss_feed_item','',0),(268,0,'2020-04-23 04:01:00','2020-04-23 04:01:00','<p>Massachusetts will be temporarily pausing a program that provides coronavirus testing kits to long-term care providers to improve quality control problems, a state official announced this week.&nbsp;</p>\n\n\n\n<p>Earlier this month, the state announced that nursing homes could order test kits to be delivered directly to their facilities and administered by trained personnel, the Boston Globe <a href=\"https://www.bostonglobe.com/2020/04/21/metro/state-pausing-part-its-nursing-home-testing-program-state-data-riddled-with-inaccuracies/\">reported</a>. The program serves an alternative to the mobile testing offered through the state&rsquo;s National Guard.&nbsp;</p>\n\n\n\n<p>The state sent out 14,000 tests to facilities but have since had only 4,000 returned. Many of the tests were returned to state unlabeled or had leaks, according to the report.&nbsp;&nbsp;</p>\n\n\n\n<p>The state plans to still offer mobile testing through the National Guard while it addresses issues with its test kit program. Marylou Sudders, the state&rsquo;s secretary of Health and Human Services, on Wednesday added that the state has better oversight over quality control than the National Guard program.</p>\n\n\n\n<p>&ldquo;We&rsquo;re working with the nursing home industry so we can re-start sending test kits once we understand what some of the logistical issues are,&rdquo; Sudders recently told <a href=\"https://www.boston.com/news/coronavirus/2020/04/22/massachusetts-coronavirus-testing-nursing-homes\">local reporters</a>.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/coronavirus-testing-paused-after-labeling-leakage-issues-with-kits/\">Coronavirus testing paused after labeling, leakage issues with kits</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Coronavirus testing paused after labeling, leakage issues with kits','Massachusetts will be temporarily pausing a program that provides coronavirus testing kits to long-term care providers to improve quality control problems, a state official announced this week. \nThe post Coronavirus testing paused after labeling, leakage issues with kits appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','coronavirus-testing-paused-after-labeling-leakage-issues-with-kits','','','2020-04-23 04:01:00','2020-04-23 04:01:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=268',0,'wprss_feed_item','',0),(269,0,'2020-04-23 04:00:00','2020-04-23 04:00:00','<p>McKnight&rsquo;s Online Forum offers <a href=\"https://www.mcknights.com/news/mcknights-online-forum-on-covid-19-strategies-arrives-thursday/\">3 webinars on COVID-19</a> operating strategies, free CE credits today &hellip; CDC warns <a href=\"https://edition.cnn.com/2020/04/21/health/us-coronavirus-tuesday/index.html\">next wave of coronavirus</a> could be more devastating &hellip; Nevada using the <a href=\"https://www.reviewjournal.com/local/local-nevada/nevada-national-guard-helping-at-nursing-homes-during-pandemic-2011761/\">National Guard to manage coronavirus cases</a> at nursing homes &hellip; Tips for <a href=\"https://www.nurse.com/blog/2020/04/20/nurse-burnout-stress-from-covid-19-pandemic-pose-challenge-for-leaders/\">combatting nurse burnout</a> amid pandemic &hellip; LTC facilities with same-day physician access have <a href=\"https://paltc.org/node/7434\">lower hospitalization, emergency department visit</a> rates: study</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/also-in-the-news-for-thursday-april-23-2/\">Also in the News for Thursday, April 23</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Also in the News for Thursday, April 23','McKnight’s Online Forum offers 3 webinars on COVID-19 operating strategies, free CE credits today … CDC warns next wave of coronavirus could be more devastating … Nevada using the National Guard to manage coronavirus cases at nursing homes … Tips for combatting nurse burnout amid pandemic … LTC facilities with same-day physician access have lower hospitalization, emergency department visit rates: study\nThe post Also in the News for Thursday, April 23 appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','also-in-the-news-for-thursday-april-23','','','2020-04-23 04:00:00','2020-04-23 04:00:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=269',0,'wprss_feed_item','',0),(270,0,'2020-04-23 04:00:00','2020-04-23 04:00:00','<p>The sounds of sirens filled the air outside a New York nursing home recently &mdash; in celebration of the facility releasing its first coronavirus patient back home.&nbsp;</p>\n\n\n\n<p>Several first-responder agencies used a &ldquo;sound off&rdquo; to pay tribute to the patient, James Tully, and healthcare workers at the Parker Jewish Institute for Health Care and Rehabilitation in New Hyde Park, NY, Friday evening. Earlier that day, Tully was cleared by doctors to return to his home in Bayside, NY.&nbsp;</p>\n\n\n\n<p>The tribute is one of numerous appreciative gestures providers have seen in various parts of the country recently. It came as Parker workers were leaving their shifts that evening. It featured members from the FDNY Engine 251, NYPD 105 Precinct and MTA Police, along with several other fire, police and EMS agencies.&nbsp;</p>\n\n\n\n<p>&ldquo;We are especially grateful for our healthcare workers who show professionalism and</p>\n\n\n\n<p>empathy as they tend to our residents and patients, a very vulnerable population,&rdquo; said</p>\n\n\n\n<p>Michael N. Rosenblut, Parker&rsquo;s president and CEO.&nbsp;&nbsp;</p>\n\n\n\n<p>&ldquo;Of course, we applaud our first responders &mdash; the members of our fire, police and EMS departments &mdash; who stand with us as partners in the fight against this global pandemic,&rdquo; he added.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/the-brighter-side/first-responders-sound-off-to-honor-ny-nursing-home-after-it-releases-first-covid-19-patient/\">First responders &lsquo;sound off&rsquo; to honor NY nursing home after it releases first COVID-19 patient</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient','The sounds of sirens filled the air outside a New York nursing home recently — in celebration of the facility releasing its first coronavirus patient back home. \nThe post First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','first-responders-sound-off-to-honor-ny-nursing-home-after-it-releases-first-covid-19-patient','','','2020-04-23 04:00:00','2020-04-23 04:00:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=270',0,'wprss_feed_item','',0),(279,0,'2020-04-23 20:39:24','2020-04-23 20:39:24','<p>The U.S. Food and Drug Administration (FDA) has officially authorized the first at-home COVID-19 test kit. The move could improve coronavirus testing for in-home care workers and their patients moving forward.  <br></p>\n\n\n\n<p>For now, health care workers and first responders who have potentially been exposed to the virus &mdash; or those who are showing symptoms &mdash; will be given first access to testing kits produced by LabCorp, a global life sciences company headquartered in Burlington, North Carolina.<br></p>\n\n\n\n<p>Since the start of the COVID-19 emergency, many Americans have faced roadblocks in getting tested for the virus, making the exact number of confirmed cases largely unknown. The same holds true for hospitals and health care providers, including organizations that deliver care in the home setting.<br></p>\n\n\n\n<p>&ldquo;This is a great first step in providing more widespread testing to the health care community &mdash; and eventually our clients,&rdquo; Emma Dickison, CEO and president of Home Helpers, told Home Health Care News. &ldquo;We know, as we&rsquo;ve been dealing with this pandemic, about the importance of widespread testing for our country to be able to help mitigate the virus. Without testing, it will be a challenge to get back to any kind of normalcy.&rdquo;<br></p>\n\n\n\n<p>Home Helpers is a Cincinnati-based in-home care franchise company that has over 300 locations across the U.S.<br></p>\n\n\n\n<p>In addition to her role at Home Helpers, Dickison also serves as president of the Home Care Association of America&rsquo;s (HCAOA) board of directors. HCAOA is a Washington, D.C.-based trade organization that represents nearly 3,000 home care companies.<br></p>\n\n\n\n<p>As part of its testing process, LabCorp and its clinical laboratory network will allow users to receive a sample collection kit through the mail and send the test back to its labs for results. The test &mdash; which individuals can carry out themselves &mdash; involves collecting a nasal sample via a Q-tip-style cotton swab.<br></p>\n\n\n\n<p>&ldquo;Throughout this pandemic, we have been facilitating test development to ensure patients access to accurate diagnostics, which includes supporting the development of reliable and accurate at-home sample collection options,&rdquo; FDA Commissioner Dr. Stephen Hahn said in a statement. &ldquo;Specifically, for tests that include home sample collection, we worked with LabCorp to ensure the data demonstrated from at-home patient sample collection is as safe and accurate as sample collection at a doctor&rsquo;s office, hospital or other testing site.&rdquo;<br></p>\n\n\n\n<p>Overall, the FDA has authorized more than 50 diagnostic tests during the coronavirus public  health emergency, working with over 350 different test developers.<br></p>\n\n\n\n<h3><strong>Worst-case scenarios</strong><br></h3>\n\n\n\n<p>While home health clinicians aren&rsquo;t explicitly named in the FDA authorization or LabCorp&rsquo;s plans, the availability of easy-to-use COVID-19 at-home test kits could aid providers in their efforts to keep both patients and staff safe.<br></p>\n\n\n\n<p>More than anything, the ability to test and confirm suspected coronavirus cases among in-home clinicians and caregivers would help providers prevent further spread of the virus. <br></p>\n\n\n\n<p>&ldquo;Enabling individuals to self-administer sample collection will help reduce the risk of transmitting the virus to others and reduces the demand for personal protective equipment (PPE), as the tests do not require a clinician to perform the test collection,&rdquo; a LabCorp spokesperson told HHCN in an email. &ldquo;It is also important to have health care workers tested so that they can continue to help others in need as we fight the COVID-19 virus.&rdquo; <br></p>\n\n\n\n<p>In <a href=\"https://homehealthcarenews.com/2020/04/coronavirus-daily-update-lupa-rates-up-covid-19-outbreak-linked-to-home-health-agency/\">North Carolina</a>, at least 14 cases of the coronavirus were recently linked to a Rutherford County-based home health agency.<br></p>\n\n\n\n<p>Meanwhile, a 71-year-old home health patient in Kentucky passed away this week from COVID-19,<a href=\"https://www.kentucky.com/news/coronavirus/article242198746.html\"> the Lexington Herald Leader reported Wednesday</a>. The patient was receiving in-home physical therapy services after suffering a severe stroke in December.<br></p>\n\n\n\n<p>About six days after receiving a visit from his physical therapist, the patient&rsquo;s home health company called and said the therapist had tested positive for COVID-19. The patient&rsquo;s daughter and wife &mdash; both present during the home health visit &mdash; also contracted the virus.<br></p>\n\n\n\n<p>While it wouldn&rsquo;t take all risk out of the equation, more widely available testing for in-home care workers would &mdash; at the very least &mdash; help providers identify compromised front-line staff sooner.<br></p>\n\n\n\n<p>&ldquo;For clinicians, they are at greater risk for contracting the virus,&rdquo; Dickison said. &ldquo;I think the latest is that about 25% of those who have been diagnosed [with COVID-19] are health care professionals. This provides them an easy test to make sure that they are healthy at the time of work.&rdquo;<br></p>\n\n\n\n<p>Despite the two recent examples, there hasn&rsquo;t been widely reported stories of home-based care providers spreading COVID-19. Within the long-term care space, nursing homes have largely taken center stage.<br></p>\n\n\n\n<p>More than 4,900 nursing homes and other long-term care facilities across the United States have coronavirus cases, according to New York Times data. More than 55,000 residents and staff members at those facilities have contracted the virus &mdash; and more than 10,300 have died. <br></p>\n\n\n\n<p>Yet even nursing homes and assisted living communities struggle with adequate testing.<br></p>\n\n\n\n<p>&ldquo;We&rsquo;re hearing from our nursing homes and assisted living communities that have undertaken expanded testing that they are finding a high number of residents and staff who are positive, but without symptoms,&rdquo; Mark Parkison, president and CEO of the American Health Care Association (AHCA) and the National Center for Assisted Living (NCAL), said in a statement. &ldquo;Without access to more testing, long term care providers are at a severe disadvantage in identifying more of these asymptomatic residents and staff.&rdquo; <br></p>\n\n\n\n<h3><strong>Testing toward the bottom line</strong><br></h3>\n\n\n\n<p>The availability of more in-home COVID-19 tests like the kind developed by LabCorp would also help providers seeing deceased visits and care interruptions due to the virus. <br></p>\n\n\n\n<p>Fearing contact with the coronavirus, many home care clients and home health patients have turned down care services, refusing to allow caregivers or clinicians into their homes for safety reasons. At the same time, some visits haven&rsquo;t been able to take place because caregivers worry about spreading the virus without appropriate PPE. <br></p>\n\n\n\n<p>In a recent HCAOA survey of more than 1,200 in-home care professionals, 90% said their agencies were seeing clients cancelling visits. More than 60% said their agencies had employees calling off work.<br></p>\n\n\n\n<p>&ldquo;Being able to have the testing and PPE available gives both the client and caregiver the best possible opportunity to stay safe,&rdquo; Dickison said. &ldquo;Tests, clean surfaces, washing hands, hand sanitizers, masks and gloves &mdash; all of these things work together in concert.&rdquo; <br></p>\n\n\n\n<p>More than 70% of the respondents in the HCAOA survey said their agencies were facing  shortages of masks and hand sanitizer. <br></p>\n\n\n\n<p>In New York, a state that has been hit hard by the COVID-19 emergency, about half of all in-home care providers said they have experienced patients or family members refusing entry of caregivers, according to a separate <a href=\"https://homehealthcarenews.com/2020/03/home-health-industry-watches-on-as-new-york-providers-navigate-coronavirus-minefield/\">Home Care Association of New York State (HCA-NYS) survey</a>. <br></p>\n\n\n\n<p>Home health providers&rsquo; bottom lines have especially suffered. In addition to seeing patients cancel visits, many agencies are also seeing decreased patient volume due to elective surgeries being delayed.<br></p>\n\n\n\n<p>Some home health agencies have reported reductions in revenue <a href=\"https://homehealthcarenews.com/2020a/04/cms-plan-to-resume-elective-procedures-could-end-home-health-business-lull/\">of more than 25%</a>, according to the National Association for Home Care &amp; Hospice (NAHC).<br></p>\n\n\n\n<p>Looking ahead, Dickison stressed the importance of building on the momentum of at-home testing kits for the virus.<br></p>\n\n\n\n<p>&ldquo;The fact that we are making progress is encouraging,&rdquo; she said. &ldquo;Home-based care &hellip; often gets minimized or forgotten. We are the first line of the health care continuum. We are with clients multiple days a week, and are able to identify when symptoms occur and get them the help they need quicker. Being able to test in the home would wonderful to help continue flattening the curve on acute and hospital care.&rdquo; <br></p>\n\n\n\n<p><em>Additional reporting by Robert Holly</em><br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/home-helpers-ceo-fdas-approval-of-at-home-covid-19-test-is-a-great-first-step/\">Home Helpers CEO: FDA&rsquo;s Approval of At-Home COVID-19 Test Is &lsquo;a Great First Step&rsquo;</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’','The U.S. Food and Drug Administration (FDA) has officially authorized the first at-home COVID-19 test kit. The move could improve coronavirus testing for in-home care workers and their patients moving forward. For now, health care workers and first responders who have potentially been exposed to the virus — or those who are showing symptoms — […]\nThe post Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’ appeared first on Home Health Care News.','publish','closed','closed','','home-helpers-ceo-fdas-approval-of-at-home-covid-19-test-is-a-great-first-step','','','2020-04-23 20:39:24','2020-04-23 20:39:24','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=279',0,'wprss_feed_item','',0),(280,0,'2020-04-23 20:28:42','2020-04-23 20:28:42','<p>Providence &mdash; one of the largest health care systems in the nation &mdash; is the closest thing the U.S. has to a COVID-19 pioneer. One of its hospitals based in Washington state treated the country&rsquo;s first COVID-19 positive patient back in February.&nbsp;<br></p>\n\n\n\n<p>Since then, the coronavirus has made its way down Providence&rsquo;s care continuum, all the way to its home health and hospice arms, which are currently treating 119 positive patients, with another 127 who could have the virus under investigation. <br></p>\n\n\n\n<p>Rachel Manchester, director of nursing at Providence Home Health in Washington state, shared those numbers on a recent webinar hosted by the National Association for Home Care &amp; Hospice (NAHC). It&rsquo;s just one of many data points she has at her disposal. <br></p>\n\n\n\n<p>In Manchester&rsquo;s view, data tracking is a key tool that can help guide agencies through the COVID-19 emergency. That includes everything from success metrics to denials of care, all of which could come in handy in a post-coronavirus world, especially from a financial perspective.&nbsp;<br></p>\n\n\n\n<p>It&rsquo;s no secret that the coronavirus has wreaked havoc on home health agencies&rsquo; bottom lines. Visit volumes are down, supplies costs are up and the Centers for Medicare &amp; Medicaid Services (CMS) isn&rsquo;t reimbursing providers for telehealth visits.&nbsp;<br></p>\n\n\n\n<p>Providence Home Health is grappling with the same problems. <br></p>\n\n\n\n<p>&ldquo;Our volumes have also suffered,&rdquo; Manchester said on the webinar. &ldquo;People are afraid to go into the hospitals, and then that feeds our home health system. That&rsquo;s one reason. The other reason is just that a lot of facilities aren&rsquo;t letting us in, and that&rsquo;s a big book of business for us.&rdquo; <br></p>\n\n\n\n<p>Many senior housing and skilled nursing facilities (SNFs) are scared that outside entrants &mdash; even caregivers following CMS and CDC guidelines &mdash; could bring the coronavirus into their buildings. They worry about ending up like Life Care Center of Kirkland, Washington, a nursing home where an outbreak killed <a href=\"https://www.nytimes.com/2020/03/21/us/coronavirus-nursing-home-kirkland-life-care.html\">at least 35 people</a>. <br></p>\n\n\n\n<p>But turning away home health workers who provide necessary care isn&rsquo;t always appropriate. <br></p>\n\n\n\n<p>&ldquo;My advice is just to really partner with your department of health to help get you in,&rdquo; Manchester said. &ldquo;You must track declined visits. If there&rsquo;s any financial recovery for you as an organization, you really want to track that.&rdquo; <br></p>\n\n\n\n<p>Providence uses a spreadsheet to keep track of which facilities turn away caregivers, how many times they do it and their reasoning, along with other factors. <br></p>\n\n\n\n<p>Doing so gives providers some ammunition to argue against things like unavoidable Low Utilization Payment Adjustment (LUPA) claims, which would be out of their control. <br></p>\n\n\n\n<p>Overall, for Providence, visit volume is about two-thirds of what it normally is, Manchester said on the webinar. But many of those are telehealth visits, which come with their own set of problems.&nbsp;<br></p>\n\n\n\n<p>For one, CMS isn&rsquo;t reimbursing for remote visits, claiming the agency is prohibited from doing so. Plus, remote visits don&rsquo;t count against providers&rsquo; LUPA thresholds. <br></p>\n\n\n\n<p>&ldquo;It&rsquo;s safer for [the 30% of our workforce that is high-risk] to perform that care, and it&rsquo;s also providing a very valuable service,&rdquo; Manchester said. &ldquo;But right now, except for Medicaid &hellip; those aren&rsquo;t reimbursable visits.&rdquo; <br></p>\n\n\n\n<p>Then there are the non-reimbursement-related costs that come with telehealth. For example, getting it up and running to begin with.  <br></p>\n\n\n\n<p>&ldquo;We weren&rsquo;t using telehealth hardly at all [in January], and as March hit, that number has skyrocketed,&rdquo; Manchester said. &ldquo;Even our very elderly are learning how to navigate telehealth.&rdquo; <br></p>\n\n\n\n<p>But to make it happen, Providence had to work with outside tech companies, make training videos for caregivers and clients, and redistribute high-risk workers to telehealth command centers &mdash; all of which take time and money.&nbsp;<br></p>\n\n\n\n<p>&ldquo;Then the Zoom and FaceTime use and policies had to be created,&rdquo; Manchester said. &ldquo;We were so lucky that we were able to consent patients using FaceTime or Zoom technologies to keep them safe. I felt like more patients said yes [to treatment because it&rsquo;s remote].&rdquo;<br></p>\n\n\n\n<p>That&rsquo;s another thing Providence is tracking: factors like patient satisfaction and willingness to accept telehealth. It&rsquo;s helped them gauge how they&rsquo;re doing so far.&nbsp;<br></p>\n\n\n\n<p>&ldquo;Find a way to track your success,&rdquo; Manchester said. &ldquo;One of the things that was really important to us is that our patients were still finding value in us as home care, as well as the way that we were deploying telehealth.&rdquo; <br></p>\n\n\n\n<p>Additional costs Providence is dealing with in light of COVID-19 include increased infection control planning, new documentation and consent practices and additional contractors being hired to help supplement staffing. Again, these are all areas the agency is receiving no direct reimbursement for.&nbsp;<br></p>\n\n\n\n<p>And while there&rsquo;s no guarantee CMS will try to help make agencies whole again for stepping up in light of the coronavirus, Providence will have its receipts &mdash; or rather, spreadsheets &mdash;  ready if it does.<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/providence-home-health-hopes-data-tracking-could-help-with-financial-recovery-post-coronavirus/\">Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus','Providence — one of the largest health care systems in the nation — is the closest thing the U.S. has to a COVID-19 pioneer. One of its hospitals based in Washington state treated the country’s first COVID-19 positive patient back in February.  Since then, the coronavirus has made its way down Providence’s care continuum, all […]\nThe post Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus appeared first on Home Health Care News.','publish','closed','closed','','providence-home-health-hopes-data-tracking-could-help-with-financial-recovery-post-coronavirus','','','2020-04-23 20:28:42','2020-04-23 20:28:42','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=280',0,'wprss_feed_item','',0),(281,1,'2020-04-23 20:45:14','2020-04-23 20:45:14','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Pellentesque nibh aenean quam in scelerisque','','inherit','closed','closed','','107-revision-v1','','','2020-04-23 20:45:14','2020-04-23 20:45:14','',107,'https://digiwised.com/hvper/107-revision-v1/',0,'revision','',0),(282,1,'2020-04-23 21:14:06','2020-04-23 21:14:06','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Integer lacinia sollicitudin massa','','inherit','closed','closed','','92-revision-v1','','','2020-04-23 21:14:06','2020-04-23 21:14:06','',92,'https://digiwised.com/hvper/92-revision-v1/',0,'revision','',0),(283,1,'2020-04-23 21:14:22','2020-04-23 21:14:22','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Integer nec odio praesent libero sed cursus','','inherit','closed','closed','','80-revision-v1','','','2020-04-23 21:14:22','2020-04-23 21:14:22','',80,'https://digiwised.com/hvper/80-revision-v1/',0,'revision','',0),(284,1,'2020-04-23 21:14:54','2020-04-23 21:14:54','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Aenean lectus elit fermentum non convallis','','inherit','closed','closed','','195-revision-v1','','','2020-04-23 21:14:54','2020-04-23 21:14:54','',195,'https://digiwised.com/hvper/195-revision-v1/',0,'revision','',0),(285,1,'2020-04-23 21:15:24','2020-04-23 21:15:24','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Pharetra auctor sem massa mattis sem','','inherit','closed','closed','','97-revision-v1','','','2020-04-23 21:15:24','2020-04-23 21:15:24','',97,'https://digiwised.com/hvper/97-revision-v1/',0,'revision','',0),(286,1,'2020-04-23 21:15:58','2020-04-23 21:15:58','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Luctus non massa fusce ac turpis quis','','inherit','closed','closed','','110-revision-v1','','','2020-04-23 21:15:58','2020-04-23 21:15:58','',110,'https://digiwised.com/hvper/110-revision-v1/',0,'revision','',0),(287,1,'2020-04-23 21:42:36','2020-04-23 21:42:36','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Faucibus orci luctus et ultrices posuere','','inherit','closed','closed','','48-revision-v1','','','2020-04-23 21:42:36','2020-04-23 21:42:36','',48,'https://digiwised.com/hvper/48-revision-v1/',0,'revision','',0),(288,0,'2020-04-23 21:15:01','2020-04-23 21:15:01','<p>The U.S. Department of Health and Human Services (HHS) announced Wednesday that over $40 billion in additional funding would be provided to reimburse health care providers during the COVID-19 crisis. A  chunk of that money will go to further support home health agencies.  <br></p>\n\n\n\n<p>To distribute the $40 billion, HHS plans to allocate $20 billion for general reimbursement while sending $10 billion to providers and facilities in COVID-19 hot spots. HHS also plans to give $10 billion to rural health care providers, sending $400 million more to the Indian Health Service.  <br></p>\n\n\n\n<p>Imark Billing CEO Lynn Labarta &mdash; a home health billing specialist &mdash; clarified how that money will be spent in a note shared with Home Health Care News. <br></p>\n\n\n\n<p>&ldquo;As it relates to home health providers, an additional $20 billion is being distributed based on each provider&rsquo;s revenue data, taking into account what each provider received in the first tranche,&rdquo; Labarta wrote. &ldquo;The end result will be that the entire $50 billion in general provider funding will have been distributed proportional to the providers&rsquo; share of 2018 net patient revenue. All facilities and providers with a Medicare Provider Number are eligible for these funds.&rdquo;<br></p>\n\n\n\n<p>The distribution is set to begin Friday, and the payments will go out on a weekly basis, according to Labarta. <br></p>\n\n\n\n<p>The new relief is <a href=\"https://homehealthcarenews.com/2020/04/no-strings-attached-cms-sending-30-billion-to-home-health-agencies-other-medicare-providers/\">in addition to the $30 billion funding round, which was dispersed earlier this month</a>.<br></p>\n\n\n\n<p>That original round of payments was dispensed based on providers&rsquo; Medicare fee-for-service (FFS) revenue in 2019. <br></p>\n\n\n\n<p>HHS Secretary Alex Azar said in a press call Wednesday that HHS was aware that providers with a smaller share of revenue coming from Medicare patients got the short end of the stick in the first round. That would be rectified in the second, he said. <br></p>\n\n\n\n<p>&ldquo;We said we would make up for that in the second round,&rdquo; Azar said. &ldquo;The $20 billion will be allocated so that providers&rsquo; share of [the money] is based on the net patient revenue they received from all sources in 2018.&rdquo;<br></p>\n\n\n\n<p>The rural funding is also worth noting, as <a href=\"https://homehealthcarenews.com/2020/04/possible-covid-19-hotspots-for-home-health-providers-to-watch/\">providers in those areas are gearing up for their own bouts against the COVID-19 virus outbreak</a>. Patients in more isolated, low-income areas could be more affected by the virus than other populations. <br></p>\n\n\n\n<p>&ldquo;The distribution of health care status across the United States is not an even distribution,&rdquo; Chris Sloan, an associate principal at Washington, D.C.-based consulting firm Avalere Health, previously told HHCN. &ldquo;People are not at the same level of health across all counties. It varies dramatically &mdash; and it varies based on a lot of different things.&rdquo;<br></p>\n\n\n\n<p>Rural health care operators also often have lower margins than providers elsewhere, which justifies the specific funding for those areas.   <br></p>\n\n\n\n<p>William A. Dombi &mdash; the president of the National Association for Home Care &amp; Hospice (NAHC) &mdash; expressed optimism in regards to the funding on a webinar Wednesday, saying that it will provide a &ldquo;significant&rdquo; amount of financial support for providers.<br></p>\n\n\n\n<p>&ldquo;The home care and hospice community is very grateful for all the support that has been provided to help keep health care available in the U.S.,&rdquo; Dombi told HHCN in an email. &ldquo;The pandemic has been significantly disruptive and destabilizing to home care and hospice providers. This support is essential to maintaining the care delivery system that over 12 million people depend on every year.&rdquo;<br></p>\n\n\n\n<p>In an effort to prevent fraud, HHS will require providers to submit documentation <a href=\"https://www.hhs.gov/provider-relief/index.html\">through an online portal</a>. <br></p>\n\n\n\n<p>&ldquo;Congress has entrusted us with an immense amount of money to send to providers and we will be clear and careful about how we&rsquo;re doing it,&rdquo; Azar said.<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/2020/04/hhs-hoping-to-remedy-emergency-payment-shortcomings-in-new-40b-funding-round/\">HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round</a> appeared first on <a rel=\"nofollow\" href=\"https://homehealthcarenews.com/\">Home Health Care News</a>.</p>','HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round','The U.S. Department of Health and Human Services (HHS) announced Wednesday that over $40 billion in additional funding would be provided to reimburse health care providers during the COVID-19 crisis. A chunk of that money will go to further support home health agencies. To distribute the $40 billion, HHS plans to allocate $20 billion for […]\nThe post HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round appeared first on Home Health Care News.','publish','closed','closed','','hhs-hoping-to-remedy-emergency-payment-shortcomings-in-new-40b-funding-round','','','2020-04-23 21:15:01','2020-04-23 21:15:01','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=288',0,'wprss_feed_item','',0),(289,0,'2020-04-23 22:46:08','2020-04-23 22:46:08','<p>As clinicians struggle to better understand the new coronavirus, they are finding unusual symptoms in seniors and puzzling blood clotting issues in other patients.&nbsp;&nbsp;</p>\n\n\n\n<p>Doctors are trading accounts of seniors who present without the typical cough, fever and shortness of breath. Instead, these elders may simply appear &ldquo;off;&rdquo; sleeping more, losing appetite and becoming confused and apathetic, according to a Thursday <a href=\"https://www.cnn.com/2020/04/23/health/seniors-elderly-coronavirus-symptoms-wellness-partner/index.html\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">CNN report</a>.&nbsp; Sometimes they are dizzy, stop speaking or simply collapse.</p>\n\n\n\n<p>Atypical presentations are not unusual in elderly adults in many conditions, one doctor told the news outlet. &ldquo;We&rsquo;re seeing that with Covid-19 as well,&rdquo;&nbsp;she said. In some cases, apparent signs of trauma or stroke turn out to be COVID-19. In all instances, the risk is that diagnosis is stalled and treatment begins late, clinicians say.&nbsp;</p>\n\n\n\n<p>In a more mysterious development, doctors report seeing blood clotting that isn&rsquo;t resolved with anticoagulants in COVID-19 patients. Front line care providers at Mount Sinai Hospital, for example, found signs of blood thickening and clotting in different organs by doctors from different specialties, <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https://www.reuters.com/article/us-health-coronavirus-usa-blood/alarmed-as-covid-patients-blood-thickened-new-york-doctors-try-new-treatments-idUSKCN22421Z\" target=\"_blank\">reports Reuters</a>. &ldquo;This would turn out to be one of the alarming ways the virus ravages the body, as doctors there and elsewhere were starting to realize,&rdquo; writes investigator Jonathan Allen. Patients at the hospital now receive high doses of blood-thinners before clotting appears, he reports.</p>\n\n\n\n<p>In direct contrast, poor clotting in COVID-19 patients with pre-existing conditions can lead to hemorrhage or bleeding disorders, according to <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https://www.medicalnewstoday.com/articles/faulty-blood-clotting-mechanism-may-explain-covid-19-severity#Why-hyperfibrinolysis-may-be-to-blame\" target=\"_blank\">a report</a> by Medical News Today. This condition is often found among patients with chronic illnesses such as diabetes and heart, respiratory and kidney diseases. In fact, poor blood clotting is thought by some to be among the leading causes of death for these high-risk patients, physicians told the news outlet.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/seniors-with-covid-19-showing-unusual-symptoms-plus-blood-clotting-an-issue/\">Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue','Elders may simply appear “off;” sleeping more, losing appetite and becoming confused, according to one report. Doctors are also finding rampant blood clotting problems.\nThe post Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','seniors-with-covid-19-showing-unusual-symptoms-plus-blood-clotting-an-issue','','','2020-04-23 22:46:08','2020-04-23 22:46:08','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=289',0,'wprss_feed_item','',0),(290,0,'2020-04-23 22:32:49','2020-04-23 22:32:49','<p>People who don&rsquo;t have dementia are more likely to have a diverse diet with healthier combinations of foods, according to a new study from France.<br></p>\n\n\n\n<p>Investigators used complex systems models to study &ldquo;food networks,&rdquo; or how people combine food choices. Participants with and without dementia were evaluated five years after completing a diet questionnaire for a year. The results showed stark diet differences between the groups &ndash; years before the participants with dementia were diagnosed.<br></p>\n\n\n\n<p>The quantity of food eaten wasn&rsquo;t much different between the two groups, but overall food groups differed greatly. In fact, processed meats turned out to be a sort of food combination &ldquo;hub&rdquo; for participants subsequently diagnosed with dementia. This group tended to accompany meat with starchy foods like potatoes, and snacks like cookies and cakes.&nbsp;<br></p>\n\n\n\n<p>In contrast, those who consumed a wider variety of food including fruit, vegetables and seafood were less likely to have dementia, reported C&eacute;cilia Samieri, Ph.D., from the University of Bordeaux.<br></p>\n\n\n\n<p>One study limitation is that dietary changes in the years following questionnaire completion are unknown, said the researchers.</p>\n\n\n\n<p><br><a href=\"https://n.neurology.org/content/early/2020/04/21/WNL.0000000000009399\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">Full findings</a> were published Wednesday in the online issue of <em>Neurology</em>.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/food-combinations-may-affect-dementia-risk-researchers-suggest/\">Food combinations may affect dementia risk, researchers suggest</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Food combinations may affect dementia risk, researchers suggest','People who don’t have dementia are more likely to have a diverse diet with healthier combinations of foods, according to a new study from France.\nThe post Food combinations may affect dementia risk, researchers suggest appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','food-combinations-may-affect-dementia-risk-researchers-suggest','','','2020-04-23 22:32:49','2020-04-23 22:32:49','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=290',0,'wprss_feed_item','',0),(291,0,'2020-04-23 22:25:43','2020-04-23 22:25:43','<p>Hearing impairment affects key areas of the brain, contributing to memory loss, a new study has found.&nbsp;<br></p>\n\n\n\n<p>Previous research has shown that age-related hearing loss is linked to a higher risk of dementia and cognitive decline. While the reasons haven&rsquo;t been clear, investigators in the current study believe that constant changes in the hippocampus &ndash; an area of the brain that processes memory &ndash; play a major role.<br></p>\n\n\n\n<p>The researchers studied mice with hereditary hearing loss that is similar to age-related hearing loss in humans. The greater the animals&rsquo; hearing impairment, the weaker the brain plasticity in the hippocampus. Greater hearing loss was also tied to spatial memory deficits, wrote Denise Manahan-Vaughan, Ph.D., Ruhr-University Bochum, Germany, and colleagues.<br></p>\n\n\n\n<p>These brain changes shifted constantly as the animals gradually lost hearing. This prevented the hippocampus from working effectively, and &ldquo;profoundly&rdquo; altered brain function, Manahan-Vaughan wrote.<br></p>\n\n\n\n<p>The results provide new insights into the relationship between cognitive decline and age-related hearing loss in humans, the researchers concluded.<br></p>\n\n\n\n<p><a href=\"https://academic.oup.com/cercor/advance-article/doi/10.1093/cercor/bhaa061/5810460\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">The study</a> was published online in the journal <em>Cerebral Cortex</em>.<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/hearing-loss-profoundly-alters-the-brain-and-contributes-to-memory-loss-study-finds/\">Hearing loss &lsquo;profoundly alters&rsquo; the brain and contributes to memory loss, study finds</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Hearing loss ‘profoundly alters’ the brain and contributes to memory loss, study finds','The results provide new insights into the relationship between cognitive decline and age-related hearing loss in humans, say the researchers.\nThe post Hearing loss ‘profoundly alters’ the brain and contributes to memory loss, study finds appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','hearing-loss-profoundly-alters-the-brain-and-contributes-to-memory-loss-study-finds','','','2020-04-23 22:25:43','2020-04-23 22:25:43','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=291',0,'wprss_feed_item','',0),(292,0,'2020-04-23 22:11:25','2020-04-23 22:11:25','<p>Hydroxychloroquine does not cut <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https://www.medrxiv.org/content/10.1101/2020.04.16.20065920v1\" target=\"_blank\">ventilator use in COVID-19</a>, unpublished VA study finds &hellip; <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https://www.physiciansweekly.com/alone-low-vitamin-d-does-not-cause-osteoporotic-fractures/\" target=\"_blank\">Low vitamin D</a> alone unlikely to cause fractures &hellip; New blood test for <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https://www.gu.se/english/about_the_university/news-calendar/News_detail//new-blood-test-for-alzheimer-s-developed.cid1684013\" target=\"_blank\">Alzheimer&rsquo;s</a> developed, researchers foresee primary care use<br></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/clinical-briefs-for-friday-april-24/\">Clinical Briefs for Friday, April 24</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Clinical Briefs for Friday, April 24','Hydroxychloroquine does not cut ventilator use in COVID-19, unpublished VA study finds … Low vitamin D alone unlikely to cause fractures … New blood test for Alzheimer’s developed, researchers foresee primary care use\nThe post Clinical Briefs for Friday, April 24 appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','clinical-briefs-for-friday-april-24','','','2020-04-23 22:11:25','2020-04-23 22:11:25','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=292',0,'wprss_feed_item','',0),(293,0,'2020-04-23 23:38:17','2020-04-23 23:38:17','<div><figure><img src=\"https://www.mcknights.com/wp-content/uploads/sites/5/2018/09/kinderreneecmyk320x320_1119296-2.jpg\" alt=\"\"><figcaption>Renee Kinder</figcaption></figure></div>\n\n\n\n<p>If there is a statement I am using often in trainings these days it is, &ldquo;There is simply not a clear rehabilitation road map for post-acute care in the COVID-19 patient.&rdquo;</p>\n\n\n\n<p>The COVID-19 patients may be flooding some hospital systems across our nation presently. However, the reality is they will soon need post-acute rehabilitative care, and we as care providers need to be ready to serve them.&nbsp;</p>\n\n\n\n<p>Our acute-care counterparts are working tirelessly on improved care and survival rates while also initiating the recovery process.&nbsp;</p>\n\n\n\n<p>As a result, many post-acute care providers are left asking themselves the following questions:</p>\n\n\n\n<p>&ldquo;What is the best practice for treating the COVID-19 patient?&rdquo;</p>\n\n\n\n<p>&ldquo;What are the long-term impacts of the disease?&rdquo;</p>\n\n\n\n<p>&ldquo;What is length of stay of the recovery process going to look like?&rdquo;</p>\n\n\n\n<p>Staying tuned in to the most recent research can be challenging even in &ldquo;normal&rdquo; times, and in present days requires us to be super sleuths capable of integrating anecdotal reports, research from other countries that may or may not have similar populations, regional trends, and the slow but growing stream of evidence.&nbsp;</p>\n\n\n\n<p>One such publication, the <em>Journal of the American Medical Association (JAMA)</em>, has recently opened viewing of their published literature on COVID to the general public. I highly recommend perusing their site and digging into the content.&nbsp;</p>\n\n\n\n<p>In an April 22 <em>JAMA</em> article titled &ldquo;<a href=\"https://jamanetwork.com/journals/jama/fullarticle/2765184\">Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area</a>,&rdquo; the following question was explored:&nbsp;&nbsp;</p>\n\n\n\n<p>What are the characteristics, clinical presentation and outcomes of patients hospitalized with coronavirus disease 2019 (COVID-19) in the US?</p>\n\n\n\n<p>The findings in this case included 5,700 patients hospitalized with COVID-19 in the New York City area. The most common comorbidities were hypertension, obesity, and diabetes.&nbsp;</p>\n\n\n\n<p>Among patients who were discharged or died (n&thinsp;=&thinsp;2634), 14.2% were treated in the intensive care unit, 12.2% received invasive mechanical ventilation, 3.2% were treated with kidney replacement therapy and 21% died.</p>\n\n\n\n<p>Providing care status post an ICU stay is not a new challenge to SNF providers. However, with the uniqueness of the COVID-19 patient, and the regional volume to which they may require post-acute rehab, we should also consider the added complexity of mechanical ventilation and overall days in the ICU.</p>\n\n\n\n<p>Providers should complement care planning and policy updates associated with medical complexities and comorbidities, cohort units and PPE with an awareness of Post-intensive Care Syndrome, or PICS.</p>\n\n\n\n<p>PICS is made up of health problems that remain after critical illness. They are present when the patient is in the ICU and may persist after the patient returns home.</p>\n\n\n\n<p>These problems can involve the patient&rsquo;s body, thoughts, feelings, or mind and may affect the family.</p>\n\n\n\n<p>PICS may show up as an easily noticed drawn-out muscle weakness, known as ICU-acquired weakness; as problems with thinking and judgment, called cognitive (brain) dysfunction; and as other mental health problems.&nbsp;</p>\n\n\n\n<p>The <a href=\"https://www.sccm.org/MyICUCare/THRIVE/Post-intensive-Care-Syndrome\">Society of Critical Care Medicine</a> provides a comprehensive overview for patients, families and caregivers on the impacts of PICS including the following:</p>\n\n\n\n<p><strong>ICU-acquired weakness </strong>(ICUAW) is muscle weakness that develops during an ICU stay and can impact activities of daily living difficult, including grooming, dressing, feeding, bathing and walking</p>\n\n\n\n<p>ICUAW is noted to occur in:</p>\n\n\n\n<ul><li>33% of all patients on ventilators</li><li>50% of all patients admitted with severe infection, which is known as sepsis</li><li>Up to 50% of patients who stay in the ICU for at least one week</li></ul><p><strong>Cognitive or brain dysfunction</strong></p>\n\n\n\n<ul><li>The society website notes that after leaving the ICU, 30% to 80% of patients may have these kinds of problems with some improving during the first year after discharge from the hospital and others never achieving full recovery.</li></ul><p><strong>Other mental health problems</strong></p>\n\n\n\n<ul><li>Additionally, the society states critically ill patients may develop problems with falling or staying asleep, and may have nightmares and unwanted memories. Their reactions to these feelings may be physical or emotional.</li></ul><p>In closing, times are trying, no doubt. But I would also say they are challenging us to practice at the top of our license, continue to be life-long learners, engage in the new research and give our patients the very best of clinical care.&nbsp;</p>\n\n\n\n<p><em>Renee Kinder, MS, CCC-SLP, RAC-CT, is Vice President of Clinical Services for </em><a href=\"https://www.broadriverrehab.com/\"><em>Broad River Rehab</em></a><em> and a 2019 APEX&nbsp;Award of Excellence winner in the Writing&ndash;Regular Departments &amp; Columns category.&nbsp;Additionally, she serves as Gerontology Professional Development Manager for the American Speech Language Hearing Association&rsquo;s (ASHA) gerontology special interest group, is a member of the University of Kentucky College of Medicine community faculty, and is an advisor to the American Medical Association&rsquo;s Relative Value Update Committee (RUC) Health Care Professionals Advisory Committee (HCPAC).</em></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/blogs/rehab-realities/post-intensive-care-syndrome-what-snfs-need-to-know/\">Post-intensive Care Syndrome &mdash; what SNFs need to know</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Post-intensive Care Syndrome — what SNFs need to know','These are trying times, but professionally and personally they also represent great opportunities to give our patients our best.\nThe post Post-intensive Care Syndrome — what SNFs need to know appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','post-intensive-care-syndrome-what-snfs-need-to-know','','','2020-04-23 23:38:17','2020-04-23 23:38:17','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=293',0,'wprss_feed_item','',0),(294,1,'2020-04-24 00:35:33','2020-04-24 00:35:33','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Pharetra auctor sem massa mattis sem','','inherit','closed','closed','','192-revision-v1','','','2020-04-24 00:35:33','2020-04-24 00:35:33','',192,'https://digiwised.com/hvper/192-revision-v1/',0,'revision','',0),(295,1,'2020-04-24 00:35:50','2020-04-24 00:35:50','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Integer euismod lacus luctus magna','','inherit','closed','closed','','191-revision-v1','','','2020-04-24 00:35:50','2020-04-24 00:35:50','',191,'https://digiwised.com/hvper/191-revision-v1/',0,'revision','',0),(296,1,'2020-04-24 00:36:37','2020-04-24 00:36:37','Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum. Praesent mauris. Fusce nec tellus sed augue semper porta. Mauris massa. Vestibulum lacinia arcu eget nulla. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos.\n\nCurabitur sodales ligula in libero. Sed dignissim lacinia nunc. Curabitur tortor. Pellentesque nibh. Aenean quam. In scelerisque sem at dolor. Maecenas mattis. Sed convallis tristique sem. Proin ut ligula vel nunc egestas porttitor. Morbi lectus risus, iaculis vel, suscipit quis, luctus non, massa. Fusce ac turpis quis ligula lacinia aliquet. Mauris ipsum. Nulla metus metus, ullamcorper vel, tincidunt sed, euismod in, nibh.\n\nQuisque volutpat condimentum velit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Nam nec ante. Sed lacinia, urna non tincidunt mattis, tortor neque adipiscing diam, a cursus ipsum ante quis turpis. Nulla facilisi. Ut fringilla. Suspendisse potenti. Nunc feugiat mi a tellus consequat imperdiet. Vestibulum sapien. Proin quam. Etiam ultrices. Suspendisse in justo eu magna luctus suscipit. Sed lectus. Integer euismod lacus luctus magna.\n<h3>Vestibulum lacinia arcu</h3>\nQuisque cursus, metus vitae pharetra auctor, sem massa mattis sem, at interdum magna augue eget diam. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Morbi lacinia molestie dui. Praesent blandit dolor. Sed non quam. In vel mi sit amet augue congue elementum. Morbi in ipsum sit amet pede facilisis laoreet. Donec lacus nunc, viverra nec, blandit vel, egestas et, augue. Vestibulum tincidunt malesuada tellus. Ut ultrices ultrices enim. Curabitur sit amet mauris. Morbi in dui quis est pulvinar ullamcorper. Nulla facilisi.\n<blockquote>Integer lacinia sollicitudin massa. Cras metus. Sed aliquet risus a tortor. Integer id quam. Morbi mi. Quisque nisl felis, venenatis tristique, dignissim in, ultrices sit amet, augue. Proin sodales libero eget ante.</blockquote>\nAenean lectus elit, fermentum non, convallis id, sagittis at, neque. Nullam mauris orci, aliquet et, iaculis et, viverra vitae, ligula. Nulla ut felis in purus aliquam imperdiet. Maecenas aliquet mollis lectus. Vivamus consectetuer risus et tortor. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Integer nec odio. Praesent libero. Sed cursus ante dapibus diam. Sed nisi. Nulla quis sem at nibh elementum imperdiet. Duis sagittis ipsum.','Quisque nisl felis venenatis tristique','','inherit','closed','closed','','69-revision-v1','','','2020-04-24 00:36:37','2020-04-24 00:36:37','',69,'https://digiwised.com/hvper/69-revision-v1/',0,'revision','',0),(297,0,'2020-04-24 01:16:39','2020-04-24 01:16:39','<div><figure><img src=\"https://www.mcknights.com/wp-content/uploads/sites/5/2020/04/Brady-Professional-Picture-683x1024.jpg\" alt=\"\" width=\"171\" height=\"256\"><figcaption>Brady Dalrymple</figcaption></figure></div>\n\n\n\n<p>The Payroll-Based Journal (PBJ) electronic data submission sneaks up on us every quarter, but due to the COVID-19 public health emergency, the Centers for Medicare &amp; Medicaid Services is waiving the deadline to report the 2020 Fiscal Quarter 2 PBJ data (Jan 1-March 31) by May 15. CMS will provide further information as soon as possible but are encouraging facilities to still report data as they are able.&nbsp; There will be no penalties or negative impacts to staffing ratings for not submitting by May 15. </p>\n\n\n\n<p>As facilities work to\ngather the necessary information, here are some reminders to help perform a\nsuccessful submission:</p>\n\n\n\n<ol><li><strong>Registered Nurse (RN) Coverage</strong> &ndash; this is the biggest reason skilled nursing facilities (SNF) are downgraded to a 1-Star in the staffing component of the Five-Star rating system.&nbsp;SNFs that submit staffing data indicating there were four or more days in the quarter with no RN staffing, but on which there were one or more residents in the facility, regardless of reported staffing levels, will receive the rating downgrade.<br><br></li><li><strong>Nurse Aide Coverage</strong> &ndash; SNFs that submit staffing data with any day in the quarter with no aide staffing, but on which there were one or more residents in the facility, regardless of reported staffing levels, will receive the 1-Star downgrade as well.<br><br></li><li><strong>400+ Hours in a Month</strong> &ndash; CMS will be monitoring the PBJ data to identify if an individual employee has worked more than 400 hours in a single month.&nbsp;Likely, this will only be investigated during an audit, but could imply the employee is being overworked or the SNF is overstating hours.<br><br></li><li><strong>1,200+ Hours in a Quarter</strong> &ndash; In addition, CMS will be monitoring if an individual employee has worked more than 1,200 hours throughout the quarter.&nbsp;Again, this will likely only be investigated during an audit and carries the same implications as the monthly threshold above.<br><br></li><li><strong>Weekend Coverage for Direct Care Staff</strong> &ndash; CMS will also be monitoring weekday vs. weekend hours per resident per day (PRD) coverage for direct care staff.&nbsp;CMS is now notifying state agencies and CMS regional offices with a list of facilities that report low staffing during the weekend, which could potentially raise audit concerns or trigger state surveyors to commence a health inspection survey during the weekend.<br><br></li><li><strong>Meal Break Policy</strong> &ndash; CMS requires the deduction of meal break time for all staff (i.e. exempt, non-exempt, contract).<ol><li>For staff paid and/or unpaid at meal-times who work 8 hours shall deduct 30 minutes for meal-time</li></ol><ol><li>For staff paid and/or unpaid at meal-times who work 16 hours shall deduct 1 hour for meal-time<br><br></li></ol></li><li><strong>Universal Care Workers</strong> &ndash; some facilities employ universal care workers who are typically certified nurse aides performing a number of duties, including direct resident care, food preparation and housekeeping services.&nbsp; Prior to this update, CMS has broadly explained how to report hours for staff performing these roles.&nbsp; CMS has now added language stating the following items:<ol><li>Facilities must use a reasonable methodology to allocate the appropriate number of hours related to performing certified nurse aide duties.<ol><li>Please note, employees who work across different levels of care (i.e. SNF, assisted/independent living) need to be allocated appropriately to only include SNF-related hours.</li></ol></li></ol><ol><li>Other duties, such as time related to dietary and housekeeping, shall not be reported as certified nurse aide hours.</li></ol><ol><li>Hours related to other duties above can be reported to housekeeping or other services, but are not required to be reported per PBJ guidelines.<br><br></li></ol></li><li><strong>Reasonable Staffing Levels</strong> &ndash; The most important step throughout the PBJ process is to check the PBJ data for reasonability.&nbsp; SNFs should assess the direct care hours PRD being reported and compare it to the SNF&rsquo;s budget and/or actual staffing levels.<br><br></li><li><strong>New XML File Layout</strong> &ndash; There is a revised version of the PBJ Data Specifications (Version 4.00.0) available to Users.&nbsp; XML files submitted with versions other than 4.00.0 on or after June 2, 2020 will be rejected. Census tags have been removed from the 4.00.0 version due to CMS no longer collecting Census data from PBJ.&nbsp; <br><br></li><li><strong>Check the Validation Report</strong> &ndash; Once SNFs submit their PBJ data into the QIES system, they should return to the QIES website to obtain the validation report, which will indicate whether the submission was &ldquo;accepted&rdquo; or &ldquo;rejected.&rdquo; If rejected, the SNF should find the cause of the rejection, correct it and resubmit the PBJ information until it is accepted.</li></ol><p>The <a href=\"https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/PBJ-Policy-Manual-Final-V25-11-19-2018.pdf\">PBJ\nPolicy Manual</a> and <a href=\"https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/PBJ-Policy-Manual-FAQ-11-19-2018.pdf\">FAQ\ndocument</a>\ncan be utilized as additional resources to attain further guidance related to\nPBJ compliance.</p>\n\n\n\n<p>As always, we highly recommend reviewing the PBJ information before submitting it in the QIES system.&nbsp;This will alleviate any uncertainty around the data&rsquo;s level of completeness, mitigate the risk of duplicating or omitting data and provide insight on how to be proactive with staff positioning going forward.</p>\n\n\n\n<p> </p>\n\n\n\n<p><em>Brady Dalrymple, MBA, is the owner of Squared Business Solutions</em>. <em>He has over fifteen years of experience in the senior care and living industry.&nbsp; He spent much of his career in public accounting, where he served as a trusted adviser for skilled nursing facilities, assisted living, independent living, home health and hospice agencies.&nbsp;As owner of Squared Business Solutions, he provides support to a large number of providers through operational reviews, reimbursement strategy, Medicare and Medicaid cost report preparation, budgeting and forecasting, Five-Star compliance and Payroll-Based Journal.</em> For more information,  please call Squared Business Solutions at (614) 448-1822 or email Brady Dalrymple at <a href=\"mailto:PBJ@squaredbusinesssolutions.com\">PBJ@squaredbusinesssolutions.com</a>. </p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/marketplace/things-to-remember-when-submitting-pbj-data/\">Things to remember when submitting PBJ data</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Things to remember when submitting PBJ data','The Payroll-Based Journal (PBJ) electronic data submission sneaks up on us every quarter, but due to the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services is waiving the deadline to report the 2020 Fiscal Quarter 2 PBJ data (Jan 1-March 31) by May 15. CMS will provide further information as soon as…\nThe post Things to remember when submitting PBJ data appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','things-to-remember-when-submitting-pbj-data','','','2020-04-24 01:16:39','2020-04-24 01:16:39','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=297',0,'wprss_feed_item','',0),(302,0,'2020-04-24 04:03:00','2020-04-24 04:03:00','<p>Long-term care providers across the country want assurances that they&rsquo;ll have enough personal protective equipment as several states look to resume elective surgeries.&nbsp;</p>\n\n\n\n<p>In a recent <a href=\"https://twitter.com/GovMikeDeWine/status/1253024358576066562\">series of tweets</a> Wednesday, Ohio Gov. Mike DeWine (R) called on providers to reassess procedures that were postponed due to the coronavirus pandemic in a move to resume some elective surgeries in the state.&nbsp;</p>\n\n\n\n<p>Providers, however, are cautioning that several factors &mdash; like adequate supplies of personal protective equipment &mdash; must be in place before procedures can be restarted and patients start coming into their facilities for recovery. Enough PPE supplies was also among the <a href=\"https://www.asahq.org/about-asa/newsroom/news-releases/2020/04/joint-statement-on-elective-surgery-after-covid-19-pandemic\">guidance for resuming elective surgeries</a> recently issued by the American Hospital Association, American College of Surgeons, American Society of Anesthesiologists and the Association of periOperative Registered Nurses.</p>\n\n\n\n<p>&ldquo;At this moment, many post-acute care providers in Ohio still do not have the adequate supplies of PPE needed to react to COVID-19, let alone elective procedures,&rdquo; LeadingAge Ohio President and CEO Kathryn Boyd told <em>McKnight&rsquo;s</em>.&nbsp;</p>\n\n\n\n<p>&ldquo;Resuming elective surgery speaks to the continuing need for increased collaboration throughout the health system &mdash; understanding the capabilities of all providers within a system is critical when making decisions that shift patients across care settings,&rdquo; Boyd said.&nbsp;</p>\n\n\n\n<p>She added that immediately quarantining patients from hospitals will be a key factor in preventing the asymptomatic spread of the disease.&nbsp;</p>\n\n\n\n<p>&ldquo;If a long-term care facility has the space to effectively quarantine this patient, has the staff to care for them, and has adequate PPE to protect the patient and the staff, then it can help patients and businesses alike,&rdquo; Boyd said.&nbsp;</p>\n\n\n\n<p>In Arizona, state officials <a href=\"https://www.azcentral.com/story/news/local/arizona-health/2020/04/23/arizona-governor-ducey-lifts-coronavirus-restrictions-elective-surgeries/3007723001/\">recently laid out plans</a> that would allow hospitals and outpatient centers to resume elective surgeries starting May 1.&nbsp;</p>\n\n\n\n<p>Under those plans, medical facilities must meet a series of requirements before resuming procedures, which include developing discharge plans for patients being transferred to nursing facilities. Those plans must include COVID-19 testing.</p>\n\n\n\n<p>They include: having more than 14 days worth of PPE for medical staff on hand; painting adequate staffing and bed capacity; screening staff, patients and visitors for COVID-19 symptoms; and implementing an enhanced cleaning process for waiting areas.&nbsp;</p>\n\n\n\n<p><strong>In other coronavirus-related news:&nbsp;</strong></p>\n\n\n\n<p>&bull; The federal government <a href=\"https://www.cms.gov/newsroom/press-releases/trump-administration-releases-covid-19-telehealth-toolkit-accelerate-state-use-telehealth-medicaid\">released a new toolkit</a> Thursday that aimed at accelerating the adoption of telehealth coverage during the coronavirus pandemic.</p>\n\n\n\n<p>&bull; In brighter news, a nursing home resident in England was <a href=\"https://www-foxla-com.cdn.ampproject.org/c/s/www.foxla.com/news/nursing-home-resident-cries-after-receiving-pillow-with-late-wifes-photo-on-it.amp\">brought to tears</a> after an employee gifted him a pillow that featured a picture of his late wife. The resident burst into tears and held the pillow tightly to his chest after receiving the surprise.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/more-ppe-supplies-needed-before-elective-surgeries-can-resume-providers/\">More PPE supplies needed before elective surgeries can resume: providers</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','More PPE supplies needed before elective surgeries can resume: providers','Long-term care providers across the country want assurances that they’ll have enough personal protective equipment as several states look to resume elective surgeries. \nThe post More PPE supplies needed before elective surgeries can resume: providers appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','more-ppe-supplies-needed-before-elective-surgeries-can-resume-providers','','','2020-04-24 04:03:00','2020-04-24 04:03:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=302',0,'wprss_feed_item','',0),(303,0,'2020-04-24 04:02:00','2020-04-24 04:02:00','<p>Providers are being urged to prepare for a dramatic increase in coronavirus testing as federal regulators and states continue to emphasize the importance of testing everyone in nursing facilities.&nbsp;</p>\n\n\n\n<p>The preparation should include knowing how to prioritize testing among residents and staff members, access reliable testing, and knowing the potential costs and what to do once results have come back, according to the American Health Care Association/National Center for Assisted Living.</p>\n\n\n\n<p>&ldquo;Providers need to increase efforts around testing and document efforts,&rdquo; the organization stated in <a href=\"https://www.ahcancal.org/facility_operations/disaster_planning/Documents/Testing-in-LTC.pdf\">recent guidance</a>.&nbsp;</p>\n\n\n\n<p>&ldquo;[The Centers for Medicare &amp; Medicaid Services] has recently emphasized the importance of testing for COVID-19 in nursing facilities. Surveyors are increasingly looking for evidence that nursing facilities are testing symptomatic residents and isolating them while results are pending. In addition, a growing number of states are requiring testing of all residents and/or staff.&rdquo;&nbsp;</p>\n\n\n\n<p>Among those states are California, which recently announced plans that allow <a href=\"https://www.mcknights.com/news/asymptomatic-covid-19-carriers-start-getting-tested-as-nursing-homes-pleas-for-help-intensify/\">asymptotic people in nursing homes</a> to be tested, and West Virginia, which announced a <a href=\"https://governor.wv.gov/News/press-releases/2020/Pages/COVID-19-UPDATE-West-Virginia-becomes-first-state-in-nation-to-begin-testing-all-nursing-home-residents-and-staff.as\">first-of-its-kind move</a> for everyone in nursing homes to be tested.</p>\n\n\n\n<p>The organization noted that providers should be aware of all local and state guidelines for testing priority. General prioritization order should go as follows: residents; then staff members, showing symptoms or those who&rsquo;ve been exposed to someone with COVID-19; followed by asymptomatic residents and staff members.&nbsp;</p>\n\n\n\n<p>Additionally, providers should look to their local or state health departments on steps they should take to access testing, noting that some states may have specific vendor and testing protocols.&nbsp;</p>\n\n\n\n<p>The group also noted that not all testing labs will bill Medicare directly so providers should ensure the lab they&rsquo;re receiving tests from will bill the program.&nbsp;&nbsp;</p>\n\n\n\n<p>&ldquo;If a lab does not have the ability to bill Medicare, the facility will need to pay for the tests up-front. Tests range in cost from $115 to $500. Medicare Part B will only reimburse $51 for the PCR and $35 for other tests,&rdquo; AHCA/NCAL explained.&nbsp;</p>\n\n\n\n<p>There has yet to be guidance on who should collect test samples, but providers should follow the test instructions and check state regulations.&nbsp;</p>\n\n\n\n<p>Once providers receive results back, AHCA/NCAL cautioned that results only capture information from a specific point in time, and a resident&rsquo;s condition could change with subsequent exposure.&nbsp;</p>\n\n\n\n<p>&ldquo;Considering test results are not 100 percent accurate, nor do test results always identify when a person is actually infected due to the incubation period, considering every interaction as a risk is important,&rdquo; AHCA/NCAL wrote.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/long-term-care-providers-urged-to-prepare-for-widespread-coronavirus-testing/\">Long-term care providers urged to prepare for widespread coronavirus testing</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Long-term care providers urged to prepare for widespread coronavirus testing','Providers are being urged to prepare for a dramatic increase in coronavirus testing as federal regulators and states continue to emphasize the importance of testing everyone in nursing facilities. \nThe post Long-term care providers urged to prepare for widespread coronavirus testing appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','long-term-care-providers-urged-to-prepare-for-widespread-coronavirus-testing','','','2020-04-24 04:02:00','2020-04-24 04:02:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=303',0,'wprss_feed_item','',0),(304,0,'2020-04-24 04:01:00','2020-04-24 04:01:00','<p>Staff members and residents must be able to trust that providers are working to keep them safe as the coronavirus pandemic continues to take a toll on both staff and residents, one expert stressed Thursday during a <em>McKnight&rsquo;s</em> Online Forum on the topic of the coronavirus.&nbsp;</p>\n\n\n\n<p>&ldquo;Your staff needs to be able to trust that you&rsquo;re doing everything in your control to protect them from virus exposure through isolation procedures, administrative control and adequate [personal protective equipment],&rdquo; Jessica Castner, Ph.D., president and principal investigator/consultant for Castner Inc., said.&nbsp;</p>\n\n\n\n<p>Castner, along with Maureen Style, a program development manager for HealthStar Home Health, provided several strategies for providers to address the mental health of LTC residents and workforce during this period of social distancing. Two other Online Forum sessions Thursday addressed leadership and staffing amid the COVID-19 crisis.&nbsp;&nbsp;</p>\n\n\n\n<p>&ldquo;Your leadership toolkit for the psychosocial disaster response begins with Maslow&rsquo;s hierarchy of needs. It&rsquo;s basic physiological needs, such as adequate sleep, nutrition, hydration, must be addressed first and foremost,&rdquo; Castner added.&nbsp;</p>\n\n\n\n<p>Education is also a key tool for providers during the pandemic, and providers should strive to communicate &ldquo;honestly, consistently and often&rdquo; with their workforce and residents. Castner explained that the Center for Disease Control and Prevention&rsquo;s coronavirus web page is a great resource for guidance.&nbsp;</p>\n\n\n\n<p>&ldquo;Consistently educate yourself, staff and residents with the most updated facts using reliable resources,&rdquo; she said.</p>\n\n\n\n<p>Providers should also refresh themselves and staff members on psychological first aid and potentially harmful coping strategies residents may use as a means to deal with the pandemic. Shared community coping could help improve psychosocial health in facilities experiencing mass fatalities and cases.</p>\n\n\n\n<p>Style explained that some nonverbal cues from residents may include: yelling; issues with food, like overeating or not eating; and tapping. Residents may also show signs of fear, depression, loneliness or anger.&nbsp;</p>\n\n\n\n<p>&ldquo;We all know what is happening in today&rsquo;s world. If you are managing a senior living setting, the challenges you face are compounded with what is happening in the real world. Fear and anxiety are escalating,&rdquo; Style said.&nbsp;</p>\n\n\n\n<p>Interventions for residents could include: self-directing them to activities they enjoy, and encouraging relaxation techniques to address anxiety and physical activity. </p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/ensuring-safety-education-key-in-mitigating-stress-during-pandemic-expert-says/\">Ensuring safety, education key in mitigating stress during pandemic, expert says</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Ensuring safety, education key in mitigating stress during pandemic, expert says','Staff members and residents must be able to trust that providers are working to keep them safe as the coronavirus pandemic continues to take a toll on both staff and residents, one expert stressed Thursday during a McKnight’s Online Forum on the topic of the coronavirus. \nThe post Ensuring safety, education key in mitigating stress during pandemic, expert says appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','ensuring-safety-education-key-in-mitigating-stress-during-pandemic-expert-says','','','2020-04-24 04:01:00','2020-04-24 04:01:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=304',0,'wprss_feed_item','',0),(305,0,'2020-04-24 04:00:00','2020-04-24 04:00:00','<p>Feds <a href=\"https://www.mcknightsseniorliving.com/home/news/business-daily-news/hhs-announces-additional-40-billion-in-distributions-to-healthcare-providers/\">release additional funding</a> to providers from CARES Act &hellip; OSHA <a href=\"https://khn.org/news/osha-probing-health-worker-deaths-but-urges-inspectors-to-spare-the-penalties/\">probing healthcare worker deaths</a> during pandemic &hellip; NY nursing homes <a href=\"https://www.npr.org/2020/04/22/841463120/in-new-york-nursing-homes-death-comes-to-facilities-with-more-people-of-color\">with more people of color</a> have more deaths: analysis &hellip; Visitor <a href=\"https://www.wgbh.org/news/local-news/2020/04/20/state-watchdogs-have-been-banned-from-nursing-homes-along-with-all-visitors\">ban at nursing homes includes ombudsmen,</a> as advocates express concern about lack of oversight &hellip; Workers describe challenges of <a href=\"https://www.kwtx.com/content/news/Essential-workers-struggling-to-care-for-loved-ones-battling-Alzheimers-569772201.html\">caring for Alzheimer&rsquo;s patients</a> amid coronavirus </p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/also-in-the-news-for-friday-april-24-2/\">Also in the News for Friday, April 24</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Also in the News for Friday, April 24','Feds release additional funding to providers from CARES Act … OSHA probing healthcare worker deaths during pandemic … NY nursing homes with more people of color have more deaths: analysis … Visitor ban at nursing homes includes ombudsmen, as advocates express concern about lack of oversight … Workers describe challenges of caring for Alzheimer’s patients amid coronavirus \nThe post Also in the News for Friday, April 24 appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','also-in-the-news-for-friday-april-24','','','2020-04-24 04:00:00','2020-04-24 04:00:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=305',0,'wprss_feed_item','',0),(306,0,'2020-04-24 04:00:00','2020-04-24 04:00:00','<p>Now that all the serious life-and-death stuff has been taken care of regarding COVID-19, let&rsquo;s get down to what matters most. The money.</p>\n\n\n\n<p>OK, that&rsquo;s being a bit facetious. It&rsquo;s always been about the money, hasn&rsquo;t it?</p>\n\n\n\n<p>If money were no object, long-term care facilities would be flooded with personal protective equipment, and plenty of test kits &mdash;&nbsp;including ones that get processed quicker than the four to five day limbo some employees now find themselves trapped in.</p>\n\n\n\n<p>Some might say it&rsquo;s not about the funding, but have you taken a look lately at how much is NOT flowing toward the acknowledged front lines of the COVID-19 pandemic? That would be the front line called &ldquo;nursing homes&rdquo; and senior care facilities. It&rsquo;s the front line American Health Care Association President and CEO Mark Parkinson warned about over a month ago on CNN, and then again a couple of weeks ago. Lately, he&rsquo;s been releasing official statements about it nearly every day.</p>\n\n\n\n<p>And long-term care is the front line, or ground zero, that Centers for Medicare &amp; Medicaid Services Administrator Seema Verma acknowledged earlier this week. Six weeks ago, we in the U.S. learned that a nursing home in Kirkland, WA, became the first flashpoint of novel coronavirus deaths in this country. (Never mind that evidence has now been found that people here had it before then &mdash;&nbsp;still, that wasn&rsquo;t an acknowledged, clustered outbreak.)</p>\n\n\n\n<p>And lately comes word that half of European COVID-19 deaths involve nursing home inhabitants. The percentage stateside is believed to be a more modest one-fourth or one-third. But the accountants aren&rsquo;t done yet, so that portion very well could rise.</p>\n\n\n\n<p>So where is the funding that&rsquo;s so badly needed to extinguish the deadliest origin of this &ldquo;fire&rdquo;? It&rsquo;s not going to the nursing homes. It&rsquo;s almost as if the keepers of the purse strings are trying to put out the fire at the tip of the flames, not at their source. Like spraying a hose through the top of the campfire, but neglecting to douse the burning logs and embers that will burn forever if you don&rsquo;t soak them until they&rsquo;re cold to the touch.</p>\n\n\n\n<p>Nursing homes have been fairly patient players in this deadly game, as they&rsquo;ve watched hospitals get the lion&rsquo;s share of the attention and funding. They even had to act openly grateful when regulators decided to pony up more for labs who would otherwise be content to sit on their potentially lifesaving test kits and services if they didn&rsquo;t get their palms better greased. Yes, they care about the seniors most vulnerable to this scourge.</p>\n\n\n\n<p>Now comes word that the latest $100 billion worth of stimulus is really going to be more like $20 billion. And not all of that is coming nursing homes&rsquo; way by any means. Dentists and others understandably want their piece of the pie. But barring some life-threatening accident that pushed molars incisors into unimaginable positions, nobody has ever had to stack bodies in makeshift morgues at a dentist&rsquo;s office. At least as far as we know.</p>\n\n\n\n<p>Circling back to the PPE crisis. It turns out that, like many things in life, this still has come down to the haves and the have-nots. There&rsquo;s no doubt that there&rsquo;s not enough to go around, but those who have connections aren&rsquo;t complaining as much as others, you&rsquo;ll notice.</p>\n\n\n\n<p>So as you fight through this deadly game of chicken with suppliers of funding and equipment-for-auction, get ready to hear somebody utter the now cliched phrase, &ldquo;Show me the money.&rdquo; Instead, show them something else. Hint: You have five of them in each hand. You can pick your favorite, or not even dignify it with a response.</p>\n\n\n\n<p><em>James M. Berklan is Executive Editor of McKnight&rsquo;s Long-Term Care News.</em></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/daily-editors-notes/show-them-what-you-really-think-from-ground-zero/\">Show them what you really think from ground zero</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Show them what you really think from ground zero','Now that all the serious life-and-death stuff has been taken care of regarding COVID-19, let’s get down to what matters most. The money.\nThe post Show them what you really think from ground zero appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','show-them-what-you-really-think-from-ground-zero','','','2020-04-24 04:00:00','2020-04-24 04:00:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=306',0,'wprss_feed_item','',0),(307,0,'2020-04-24 11:53:36','2020-04-24 11:53:36','<p>In a refrain that seems to be repeating itself as time wears on, long-term care providers will be looking for more federal funding to start flowing next week, as expanded and newly created programs may spring into action, or at least get closer to it.<br></p>\n\n\n\n<p>With one eye on the possible ramping up of elective medical procedures and opening of other businesses that would consume resources, post-acute players will continue to press their case for a spot at the front of the line. Supply chain triggers have started to create more personal protective equipment for the pipeline but the full flow is not expected to occur until June, leaving providers in an extremely precarious position for another month or more.<br></p>\n\n\n\n<p>For now, the experts&rsquo; best advice is to work business relationships anyway you can to secure whatever&rsquo;s possible for your staff and buildings. There is no national strategy or delivery mechanism to get long-term care providers what they need, despite talk of plans and promises.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/weekly-roundup/ltc-providers-cast-eye-for-more-funding-gear/\">LTC providers cast eye for more funding, gear</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','LTC providers cast eye for more funding, gear','Long-term care providers will be looking for more federal funding to start flowing next week, as expanded and newly created programs may spring into action, or at least get closer to it.\nThe post LTC providers cast eye for more funding, gear appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','ltc-providers-cast-eye-for-more-funding-gear','','','2020-04-24 11:53:36','2020-04-24 11:53:36','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=307',0,'wprss_feed_item','',0),(308,0,'2020-04-24 09:01:42','2020-04-24 09:01:42','<p>Mallory Pease&rsquo;s contractions grew stronger as her husband, Mitchell, drove her to Oaklawn Hospital in Marshall, Michigan, to give birth to their second child. It had been a routine pregnancy, but she told her doctor she&rsquo;d recently developed a sore throat, aches, coughing and shortness of breath &mdash; symptoms her provider knew could indicate COVID-19.</p>\n<p>So, when she arrived at the hospital, she was taken to an isolation area, tested for the coronavirus and given oxygen. She took shallow, panting breaths as she delivered her daughter on March 23 in about five hours.</p>\n<p>But she could hold little Alivia for only five minutes before the newborn was whisked off to a nursery. Pease, 27, was transferred to a COVID-19 floor, where she was told her test came back positive. By the next morning, she was so ill that her doctors discussed putting her on a ventilator.</p>\n<p>As she struggled to breathe and worried for her life, her heart ached to hold her newborn. Instead, she held tight to the memory of that brief glimpse.</p>\n<div><img aria-describedby=\"caption-attachment-1090280\" src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/moms_02.jpg\" alt=\"\" width=\"435\" height=\"557\"><p>(From left) Mallory, baby Alivia, daughter Emma Jean and husband Mitchell.<span>(Courtesy of the Pease family)</span>\n</p></div>\n<p>When she finally got to cradle Alivia in her arms four days later, she said, &ldquo;it was kind of like meeting her all over again.&rdquo;</p>\n<p>Across the U.S., COVID-19 is radically altering medical care, not only for vulnerable elders but also for pregnant women and their babies entering the world. &ldquo;In the last six weeks, our entire world that was known as being normal has completely turned around,&rdquo; said Dr. Edith Cheng, division chief for maternal fetal medicine at the University of Washington.</p>\n<p>Hospitals from Seattle to St. Louis are recommending separating infected mothers from their newborns for days, and asking the women to forgo the intimacy of skin-to-skin contact, and sometimes breastfeeding, to help prevent their infants from contracting the disease.</p>\n<p>The actions are based on guidance from medical associations. Officials with the Centers for Disease Control and Prevention had advised separation across the board until <a href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html\" target=\"_blank\" rel=\"noopener noreferrer\">updating their guidance on April 4 </a>to consider it case by case.</p>\n<p>Separation runs counter to most any parent&rsquo;s birth plan &mdash; and to the best research on family-centered care. But experts say it&rsquo;s important to put protections in place, given the still-evolving understanding of the effects of COVID-19 during pregnancy and childbirth.</p>\n<p>&ldquo;Can babies be infected if the mother is infected at birth? The answer is yes, not commonly, but yes,&rdquo; said Dr. Karen Puopolo, an associate professor of pediatrics at the University of Pennsylvania School of Medicine and co-author of the<a href=\"https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/faqs-management-of-infants-born-to-covid-19-mothers/\" target=\"_blank\" rel=\"noopener noreferrer\"> American Academy of Pediatrics guidelines</a> on COVID-19 and newborns.</p>\n				<aside><div>\n												<div>\n	<div>\n			<h3>\n		Don\'t Miss A Story	</h3>\n	<div>\n		<p>Subscribe to KHN&rsquo;s free Weekly Edition newsletter.</p>\n	</div>\n	</div>\n\n	<div>\n		\n		<div>\n\n			\n				<div>\n					<span></span> </div>\n				<button type=\"submit\">\n					Sign Up				</button>\n			\n\n			\n			<div>\n							</div>\n\n			\n				\n				\n\n					<span></span> <label>\n						Please confirm your email address below:						</label>\n\n					<div></div><span></span>					<button type=\"submit\">\n						Sign Up					</button>\n				\n					</div>\n	</div><!--/.slab-container -->\n</div><!--/.email-signup -->\n						</div>\n									</aside><p>It&rsquo;s not clear how many pregnant women have been infected with COVID-19 across the U.S. They accounted for just 2% of cases tallied in <a href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6913e2.htm#T1_down\" target=\"_blank\" rel=\"noopener noreferrer\">one early report</a>. With more than 830,000 confirmed infections in the U.S. as of Wednesday afternoon, that&rsquo;s still many thousands of expectant women potentially affected by the deadly respiratory virus.</p>\n<p>Many pregnant women may be infected and not know it. Of 215 women admitted for delivery at New York-Presbyterian Allen Hospital and Columbia University Irving Medical Center in New York City from March 22 to April 4, <a href=\"https://www.nejm.org/doi/full/10.1056/NEJMc2009316\" target=\"_blank\" rel=\"noopener noreferrer\">about 15% tested positive</a> for the coronavirus, but the vast majority showed no symptoms upon admission.</p>\n<p>Scattered reports of infants possibly being sickened by the coronavirus are surfacing nationwide. A 9-month-old baby in Chicago who tested positive for COVID-19 died in March, though <a href=\"https://www.chicagotribune.com/coronavirus/ct-coronavirus-chicago-baby-death-20200418-vm6bsba45rfptpyrcmml4u3nh4-story.html\" target=\"_blank\" rel=\"noopener noreferrer\">further investigation</a> has raised questions about whether the virus was to blame. This month, a 6-week-old girl who tested positive for the virus died in Connecticut; <a href=\"https://www.courant.com/breaking-news/hc-br-infant-death-coronavirus-positive-20200404-54z75ceqzfei7ajtwskc4ncrua-story.html\" target=\"_blank\" rel=\"noopener noreferrer\">investigation also continues</a> into her cause of death. Kentucky&rsquo;s governor recently announced that the state&rsquo;s new cases included a 10-day-old boy.</p>\n<p>Very young babies may be at higher risk for serious complications from COVID-19 than other children. Although those 18 and younger make up fewer than 2% of all COVID-19 cases in the U.S., infants accounted for most of the hospitalizations in pediatric cases, <a href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6914e4.htm\" target=\"_blank\" rel=\"noopener noreferrer\">according to the CDC</a>. Of 95 children younger than 1 hospitalized between Feb. 12 and April 2, at least 59 were hospitalized, and five were admitted to the ICU.</p>\n<p>That information &mdash; plus <a href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2763787\" target=\"_blank\" rel=\"noopener noreferrer\">limited data</a> on infections in babies in China &mdash; has shifted the thinking of many obstetrics specialists, said Cheng.</p>\n<p>In recent weeks, several pregnant women infected with COVID-19 have delivered babies at Cheng&rsquo;s hospital, the UW Medical Center in Seattle. Their newborns were sent to a special section in the neonatal intensive care unit. At other facilities, separation might involve taking the newborn to another room, or letting the mother and baby stay in the same room, but 6 feet apart and often separated by a curtain.</p>\n<p>They&rsquo;re kept apart from moms &mdash; and sometimes dads, who also may be sick &mdash; until the parents have had no symptoms for three days or for a week after their first symptoms, whichever is greater.</p>\n<p>Given the still-scant data about the effects of COVID-19, some experts question whether separating mothers and newborns is wise or warranted. Disrupting the bonding that occurs in the first days of life could have far-reaching consequences, said Dr. Yalda Afshar, an OB-GYN at UCLA Health in Los Angeles.</p>\n<p>&ldquo;Being completely data-blind but counseling women on their outcomes and their babies&rsquo; outcomes is just wrong,&rdquo; she said.</p>\n<p>To fill the data void, Afshar and colleagues at the University of California-San Francisco have created a nationwide <a href=\"https://ucsf.co1.qualtrics.com/jfe/form/SV_8cyexkjt9NrcGdD\" target=\"_blank\" rel=\"noopener noreferrer\">pregnancy registry </a>to track the effects of COVID-19 on pregnant women and their newborns. Already, more than 1,000 people have signed up for the study.</p>\n<p>Silvana Vergara Tobin, 33, who runs an online art gallery in New York City, is among them. Tobin fell ill with COVID-19 in mid-March and is worried about the potential effects on the baby boy she expects to deliver in August.</p>\n<p>&ldquo;What really scares me is that I might get it again,&rdquo; said Tobin, whose symptoms included sinus headaches, body aches and a persistent cough. &ldquo;Or that the baby didn&rsquo;t get immunity and he might get it once he&rsquo;s born.&rdquo;</p>\n<p>The registry will track women and their babies from early pregnancy through a year postpartum, trying to answer basic questions. &ldquo;Do pregnant women with COVID have more severe, less severe or different disease?&rdquo; Afshar said. &ldquo;Does it transmit in utero? Does it cause birth defects?&rdquo;</p>\n<p>Doctors and patients said it&rsquo;s frustrating that so much remains unknown.</p>\n<p>Alaine Gilpin, who lives near Louisville, Kentucky, tested positive for COVID-19 in early April after coughing for a month but showing no other symptoms. She gave birth at Norton Women&rsquo;s &amp; Children&rsquo;s Hospital on April 11 at 5&frac12; months&rsquo; gestation. The baby boy weighed just 1 pound, 9 ounces and needed the aid of a ventilation machine. She now wonders: &ldquo;Could this be a result of COVID?&rdquo;</p>\n<p>To protect moms and babies, many hospitals with enough test kits are starting to test all women who show up to give birth. Dr. Chemen Neal, an OB-GYN with Indiana University Health, said her colleagues bathe the babies of COVID-positive moms just after birth. And like medical professionals elsewhere, they talk to each mom about pumping breast milk for her baby or breastfeeding only after washing her torso and hands and wearing a surgical mask.</p>\n<p>At some hospitals, COVID-19 births can be especially challenging. At Barnes-Jewish Hospital in St. Louis, for example, women with symptoms can&rsquo;t give birth in the normal labor and delivery area because it&rsquo;s in a building that also houses severely immunocompromised patients. A triage tent has been set up outside, and moms with known or suspected COVID-19 are routed through the emergency room into a special delivery area.</p>\n<p>Another challenge is keeping babies safe after they are discharged from the hospital. Ideally, experts recommend infected moms stay 6 feet from their babies while another caretaker provides daily care, but often this is difficult, particularly for women who lack family support.</p>\n<p>Pease worried about passing the virus to her baby after getting home. Before embracing Alivia at her aunt&rsquo;s house, and for the next few days, she said, she wore a mask and &ldquo;washed my hands like crazy.&rdquo;</p>\n<p>But over time, Pease&rsquo;s symptoms have eased and she&rsquo;s gotten stronger. Though she still gets tired in the evenings, she&rsquo;s now able to feed, change and care for her newborn. And she said her bond with the baby is strong.</p>\n<p>&ldquo;Alivia is good. She&rsquo;s happy,&rdquo; Pease said. &ldquo;She never skipped a beat.&rdquo;</p>','Born Into A Pandemic: Virus Complicates Births For Moms And Babies','COVID-19 is changing medical care, not only for vulnerable elders but also for pregnant women and their babies entering the world.','publish','closed','closed','','born-into-a-pandemic-virus-complicates-births-for-moms-and-babies','','','2020-04-24 09:01:42','2020-04-24 09:01:42','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=308',0,'wprss_feed_item','',0),(309,0,'2020-04-24 09:01:31','2020-04-24 09:01:31','<p>In 2018, opioid overdoses claimed about <a href=\"https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates\" target=\"_blank\" rel=\"noopener noreferrer\">47,000 American lives</a>. Last year, federal authorities reported that <a href=\"https://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/index.htm\" target=\"_blank\" rel=\"noopener noreferrer\">5.4 million middle</a> and high school students vaped. And just <a href=\"https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html\" target=\"_blank\" rel=\"noopener noreferrer\">two months ago</a>, about 2,800 cases of vaping-associated lung injuries resulted in hospitalizations; 68 people died.</p>\n<p>Until mid-March, these numbers commanded attention. But as the coronavirus death toll climbs and the economic costs of attempting to control its spread wreak havoc, the public health focus is now dramatically different.</p>\n<p>In the background, though, these other issues &mdash; the opioid epidemic and vaping crisis &mdash; persist in heaping complications on an overwhelmed public health system.</p>\n				<aside><div>\n												<div>\n	<div>\n			<h3>\n		Don\'t Miss A Story	</h3>\n	<div>\n		<p>Subscribe to KHN&rsquo;s free Weekly Edition newsletter.</p>\n	</div>\n	</div>\n\n	<div>\n		\n		<div>\n\n			\n				<div>\n					<span></span> </div>\n				<button type=\"submit\">\n					Sign Up				</button>\n			\n\n			\n			<div>\n							</div>\n\n			\n				\n				\n\n					<span></span> <label>\n						Please confirm your email address below:						</label>\n\n					<div></div><span></span>					<button type=\"submit\">\n						Sign Up					</button>\n				\n					</div>\n	</div><!--/.slab-container -->\n</div><!--/.email-signup -->\n						</div>\n									</aside><p>It is creating a distinctly American problem, said Dr. Nora Volkow, who heads the National Institute on Drug Abuse.</p>\n<p>Volkow spoke with Kaiser Health News about the emerging science around COVID-19&rsquo;s relationship to vaping and to opioid use disorder, as well as how these underlying epidemics could increase people&rsquo;s risks. Her remarks have been edited for length and clarity.</p>\n<p><strong>Q: We&rsquo;ve already been experiencing two epidemics at once &mdash; vaping and the opioid crisis &mdash; and now we&rsquo;re in the midst of a third. Does that change the nature of addressing the coronavirus in the United States? </strong></p>\n<p>It makes a different kind of situation than we see abroad. It forces us as a country to be urgently multitasking, to focus on the urgent needs of COVID while not ignoring the other epidemics devastating America. That&rsquo;s certainly challenging.</p>\n<p><strong>Q: What is the evidence around the relationship between vaping and the coronavirus? </strong></p>\n<p>Because of the recency, there&rsquo;s no data to show if there are differences in outcomes between people who vape and people who do not vape. There&rsquo;s no reported scientific evidence. We will start seeing it.</p>\n<p>We know from all the cases of acute lung injury that vaping, particularly certain combinations of chemicals that were related to vaping of THC, actually led to death. The cause of death was pulmonary dysfunction. We know from animal experiments that vaping itself &mdash; not even giving any drugs with it &mdash; can produce inflammatory changes in the lung.</p>\n<p>We already know for COVID that, with comorbid conditions &mdash; particularly those that affect the lungs, the heart, the immune system &mdash; [patients] are more likely to have negative outcomes.</p>\n<p>One can predict an association. In the meantime, because of the data that already exist, we should be very cautious. The prudent thing is to strongly advise individuals who are vaping to stop.</p>\n<p><strong>Q: Young people so far appear to have lower risks of COVID complications. Does vaping change that?</strong></p>\n<p>We know there have been fatalities among young people. One very important area of research is to try to understand the specific vulnerabilities among young people.</p>\n<p>Why would you want to risk it when you already know vaping produces inflammatory changes in the lungs? We know in medicine, a tissue that has suffered harm is more vulnerable.</p>\n<p>The big centers where you are observing the rise in COVID-19 cases, that&rsquo;s where you are more likely to see the comorbidity of vaping.</p>\n<p>It&rsquo;s young people that are mostly vaping, but also older people, many of whom otherwise would be smoking tobacco. [Smoking] also raises the risk. Even though the samples have not been large enough, overall, smokers have done worse than nonsmokers when they have COVID.</p>\n<p><strong>Q: Let&rsquo;s talk about opioid use disorder. What kind of comorbidities are we starting to see between opioid use disorder and COVID-19?</strong></p>\n<p>People who have opioid use disorder are also likely to be smokers. Smoking itself increases harm to your lungs.</p>\n<p>We do know that opioids actually are immunosuppressants. This has been extensively studied. Nicotine also can disrupt immunity and actually impair the capacity of the cell to respond to viral infections.</p>\n<p>One of the things opioids do is they depress your respiration. If it&rsquo;s severe enough, they stop breathing. That&rsquo;s what leads to death.</p>\n<p>Whether you overdose or not, when you are taking opioids, the frequency of your breathing is down, and the oxygen in your blood tends to be lower.</p>\n<p>The [COVID] infection targets the respiratory tissues in the lungs. It interferes with the capacity to transfer oxygen into the blood.</p>\n<p>If you get COVID and you are taking opioids, the physiological consequences are going to be much worse. You&rsquo;re not only going to have the effects of the virus itself, but you&rsquo;ll have the depressive effects of opioids in the respiratory system [and] in the brain that lead to much less circulation in the lungs.</p>\n<p><strong>Q: What about other supports for people in recovery?</strong></p>\n<p>Community support systems like syringe exchange programs are closing. Methadone clinics are closing. If they&rsquo;re not closing, they&rsquo;re unable to process the same number of patients &mdash; because the staff is getting sick or the place where the methadone clinic was does not allow for so many people. Public transportation is not available for people to attend their methadone clinics.</p>\n<p>We&rsquo;re also hearing from our investigators they have observed a significant reduction in the capacity of the health care system to initiate people on medication for opioid use disorder &mdash; especially buprenorphine. Many of the buprenorphine initiations were done in health care facilities that are saturated with COVID.</p>\n<p><strong>Q: What&rsquo;s happening to address those problems?</strong></p>\n<p>If in the past, if you were a physician or a nurse practitioner and you wanted to initiate someone on buprenorphine, the laws were that you needed to see that person physically. That&rsquo;s changed. It&rsquo;s now possible you can initiate someone on buprenorphine through telehealth. That&rsquo;s incredibly valuable.</p>\n<p>There&rsquo;s extended reimbursement for telehealth, which expands access to treatment. There are also apps that have been created that provide individuals who have addiction [access] to mentors or coaches, as well as access to therapies and group therapies.</p>\n<p>That is one of the aspects that has actually been accelerated by the COVID crisis. These may facilitate treatment into the future, even when COVID&rsquo;s no longer there.</p>','Vaping, Opioid Addiction Accelerate Coronavirus Risks, Says NIDA Director','Dr. Nora Volkow, who heads the National Institute on Drug Abuse, details how emerging science points to added challenges for these patient populations and the public health system.','publish','closed','closed','','vaping-opioid-addiction-accelerate-coronavirus-risks-says-nida-director','','','2020-04-24 09:01:31','2020-04-24 09:01:31','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=309',0,'wprss_feed_item','',0),(310,0,'2020-04-24 09:00:14','2020-04-24 09:00:14','<aside><div>\n													<h3>\n					<a href=\"https://khn.org/topics/navigating-aging/\">\n		Navigating Aging			</a>\n			</h3>\n<div>	<div>\n		<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2016/08/judygraham_100x100.jpg\" alt=\"\" width=\"100\" height=\"100\"></p>\n<p><a href=\"https://khn.org/topics/navigating-aging/\" target=\"_blank\" rel=\"noopener noreferrer\">Navigating Aging</a>&nbsp;focuses on medical issues and advice associated with aging and end-of-life care, helping America&rsquo;s 45 million seniors and their families navigate the health care system.</p>\n<p>To contact Judith Graham with a question or comment,&nbsp;<a href=\"http://khn.org/columnists\" target=\"_blank\" rel=\"noopener noreferrer\">click here</a>.</p>\n<p>Join the <a href=\"https://www.facebook.com/groups/navigatingaging/\" target=\"_blank\" rel=\"noopener noreferrer\">Navigating Aging Facebook Group</a>.</p>\n	</div>\n	<div>\n		<a href=\"https://khn.org/topics/navigating-aging/\">\n			See All Columns		</a>\n	</div>\n	</div><!--/.slab-container -->						</div>\n									</aside><p>Older adults with COVID-19, the illness caused by the coronavirus, have several &ldquo;atypical&rdquo; symptoms, complicating efforts to ensure they get timely and appropriate treatment, according to physicians.</p>\n<p>COVID-19 is typically signaled by three symptoms: a fever, an insistent cough and shortness of breath. But older adults &mdash; the age group most at risk of severe complications or death from this condition &#8213; may have none of these characteristics.</p>\n<p>Instead, seniors may seem &ldquo;off&rdquo; &mdash; not acting like themselves &#8213; early on after being infected by the coronavirus. They may sleep more than usual or stop eating. They may seem unusually apathetic or confused, losing orientation to their surroundings. They may become dizzy and fall. Sometimes, seniors stop speaking or simply collapse.</p>\n<p>&ldquo;With a lot of conditions, older adults don&rsquo;t present in a typical way, and we&rsquo;re seeing that with COVID-19 as well,&rdquo; said Dr. Camille Vaughan, section chief of geriatrics and gerontology at Emory University.</p>\n<p>The reason has to do with how older bodies respond to illness and infection.</p>\n				<aside><div>\n												<div>\n	<div>\n			<h3>\n		Don\'t Miss A Story	</h3>\n	<div>\n		<p>Subscribe to KHN&rsquo;s free Weekly Edition newsletter.</p>\n	</div>\n	</div>\n\n	<div>\n		\n		<div>\n\n			\n				<div>\n					<span></span> </div>\n				<button type=\"submit\">\n					Sign Up				</button>\n			\n\n			\n			<div>\n							</div>\n\n			\n				\n				\n\n					<span></span> <label>\n						Please confirm your email address below:						</label>\n\n					<div></div><span></span>					<button type=\"submit\">\n						Sign Up					</button>\n				\n					</div>\n	</div><!--/.slab-container -->\n</div><!--/.email-signup -->\n						</div>\n									</aside><p>At advanced ages, &ldquo;someone&rsquo;s immune response may be blunted and their ability to regulate temperature may be altered,&rdquo; said Dr. Joseph Ouslander, a professor of geriatric medicine at Florida Atlantic University&rsquo;s Schmidt College of Medicine.</p>\n<p>&ldquo;Underlying chronic illnesses can mask or interfere with signs of infection,&rdquo; he said. &ldquo;Some older people, whether from age-related changes or previous neurologic issues such as a stroke, may have altered cough reflexes. Others with cognitive impairment may not be able to communicate their symptoms.&rdquo;</p>\n<p>Recognizing danger signs is important: If early signs of COVID-19 are missed, seniors may deteriorate before getting needed care. And people may go in and out of their homes without adequate protective measures, risking the spread of infection.</p>\n<p>Dr. Quratulain Syed, an Atlanta geriatrician, describes a man in his 80s whom she treated in mid-March. Over a period of days, this patient, who had heart disease, diabetes and moderate cognitive impairment, stopped walking and became incontinent and profoundly lethargic. But he didn&rsquo;t have a fever or a cough. His only respiratory symptom: sneezing off and on.</p>\n<p>The man&rsquo;s elderly spouse called 911 twice. Both times, paramedics checked his vital signs and declared he was OK. After another worried call from the overwhelmed spouse, Syed insisted the patient be taken to the hospital, where he tested positive for COVID-19.</p>\n<p>&ldquo;I was quite concerned about the paramedics and health aides who&rsquo;d been in the house and who hadn&rsquo;t used PPE [personal protective equipment],&rdquo; Syed said.</p>\n<p>Dr. Sam Torbati, medical director of the Ruth and Harry Roman Emergency Department at Cedars-Sinai Medical Center, describes treating seniors who initially appear to be trauma patients but are found to have COVID-19.</p>\n<p>&ldquo;They get weak and dehydrated,&rdquo; he said, &ldquo;and when they stand to walk, they collapse and injure themselves badly.&rdquo;</p>\n<p>Torbati has seen older adults who are profoundly disoriented and unable to speak and who appear at first to have suffered strokes.</p>\n<p>&ldquo;When we test them, we discover that what&rsquo;s producing these changes is a central nervous system effect of coronavirus,&rdquo; he said.</p>\n<p>Dr. Laura Perry, an assistant professor of medicine at the University of California-San Francisco, saw a patient like this several weeks ago. The woman, in her 80s, had what seemed to be a cold before becoming very confused. In the hospital, she couldn&rsquo;t identify where she was or stay awake during an examination. Perry diagnosed hypoactive delirium, an altered mental state in which people become inactive and drowsy. The patient tested positive for coronavirus and is still in the ICU.</p>\n<p>Dr. Anthony Perry, an associate professor of geriatric medicine at Rush University Medical Center in Chicago, tells of an 81-year-old woman with nausea, vomiting and diarrhea who tested positive for COVID-19 in the emergency room. After receiving IV fluids, oxygen and medication for her intestinal upset, she returned home after two days and is doing well.</p>\n<p>Another 80-year-old Rush patient with similar symptoms &mdash; nausea and vomiting, but no cough, fever or shortness of breath &#8213; is in intensive care after getting a positive COVID-19 test and due to be put on a ventilator. The difference? This patient is frail with &ldquo;a lot of cardiovascular disease,&rdquo; Perry said. Other than that, it&rsquo;s not yet clear why some older patients do well while others do not.</p>\n<p>So far, reports of cases like these have been anecdotal. But a few physicians are trying to gather more systematic information.</p>\n<p>In Switzerland, Dr, Sylvain Nguyen, a geriatrician at the University of Lausanne Hospital Center, put together a list of typical and atypical symptoms in older COVID-19 patients for a paper to be published in the Revue M&eacute;dicale Suisse. Included on the atypical list are changes in a patient&rsquo;s usual status, delirium, falls, fatigue, lethargy, low blood pressure, painful swallowing, fainting, diarrhea, nausea, vomiting, abdominal pain and the loss of smell and taste.</p>\n<p>Data comes from hospitals and nursing homes in Switzerland, Italy and France, Nguyen said in an email.</p>\n<p>On the front lines, physicians need to make sure they carefully assess an older patient&rsquo;s symptoms.</p>\n<p>&ldquo;While we have to have a high suspicion of COVID-19 because it&rsquo;s so dangerous in the older population, there are many other things to consider,&rdquo; said Dr. Kathleen Unroe, a geriatrician at Indiana University&rsquo;s School of Medicine.</p>\n<p>Seniors may also do poorly because their routines have changed. In nursing homes and most assisted living centers, activities have stopped and &ldquo;residents are going to get weaker and more deconditioned because they&rsquo;re not walking to and from the dining hall,&rdquo; she said.</p>\n<p>At home, isolated seniors may not be getting as much help with medication management or other essential needs from family members who are keeping their distance, other experts suggested. Or they may have become apathetic or depressed.</p>\n<p>&ldquo;I&rsquo;d want to know &lsquo;What&rsquo;s the potential this person has had an exposure [to the coronavirus], especially in the last two weeks?&rsquo;&rdquo; said Vaughan of Emory. &ldquo;Do they have home health personnel coming in? Have they gotten together with other family members? Are chronic conditions being controlled? Is there another diagnosis that seems more likely?&rdquo;</p>\n<p>&ldquo;Someone may be just having a bad day. But if they&rsquo;re not themselves for a couple of days, absolutely reach out to a primary care doctor or a local health system hotline to see if they meet the threshold for [coronavirus] testing,&rdquo; Vaughan advised. &ldquo;Be persistent. If you get a &lsquo;no&rsquo; the first time and things aren&rsquo;t improving, call back and ask again.&rdquo;</p>','Seniors With COVID-19 Show Unusual Symptoms, Doctors Say','Older bodies respond to infection in different ways. Seniors may sleep more or stop eating. They may be confused or dizzy. They might simply collapse.','publish','closed','closed','','seniors-with-covid-19-show-unusual-symptoms-doctors-say','','','2020-04-24 09:00:14','2020-04-24 09:00:14','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=310',0,'wprss_feed_item','',0),(311,0,'2020-04-24 09:00:00','2020-04-24 09:00:00','<p>While most of the world hungers for a vaccine to put an end to the death and economic destruction wrought by COVID-19, some anti-vaccine groups are joining with anti-lockdown protesters to challenge restrictions aimed at protecting public health.</p>\n<p>Vaccine critics suffered serious setbacks in the past year, as states <a href=\"https://www.ncsl.org/research/health/school-immunization-exemption-state-laws.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">strengthened immunization laws</a> in response to <a href=\"https://www.cdc.gov/measles/cases-outbreaks.html\" target=\"_blank\" rel=\"noopener noreferrer\">measles outbreaks</a> sparked by vaccine refusers. California tightened its vaccine requirements last fall despite protests during which anti-vaccine activists <a href=\"https://www.latimes.com/california/story/2019-10-02/vaccine-law-protester-blood-california-state-senate\" target=\"_blank\" rel=\"noopener noreferrer\">threw blood on state senators</a>, <a href=\"https://www.latimes.com/california/story/2019-08-21/richard-pan-confronted-anti-vaccine-activist\" target=\"_blank\" rel=\"noopener noreferrer\">assaulted</a> the vaccine bill&rsquo;s sponsor and <a href=\"https://www.theguardian.com/us-news/2019/sep/09/california-legislature-protest-vaccine-bills\" target=\"_blank\" rel=\"noopener noreferrer\">shut down the legislature</a>.</p>\n<p>Now, many of these same vaccine critics are joining a fight against stay-at-home orders and business shutdowns intended to stem the spread of the coronavirus, which had <a href=\"https://coronavirus.jhu.edu/map.html\" target=\"_blank\" rel=\"noopener noreferrer\">killed more than 47,000</a> Americans as of Thursday afternoon.</p>\n<p>&ldquo;This is just a fresh coat of paint for the anti-vaccine movement in America, and an exploitative means for them to try to remain relevant,&rdquo; said Dr. Peter Hotez, a professor at Baylor College of Medicine in Houston.</p>\n<p>Hotez said anti-vaccine groups are seizing on the anti-government sentiment stoked by conservative-leaning protesters to advance their cause.</p>\n<p>&ldquo;Unfortunately, their strategy may work.&rdquo;</p>\n				<aside><div>\n												<div>\n	<div>\n			<h3>\n		Email Sign-Up	</h3>\n	<div>\n		<p>Subscribe to KHN&rsquo;s free Morning Briefing.</p>\n	</div>\n	</div>\n\n	<div>\n		\n		<div>\n\n			\n				<div>\n					<span></span> </div>\n				<button type=\"submit\">\n					Sign Up				</button>\n			\n\n			\n			<div>\n							</div>\n\n			\n				\n				\n\n					<span></span> <label>\n						Please confirm your email address below:						</label>\n\n					<div></div><span></span>					<button type=\"submit\">\n						Sign Up					</button>\n				\n					</div>\n	</div><!--/.slab-container -->\n</div><!--/.email-signup -->\n						</div>\n									</aside><p>A group calling itself the <a href=\"https://www.facebook.com/FreedomAngelsFoundation/\" target=\"_blank\" rel=\"noopener noreferrer\">Freedom Angels</a>, whose members last year <a href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article234564137.html\" target=\"_blank\" rel=\"noopener noreferrer\">stood on chairs and chanted</a> at public hearings on the California vaccine bill, say governors are abusing their power by shutting down gun shops and other businesses.</p>\n<p>Many anti-vaccine activists &mdash; who have claimed that diseases such as <a href=\"https://www.npr.org/sections/health-shots/2019/04/28/717595757/brady-bunch-episode-fuels-campaigns-against-vaccines-and-marcia-s-miffed\" target=\"_blank\" rel=\"noopener noreferrer\">measles aren&rsquo;t that serious</a> &mdash; now contend the coronavirus isn&rsquo;t dangerous enough to justify staying home. They agree with <a href=\"https://www.nytimes.com/2020/03/23/us/politics/trump-coronavirus-restrictions.html\" target=\"_blank\" rel=\"noopener noreferrer\">President Donald Trump</a> that the &ldquo;cure&rdquo; for the pandemic could be worse than the disease itself.</p>\n<p>That&rsquo;s led some vaccine foes to join the protesters &mdash; whom Trump has encouraged on Twitter &mdash; in staging demonstrations in state capitals to &ldquo;reopen America.&rdquo;</p>\n<p>&ldquo;This is the time for people to take notice and really evaluate the freedoms they&rsquo;re giving up, all in the name of perceived safety,&rdquo; said Freedom Angels co-founder Heidi Munoz Gleisner in a Facebook video.</p>\n<p>The group <a href=\"https://capitolpermits.chp.ca.gov/Event/Detail/7330?AspxAutoDetectCookieSupport=1\" target=\"_blank\" rel=\"noopener noreferrer\">organized a Monday rally</a> in Sacramento called &ldquo;Operation Gridlock.&rdquo;</p>\n<p>&ldquo;People need to get back to work, get back to life, get back into contact with their loved ones who they&rsquo;re isolated from, they need to be able to have a paycheck,&rdquo; group co-founder Tara Thornton told <a href=\"https://www.sacbee.com/article242129761.html\" target=\"_blank\" rel=\"noopener noreferrer\">The Sacramento Bee</a>, which interviewed her during the demonstration. &ldquo;This is the grounds they will enslave us upon.&rdquo;</p>\n<p>Freedom Angels did not respond to requests for interviews. The group&rsquo;s website mentions <a href=\"https://www.facebook.com/pg/FreedomAngelsFoundation/events/?ref=page_internal\" target=\"_blank\" rel=\"noopener noreferrer\">plans for additional rallies</a> and includes photos from Monday&rsquo;s demonstration, such as one in which a protester holds a sign proclaiming &ldquo;No Mandatory Vaccines.&rdquo;</p>\n<p>But after the Monday event, the California Highway Patrol announced it had revoked the group&rsquo;s permit for future protests because the gathering &mdash; which included dozens of people &mdash; violated the governor&rsquo;s social distancing order. The highway patrol has now <a href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article242198781.html\" target=\"_blank\" rel=\"noopener noreferrer\">banned all group events at the Capitol</a> during the pandemic to avoid spreading the coronavirus.</p>\n<p><strong>A Big Tent</strong></p>\n<p>The anti-vaccine movement has never been limited to one political party. Left-leaning vaccine critics &mdash; such as Children&rsquo;s Health Defense, led by Robert F. Kennedy Jr. &mdash; include environmentalists who are suspicious of chemical pollutants, corporations and &ldquo;Big Pharma.&rdquo; The Kennedy group&rsquo;s website attacks Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, for rushing <a href=\"https://childrenshealthdefense.org/video/dr-fauci-and-covid-19-priorities-therapeutics-now-or-vaccines-later-video/\" target=\"_blank\" rel=\"noopener noreferrer\">&ldquo;risky and uncertain coronavirus vaccines&rdquo;</a> into development as part of a &ldquo;sweetheart deal&rdquo; for drug companies.</p>\n<p>On the other side of the political spectrum, many anti-vaccine conservatives oppose state immunization requirements because they distrust &ldquo;big government.&rdquo;</p>\n<ul><li>A group called <a href=\"https://www.facebook.com/TexansForVaccineChoice/photos/rpp.1557722217817482/2563706657219028/?type=3&amp;theater\" target=\"_blank\" rel=\"noopener noreferrer\">Texans for Vaccine Choice</a> has called on the governor to promise that no one will be forced to get a coronavirus vaccine in order to go to work or school.</li>\n<li>Posts on the Facebook page of <a href=\"https://www.facebook.com/CaliforniansAgainstSB277/\" target=\"_blank\" rel=\"noopener noreferrer\">Californians for Health Choice</a>, which also opposed California&rsquo;s vaccine laws, question stay-at-home orders and accuse government officials of refusing to admit the orders are a mistake.</li>\n<li>In a <a href=\"https://www.facebook.com/watch/live/?v=207796693824846&amp;ref=watch_permalink\" target=\"_blank\" rel=\"noopener noreferrer\">video on the Freedom Angels&rsquo; Facebook page</a>, its founders describe stay-at-home orders as an abuse of government authority, and the closure of California gun shops as an assault on the Second Amendment. The group notes that guns could be essential for protection from rioters and looters looking to steal food during the pandemic.</li>\n</ul><p>In many ways, the conservative arm of the anti-vaccine movement is a natural ally for those leading &ldquo;reopen America&rdquo; rallies, said Dr. David Gorski, an oncologist and managing editor of the <a href=\"https://sciencebasedmedicine.org/about-science-based-medicine/website-terms-of-use/\" target=\"_blank\" rel=\"noopener noreferrer\">Science-Based Medicine site</a>. Both harbor suspicions about government authority.</p>\n<p>Vaccine critics, for example, have long championed the false claim that vaccines cause autism, and that the Centers for Disease Control and Prevention has tried to cover up that information, Gorski said. Trump has at times linked vaccines with autism, although he came out <a href=\"https://www.statnews.com/2019/04/26/trump-vaccinations-measles/\" target=\"_blank\" rel=\"noopener noreferrer\">strongly in favor of vaccinations</a> during the 2019 measles epidemic.</p>\n<p>Anti-vaccine groups are now rebranding themselves as advocates of &ldquo;medical freedom,&rdquo;</p>\n<p>Protests against social distancing began in Michigan but have spread to state capitols in Texas, Colorado, Nevada, Maryland, Wisconsin and elsewhere, with more planned. Most protests have been small, limited to a few hundred or fewer people.</p>\n<p>Yet the anti-vaccine movement doesn&rsquo;t speak for everyone on the right.</p>\n<p>Stephen Moore, the senior economic contributor for FreedomWorks, a conservative advocacy group that has been helping publicize the protests, said he&rsquo;s unfamiliar with the Freedom Angels or their rallies.</p>\n<p>&ldquo;I&rsquo;m personally pro-vaccine,&rdquo; said Moore, a member of the White House council to reopen the economy. &ldquo;Especially when it comes to coronavirus.&rdquo;</p>\n<p>And some heroes of the anti-vaccine movement say they support coronavirus lockdowns.</p>\n<p>Dr. Jay Gordon, a Santa Monica, California, pediatrician popular among vaccine foes for <a href=\"https://www.cbsnews.com/news/doctor-explains-why-he-lets-kids-avoid-the-measles-vaccine/\" target=\"_blank\" rel=\"noopener noreferrer\">downplaying the risks of measles</a>, said the risk of COVID-19 is real. Gordon said he approves of the lockdown, &ldquo;and we have to keep it up.&rdquo;</p>\n<p><strong>Containing The Pandemic</strong></p>\n<p>Dr. Richard Pan, a pediatrician and California state senator who has championed stronger vaccine mandates, described anti-vaccine and anti-lockdown protesters as &ldquo;essentially selfish&rdquo; because they put other people at risk.</p>\n<p>&ldquo;One of the hallmarks of the anti-vaccine movement is this sense of selfishness and lack of concern for other people&rsquo;s health,&rdquo; Pan said. &ldquo;They like to talk about rights and freedom. But what they really want is freedom without consequences.&rdquo;</p>\n<p>Both anti-vaccine parents and those who want to relax social distancing assume that the medical system will come to their rescue if they become sick, said Pan, who noted that thousands of health care workers have died while fighting the pandemic.</p>\n<p>Fauci has said that relaxing stay-at-home orders is dangerous as long as the virus &mdash; for which there are no approved treatments or vaccines &mdash; is actively spreading. Reopening businesses too soon could spark a second wave of infections.</p>\n<p>More than 75 companies and research groups worldwide are trying to develop vaccines, which are seen as a key weapon against the novel coronavirus.</p>\n<p>In the meantime, the CDC says that <a href=\"https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html\" target=\"_blank\" rel=\"noopener noreferrer\">social distancing</a> measures &mdash; such as working from home and avoiding large gatherings &mdash; are critical to <a href=\"https://healthblog.uofmhealth.org/wellness-prevention/flattening-curve-for-covid-19-what-does-it-mean-and-how-can-you-help\" target=\"_blank\" rel=\"noopener noreferrer\">slowing the spread of the coronavirus</a> and preventing patients from overwhelming hospitals. <a href=\"https://healthpolicy.duke.edu/sites/default/files/atoms/files/covid-19_surveillance_roadmap_final.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Health leaders</a> say it won&rsquo;t be safe to reopen the county until widespread testing shows the coronavirus has died down.</p>\n<p>Americans overwhelmingly support vaccination, according to surveys, and polling by <a href=\"https://www.kff.org/global-health-policy/issue-brief/kff-health-tracking-poll-late-april-2020/\" target=\"_blank\" rel=\"noopener noreferrer\">the Kaiser Family Foundation</a> found that 80% of Americans want lockdowns to continue. Only 19% said social distancing orders placed an unnecessary burden on the economy. (Kaiser Health News is an editorially independent program of the foundation.)</p>\n<p>Neither the anti-vaccine nor anti-lockdown demonstrators represent the opinions of most Americans, Pan said.</p>\n<p>&ldquo;Let&rsquo;s put this movement into proper context,&rdquo; he said. &ldquo;They&rsquo;re loud, they&rsquo;re noisy and they&rsquo;re small.&rdquo;</p>','Anti-Vaccine Activists Latch Onto Coronavirus To Bolster Their Movement','Activists failed to convince state legislators that diseases like measles aren’t serious enough to require vaccination. Now they’re joining with conservatives and other anti-lockdown demonstrators who contend the coronavirus isn’t dangerous enough to justify staying home.','publish','closed','closed','','anti-vaccine-activists-latch-onto-coronavirus-to-bolster-their-movement','','','2020-04-24 09:00:00','2020-04-24 09:00:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=311',0,'wprss_feed_item','',0),(312,0,'2020-04-24 20:43:20','2020-04-24 20:43:20','<div><figure><img src=\"https://www.mcknights.com/wp-content/uploads/sites/5/2020/04/Tina-Sandri-819x1024.jpg\" alt=\"\" width=\"205\" height=\"256\"><figcaption>Tina Sandri</figcaption></figure></div>\n\n\n\n<p>Nursing homes are cruise ships on land; they have conditions that create the Perfect Storm. Physically, even with communal dining and group activities cancelled, often residents are in shared bedrooms with limited space making social distancing difficult. And, everyone has an underlying condition and age going against them as two more risk factors for complications for COVID-19. Cognitively, per the Alzheimer&rsquo;s association, over half of all nursing home residents have some level of dementia or memory impairment, making compliance with self-masking and social distancing a challenge. </p>\n\n\n\n<p>Socially, many of the employees, which make up the backbone of nursing home care, have multiple jobs to put food on the table. They go directly from one job to the next, often without going home to shower/change, and many use public transportation and frequently live in close quarters that do not allow for social distancing at home even when someone tests positive. These conditions enable COVID-19, wearing its invisible cloak, to take a free ride on unsuspecting healthcare workers as they rush from place to place all along the way to and within senior living communities. </p>\n\n\n\n<p>Current Centers for Disease Control &amp; Prevention guidelines suggest diagnostic testing for the presence of COVID-19 only for <em>symptomatic</em> residents or employees. (Our mayor announced this week expanding the CDC criteria to <em>allow some asymptomatic individuals who have high exposure and are in high-risk groups to be prioritized for testing</em>; guidance will be forthcoming.)&nbsp;We knew early on that we needed more than symptomatic testing access to protect our residents. Instead, we aggressively began testing all of our residents and our workforce that serve them.&nbsp;We chose to pursue universal testing through private resources with LabCorp to assess the<em> asymptomatic</em> presence of COVID-19.</p>\n\n\n\n<p>In a world of limited resources, knowing the answer to &ldquo;What would you do differently with the data from universal testing than you already are with universal masking and appropriate PPE usage?&rdquo; is important. At Knollwood Military Life Plan Community, in Washington, DC, we charted a path out of our Perfect Storm.</p>\n\n\n\n<p>The big picture</p>\n\n\n\n<p>Our goals:</p>\n\n\n\n<ol><li>To give the current CDC guidelines for universal masking time to work, we needed to help bend the curve internally to prevent further, potentially      widespread outbreak. Now that we know that COVID-19 is transmitted mostly asymptomatically, we are using universal masking. This is the reverse of  what we knew a month ago; then it was thought that the most active transmission period was during active symptoms, so universal masking      guidelines had not been in place. <br></li><li>We tested all SNF residents and all employees in two days to proactively manage an outbreak in our secured, skilled area for residents needing      memory care. At that time, utilizing Department of Health testing reserved for symptomatic persons, we had one COVID-19-positive resident, and a few days later, potentially five more positive residents pending. With a dementia unit, the challenges included residents in shared rooms with limited space for consistent social distancing, residents with wandering behaviors, residents with very limited abilities to self-mask due to memory impairments, and residents unable to self-communicate if they were feeling symptoms of COVID-19. This is a unique environment. </li></ol><p>Our process to universally test residents and employees of\nour skilled nursing unit once medical orders for testing and consent were\ngranted utilized an interdisciplinary team which:</p>\n\n\n\n<ol><li>Formed an agreement for diagnostic testing with a vetted and Food and Drug Administration-approved local commercial lab.<br></li><li>Brought aboard temporary help of a physician and two nurse practitioners to help swab for samples. The CDC also sent three people to help on testing day. Three of our RNs and one LPN worked alongside the experienced professionals we brought in to quickly learn the testing protocols for future testing.<br></li><li>Prepared the test kits the day before testing to include completed lab test request forms, labeling stickers to pair test request forms with swab test tubes containing transport medium, storing kits alphabetically by resident or employee list. This was key to efficiently collecting samples on test day.<br></li><li>Formed teams of two to collect samples. One &ldquo;helper&rdquo; person from our team provided positive visual verification of the person being tested, name, and date of birth, against the pre-assembled, pre-labeled test kits.&nbsp;The &ldquo;helper&rdquo; person received the sample from the person conducting the swabbing, and placed the sample in the sample bag, and then into a portable cooler. Note the full PPE burn rate was two outfits of gowns and gloves per test kit. Testing teams wore goggles, N-95s and face shields, which were not touched throughout the testing process with residents and did not need to be changed until all testing was done.<br></li><li>Prepared rolling carts were set up for each unit to travel form room to room with the teams. They held PPE supplies, hand sanitizer, coolers for sample  storage and discarded PPE.<br></li><li>Planned to minimize resident resistance, given our dementia unit. Residents were tested starting at 8 a.m. since most would still be in bed or their rooms rather than up and about. A social worker was placed in each of our two units that were tested to be able to work with residents that were      confused, or didn&rsquo;t recognize the person swabbing; we found this very effective. There were a total of five teams of two people to swab approximately 50 residents. It took about 2 hours to complete the collection of samples. The CDC team noted it was the most efficient team effort they had seen particularly given the residents being tested. <br></li><li>Created  a separate, walk-up testing site on our patio for asymptomatic employees with 4 stations over a few days. The optimal time to catch staff was after their shift or before their shift, when they were not in PPE. If staff had to change out of their PPE during the shift we also sent them over for testing.  All staff were tested. Employees were reminded via text by HR to report for testing.<br></li><li>Created a drive-up station in our parking lot for symptomatic employees at home on self-isolation for a small window of time. This limited potential exposure to those conducting the tests, as well as eliminated the need to sanitize any testing area between tests.<br></li><li>Samples were stored in smaller coolers with ice packs until the lab did a special pickup of all the samples each day during testing. We stayed in close      communication with our lab account manager throughout testing and specimen pickups to ensure proper collection, handling and storage of the      specimens.</li></ol><p>Our results:</p>\n\n\n\n<ol><li>We identified 13 asymptomatic residents we would not have known about without universal testing. &nbsp;<br></li><li>We moved three residents temporarily using the CMS blanket wavier to 42 CFR 483.10 related to transfer/discharge and resident roommates and groupings to move residents in order to cohort for COVID-19, placing positive residents with positive residents and negative residents with negatives.<br></li><li>We found 11 asymptomatic, positive employees which we sent home for to self-isolate 10 days per CDC guidelines.<br></li><li>We discovered three asymptomatic residents in a different skilled unit and moved that unit to full PPE usage to include gowns, goggles, bonnets and shoe covers in addition to the masks and gloves already in place. We would not have done this without the testing since there were no symptoms on the unit. Current convention by CDC says to conserve PPE for when symptoms appear in a time with national and regional mask and gown shortages. Yet, to start a full burn on PPE for residents with asymptomatic residents makes full sense, given the vulnerability of our population. <br></li><li>We created a day room space for positive residents and another space for negative residents, knowing that residents with dementia and other memory care needs will not self-isolate. Many need supervision during the day for wandering and other behaviors. </li></ol><p>Testing is a huge part of being able to chart your way out of the COVID-19 storm.&nbsp;An out-of-the-box vision, private labs and a strong commitment to testing was super-important to our efforts. Finally, leadership was the crucial ingredient in navigating our waters. Our entire C-Suite and all of our Directors rolled up their sleeves to get it done and stem the spread. Key lessons learned on testing in our nursing home have informed our subsequent COVID-19 strategy across our assisted living and independent communities.</p>\n\n\n\n<p>Each community has to answer the starting question of &ldquo;What\nwould you do differently than you are doing now if you knew the data from\nuniversal testing than you already are with universal masking and appropriate\nPPE usage?&rdquo; If you have a case to make, then engaging your team, your community\nresources, and your passions to care for people make sense as an option to bend\nthe curve in nursing homes. It takes a village.</p>\n\n\n\n<p><em>Tina Sandri, MHSA, LNHA, is administrator of Knollwood Retirement Community in Washington, D.C. </em></p>\n\n\n\n<p></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/blogs/making-the-case-for-universal-on-demand-testing-in-nursing-homes-and-assisted-living-facilities/\">Making the case for universal, on-demand testing in nursing homes and assisted living facilities</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Making the case for universal, on-demand testing in nursing homes and assisted living facilities','Nursing homes are cruise ships on land; they have conditions that create the Perfect Storm. Physically, even with communal dining and group activities cancelled, often residents are in shared bedrooms with limited space making social distancing difficult. And, everyone has an underlying condition and age going against them as two more risk factors for complications…\nThe post Making the case for universal, on-demand testing in nursing homes and assisted living facilities appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','making-the-case-for-universal-on-demand-testing-in-nursing-homes-and-assisted-living-facilities','','','2020-04-24 20:43:20','2020-04-24 20:43:20','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=312',0,'wprss_feed_item','',0),(313,0,'2020-04-24 19:53:25','2020-04-24 19:53:25','<p>Globally, risk of death from COVID-19 is 50% higher in <a href=\"https://www.monash.edu/medicine/news/latest/2020-articles/international-study-highlights-diabetes-risks-in-covid-19\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">elderly with diabetes</a> &hellip; COVID-19 has disproportionate effect on <a href=\"https://www.mcknightsseniorliving.com/home/news/covid-19-has-disproportionate-effect-on-long-term-care-study/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">long-term care</a>: study &hellip; Ensuring <a href=\"https://www.mcknights.com/news/ensuring-safety-education-key-in-mitigating-stress-during-pandemic-expert-says/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">safety, education</a> key in mitigating stress during pandemic, expert says &hellip; <a href=\"https://www.nature.com/articles/s41467-020-15686-y\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">Insulin sensitivity</a> determines body weight and weight-loss potential</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/clinical-briefs-for-monday-april-27/\">Clinical Briefs for Monday, April 27</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Clinical Briefs for Monday, April 27','Globally, risk of death from COVID-19 is 50% higher in elderly with diabetes … COVID-19 has disproportionate effect on long-term care: study … Ensuring safety, education key in mitigating stress during pandemic, expert says … Insulin sensitivity determines body weight and weight-loss potential\nThe post Clinical Briefs for Monday, April 27 appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','clinical-briefs-for-monday-april-27','','','2020-04-24 19:53:25','2020-04-24 19:53:25','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=313',0,'wprss_feed_item','',0),(314,0,'2020-04-24 20:25:26','2020-04-24 20:25:26','<p>America&rsquo;s health care workers are dying. In some states, medical staff account for as many as 20% of known coronavirus cases. They tend to patients in hospitals, treating them, serving them food and cleaning their rooms. Others at risk work in nursing homes or are employed as home health aides.</p>\n<p>Some of them do not survive the encounter. Many hospitals are overwhelmed and some workers lack protective equipment or suffer from underlying health conditions that make them vulnerable to the highly infectious virus.</p>\n<p>Many cases are shrouded in secrecy. &ldquo;Lost on the Frontline&rdquo; is a collaboration between The Guardian and Kaiser Health News that <a href=\"https://www.theguardian.com/us-news/2020/apr/15/why-were-tracking-every-us-health-worker-who-dies-from-coronavirus\" target=\"_blank\" rel=\"noopener noreferrer\">aims to document</a> the lives of health care workers in the U.S. who die of COVID-19, and to understand why so many are falling victim to the pandemic.</p>\n<p>These are some of the first tragic cases.</p>\n<p>&nbsp;</p>\n<figure><div><a href=\"https://khn.org/#accad\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Accad-1.jpg\" alt=\"Debbie Accad\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#baumbach\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Baumbach-1.jpg\" alt=\"Jeff Baumbach\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#buendia\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_BuendiaIlagan-1.jpg\" alt=\"Araceli Buendia Ilagan \" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#cruz\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_DelaCruz-1.jpg\" alt=\"Leo Dela Cruz\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#doronila\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Doronila-1.jpg\" alt=\"Daisy Doronila\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#echeverri\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_EcheverriCasarez-1.jpg\" alt=\"Monica Echeverri Casarez\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#gabrin\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Gabrin-1.jpg\" alt=\"Frank Gabrin\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#harrison\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Harrison-1.jpg\" alt=\"Rose Harrison\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#hunt\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Hunt-1.jpg\" alt=\"Curtis Hunt\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#king\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_King-Smith-1.jpg\" alt=\"Kim King-Smith\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#sclar\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Sclar-1.jpg\" alt=\"Gary Sclar\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#simmons\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Simmons-1.jpg\" alt=\"Alvin Simmons\"></a></div>\n<div><a href=\"https://khn.org/#thompson\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Thompson-1.jpg\" alt=\"Vianna Thompson\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#verrier\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Verrier-1.jpg\" alt=\"J. Ronald Verrier\" width=\"100%\"></a></div>\n</figure><div></div>\n				<aside><div>\n													<h3>\n		Lost On The Frontline	</h3>\n<div>	<div>\n		<p>This project<a href=\"https://www.theguardian.com/us-news/2020/apr/15/why-were-tracking-every-us-health-worker-who-dies-from-coronavirus\"> aims to document</a> the life of every health care worker in America who dies from COVID-19. If you have a colleague or loved one we should include, please <a href=\"https://www.theguardian.com/us-news/2020/apr/13/lost-on-the-frontline-us-healthcare-coronavirus-deaths\" target=\"_blank\" rel=\"noopener noreferrer\">share their story</a>.</p>\n<p>&nbsp;</p>\n	</div>\n</div><!--/.slab-container -->						</div>\n									</aside><h3>Surgical Technician Made Friends Everywhere She Went</h3>\n<div><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/EcheverriCasarez_400sq.jpg\" alt=\"Monica Echeverri Casarez\" width=\"100%\"> (Courtesy of Jorge Casarez)\n</div>\n<div>\n<h3>Monica Echeverri Casarez</h3>\n<p><strong>Age:</strong> 49<br><strong>Occupation:</strong> Surgical technician<br><strong>Place of Work:</strong> Detroit Medical Center Harper University Hospital in Detroit<br><strong>Date of Death:</strong> April 11, 2020<br><a></a></p>\n</div>\n<div></div>\n<p>Monica Echeverri Casarez was in constant motion, said her husband, Jorge Casarez. The daughter of Colombian immigrants, she worked as a Spanish-English interpreter in clinical settings. She was the kind of person whose arrival at a mom and pop restaurant would elicit hugs from the owners. She also co-founded Southwest Detroit Restaurant Week, a nonprofit that supports local businesses.</p>\n				<aside><div>\n													<h3>\n		Read More	</h3>\n<div>	<ul><li>\n			<a href=\"https://khn.org/news/osha-probing-health-worker-deaths-but-urges-inspectors-to-spare-the-penalties/\">\n				<img width=\"170\" height=\"113\" src=\"https://khn.org/wp-content/uploads/sites/2/2020/05/GettyImages-1210579275_1350.jpg?w=170&amp;h=113&amp;crop=1\" alt=\"\"></a>\n			<p>\n			<a href=\"https://khn.org/news/osha-probing-health-worker-deaths-but-urges-inspectors-to-spare-the-penalties/\">OSHA Probing Health Worker Deaths But Urges Inspectors To Spare The Penalties</a>\n			Apr 22</p>\n	</li>\n			<li>\n			<a href=\"https://khn.org/news/true-toll-of-covid-19-on-u-s-health-care-workers-unknown/\">\n				<img width=\"170\" height=\"113\" src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/GettyImages-1209373304_1350.jpg?w=170&amp;h=113&amp;crop=1\" alt=\"\"></a>\n			<p>\n			<a href=\"https://khn.org/news/true-toll-of-covid-19-on-u-s-health-care-workers-unknown/\">True Toll Of COVID-19 On U.S. Health Care Workers Unknown</a>\n			Apr 15</p>\n	</li>\n	</ul></div><!--/.slab-container -->						</div>\n									</aside><p>Twice a month, she scrubbed in as a surgical technician at Harper University Hospital. &ldquo;She liked discovering the beauty of how the body works and how science is clear and orderly,&rdquo; Casarez said. She was organized and intuitive, qualities that are assets in the operating room. On March 21, she <a href=\"https://www.facebook.com/photo.php?fbid=909415092829473&amp;set=a.133575220413468&amp;type=3&amp;theater\" target=\"_blank\" rel=\"noopener noreferrer\">posted a photo</a> of herself in protective gear with the caption: &ldquo;I&rsquo;d be lying if I said I wan&rsquo;t at least a bit nervous to be there now.&rdquo; Since many elective surgeries had been canceled, Echeverri Casarez was tasked with taking the temperatures of people who walked into the hospital and making sure their hands were sterilized.</p>\n<p>Soon after, Echeverri Casarez and Casarez began feeling ill. Quarantined together, Echeverri Casarez tried to make the best of the situation. She baked her husband a cake &mdash; chocolate with white frosting. She died a few days later.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 24, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>A Whip-Smart Neurologist Endlessly Fascinated With The Brain</h3>\n<div><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Sclar2_400sq.jpg\" alt=\"Gary Sclar\" width=\"100%\"> (Courtesy of Jennifer Sclar)\n</div>\n<div>\n<h3>Gary Sclar</h3>\n<p><strong>Age:</strong> 66<br><strong>Occupation:</strong> Neurologist<br><strong>Place of Work:</strong> Mount Sinai Queens in New York City<br><strong>Date of Death:</strong> April 12, 2020</p>\n</div>\n<div></div>\n<p>Gary Sclar was a whip-smart neurologist who loved comic books, &ldquo;Game of Thrones&rdquo; and &ldquo;Star Wars,&rdquo; said his daughter, Jennifer Sclar. He was deeply compassionate with a blunt bedside manner.</p>\n<p>&ldquo;My dad was fascinated with the brain and with science,&rdquo; Jennifer Sclar said. &ldquo;His work was his passion, and it&rsquo;s what made him the happiest, besides my brother and me.&rdquo; Set to retire in June, he was looking forward to writing about politics and neurology.</p>\n<p>Gary Sclar saw patients who were showing COVID-19 symptoms and knew his age and underlying health conditions &#8213; he had diabetes &mdash; put him at risk for developing complications from the illness. His daughter pleaded with him to stop going to the hospital.</p>\n<p>In early April, he mentioned having lost his sense of smell, and on April 8 he collapsed in his home. He was hospitalized a few days later and agreed to be intubated. &ldquo;I don&rsquo;t think he realized, like, that this was the end,&rdquo; Jennifer Sclar said. &ldquo;He brought his keys. He brought his wallet.&rdquo;</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 24, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>An Exacting But Loving Aunt, She Was A Mentor Until The End</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/BuendiaIlagan1_400sq.jpg\" alt=\"Araceli Buendia Ilagan \" width=\"100%\"> (Courtesy of Jhoanna Mariel Buendia)</p>\n</div>\n<div>\n<h3>Araceli Buendia Ilagan</h3>\n<p><strong>Age:</strong> 63<br><strong>Occupation:</strong> Intensive care unit nurse<br><strong>Place of Work:</strong> Jackson Memorial Hospital in Miami<br><strong>Date of Death:</strong> March 27, 2020</p>\n</div>\n<div></div>\n<p>For Jhoanna Mariel Buendia, her aunt was a constant &#8213; if distant &mdash; presence. Araceli Buendia Ilagan emigrated from their hometown Baguio, in the Philippines, to the U.S. before Buendia was born, but she remained close to her family and communicated with them nearly every day.</p>\n<p>&ldquo;She was one of the smartest people I ever knew,&rdquo; Buendia, 27, said. Buendia Ilagan, who at one point looked into adopting her niece so she could join her and her husband the United States, encouraged Buendia to become a nurse, and talked her through grueling coursework in anatomy and physiology. Buendia is now a nurse in London.</p>\n<p>Buendia Ilagan was also demanding. &ldquo;Whenever she visited the Philippines, she wanted everything to be organized and squeaky-clean,&rdquo; Buendia said.</p>\n<p>The last time the two spoke, in late March, Buendia Ilagan didn&rsquo;t mention anything about feeling ill. Instead, the two commiserated over their experiences of treating patients with COVID-19; as always, her aunt offered her advice on staying safe while giving the best possible care. She died four days later.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 22, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>A Beloved Geriatric Psychiatrist And Church Musician Remembered For His Cooking Skills</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/DelaCruz_400sq.jpg\">(Courtesy of Nida Gonzales)</p>\n</div>\n<div>\n<h3>Leo Dela Cruz</h3>\n<p><strong>Age:</strong> 57<br><strong>Occupation:</strong> Geriatric psychiatrist<br><strong>Place of Work:</strong> Christ Hospital and CarePoint Health in Jersey City, New Jersey<br><strong>Date of Death:</strong> April 8, 2020</p>\n</div>\n<div></div>\n<p>Dr. Leo Dela Cruz was nervous about going to work in the weeks before he died, his friends said. Like many in the region, Christ Hospital had an influx of COVID-19 patients and <a href=\"https://www.nj.com/hudson/2020/03/the-greatest-challenge-this-hospital-ever-faces-christ-hospital-losing-ground-in-the-war-with-coronavirus.html\" target=\"_blank\" rel=\"noopener noreferrer\">faced a shortage</a> of ventilators and masks.</p>\n<p>Dela Cruz was a geriatric psychiatrist and didn&rsquo;t work in coronavirus wards. But he continued to see patients in person. In early April, Dela Cruz, who lived alone, complained only of migraines, his friends said. Within a week, his condition worsened, and he was put on a ventilator at a nearby hospital. He died soon after.</p>\n<p>Friends said he may have been exposed at the hospital. (In a statement, hospital representatives said he didn&rsquo;t treat COVID-19 patients.)</p>\n<p>Dela Cruz, the oldest of 10 siblings, came from a family of health care professionals. His friends and family &mdash; from Cebu, Philippines, to Teaneck, New Jersey &mdash; remembered his jovial personality on Facebook. He won &ldquo;best doctor of the year&rdquo; awards, played tennis and cooked traditional Cebu dishes.</p>\n<p>Nida Gonzales, a colleague, said he always supported people, whether funding a student&rsquo;s education or running a church mental health program. &ldquo;I feel like I lost a brother,&rdquo; she said.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/ankita-rao\" target=\"_blank\" rel=\"noopener noreferrer\">Ankita Rao, The Guardian</a></em> | <em>Published April 22, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Alabama Nurse Remembered As Selfless But Sassy</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Harrison2_400sq.jpg\" alt=\"Rose Harrison\" width=\"100%\"> (Courtesy of Amanda Williams)</p>\n</div>\n<div>\n<h3>Rose Harrison</h3>\n<p><strong>Age:</strong> 60<br><strong>Occupation:</strong> Nurse<br><strong>Place of Work:</strong> Marion Regional Nursing Home in Hamilton, Alabama<br><strong>Date of Death:</strong> April 6, 2020</p>\n</div>\n<div></div>\n<p>Rose Harrison, 60, lived to serve others &#8213; her husband, three daughters, grandchildren and the residents of the nursing home where she worked. Though the Alabama nurse was selfless, she also had a sassy edge to her personality and a penchant for road rage, her daughter, Amanda Williams said.</p>\n<p>&ldquo;Her personality was so funny, you automatically loved her,&rdquo; Williams said. &ldquo;She was so outspoken. If she didn&rsquo;t agree with you, she&rsquo;d tell you in a respectful way.&rdquo;</p>\n<p>Williams was not wearing a mask when she cared for a patient who later tested positive for COVID-19 at Marion Regional Nursing Home in Hamilton, Alabama, her daughter said. She later developed a cough, fatigue and a low-grade fever, but kept reporting to duty all week. Officials from the nursing home did not return calls for comment.</p>\n<p>On April 3, Williams drove her mother to a hospital. The following evening, Harrison discussed the option of going on a ventilator with loved ones on a video call, agreeing it was the best course. Williams believed that her mother fully expected to recover. She died April 6.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/christina-jewett/\" target=\"_blank\" rel=\"noopener noreferrer\">Christina Jewett, Kaiser Health News</a></em> | <em>Published April 22, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Connecticut Social Worker Had Angelic Singing Voice And A Zest For Life</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Hunt1_400sq.jpg\">(Courtesy of the Hunt family)</p>\n</div>\n<div>\n<h3>Curtis Hunt</h3>\n<p><strong>Age:</strong> 57<br><strong>Occupation:</strong> Social worker<br><strong>Places of Work:</strong> Cornell Scott-Hill Health Center and New Reach, both in New Haven, Connecticut<br><strong>Date of Death:</strong> March 23, 2020</p>\n</div>\n<div></div>\n<p>At a shelter for adults recovering from addiction, residents looked forward to the days when Marion &ldquo;Curtis&rdquo; Hunt would take the stage, emceeing talent shows and belting out Broadway and gospel tunes.</p>\n<p>It wasn&rsquo;t part of his job description as a social worker. It was just one of the ways he went &ldquo;above and beyond,&rdquo; said his supervisor at Cornell Scott-Hill Health Center, Daena Murphy. &ldquo;He had a beautiful voice,&rdquo; she said. &ldquo;He was just a wonderful person &mdash; funny, engaging, always a huge smile on his face.&rdquo;</p>\n<p>Hunt, the youngest of four brothers, earned his master&rsquo;s in social work from Fordham University at 52, and was baptized at his brother&rsquo;s Pentecostal church at 54. He was a devoted uncle who doted on his dog and cat, Mya and Milo.</p>\n<p>It&rsquo;s unclear how Hunt got infected, but one patient he worked with had tested positive for COVID-19, as did two co-workers, according to Dr. Ece Tek, another supervisor at Cornell Scott-Hill Health Center. Hunt died on March 23, one week after developing flu-like symptoms, said his brother John Mann Jr.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/melissa-bailey/\" target=\"_blank\" rel=\"noopener noreferrer\">Melissa Bailey</a></em> | <em>Published April 22, 2020 </em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>To The End, King-Smith Was Driven By A Desire To Help Others</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/King-Smith1_400sq.jpg\" alt=\"Kim King-Smith\" width=\"100%\"> (Courtesy of Hassana Salaam-Rivers)</p>\n</div>\n<div>\n<h3>Kim King-Smith</h3>\n<p><strong>Age:</strong> 53<br><strong>Occupation:</strong> Electrocardiogram technician<br><strong>Place of Work:</strong> University Hospital in Newark, New Jersey<br><strong>Date of Death:</strong> March 31, 2020</p>\n</div>\n<div></div>\n<p>Kim King-Smith was a natural caregiver. An only child, she grew up close to her extended family, including her cousins Hassana Salaam-Rivers and Sharonda Salaam. After Salaam developed multiple sclerosis, King-Smith visited her every day.</p>\n<p>&ldquo;She&rsquo;d bring her sweets that she wasn&rsquo;t supposed to have and share them with her,&rdquo; Salaam-Rivers said. King-Smith&rsquo;s desire to care for others was the reason she became an electrocardiogram technician, her cousin added. &ldquo;If a friend of a friend or family member went to the hospital, she would always go and visit them as soon as her shift was over,&rdquo; she said.</p>\n<p>In March, King-Smith cared for a patient she said had symptoms of COVID-19; she soon fell ill herself and tested positive for the virus. It seemed like a mild case at first, and she stayed in touch with family via FaceTime while trying to isolate from her husband, Lenny.</p>\n<p>On March 29, Salaam-Rivers checked in on her cousin and noticed she was struggling to breathe. She urged her to call an ambulance. After King-Smith was hospitalized, she exchanged text messages with her mother and cousin. As the day progressed, her messages carried increasingly grave news, Salaam-Rivers said. Then she stopped responding.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 22, 2020 </em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>On The Eve Of Retirement, VA Nurse Succumbs To COVID-19</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Accad_FB_1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Mark Accad)</p>\n</div>\n<div>\n<h3>Debbie Accad</h3>\n<p><strong>Age:</strong> 72<br><strong>Occupation:</strong> Clinical nursing coordinator<br><strong>Place of Work:</strong> Detroit VA Medical Center in Detroit, Michigan<br><strong>Date of Death:</strong> March 30, 2020</p>\n</div>\n<div></div>\n<p>Nurse Divina &ldquo;Debbie&rdquo; Accad had cared for veterans for over 25 years and was set to retire in April. But after contracting the novel coronavirus, she spent her final 11 days on a ventilator &mdash; and didn&rsquo;t survive past March.</p>\n<p>She joined a growing list of health care professionals working on the front lines of the pandemic who have died from COVID-19.</p>\n<p>Accad, 72, a clinical nursing coordinator at the Detroit VA Medical Center, dedicated her life to nursing, according to her son Mark Accad.</p>\n<p>&ldquo;She died doing what she loved most,&rdquo; he said. &ldquo;That was caring for people.&rdquo;</p>\n<p>She was born Divina Amo in the Philippine town of Alimodian, known for its sweet bananas. The eldest of four children, she was a precocious student. She finished high school at age 14 and had to wait a year to pursue her dream of nursing school. She graduated from Central Philippine University with a bachelor&rsquo;s in nursing in 1969.</p>\n<p>Yearning to move abroad, she applied to a &ldquo;fly now, pay later&rdquo; program for nurses and landed a job in Chicago, joining <a href=\"https://news.berkeley.edu/2019/05/28/filipino-nurses-in-the-us-podcast/\" target=\"_blank\" rel=\"noopener noreferrer\">tens of thousands of Filipino nurses</a> who have migrated to the United States. She later moved to Taylor, Michigan, where she married William Accad in 1985 and raised four children with him.</p>\n<p>Her niece April Amada lives in Accad&rsquo;s hometown. She remembers her aunt as a generous cook: A visit from Tita Debbie (Aunt Debbie) meant <em>unli-kainan</em>, or &ldquo;unlimited food&rdquo;: She served up big American breakfasts, cooked spicy kielbasa with cabbage and introduced her family to Jell-O.</p>\n<p>Accad was the &ldquo;pillar of the family,&rdquo; Amada said, improving their quality of life by sending home money, and even supporting her younger sister through nursing school.</p>\n<p>Amada said her aunt first signaled she was sick on the evening of March 16, telling relatives she had a fever and loose stool. On March 19, she reported feeling better by taking Tylenol. But the following day, she was hospitalized with pneumonia, a complication of COVID-19. She told her family in the Philippines that she had tested positive for the disease caused by the coronavirus and asked them to pray for her and to spread the word to local pastors, Amada said.</p>\n<p>Amada, who is also a nurse, said her family felt helpless watching their beloved matriarch suffer from afar, and being unable to travel to her bedside because of the infectious nature of the disease. They last saw her face on a video call.</p>\n<p>Mark Accad, 36, who lives across the street from his parents, said his mother had diabetes, <a href=\"https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/groups-at-higher-risk.html\" target=\"_blank\" rel=\"noopener noreferrer\">a risk factor</a> for serious complications from COVID-19. In her last phone call with him, he said, she was preoccupied with her family&rsquo;s health more than her own. But he could hear in her voice that she was worried.</p>\n<p>&ldquo;It&rsquo;s just terrible that we all couldn&rsquo;t be there for her,&rdquo; he said.</p>\n<p>Mark Accad said he believes his mother was exposed by infected co-workers, though that hasn&rsquo;t been confirmed. She was a nursing supervisor who often stepped in to care for patients, he said.</p>\n<p>The Department of Veterans Affairs is <a href=\"https://www.wsj.com/articles/veterans-affairs-hospitals-facing-serious-shortage-of-protective-gear-internal-memos-show-11586384293\" target=\"_blank\" rel=\"noopener noreferrer\">facing serious shortages</a> in protective equipment for its health care workers, according to internal memos obtained by The Wall Street Journal. Mark Accad said he doesn&rsquo;t know whether his mother had adequate protective gear.</p>\n<p>In a statement, the Detroit VA Medical Center declined to comment on Accad&rsquo;s case, citing privacy concerns, but confirmed that an employee of her age died from coronavirus complications.</p>\n<p>The VA has &ldquo;implemented appropriate measures to ensure the safest health care environment for each Veteran, visitor and employee,&rdquo; including immediately isolating patients known to be at risk for a COVID-19 infection. As of Monday, nine VA health care workers systemwide had died of COVID-19 complications, and over 1,500 were being quarantined because of coronavirus infections, according to VA spokesperson Christina Noel.</p>\n<p>Mark Accad said he would like his mother&rsquo;s story to raise awareness of the risks health care workers face in the global pandemic.</p>\n<p>&ldquo;She&rsquo;s a hero for what she did,&rdquo; he said.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/melissa-bailey/\" target=\"_blank\" rel=\"noopener noreferrer\">Melissa Bailey</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>California Nurse Thrived In ER and ICU, But Couldn&rsquo;t Survive COVID-19</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Baumbach1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of the Baumbach family)</p>\n</div>\n<div>\n<h3>Jeff Baumbach</h3>\n<p><strong>Age:</strong> 57<br><strong>Occupation:</strong> Nurse<br><strong>Place of Work:</strong> St. Joseph&rsquo;s Medical Center in Stockton, California<br><strong>Date of Death:</strong> March 31, 2020</p>\n</div>\n<div></div>\n<p>Jeff Baumbach, 57, was a seasoned nurse of 28 years when the novel coronavirus began to circulate in California. He&rsquo;d worked in the ER, the ICU and on a cardiac floor. Hepatitis and tuberculosis had been around over the years but never posed a major concern. He&rsquo;d cared for patients who had tuberculosis.</p>\n<p>Jeff and his wife, Karen Baumbach, also a nurse, initially didn&rsquo;t consider it significantly riskier than challenges they&rsquo;d faced for years.</p>\n<p>&ldquo;He&rsquo;d worked in the ICU. He was exposed to so many things, and we never got anything,&rdquo; she said. &ldquo;This was just ramping up.&rdquo;</p>\n<p>One day during work, Jeff sent a sarcastic text to his wife: &ldquo;I love wearing a mask every day.&rdquo;</p>\n<p>Within weeks, he would wage a difficult and steady fight against the virus that ended with a sudden collapse. Across the U.S., dozens of other health care workers have died, according to reports compiled by The Guardian and Kaiser Health News. The CDC has not yet issued a full tally, and many states have said little about how many health workers are dying.</p>\n<p>Jeff was working at St. Joseph&rsquo;s Medical Center in Stockton, California, about an hour south of Sacramento, where he was a case manager for Kaiser Permanente patients treated there. (Kaiser Health News is not affiliated with Kaiser Permanente.)</p>\n<p>In mid-March, Jeff and his wife traveled to New York City to help their younger son, one of four adult children, settle into an apartment. As they were leaving, bars and restaurants were starting to shut down. The feeling set in that something serious was taking place.</p>\n<p>Back home, Karen said her husband was notified that he may have been around a co-worker who tested positive for the coronavirus. Jeff would need to wear a mask. On March 23, he called in sick. The next day, he was told to get a COVID-19 test.</p>\n<p>Jeff&rsquo;s test was positive. Soon after, so was Karen&rsquo;s. The couple hunkered down together at home, Karen with body aches and congestion and Jeff with a fever and cough.</p>\n<p>Their home had been the site of countless family brunches and barbecues, for which Jeff was often the chef. It was where he solved massive jigsaw puzzles with his kids, sealed them together and put them on the ceiling of the garage.</p>\n<p>Kaila Baumbach, 26, the last child living in their Lodi home, had moved out as a precaution. She and her dad were close. They had gotten tattoos together on a family trip to Hawaii. Hers, a peace sign. His had two large Celtic hearts and four smaller ones to represent his children. Kaila said she didn&rsquo;t text or call her dad when he was sick.</p>\n<p>&ldquo;I thought he was invincible,&rdquo; she said during a phone interview, through tears.</p>\n<p>Karen took Jeff to the emergency room on March 26, where he was diagnosed with pneumonia, but chose to recuperate at home. On March 31, he collapsed in an upstairs bathroom.</p>\n<p>&ldquo;It was just like that,&rdquo; Karen said. &ldquo;It went downhill really fast.&rdquo;</p>\n<p>Karen called 911 and went with him to Adventist Health Lodi Memorial, the hospital where she worked. She sat in her car getting updates by phone. Kaila waited in another car.</p>\n<p>The ventilator Jeff was connected to had little effect and he remained unresponsive.</p>\n<p>When it seemed hopeless, Karen went in, suited with full protective medical gear, and told Jeff, her husband of 33 years, she loved him. The kids love him. And she was sorry.</p>\n<p>&ldquo;We both sat here all those days with him getting worse before my eyes and me not seeing it,&rdquo; she said. &ldquo;The doctor reassured me that several times people have seemed to be OK and then they just fall off and then it&rsquo;s just too late.&rdquo;</p>\n<p>Karen returned home alone, still in quarantine.</p>\n<p>The next day, Kaila organized about 50 family and loved ones to drive by the couple&rsquo;s home and shine their phone flashlights to show support. Karen&rsquo;s mother, Sharleen Leal, called her at 8 p.m.: &ldquo;Look outside.&rdquo;</p>\n<p>Karen looked out an upstairs window. Lights from lines of cars going in both directions on the avenue shone bright. Grieving, and awash with gratitude, she cried.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/christina-jewett/\" target=\"_blank\" rel=\"noopener noreferrer\">Christina Jewett, Kaiser Health News</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Nurse&rsquo;s Faith Led Her To Care For Prisoners At A New Jersey Jail</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Doronila1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Denise Rendor)</p>\n</div>\n<div>\n<h3>Daisy Doronila</h3>\n<p><strong>Age:</strong> 60<br><strong>Occupation:</strong> Nurse<br><strong>Place of Work:</strong> Hudson County Correctional Facility in Kearny, New Jersey<br><strong>Date of Death:</strong> April 5, 2020</p>\n</div>\n<div></div>\n<p>Daisy Doronila had a different perspective than most who worked at the Hudson County Correctional Facility, a New Jersey lockup 11 miles from Manhattan. It was a place where the veteran nurse could put her Catholic faith into action, showing kindness to marginalized people.</p>\n<p>&ldquo;There would be people there for the most heinous crimes,&rdquo; said her daughter, Denise Rendor, 28, &ldquo;but they would just melt towards my mother because she really was there to give them care with no judgment.&rdquo;</p>\n<p>Doronila, 60, died April 5, two weeks after testing positive for the coronavirus that causes COVID-19. The jail has been hit hard by the virus, with 27 inmates and 68 staff members having tested positive. Among those, another nurse, a correctional officer and a clerk also died, according to Ron Edwards, Hudson County&rsquo;s director of corrections.</p>\n<p>Doronila fell ill before the scope of the jail infections were known. She was picking up extra shifts in the weeks before, her daughter said, and planning on a trip to Israel soon with friends from church.</p>\n<p>That plan began to fall apart March 14, when someone at the jail noticed her coughing and asked her to go home and visit a doctor.</p>\n<p>Doronila, of Nutley, New Jersey, went to her doctor and a local hospital in the coming days but was told she had strep throat, so she wouldn&rsquo;t get a coronavirus test. Then she was told her fever wasn&rsquo;t high enough to merit a test.</p>\n<p>Edwards, the jail chief, said Doronila offered to come back to work after she started feeling ill, not wanting to let him down. He told her to stay home and rest.</p>\n<p>&ldquo;She was one of my hardest workers,&rdquo; he said, describing her as sophisticated, intelligent and compassionate. &ldquo;Daisy could handle herself. If someone got obnoxious with her, she&rsquo;d put them in their place and call for help if she needed to.&rdquo;</p>\n<p>As days went by in March, her condition got worse. Feeling breathless, she went to an urgent care center on March 21.</p>\n<p>Her oxygen saturation level was 77 &#8213; far below levels that should be close to 100 &mdash; so she was sent by ambulance to the hospital. The next day, she was transferred to the ICU, where she was put on a ventilator, never to talk to her family again.</p>\n<p>Rendor, who was not allowed to visit her mother, said time crawled as she awaited updates from nurses and doctors.</p>\n<p>On her fifth day in the hospital, her mother went into cardiac arrest and was revived. On Day Nine, she was put on dialysis.</p>\n<p>By Day 14, it was futile.</p>\n<p>Rendor said her mother emigrated from the Philippines as a young nurse. She loved to dress in fashionable clothes and eat seafood on the waterfront in New York City.</p>\n<p>The two loved to shop together and were looking forward to the next chapters in life. For the mother, retirement at 65. For Rendor, marriage and perhaps starting her own family.</p>\n<p>&ldquo;It was about to get really, really good,&rdquo; Rendor said.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/christina-jewett/\" target=\"_blank\" rel=\"noopener noreferrer\">Christina Jewett, Kaiser Health News</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>An Army Veteran, Hospital Custodian &lsquo;Loved Helping People&rsquo;</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Simmons_400sq-1.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Michelle Wilcox)</p>\n</div>\n<div>\n<h3>Alvin Simmons</h3>\n<p><strong>Age:</strong> 54<br><strong>Occupation:</strong> Environmental service assistant<br><strong>Place of Work:</strong> Rochester General Hospital in Rochester, New York<br><strong>Death:</strong> March 17, 2020</p>\n</div>\n<div></div>\n<p>Alvin Simmons started working as a custodian at Rochester General Hospital, in New York state, weeks before he fell ill. &ldquo;He loved helping people and he figured the best place to do that would be in a hospital,&rdquo; his sister, Michelle Wilcox said.</p>\n<p>An Army veteran who had served in the first Gulf War, Simmons loved karaoke and doted on his three grandchildren, Wilcox said. &ldquo;He was a dedicated, hardworking individual who had just changed his life around&rdquo; since a prison stint, she said.</p>\n<p>According to Wilcox, Simmons began developing symptoms shortly after cleaning the room of a woman he believed was infected with the novel coronavirus. &ldquo;Other hospital employees did not want to clean the room because they said they weren&rsquo;t properly trained&rdquo; to clean the room of someone potentially infected, she said. &ldquo;They got my brother from a different floor, because he had just started there,&rdquo; she said. (In an email, a hospital spokesperson said they had &ldquo;no evidence to suggest that Mr. Simmons was at a heightened risk of exposure to COVID-19 by virtue of his training or employment duties at RGH.&rdquo;)</p>\n<p>On March 11, he visited the emergency room at Rochester General, where he was tested for&nbsp;COVID-19, Wilcox said. Over the next few days, as he rested at his girlfriend&rsquo;s home, his breathing became more labored and he began to cough up blood. He was rushed to the hospital on March 13, where he was later declared brain-dead. Subsequently,&nbsp;he received a COVID-19 diagnosis. Simmons died on March 17.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Nurse At Nevada VA Dies After Caring For Infected Colleague</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Thompson2_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Bob Thompson)</p>\n</div>\n<div>\n<h3>Vianna Thompson</h3>\n<p><strong>Age:</strong> 52<br><strong>Occupation:</strong> Nurse<br><strong>Places of Work:</strong> VA Sierra Nevada Health Care System and Northern Nevada Medical Center in Reno, Nevada<br><strong>Date of Death:</strong> April 7, 2020</p>\n</div>\n<div></div>\n<p>Nurse Vianna Thompson, 52, spent two night shifts caring for a fellow Veterans Affairs health care worker who was dying from COVID-19.</p>\n<p>Two weeks later, she too was lying in a hospital intensive care unit, with a co-worker holding her hand as she died.</p>\n<p>Thompson and the man she treated were among <a href=\"https://mynews4.com/news/local/third-reno-va-hospital-employees-dies-from-coronavirus\" target=\"_blank\" rel=\"noopener noreferrer\">three VA health care workers</a> in Reno, Nevada, to die in two weeks from complications of the novel coronavirus.</p>\n<p>&ldquo;It&rsquo;s pretty devastating. It&rsquo;s surreal. Reno&rsquo;s not that big of a city,&rdquo; said Robyn Underhill, a night nurse who worked with Thompson in the ER at Reno&rsquo;s VA hospital the past two years.</p>\n<p>Thompson, who dreamed of teaching nursing one day, died April 7, joining a growing list of health care professionals killed in the pandemic.</p>\n<p>Born Vianna Fye in Port Huron, Michigan, she became a go-getter nurse who worked almost exclusively at night, putting in five or six 12-hour shifts a week, according to her husband, Bob Thompson, 60.</p>\n<p>The couple met in 1991 on the Osan Air Base in South Korea, where he was an inventory management specialist in the Air Force, and she was a veterinary technician in the Army, caring for military police dogs. They bonded over two-step dancing and country music.</p>\n<p>Vianna was a &ldquo;proud momma,&rdquo; often showing off photos and videos of their three sons on her phone, her husband said. As the main breadwinner for over eight years, she juggled two jobs to make sure her boys had everything they needed, including saxophones, drums and keyboards so they could play jazz and country music. &ldquo;She was just sweet, big-hearted, caring, unselfish,&rdquo; he said.</p>\n<p>Before she died, Thompson was working two jobs: full time in the ER at the VA Sierra Nevada Health Care System in Reno, and part time in the ICU at Northern Nevada Medical Center.</p>\n<p>In the ICU, she tended to a fellow VA health care worker who had fallen ill with COVID-19, according to nurse Underhill. Two days later, on March 29, Thompson arrived at work with a cough.</p>\n<p>&ldquo;She came to work sick, and we were all very concerned,&rdquo; Underhill said. &ldquo;Call it intuition, call it &lsquo;Spidey sense,&rsquo; but I knew that moment that she was coughing that this was not going to end well.&rdquo;</p>\n<p>Underhill said Thompson already had a slight smoker&rsquo;s cough, so she may have overlooked the fact that her cough was a classic symptom of COVID-19.</p>\n<p>&ldquo;She was in denial that she was taking care of this high-risk population,&rdquo; Underhill said. And she was reluctant to miss work.</p>\n<p>That Sunday shift would be Thompson&rsquo;s last. Over the next four days, she wrestled with fever, weakness and shortness of breath. The following Thursday, she texted her husband from the bedroom: &ldquo;Call the ambulance, I can hardly breathe.&rdquo;</p>\n<p>She was taken to the VA hospital where she worked and immediately sedated and put on a ventilator.</p>\n<p>The next Tuesday, her organs were failing and it was time to remove life support, her husband said. They connected him on FaceTime to say goodbye, and a nurse held her hand as she died.</p>\n<p>As a veteran, she qualified for an &ldquo;honor flight,&rdquo; in which the patient&rsquo;s body is covered with a black box, draped with an American flag and wheeled through the hospital while others line up and salute.</p>\n<p>Because of the infectious nature of the coronavirus, a flag could not be safely draped over her body, so someone walked in front of her with a flag.</p>\n<p>Bob Thompson said the honor flight ceremony drew more people into the hallways than staff had seen in 20 years, &ldquo;all the way from the ICU to the morgue.&rdquo;</p>\n<p>&ldquo;God&rsquo;s getting a hell of a nurse,&rdquo; he said.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/melissa-bailey/\" target=\"_blank\" rel=\"noopener noreferrer\">Melissa Bailey</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Dr. J. Ronald Verrier Was Busy Saving Lives Before The Pandemic</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Verrier1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Christina Pardo)</p>\n</div>\n<div>\n<h3>J. Ronald Verrier</h3>\n<p><strong>Age:</strong> 59<br><strong>Occupation:</strong> Surgeon<br><strong>Place of Work:</strong> St. Barnabas Hospital in the Bronx, New York<br><strong>Date of Death:</strong> April 8, 2020</p>\n</div>\n<div></div>\n<p>Dr. J. Ronald Verrier, a surgeon at St. Barnabas Hospital in the Bronx, spent the final weeks of his audacious, unfinished life tending to a torrent of patients inflicted with COVID-19. He died April 8 at Mount Sinai South Nassau Hospital in Oceanside, New York, at age 59, after falling ill from the novel coronavirus.</p>\n<p>Verrier led the charge even as the financially strapped St. Barnabas Hospital struggled to find masks and gowns to protect its workers &mdash; many nurses continue to make cloth masks &mdash; and makeshift morgues in the parking lot held patients who had died.</p>\n<p>&ldquo;He did a good work,&rdquo; said Jeannine Sherwood, a nurse manager at St. Barnabas Hospital who worked closely with Verrier.</p>\n<p>&ldquo;He can rest.&rdquo;</p>\n<p>Born in Port-au-Prince, Haiti, Verrier graduated from the Facult&eacute; de M&eacute;decine et de Pharmacie in 1986 and trained at Lincoln Medical Center in the Bronx. He worked at St. Barnabas for two decades, performing thousands of surgeries on critically ill patients and trauma victims, while overseeing the general surgery residency program.</p>\n<p>A towering presence with a wide, dimpled smile, Verrier watched his large flock closely &mdash; popping into patients&rsquo; rooms for impromptu birthday parties, pressing his medical school residents to sharpen their surgical skills and extinguishing doubt in bright, young minds.</p>\n<p>&ldquo;He kept pushing me forward,&rdquo; said Dr. Christina Pardo, a cousin who became an obstetrician and gynecologist. &ldquo;I would call him and say, &lsquo;I swear I failed that test,&rsquo; and he would laugh. He was my confidence when I didn&rsquo;t have it.&rdquo;</p>\n<p>&ldquo;He was someone you&rsquo;d love to see if you were having a bad day,&rdquo; said Dr. Ridwan Shabsigh, chairman of the Department of Surgery at SBH Health System. &ldquo;He would comfort your heart.&rdquo;</p>\n<p>The Verrier family stretches across continents &mdash; a boisterous crew of cousins who grew up as brothers and sisters, a pot of <em>joumou</em>, a spicy Haitian soup, always boiling somewhere.</p>\n<p>Verrier, who spoke English, French and Creole, zipped around to a niece&rsquo;s wedding in Belgium, a baptism in Florida, another wedding in Montreal. In February, he ferried medical supplies to Haiti, returning to St. Barnabas to fortify the hospital for the surge of coronavirus patients.</p>\n<p>Verrier helped steer the hospital&rsquo;s efforts to increase &mdash; by 500% &mdash; the number of critically ill patients it could care for, an effort he worked on until he became ill.</p>\n<p>&ldquo;He was at the hospital every day,&rdquo; Shabsigh said. &ldquo;This was a nonstop effort, day and night.&rdquo;</p>\n<p>Verrier discovered he was infected in early April. After developing symptoms, he worked from his Woodmere, New York, home.</p>\n<p>Undaunted, he did not want to talk about being sick. &ldquo;He has this personality that, &lsquo;Everything is going to be OK,&rsquo;&rdquo; said Pardo.</p>\n<p>Shabsigh spoke with him the day before his death.</p>\n<p>&ldquo;He understood the coronavirus, he understood the pandemic,&rdquo; he said. &ldquo;He still maintained a high morale and hope that he would recover.&rdquo;</p>\n<p>When his condition worsened suddenly, according to Pardo, Verrier was taken by ambulance to a nearby hospital where he died.</p>\n<p>After a powerful earthquake struck Haiti in 2010, Verrier tended to victims, treating dozens of patients who required amputations at a Port-au-Prince hospital.</p>\n<p>&ldquo;Sometimes you use a little anesthesia and you cut the limb,&rdquo; Verrier said soberly in a video recorded at the time. &ldquo;Because you have to save a life.&rdquo;</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/sarah-varney/\" target=\"_blank\" rel=\"noopener noreferrer\">Sarah Varney, Kaiser Health News</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>America&rsquo;s First ER Doctor To Die In The Heat Of COVID-19 Battle</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Garbin1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Debra Vasalech Lyons)</p>\n</div>\n<div>\n<h3>Frank Gabrin</h3>\n<p><strong>Age:</strong> 60<br><strong>Occupation:</strong> Doctor<br><strong>Places of Work:</strong> St. John&rsquo;s Episcopal in Queens, New York, and East Orange General in New Jersey<br><strong>Date of Death:</strong> March 26, 2020</p>\n</div>\n<div></div>\n<p>At about 5 a.m. on March 19, a New York City ER physician named Frank Gabrin texted a friend about his concerns over the lack of medical supplies at hospitals.</p>\n<p>&ldquo;It&rsquo;s busy &#8213; everyone wants a COVID test that I do not have to give them,&rdquo; he wrote in the message to Eddy Soffer. &ldquo;So they are angry and disappointed.&rdquo;</p>\n<p>Worse, though, was the limited availability of personal protective equipment (PPE) &mdash; the masks and gloves that help keep health care workers from getting sick and spreading the virus to others. Gabrin said he had no choice but to don the same mask for several shifts, against Food and Drug Administration guidelines.</p>\n<p>&ldquo;Don&rsquo;t have any PPE that has not been used,&rdquo; he wrote. &ldquo;No N95 masks &#8213; my own goggles &mdash; my own face shield,&rdquo; he added, referring to the N95 respirators considered among the best lines of defense.</p>\n<p>Less than two weeks later, Gabrin became the first ER doctor in the U.S. known to have died as a result of the COVID-19 pandemic, according to the American College of Emergency Physicians.</p>\n<p><a href=\"https://khn.org/news/baby-i-cant-breathe-americas-first-er-doctor-to-die-in-heat-of-covid-19-battle/\" target=\"_blank\" rel=\"noopener noreferrer\">Read more here.</a></p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/alastair-gee\" target=\"_blank\" rel=\"noopener noreferrer\">Alastair Gee, The Guardian</a></em> | <em>Published April 10, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)</p>\n<hr><p><em>This story is part of &ldquo;<a href=\"https://khn.org/news/tag/lost-on-the-frontline/\" target=\"_blank\" rel=\"noopener noreferrer\">Lost on the Frontline</a>,&rdquo; a project from <a href=\"https://www.theguardian.com/us\" target=\"_blank\" rel=\"noopener noreferrer\">The Guardian</a> and Kaiser Health News that aims to document the life of every health care worker in America who dies from COVID-19 during the pandemic. If you have a colleague or loved one we should include, please <a href=\"https://www.theguardian.com/us-news/2020/apr/13/lost-on-the-frontline-us-healthcare-coronavirus-deaths\" target=\"_blank\" rel=\"noopener noreferrer\">share their story</a>.</em></p>','Lost On The Frontline','“Lost on the Frontline” is a collaboration between The Guardian and Kaiser Health News that aims to document the lives of health care workers in the U.S. who die from COVID-19, and to understand why so many are falling victim to the pandemic.','publish','closed','closed','','lost-on-the-frontline','','','2020-04-24 20:25:26','2020-04-24 20:25:26','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=314',0,'wprss_feed_item','',0),