State COVID-19 Response for Residential Care Settings Strike Team Update CALA Presentation September 16th, 2020 Co-Chair Randy Kuykendall, Director, Health Facilities & EMS Division Colorado Department of Public Health & Environment 1
Agenda ● Case and Outbreak Data ● Key Strategies Overview & Updates ● Discussion 2
Enforcement & Education Residential Testing for Care Strike Situational Disease Awareness Presence Health & Team Wellbeing / Equity Strategy Cohorting & Staffing Facility Isolation 3
Case & Outbreak Data 4
Since 9/1/2020 +1 +34 Net +10 -24 +3 Net +2 -1 +22 Net +19 -3 +0 5
6
Enforcement & Education Cohorting & Facility Isolation 7
Indoor Visitation Guidance Resource https://docs.google.com/docum ent/d/1a72QTd2QYx34ETddy DXeQ620p7ayd8dvJI7eUZqDs Cc/edit
Indoor Visitation “Staff” are defined to include employees, consultants, contractors, volunteers, students, caregivers and others who provide care and services to residents. Surveillance Testing Requirement - Facility must be able to conduct, arrange or verify ongoing COVID-19 testing for residents and staff as defined above, based on the county positivity rate for COVID-19 pursuant to the following weekly positivity rate for the county in which the facility is located: <5% - twice a month, 5-10% - once a week, >10% - twice a week 9
Outdoor Visitation Clarifications made to the Outdoor Visitation Guidance • Staff testing COVID+ does not impact visitation • Will be posted on the Strike Team’s webpage • Will also be distributed through normal channels 10
Communal Dining & Activities 11
Communal Dining & Activities 12
Communal Dining & Activities 13
Testing For Disease Presence 14
Importance of Testing ● Testing is important to limit the spread of COVID-19 in facilities ● It is possible to be infected and spread COVID-19 even if staff or residents do not have symptoms or before they begin to show symptoms ● Many of CO’s residential care workers come from communities that have been impacted by COVID-19 the most: People who identify as Black, Latino, or Indigenous, immigrant communities, and other communities of color are at a greater risk of getting the virus and having worse outcomes
Testing Support If you need test kits or assistance with testing in order to meet CMS or State requirements, utilize the State Lab’s Testing Resource Request Form
RESIDENTIAL CARE TESTING SINCE JUNE 1ST 52% of residents and 44% of staff Data as of 9/14/20 Total Total Positive Total Tests have been provided access to testing by the Facilities Cases State at least once State Lab 174 220,309 NEW FACILITY (test kits OUTREACH^ distributed) 321 On the Ground 63 6,714* Outreach Since Aug. 13, 2020: (people tested) 114 Facilities CSU 32 23,532 112 Ordered Supplies (people tested) Since Outreach: Total 269 250,555 384 11 Facilities (tests) ^ Outreach made by the State Lab only 17 * Data delayed
52% of residents and 44% of staff have been provided access to testing by the State at least once 18
% of Facility Type provided Access to testing by State at least once 19
Situational Awareness 20
EM Resource Testing Data 21
EM Resource Testing Data 22
EM Resource TRACKING: ● Bed Capacity ○ COVID + and Non- COVID ● PPE ● Staffing Needs ● Testing Status 23
EM Resource Questions ● Recently Added or Soon-to-Be Adding Questions ○ Is your facility able to accept COVID-19 positive patients at this time? ○ Does the LTCF have an in-house point-of-care test machine (capability to perform COVID-19 testing within your facility) YES /NO ○ Do you have enough supplies to test staff and/or facility personnel for COVID-19 using the point-of-care test machine? YES/NO ○ What type of visitation is in place in your facility? OUTDOOR/INDOOR/BOTH/NONE ● Updated Testing Frequency Question Responses ○ No ○ Yes, Weekly ○ Yes, Monthly ○ Yes, Every 2 weeks ○ Only during an outbreak or symptoms ○ Yes, Other: Explain in comment box
Staffing
Staffing Challenges Residential care settings were experiencing staffing shortages prior to the pandemic • COVID-19 has exacerbated these issues, particularly for facilities experiencing an outbreak Staffing shortages primarily among direct care staff, Qualified Medication Administration Personnel (QMAP), and nurses • Difficulty recruiting workers and high cost to using staffing agencies 26
ConnectToCareJobs.com ● As of 8/25/2020, there were 735 job seekers on the site, and 85 employers who had registered (an additional 82 employers had pre-registered) ● New providers are being added to the site ○ Day Programs added in late July ○ Working on respite, home care and home health ● New Colorado Specific Webpage Created ● ConnectToCareJobs Flyer Available 27
Supporting Staff PDFs Available for download HERE in “Other Resources” section
Health & Wellness / Equity 29
Health and Well-being ⮚ Goal to develop strategies to address physical, mental, and cognitive health of residents and staff while continuing to assure their safety ⮚ Examples of concerns that we'd like to address: ▪ Isolation among residents ▪ Staff burnout and stress ▪ Indoor & Outdoor visitation ▪ Communal dining ▪ Evidence-based best practices in science, ie. Vitamin D 30
Health Equity ● Long-standing systemic health and social inequities have put many people from racial and ethnic minority groups at increased risk of getting sick and dying from COVID-19 ● Factors that contribute to increased risk: ○ Discrimination ○ Healthcare Access & Utilization ○ Occupation ○ Educational, Income, and Wealth Gaps ○ Housing ● The Residential Care Strike Team is elevating this issue as a priority for work moving forward ○ First action will be to disseminate an informational letter to staff about their increased risk for COVID and their employment rights 31
Strike Team Website & Contact ★ Regularly Updated FAQ ★ Guidance ★ Webinar Recordings and Materials Main Page: www.colorado.gov/cdphe/residential- care-strike-team Submit a Question to the FAQ 32
Strike Team Webinar Cross-state agency bi-weekly webinar on Friday, October 2nd, 2020 the work carried out by the COVID-19 10:30 a.m. - 11:30 a.m. MDT Residential Care Strike Team Repeating Every Other Friday During these informational webinars the Webinar Link: Strike Team will: https://cohcpf.adobeconnect.com/rlzrh ❖ Provide updates on key progress made 590rzxq/ to-date, including data metrics ❖ Share upcoming initiatives and areas of Webinar Call-in Information: focus ❖ Solicit feedback and answer questions Local: 720-279-0026 from Stakeholders Toll Free: 1-877-820-7831 Participant Code: 303146# 33
Thank You!! On behalf of the Colorado Department of Public Health and Environment and the Health Care Policy and Finance Department, we thank you and the many health care providers that have continued to provide services during this pandemic. 34
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