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Coronavirus Disease 2019 (COVID-19)

The resources on this page are continuously updated to reflect the most recent state and federal guidance, as well as Missouri-specific resources.

National and Missouri-specific maps highlight the number of COVID-19 cases.

Situational Awareness Dashboard

Latest Updates:

ROAD TO REOPENING

ROAD TO REOPENING


MHA Contacts


  • Leslie Porth | Senior Vice President of Strategic Quality Initiatives | 573-893-3700, ext. 1305
  • Jackie Gatz | Vice President of Safety and Preparedness | 573-893-3700, ext. 1330


Resuming Operations Guidance




Government Action

Government Action



State




Federal


Advocacy Updates

Advocacy Updates


MHA Contact


  • Daniel Landon | Senior Vice President of Governmental Relations | 573-893-3700, ext. 1349


MHA Action




Congressional Action




Clinical Guidance

Clinical Guidance


MHA Contacts


  • Alison Williams | Vice President of Clinical Quality Improvement | 573-893-3700, ext. 1326
  • Keri Barclay | Manager of Clinical Preparedness | 573-893-3700, ext. 1407
  • Jessica Stultz | Director of Clinical Quality | 573-893-3700, ext. 1391


FAQs




Infection Control Resources




LTCF and Nursing Home Guidance




End-of-Life and Palliative Care Resources




Behavioral Health




COVID-19 Playbook

COVID-19 Playbook


MHA would like to thank the Mercy Hospital System for the alternate specimen collection site playbook, which is linked below. This document is provided as a draft to allow our hospital partners to update/revise these documents to meet your needs. During these times, there are frequent revisions & recommendations provided to us as the COVID-19 situation evolves. We caution you to be mindful of those frequent updates as current knowledge and clinical standards evolve.



Treating Pregnant Women or Children

Resources for Pregnant Women and Children



Resources for Emergency Medical Services

Resources for Emergency Medical Services



Education

Education


Upcoming Calls/Education


  • MHA: COVID-19 Member Update
    • Every Wednesday at 3 p.m.
    Call-in number: 1-888-585-9008 | Conference room: 890-126-497
    Note: Use the same call-in information for each call.

  • Show-Me ECHO: COVID-19
    • 12 – 1 p.m. every Monday
  • COVID-19 Ag Task Force Response
    • 11 a.m. every Thursday through May
  • NASEM: Testing/Cohorting to Minimize Risk of COVID19 Transmission in Nursing Homes
  • ONDCP: The Federal Response to COVID-19: Supporting Care for Substance Use Disorder in Rural America
  • AHA: Telehealth: Teams Transform Health Care
  • Allevant Solutions and NRHA is offering a five-part webinar series to help CAHs prepare for additional patients, and reduce provider stress and burnout. Register by emailing info@allevant.com.


On-Demand Education

Recordings for CMS National Stakeholder Calls


CMS has been hosting regular calls to keep stakeholders updated on COVID-19 efforts. Recordings and transcripts from the calls are available online.

Past Webinars


  • CDC: Mini Webinar Series for Long-Term Care Staff
  • AHA: TeamSTEPPS for the COVID-19 Crisis Video Series
  • CDC: Factors to Consider when Planning to Purchase Respirators from Another Country, Including KN95 Respirators from China — Recording
  • Batelle: Critical Care Decontamination System (April 21, 2020) — Recording | PowerPoint
  • SPRC: Treating Suicidal Patients During COVID-19: Best Practices and Telehealth — Recording & PowerPoint
  • Understanding Telehealth Updates for COVID-19 (April, 13, 2020) — Recording
  • WAPC: COVID-19 and Inpatient Perinatal Care in Rural Settings – Part 1 (April 9, 2020) — Recording | PowerPoint
  • ACOEM: COVID-19 Protecting Health Care Workers: Reuse and Decontamination of N95 Respirators (April 3, 2020) — Recording
  • CDC COCA: Optimization Strategies for Health Care PPE (March 25, 2020) — Recording & Slides
  • COVID-19 Show-Me ECHO (March 23, 2020) — Recording
  • TJC: Preparing Behavioral Health Organizations for Coronavirus (March 20, 2020) — Recording
  • Nebraska Medicine: Region VII DHRE Webinar – Let's Get Prepared for COVID-19 (Feb. 27, 2020) — PowerPoint & Recording
  • DHSS and MHA: COVID-2019 (Feb. 19, 2020) — Recording
    • *Correction: We were incorrect in stating that 1,700 of the decedents were Chinese health care workers. In actuality, there are 1,700 health care workers who have contracted COVID-19.
  • CDC COCA: Outbreak of 2019 Novel Coronavirus — Interim Guidance for Clinicians (Jan. 31, 2020) — Recording
  • DHSS and MHA: 2019 Novel Coronavirus (Jan. 30, 2020) — Recording


Educational Resources




Cancelled or Rescheduled MHI Events
Hospital Operations

Hospital Operations


MHA Contacts


  • Leslie Porth | Senior Vice President of Strategic Quality Initiatives | 573-893-3700, ext. 1305
  • Jackie Gatz | Vice President of Safety and Preparedness | 573-893-3700, ext. 1330


COVID-19 Data




Hospital Preparedness Resources




Telehealth Guidance




Other Guidance or Standards




Financial Resources

Financial Resources




Tracking COVID-19 Expenses


Federal funding may become available for COVID-19-related expenses through the Federal Emergency Management Agency. Hospitals that wish to apply for these funds will be well-served to ensure that those expenses are appropriately documented per FEMA standards.

As a best practice, some hospitals are setting up COVID-19 Response Cost Centers. This ensures that hospitals have expenses tracked and sufficiently documented. Hospitals are reporting that they are electronically assigning staff time and wages, supplies and equipment purchases used to treat patients. Such practices help quickly assess the cost of COVID-19 and substantiate future possible reimbursement opportunities.

The following Hospital Incident Command System forms may be helpful in identifying and recording expenses.



Legal & Regulatory

Legal & Regulatory Updates


MHA Contacts


  • Jane Drummond | General Counsel and Vice President of Legal Affairs | 573-893-3700, ext. 1328
  • Sarah Willson | Vice President of Clinical and Regulatory Affairs | 573-893-3700, ext. 1304



Regulatory and Compliance COVID-19 Response


MHA holds a weekly regulatory and compliance call with member hospitals to provide updates on pertinent issues and obtain feedback on emerging issues, waivers and other regulatory needs. The calls are recorded.





MHA Guidance Documents




Resources

Resources




PPE and Supply

PPE and Supply


MHA Contacts


  • Stacie Hollis | Manager of Emergency Preparedness/Coalition Administrative Liaison | 573-893-3700, ext. 1321
  • Jessica Stultz | Director of Clinical Quality | 573-893-3700, ext. 1391


Personal Protective Equipment Guidance




Resources




Homemade Masks


While homemade masks are defined as an alternate strategy, this strategy only is for when facemasks are not available. Homemade masks are not considered PPE since their capability to protect HCP is unknown. Caution should be exercised when considering this option.

Information on how manufacturers can partner with hospitals are available on the American Hospital Association’s 100 Million Mask Challenge website. MHA released instructions on how to make homemade masks as a service to our member hospitals for their use.
PR & Media Updates

PR & Media Updates


MHA Contact


  • Dave Dillon | Vice President of Public and Media Relations | 573-893-3700, ext. 1311


Road to Reopening

Road to Reopening Communications Digital Toolkit


As Missouri hospitals prepare to reopen following the COVID-19 emergency, MHA has created a variety of communications resources using the theme "Missouri Hospitals: Ready For You." Along with facilitating a statewide campaign comprised of digital billboards, social media and digital advertising to help assure the public that Missouri's hospitals are prepared, safe and ready to care, we’ve also created digital assets that hospitals can co-brand, as well as talking points and Missouri hospital statistics.

Protect a Hero Toolkit

Protect a Hero Digital Toolkit


To support front-line health care staff and encourage social distancing, MHA produced a Protect A Hero digital toolkit for hospital use. Using the message, “Protect a Hero. Be a Hero. Stay Home,” the toolkit includes graphics sized for email and web, as well as two options for a Facebook photo overlay.

To add a frame to your Facebook picture, go to your profile, tap “Update” on your profile picture, then tap “Add Frame.” Search for “MHA: Protect a Hero” to see two overlay options.


MHA Resources



COVID-19 Flyers











Resources




Rural

Rural


MHA Contact


  • Dana Dahl | Vice President of Membership Services | 573-893-3700, ext. 1314


Rural Map


View an animated map that shows the progression of confirmed COVID-19 cases throughout U.S. metropolitan and nonmetropolitan counties.


Resources



Sample Policies & Forms

Sample Policies


MHA Policy Templates




Transitional Care Resources


MHA, Leading Age Missouri, Missouri Health Care Association and the Department of Health and Senior Services, have collaborated to develop the following tools to be used when transferring patients from one care facility to another. Using guidance from the CDC and CMS, these forms capture pertinent information related to a patient’s COVID-19 status to expedite transfers, keep health care staff safe and informed, and reduce inappropriate testing requests prior to acceptance.


These tools should be:
  • completed by the health care team with the signature of the provider overseeing care
  • provided to the facility as part of the inquiry for discharge placement
  • used regardless of COVID-19 diagnosis while in the hospital
  • provided to EMS

DHSS can provide direction if a facility is refusing to take back a patient after transferring that patient to the hospital; however, DHSS cannot require a facility to accept new admissions. A facility may refuse new admissions for a variety of reasons, including an internal event or upon direction from the department. Hospitals can contact Shelly Williamson, shelly.williamson@health.mo.gov, or Tracy Niekamp, Tracy.Niekamp@health.mo.gov, with concerns related to a specific facility, or call 573-526-8524.

Visitor & Volunteer Sample Policies

Testing, Reporting & Treatment

Testing, Reporting & Treatment


MHA Contact


  • Terrie Bauer | Vice President of Process Improvement | 573-893-3700, ext. 1421


MHA Updates




Identification, Testing and Reporting


Effective March 25, hospital CEOs will receive a notification from AHA requesting a daily count of COVID-19 tests performed and positive results. It important to note that only hospitals who are performing these tests within their internal lab departments must report this data.



Treatment


There is no specific antiviral treatment recommended for COVID-19 infection. Individuals infected with COVID-19 should receive supportive care to help relieve symptoms. For severe cases, treatment should include care to support vital organ functions.



Reporting Deaths


MHA has fielded various questions surrounding reporting COVID-19-related deaths. It is up to the medical provider’s discretion to determine the cause of death. If the medical provider does consider the death to be associated with COVID-19, then the death is to be promptly reported to the Missouri Department of Health and Senior Services.



Other Guidance or Standards

Other Guidance or Standards


  • MO HealthNet will begin accepting claims for COVID-19 testing April 1 for services delivered on or after February 4


Workforce

Workforce Updates


MHA Contact


  • Jill Williams | Vice President of Workforce Initiatives | 573-893-3700, ext. 1395


Resources




Guidance