State COVID-19 Response for Residential Care Settings Strike Team - - PowerPoint PPT Presentation

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State COVID-19 Response for Residential Care Settings Strike Team - - PowerPoint PPT Presentation

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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

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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

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  • Case and Outbreak Data
  • Key Strategies Overview & Updates
  • Discussion

Agenda

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Residential Care Strike Team Strategy

Enforcement & Education Testing for Disease Presence Cohorting & Facility Isolation Staffing Situational Awareness Health & Wellbeing / Equity

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Case & Outbreak Data

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+1 +34

  • 24

+3

  • 1

+22

  • 3

+0

Since 9/1/2020

Net +10 Net +2 Net +19

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Enforcement & Education Cohorting & Facility Isolation

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Indoor Visitation Guidance Resource

https://docs.google.com/docum ent/d/1a72QTd2QYx34ETddy DXeQ620p7ayd8dvJI7eUZqDs Cc/edit

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“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

Indoor Visitation

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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

Outdoor Visitation

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Communal Dining & Activities

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Communal Dining & Activities

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Communal Dining & Activities

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Testing For Disease Presence

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  • 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

Importance of Testing

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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

Testing Support

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RESIDENTIAL CARE TESTING SINCE JUNE 1ST

Data as of 9/14/20

52% of residents and 44%of staff

have been provided access to testing by the State at least once

Total Facilities Total Tests Total Positive Cases State Lab

174 220,309

(test kits distributed)

321

On the Ground

63 6,714*

(people tested)

CSU

32 23,532

(people tested)

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Total

269 250,555

(tests)

384

^ Outreach made by the State Lab only * Data delayed

NEW FACILITY OUTREACH^

Outreach Since

  • Aug. 13, 2020:

114 Facilities Ordered Supplies Since Outreach: 11 Facilities

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52% of residents and 44%of staff

have been provided access to testing by the State at least once

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% of Facility Type provided Access to testing by State at least once

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Situational Awareness

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EM Resource Testing Data

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EM Resource Testing Data

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EM Resource

TRACKING:

  • Bed Capacity

○ COVID + and Non- COVID

  • PPE
  • Staffing Needs
  • Testing Status

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  • 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

EM Resource Questions

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Staffing

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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

Staffing Challenges

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  • 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

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ConnectToCareJobs.com

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Supporting Staff

PDFs Available for download HERE in “Other Resources” section

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Health & Wellness / Equity

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⮚ 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

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Health and Well-being

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  • 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

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Health Equity

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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

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Strike Team Webinar

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Cross-state agency bi-weekly webinar on the work carried out by the COVID-19 Residential Care Strike Team During these informational webinars the Strike Team will: ❖ Provide updates on key progress made to-date, including data metrics ❖ Share upcoming initiatives and areas of focus ❖ Solicit feedback and answer questions from Stakeholders

Friday, October 2nd, 2020 10:30 a.m. - 11:30 a.m. MDT Repeating Every Other Friday Webinar Link: https://cohcpf.adobeconnect.com/rlzrh 590rzxq/ Webinar Call-in Information: Local: 720-279-0026 Toll Free: 1-877-820-7831 Participant Code: 303146#

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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.

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