• RotatingBanner_COVID_Update
  • RotatingBanner_EMResource
  • RotatingBanner_PriceGouging

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.


Latest Updates:



Government Action

Government Action




Waivers

Waivers


MHA created a compendium of licensure waivers for nurses, physicians and pharmacists. To view COVID-19 waivers and flexibilities by provider type, visit the CMS website.


Clinical Guidance

Clinical Guidance


FAQs




Infection Control Resources



Please note regarding the use of homemade masks: While they 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 is providing the attached instructions on how to make homemade masks as a service to our member hospitals for their use.

 



LTCF and Nursing Home Guidance



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.



Resources for Emergency Medical Services

Resources for Emergency Medical Services



Other Guidance or Standards

Other Guidance or Standards



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
  • Complimentary Webinar: Disaster, Emergency And Temporary Privileges
    • 1 p.m. Tuesday, April 7, registration required
  • CDC: COVID-19 Update for Rural Health Partners
  • 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.


Webinar Recordings

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


  • 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


Cancelled or Rescheduled MHI Events

MHA Health Institute In-Person Events


The MHA Health Institute has canceled March in-person events, including the following.


Hospital Operations

Hospital Operations


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


 

MHA Guidance Documents




Resources

Resources




PR & Media Updates

PR & Media Updates


MHA Contact


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


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


*For customizable hospital signage, see the PR & Media tab.
Testing, Evaluation & Treatment

Testing, Evaluation & Treatment


FAQs




Identification and Testing


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.



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