Covid-19 Resources for Practices

If you are a healthcare professional evaluating a patient for suspected COVID-19, please contact your local health department immediately.

Other links and resources below. Please let us know your questions and needs so we can help you help your providers and patients. Email us at RAMdocs@ramdocs.org.

 

Re-Opening in the Era of COVID-19:

Guide to Reopening Your Practice During COVID-19 The Doctors Company (Updated May 18, 2020)

 

Interim U.S. Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with Coronavirus Disease 2019 (COVID-19) From the CDC

 

Top 10 Tips for Reopening Your Medical Office During COVID-19 The Doctors Company (Updated April 27, 2020)

 

FAQ: Employee travel during COVID-19 National Law Review (March 17, 2020)

 

When to End Home Isolation and Quarantine Infographic VDH (May 11, 2020)

 

Discontinuation of Isolation for Persons with COVID -19 Not in Healthcare Settings When considering when a patient with COVID-19 may be seen for a non-related medical issue, several methods may be considered when establishing your practice policy. CDC (Updated May 3)

 

Elective Surgery Informed Consent and Shared Decision Making During COVID-19 The Doctors Company (Updated May 1, 2020)

 

FAQ: Non-Urgent Procedures and Surgeries Virginia Department of Health

 

Reopening Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homes CDC (April 29, 2020)

 

PPE Sources: The Emergency Vendor List includes vendors used by the Va. Dept. of Emergency Management (VDEM) and Va. Dept. of General Services – Division of Purchases & Supply (DPS) during a "state of public emergency". The list may be utilized to quickly obtain supplies and services to provide assistance to those in need.

 

COVID-19 Supplies on Amazon Business

 

EO-61 and Order of Public Health Emergency Three - Phase One Easing Of Certain Temporary Restrictions Due To Novel Coronavirus (COVID-19) ~ May 8, 2020 (eases business restrictions)

 

Small Business Administration Paycheck Protection Program (PPP Loans)

Update to FAQs – CARES Act Provider Relief Fund for Health Care Providers Troutman Sanders (May 15, 2020)

 

Comprehensive Overview of Coronavirus Aid, Relief, and Economic Security Act (CARES ACT) Paycheck Protection Program (SBA PPP Loans) Pepper Hamilton LLP Attorneys at Law (March 27, 2020)

 

Small Business Disaster Loans: (March 18, 2020)

The U.S. Small Business Administration (SBA) today approved an Economic Injury Disaster Loan declaration for Virginia. Small businesses and nonprofit organizations throughout the Commonwealth affected by the COVID-19 public health crisis can now apply for low-interest federal disaster loans of up to $2 million from the SBA to pay fixed debts, payroll, accounts payable, and other expenses. To submit a loan application through the SBA Economic Injury Disaster Loan program, please visit disasterloan.sba.gov/ela/.

 

 

Summary of CARES Act and FFCRAct Tax Credit and Payroll Tax Relief Troutman Sanders / Pepper Hamilton LLP (April 14, 2020)

 

NEW Federal Benefits and Leave Requirements:

Benefits Guidance in the Time of COVID-19Employer Payroll Tax Relief in the Families First Coronavirus Response Act - The National Law Review (March 26, 2020)

 

Legal Considerations During COVID‐19 including OSHA, ADA, the Families First Act, CARES Act, and other related issues. Webinar and Slides from (April 1, 2020)

 

Telehealth:

New Strategies for Virtual Primary Care Doctor on Demand by Healthcare Dive's Brand Studio LIVE WEBINAR Tuesday, April 7th | 2 PM

 

BonSecoursMercy Richmond Health System Launches FREE COVID_19 Video Visits (March 21, 2020)

Bon Secours is now offering free video visits to those experiencing COVID-19 symptoms and those who may have been exposed to someone diagnosed with COVID-19.  Visit bonsecours247.com or download the Bon Secours 24/7 app for free from the app store. Use the Coupon Code CARE2020 for your free COVID-19 visit.

 

Mid Atlantic Telehealth Resource Center Offers training and resources for practices looking to expand telehealth services.

 

Responding to COVID-19: Resources for Telehealth and Remote Patient Monitoring from the Nixon Law Group (Posted March 18, 2020, updated frequently)

        

AMA: Medicare Policy Change on Telemedicine Enhances Nation’s Digital Health Care Capacity
March 17, 2020

“The AMA offers the Quick Guide to Telemedicine in Practice, a new resource to help mobilize remote care with implementation tips, as well as a reference to Current Procedural Terminology (CPT®) codes for reporting telemedicine and remote care services. The AMA also offers an education module in the AMA’s STEPS Forward™ that can help physicians use telemedicine in practice, and the Digital Health Information Playbook with a 12-steps process for adopting remote monitoring of patients outside the traditional clinical environment.”

 

Notification of Enforcement Discretion for telehealth remote communications during the COVID-19 nationwide public health emergency US Dept. of Health & Human Services (March 19, 2020)

 

 

Billing & Coding Related to Covid-19:

New ICD-10-CM code for the 2019 Novel Coronavirus (COVID-19), (April 1, 2020)

Tenth Revision (ICD-10) emergency code (U07.1, 2019-nCoV acute respiratory disease) has been established by WHO.

 

ICD-10-CM Official Coding Guideline- Supplement for 2019 Novel Coronavirus (COVID-19)

Related and supplemental coding information

 

The AMA Current Procedural Terminology (CPT) Editorial Panel adopted a new CPT code that describes laboratory testing for the novel coronavirus—SARS-CoV-2—that causes COVID-19. The CPT code is now effective and can be used. Physicians and others can learn more about the  CPT code and the short, medium and long descriptors for it. (March 17, 2020)

Medicare and Medicaid coverage information

  

Information related to COVID-19 individual and small group market insurance coverage (CMS) COVID-19 fact sheet

 

HR & Operations Resources:

Clarification of Certain Immunity from Liability for Healthcare Providers in response to Novel Coronavirus (COVID-19) Executive Order Number Sixty (April 28, 2020)

 

 

What to do when an employee has COVID-19 MPWRSource

 

 

Sample Patient Screening Document MPWRSource

 

 

Strategies for Optimizing the Supply of N95 Respirators from the CDC

 

Decontamination and Reuse of Filtering Facepiece Respirators from the CDC

 

Cleaning and Disinfecting your Facility if Someone is Sick Everyday Steps, Steps When Someone is Sick, and Considerations for Employers - CDC (April 1, 2020)

 

CDC's PPE Burn Rate Calculator

The personal protective equipment (PPE) burn rate calculator excel icon[XLS – 39 KB]  is a spreadsheet-based model that provides information for healthcare facilities to plan and optimize the use of PPE for response to coronavirus disease 2019 (COVID-19). 

 

Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings From the CDC

 

Prepare to Care for COVID-19: Get Your Practice Ready: CDC Posters and flyers for your practice. (updated Regularly)    

 

HHS Office of Civil Rights Enforcement Discretion related to HIPAA (March 17, 2020)

In light of the COVID-19 nationwide public health emergency, the HHS Office for Civil Rights (OCR) is exercising its enforcement discretion and, effective immediately, will not impose penalties on physicians using telehealth in the event of noncompliance with the regulatory requirements under the Health Insurance Portability and Accountability Act (HIPAA). Physicians may seek to communicate with patients and provide telehealth services through remote communications technologies. Some of these technologies, and their use, may not fully comply with the requirements of the HIPAA Rules. However, today’s announcement means that physicians who want to use audio or video communication technology to provide telehealth to patients during the COVID-19 nationwide public health emergency can use any non-public facing service that is available to communicate with patients. This exercise of discretion applies to telehealth provided for any reason, regardless of whether the telehealth service is related to the diagnosis and treatment of health conditions related to COVID-19. Additional information can be found at this notice from Department of Health and Human Services (HHS).

 

Practice Protocols and Preparedness (Modified from Montgomery County Medical Society)

 

Get Your Workplace Ready for Pandemic Flu CDC (April 2017) 

 

OSHA Fact Sheet: Protecting Workers During A Pandemic 

 

When May Employers Require Workers to Self-Quarantine? Society for Human Resource Management (March 5, 2020)

 

Communicable Disease Resource Page Society for Human Resource Management


What Are Companies’ Legal Obligations Around CoronavirusHarvard Business Review (March 4, 2020)

 

Interim Guidance for Businesses and Employers to Plan and Respond to Coronavirus Disease 2019 (COVID-19) From the CDC (Updated April 9, 2020)

 

Hospital and Practice Scope of Service During COVID-19:

Gov. Ralph Northam has signed an executive order for hospitals to suspend elective surgeries. View Order. (March 25, 2020)

 

 

CDC Public Health Reminder  (https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/index.html )         

Healthcare facilities and clinicians should prioritize urgent and emergency visits and procedures now and for the coming several weeks. The following actions can preserve staff, personal protective equipment, and patient care supplies; ensure staff and patient safety; and expand available hospital capacity during the COVID-19 pandemic:

  • Delay all elective ambulatory provider visits
  • Reschedule elective and non-urgent admissions
  • Delay inpatient and outpatient elective surgical and procedural cases
  • Postpone routine dental and eyecare visits

 

CMS Recommendations on Elective Surgery and Procedures: Provides a tiered framework to inform health systems to consider in determining if procedures should be scheduler or postponed.  (March 15, 2020)

 

Interim Guidance for Health Care FacilitiesIncludes preparatory actions, triage, treatment…also consideration for Outpatient facilities and inpatient facilities to reschedule elective procedures to allow shift of resources to care for COVID-19 Patients.

NIH: https://www.nih.gov/health-information/coronavirus (Updated regularly)

CDC: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/guidance-hcf.html (Updated regularly)

 

Statement on Elective Procedures during outbreak by Virginia Healthcare Emergency Management Program (March 18, 2020)

 

 

Lab Testing Resources

Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons for Coronavirus Disease 2019 (COVID-19) From the CDC.

 

 

Informing patients of test results (video) Virginia Department of Health Emergency Preparedness

 


Patient self-collecting nasal swab Virginia Department of Health Emergency Preparedness

 

 

BetterMed Urgent Care is providing Curbside COVID-19 Testing in Greater Richmond

Anyone wishing to be tested must first make an appointment reservation online. Once your reservation is made and you arrive at a curbside testing location, please call the phone number and press "0" to speak with an administrator who will provide further instructions. Check out their FAQ here.

 

COVID-19 Testing at GENETWORx, a private laboratory in Henrico County, now is processing COVID-19 tests, promises 24 hour turn around (March 23, 2020) View more info on supplies needed for collection, sample requirements, collections cautions. (updated regularly).

 

COVID-19 Testing at LabCorp: https://www.labcorp.com/information-labcorp-about-coronavirus-disease-2019-covid-19 (updated regularly)

  • Specimens must be collected by the ordering physician.  Do not send the patient to a LabCorp location.
  • sample types are nasopharyngeal (NP) or oropharyngeal (OP) swabs. Other appropriate sample types are NP or OP aspirates or washes, and bronchoalveloar lavage (BAL). More detailed information is available in our  2019 Novel Coronovirus (COVID-19), NAA Q&A , as well as on the test menu .
  • New Testing Information from LabCorp: LabCorp recently released guidance for clients seeking to obtain universal viral transport (UVT) media and swabs on their own. CLICK HERE for those guidelines from LabCorp. (March 18, 2020)
  • LabCorp also just released guidelines for NP Wash and NP Aspiration guidelines which do not require swabs and VTM/UTM. CLICK HERE for those guidelines. (March 18, 2020)

Latest Test Menu information: https://www.labcorp.com/tests/139900/2019-novel-coronavirus-covid-19-na a

 

COVID-19 Testing at Quest Diagnostics: https://www.questdiagnostics.com/home/Covid-19/  (updated regularly)

  • Specimens must be collected by the ordering physician.  Do not send the patient to a Quest Diagnostics location.

  • Currently, nasopharyngeal (NP) or oropharyngeal (OP) swab testing is being performed. Learn more at the Healthcare professionals page: https://www.questdiagnostics.com/home/Covid-19/HCP/

Latest Test Menu information: https://testdirectory.questdiagnostics.com/test/test-detail/39433/sars-cov-2-rna-qualitative-real-time-rt-pcr?q=39433&cc=MASTER

 

Antibody Testing Information statement from the FDA (April 7, 2020) and links to local labs providing antibody testing:

____________________________________________________________________________________

Virginia Department of Health COVID-19 Hotline (launched March 13, 2020)

1-877-ASK-VDH3 (1-877-275-8343)

                Option 1: General COVID-19 Information

                Option 2: If you think you have been exposed to COVID-19

                Option 3: If you are an out of state physician

                Option 4: In-state Physician

  

Patient Resources:

Richmond City and Henrico County Coronavirus Hotline (804) 205-3501 Answering public health questions every day, 8 a.m. - 8 p.m.

COVID-19 Social Media Toolkit - From the CDC

Print/Patient Education Resources - From the CDC

Resources in American Sign Language - From the CDC

Educational Handouts Translated in over 35 Languages - Harvard Health Publishing

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