• DESE: COVID-19: Contact Tracing in Schools | Algorithms (August 7, 2020)
• CMS: Hospital Visitation – Phase II Visitation for Patients who are COVID-19 Negative (June 26, 2020)
• ASPR TRACIE: Healthcare System Considerations for Resumption of Services during COVID-19
• CDC: COVID-19 Pathways to Recovery (June 11, 2020)
• CMS: Recommendations for Re-opening Facilities to Provide Nonemergent Non-COVID-19 Healthcare (June 8, 2020)
• CMS: Guide for Patients To Resume In-person Health Care
• CDC: Support for States, Tribes, Localities and Territories
• CMS: Nursing Home Reopening Recommendations for State and Local Officials | FAQs (May 18, 2020)
• AHA: COVID-19 Pathways to Recovery: Considerations and Resources to Guide Hospital and Health Systems (May 2020)
• ACS, ASA, AORN, AHA: Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic (April 17, 2020)

• Gov. Parson: Gov. Parson and FEMA Announce Eight Week Effort to Expand Vaccinations in St. Louis Area (March 29, 2021)
• Gov. Parson: Gov. Parson Extends State Of Emergency And Waivers (March 26, 2021)

• HHS: HHS Announces the Availability of $25.5 Billion in COVID-19 Provider Funding | MHA Issue Brief (Sept. 10, 2021)
• Dept. of Treasury: U.S. Department Of Treasury Releases Details About ARPA State And Local Fiscal Recovery Funds | Fact Sheet (May 10, 2021)

NOTICE: On Dec. 31, 2021, all state waivers listed in the waiver spreadsheet expired with the exception of six waivers hospitals had to specifically request from the Missouri Department of Health and Senior Services before 5 p.m. Dec. 31. There may be changes to current regulation through the rulemaking process or legislative process moving forward. Those will be communicated by MHA through our normal communication processes. The federal waivers remain in effect until the end of the HHS Public Health Emergency or otherwise changed.

MHA developed a spreadsheet to track issues and pending waivers of state and federal regulatory requirements of interest to hospitals. The document will be updated regularly as additional waivers are requested or granted.

VIEW THE waivers SPREADSHEET

Also available is a compendium of licensure waivers for nurses, physicians and pharmacists, as well as a CMS resource that lists waivers and flexibilities by provider type.

• Hospitals Waivers and Variances (November 2022)
• CMS: Quick Reference Guide: Submit an 1135 Waiver/Flexibility Request
• CMS: New Platform for Submissions of 1135 Waiver Requests and Inquiries – Go Live (Jan. 11, 2021)
• CMS: COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers (May 15, 2020)
• CMS: COVID-19 Emergency Declaration Health Care Providers Fact Sheet (March 13, 2020)

MHA developed guidance for hospitals to develop waiver requests specific to their unique needs.

• MHA: Issue Brief: Senate Approves the “American Rescue Plan Act of 2021” (March 9, 2021)

• Project Firstline: COVID-19 Environment Of Care Optimization Resources
• JTS: Clinical Practice Guidelines
• CDC: Clinical Care Information for COVID-19
• FDA: Drug Shortages
• NIH: COVID-19 Disease Treatment Guidelines
• NIH: Therapeutic Management of Nonhospitalized Adults with COVID-19
• CDC: Discontinuation of Isolation for Persons with COVID-19 (Sept 14, 2021)
• AHA: Addressing Emotions on the Front Lines (May 2020)
• AHA: Proactive Conversations that Support Providers and Patients (April 2020)
• AHA: Caring with Limited Resources During COVID-19 (Jan 8, 2021)
• NLM: LitCovid Literature Hub
• AHA: Interim Guidance for Basic and Advanced Life Support in Adults, Children and Neonates with Suspected or Confirmed COVID-19 | eLearning Course
• SCCM: Critical Care Education and Resources for the Non-ICU Clinician
• Example Algorithms for COVID-19 Clinical Care:

• • COVID-19 Triage Worksheet
  • Recommendations on the Initial Management of Hypoxic COVID-19 Patients

• HHS ASPR Tabletop Exercises:

• • Fatality Management Tabletop Exercise Situational Manual and PowerPoint
  • Pandemic Contagion Private Sector Tabletop Exercise Materials

• SAMHSA: Substance Abuse and Mental Health Services Administration Repository of Resources and Information Related to COVID-19
• UW Medicine: COVID-19 Ambulatory Practice Resource Site
• Diabetes: COVID-19 and diabetes mellitus: from pathophysiology to clinical management
• Post-Acute Sequelae of SARS CoV-2

• • Yale Medicine Fact Sheet
  • CDC: Post-COVID Conditions: Information for Healthcare Providers
  • CDC: Evaluating and Caring for Patients with Post-COVID Conditions

• MHA: You’re Not Alone — Confronting COVID-19 And The Holidays (Dec. 21, 2020)
• AHA: Stress and Coping Resources
• KFF: The Implications of COVID-19 for Mental Health and Substance Use (April 21, 2020)
• AACN: Facing Moral Distress During the COVID-19 Crisis (April 8, 2020)
• AACN: COVID-19: How Nurse Managers Can Mitigate Nurse PTSD (April 3, 2020)
• Mental Health Academy: Resources for Mental Health Providers and Front-line Workers Assisting with the Global COVID-19 Crisis

Education

• Mental Health Academy: Resources for Mental Health Providers and Front-line Workers Assisting with the Global COVID-19 Crisis
• TJC: Preparing Behavioral Health Organizations for Coronavirus (March 20, 2020) — Recording

• MHA: Grief and Bereavement Resource Repository
• Respecting Choices: Planning and Support Resources for COVID-19
• Center to Advance Palliative Care: COVID-19 Toolkit
• VitalTalk: Practical Advice for Clinicians for Having Difficult Conversations About COVID-19

• CDC: Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination (Sept 2021)
• APIC: COVID-19 Factsheets
• CDC: Scientific Brief: Community Use of Masks to Control the Spread of SARS-CoV-2 (Dec 2021)
• CDC: Reduce Risk from Surfaces — A Key Component of Environmental Cleaning
• CDC: Infection Control Guidance for Healthcare Professionals about Coronavirus (Nov. 4, 2020)
• CDC: How COVID-19 Spreads
• FDA: FDA updates on hand sanitizers consumers should not use (Oct 2021)
• SEAN: Encouraging Adoption of Protective Behaviors to Mitigate The Spread of COVID-19: Strategies for Behavior Change
• CDC: Public Health Recommendations for Community Mitigation (March 30, 2020)
• CDC: Health Care Respiratory Protection Resources

LTCF Dashboard

• DHSS: COVID-19 Long-Term Care Bed Availability Portal | FAQs (Nov. 24, 2020)

Guidance

• CMS: Nursing Home Resource Center
• Coronavirus Commission: Coronavirus Commission on Safety and Quality in Nursing Homes | CMS Response (September 2020)
• CMS: Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes (May 2020)
• NJHA: COVID-19 Toolkit of Resources for Long Term Care Facilities (April 10, 2020)

Education

• CMS: Quality, Safety & Education Portal
• CMS: Targeted COVID-19 Training for Nursing Home Instruction
• CMS-CDC: CMS-CDC Fundamentals of COVID-19 Prevention for Nursing Home Management
• CDC: Mini Webinar Series – COVID-19 Prevention Training for Long-Term Care Staff
• CDC: Mini Webinar Series for Long-Term Care Staff
  • • Sparkling Surfaces
    • Clean Hands
    • Closely Monitor Residents
    • Keep COVID-19 Out!
    • PPE Lessons

• CDC and Obstetrics
  • The Pregnancy Data landing page for the Data Tracker (similar to the Pediatric Data page) went live 11/4. This page highlights data available across COVID Data Tracker that include information on pregnant people or people who may become pregnant in the United States.
  • Vaccine Data Section added a chart to the Vaccination Demographics Trends page presenting women by age.
  • ACOG has new patient resources on mental health during pregnancy and other relevant topics – Resources for You | ACOG
• ACOG: COVID-19 Vaccination Considerations for Obstetric–Gynecologic Care (7/30/21)
  • Conversation Guide for Clinicians
• March of Dimes and MHA: What We Know About Covid-19 in Pregnancy & Vaccine Safety: Update For Missouri Recording | PowerPoint | Handout: Do I Get the COVID-19 Vaccine If I Am Pregnant?
• CDC: Birth and Infant Outcomes Following Laboratory-Confirmed SARS-CoV-2 Infection in Pregnancy (Nov. 6, 2020)
• CDC: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status (Nov. 6, 2020)
• AAP: Interim Guidance on Children’s Emotional and Behavioral Health During the COVID-19 Pandemic; Child Care Interim Guidance is Updated (Oct. 26, 2020)
• CDC: COVID-19–Associated Multisystem Inflammatory Syndrome in Children (Aug. 7, 2020)
• AAP: Management of Infants Born to Mothers with Suspected or Confirmed COVID-19 (July 22, 2020)
• AHA: Maternal and Child Health During COVID-19 (July 2020)
• CDC: If You Are Pregnant, Breastfeeding, or Caring for Young Children (June 25, 2020)
• CDC | DHSS: MIS-C Case Report Forms Available
• CDC: Evaluation and Management Considerations for Neonates at Risk for COVID-19
• CDC | DHSS: Immediate Reporting Required for Multisystem Inflammatory Syndrome in Children
• American Journal of Perinatology: General Guidelines in the Management of an Obstetrical Patient on the Labor and Delivery Unit during the COVID-19 Pandemic
• CDC: Interim Guidance to Prevent Mother-to-Child Transmission of Hepatitis B Virus During COVID-19-related Disruptions in Routine Preventive Services
• SMFM: COVID-19 and Pregnancy: What Maternal-Fetal Medicine Subspecialists Need to Know (April 11, 2020)
• SMFM: Changes in Pregnancy and Maternity Care Advice for Women and Their Families (April 8, 2020)
• UCSF: PRIORITY: Pregnancy Coronavirus Outcomes Registry
• CMQCC: COVID-19 Resources for Maternal and Infant Health
• CMQCC Webinar: Preparing your Maternal and Neonatal Units to Respond to COVID-19 (March 24, 2020)
• Management of Obstetric COVID-19 Cases in the Operating Room (March 22, 2020)
• AJOG: Maternal-Fetal Medicine Guidance for COVID-19 (March 19, 2020)
• ACOG and SMFM: Outpatient Assessment and Management for Pregnant Women With Suspected or Confirmed COVID-19 (March 2020)

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.

• COVID-19 Test Collection Center: Implementation & Operational Playbook
• Need to Know: East COVID-19 Clinical Line & Testing Center
• COVID-19 Testing Need to Know
• COVID-19 Post-Test Instructions
• COVID-19 Testing Center Workflow
• Orientation & Competency Validation — COVID Testing Center

Missouri hospitals must report COVID-19 data on bed capacity, utilization, personal protective equipment and in-house laboratory testing to the HHS TeleTracking portal daily by 4 p.m., including weekends.

• HHS: COVID-19 Guidance for Hospital Reporting and FAQs For Hospitals, Hospital Laboratory, and Acute Care Facility Data Reporting (January 6, 2022)
• MHA: Data Submission to TeleTracking Fact Sheet (Sept. 2, 2020)
• COVID-19 Guidance for Hospital Reporting and FAQs for Hospitals, Hospital Laboratory and Acute Care Facility Data Reporting
• HHS Memo: Hospital Administrator Guidance
• Recording: July 15 MHA Member Call
• Recording: July 22 MHA Member Call

COVID-19 Data Insights

• Age Drift in Positive COVID-19 Testing Moves Toward Younger Missourians (June 26, 2020)

The Disproportionate Impact of COVID-19 on Black and African American Communities in the St. Louis Region

While age and the presence of comorbid conditions are significant predictors of morbidity and mortality among individuals contracting the COVID-19 virus, race is emerging as a critical risk factor as the number of cases and available data continue to expand.

Research — published by MHA and other key stakeholders — on the influence of COVID-19 among St. Louis-area communities finds the region’s Black and African American residents have been especially hard hit by the crisis. The report concludes with recommendations for future research and action steps that enable prevention, mitigation and healing.

READ THE REPORT

• Show-Me ECHO: COVID-19
  • 12 – 1 p.m. every Monday
• Suicide Prevention in Health Care ECHO
  • 12 – 1 p.m. every first and third Friday

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

• MHA: COVID-19 Lessons Learned from Missouri Hospitals
• ASPR TRACIE: Crisis Standards of Care and COVID-19: What’s Working and What Isn’t — PowerPoint | Recording
• AHA: TeamSTEPPS for the COVID-19 Crisis Video Series

• COVID-19: When Care Needs Exceed Hospital Scope
• COVID-19: Expanding Hospital Capacity Toolkit
• FAQs: COVID-19 and Use of Telemedicine Services

MHA Resources

• COVID-19 Vaccine Administration Finance Reference Sheet
• The Financial Toll of COVID-19 on Missouri Hospitals
• COVID-19 and Missouri Hospital Finances
• Advocacy and Policy Developments to Provide Financial Assistance to Hospitals

Resources

• WPS: Billing VEKLURY™ (Remdesivir) Antiviral Medication in Outpatient Settings (Jan. 13, 22)
• CMS: Biden-Harris Administration Requires Insurance Companies and Group Health Plans to Cover the Cost of At-Home COVID-19 Tests, Increasing Access to Free Tests (Jan. 10, 2022)
• ARPA Rural Relief and CARES Act Phase 4 Information
• HHS: HHS Issues Revised Notice of Reporting Requirements and Reporting Timeline for Recipients of Provider Relief Fund Payments (June 11, 2021)
• HHS: HHS Launches New Reimbursement Program for COVID-19 Vaccine Administration Fees not Covered by Insurance (May 3, 2021)
• CRS: Medicare Accelerated and Advance Payments and COVID-19: Frequently Asked Questions (April 8, 2021)
• FEMA: FEMA Offers COVID-19 Funeral Assistance
• DHSS: Missouri’s Rural Hospitals Eligible for CARES Act Relief Funds (March 16, 2021)
• FEMA: Coronavirus Pandemic: Medical Care Eligible for Public Assistance (March 15, 2021)
• SBA: Paycheck Protection Program Loans FAQs | First Draw | Second Draw (March 12, 2021)
• CRS: COVID-19 Vaccine: Financing for its Administration (Feb. 19, 2021)
• CMS: FAQs For Billing Medicare FFS (Updated Dec. 8, 2020)
• CMS: Coverage of Monoclonal Antibody Products to Treat COVID-19 (December 2020)
• SEMA: Public Assistance Program
• HHS: CARES Act Provider Relief Fund FAQs | MHA Version
• HHS: Providers May Use Remaining PRF Funds To Cover Lost Revenue (Oct. 22, 2020)
• AICPA: Summary of Uniform Guidance Applicability for New COVID-19-Related Federal Programs | PYA Insights (July 28, 2020)
• HRSA: Provider Relief Fund: Medicaid and CHIP Provider Distribution Fact Sheet
• DOL, HHS, DOT: FAQs About FFCRA and CARES Act Implementation Part 43 (June 23, 2020)
• CMS: Fact Sheet For Services Provided At Alternative Care Sites
• HRSA: COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing and Treatment of the Uninsured (April 28, 2020)
• HHS: HHS Launches COVID-19 Uninsured Program Portal (April 27, 2020)
• Independent Sector: CARES Act: How to Apply for Nonprofit Relief Funds
• CMS: MLN Connects Special Edition on COVID-19 payment and policy guidance (April 7, 2020)
• Missouri Foundation for Health: COVID-19 Updates and Federal Funding Information (April 1, 2020)
• FEMA: COVID-19 Pandemic: Eligible Emergency Protective Measures (March 19, 2020)

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.

• Compensation Claims Unit Leader
• Cost Unit Leader
• Finance Administration Chief
• HICS.207-Hospital Incident Managment Team
• HICS 214-Activity Log
• HICS 252-Section Personnel Time Sheet
• HICS 253-Volunteer Registration
• HICS 256-Procurement Summary Report
• HICS 257-Resource Accounting Record
• Procurement Unit Leader
• Time Unit Leader

• ASPR TRACIE: Hospital Operations Toolkit for COVID-19
• ASHE: Life Safety/Staff Safety Tips
• CDC: COVID-19 Surge Calculator
• CISA: Resources and assistance to combat cyber threats related to COVID-19
• FEMA: Coronavirus Emergency Management Best Practices
• FEMA Healthcare Resilience Task Force: COVID-19 Hospital Resource Package
• ASPR TRACIE: COVID-19 Resources for Health Care Planning
• H-ISAC, RiskRecon: Free Cybersecurity Assessments Through Dec. 31
• CDC: Implementation of Mitigation Strategies for Communities with Local COVID-19 Transmission
• CDC: Comprehensive Hospital Preparedness Checklist for COVID-19

• CMS: Trump Administration Drives Telehealth Services in Medicaid and Medicare | List of Telehealth Services (Oct. 14, 2020)
• CRS: Medicaid Telehealth Policies in Response to COVID-19 (Oct. 9, 2020)
• CMS: Services Delivered via Telehealth Among Medicaid & CHIP Beneficiaries During COVID-19
• HHS: Medicare Beneficiary Use of Telehealth Visits: Early Data from the State of the COVID-19 Pandemic (July 28, 2020)
• HHS: HHS Awards $15 Million to Support Telehealth Providers During the COVID-19 Pandemic (May 13, 2020)
• CMS: Medicare Coverage and Payment of Virtual Services (May 8, 2020)
• AHRQ: How to Obtain Consent for Telehealth | Sample Telehealth Consent Form
• DHS, CISA: Telework Guidance and Resources
• HHS: HHS Awards $20 Million to Combat COVID-19 Pandemic through Telehealth (April 30, 2020)
• AHA, NQF: Redesigning Care: A How-to Guide for Hospitals and Health Systems Seeking to Implement, Strengthen and Sustain Telebehavioral Health
• CMS: State Medicaid & CHIP Telehealth Toolkit: Policy Considerations for States Expanding Use of Telehealth
• MTN and MOREnet: Complimentary Zoom licenses to local public health agencies, RHCs, FQHCs and CAHs
• CMS: FAQs on Telehealth and HIPAA During COVID-19 (March 23, 2020)
• CMS: End-Stage Renal Disease Provider Telehealth and Telemedicine Toolkit (March 23, 2020)
• National Consortium of Telehealth Resources Centers: COVID-19 Telehealth Toolkit (March 18, 2020)
• CMS: General Provider Telehealth and Telemedicine Toolkit

Education

• SPRC: Treating Suicidal Patients During COVID-19: Best Practices and Telehealth — Recording & PowerPoint
• Understanding Telehealth Updates for COVID-19 (April, 13, 2020) — Recording

• AARC: Guidance Demonstrates COVID-19 Impact On Hospital Gas Systems
• FEMA: HHS Letter to Hospital Administrators (April 10, 2020)
• Missouri DHSS: 1135 Waiver Implementation For Pre-Admission Screening And Resident Review (April 2, 2020)
• OSHA: COVID-19 Standards

• ASPR TRACIE: Speaker Series: Healthcare Operations During the COVID-19 Pandemic (October 2020)

• Masking and Screening of Staff and Visitors (Feb. 17, 2022)
• Survey, State Licensure Variance, Vaccine Mandate and Visitation (Feb. 17, 2022)
• When Care Needs Exceed Hospital Scope (Jan. 13, 2022)
• Mandatory COVID-19 Vaccination Policy Template
• What You Should Know About COVID-19 and the ADA, the Rehabilitation Act, and Other EEO Laws (March 1, 2022)
• Staffing Rates and the Law on Price Gouging (Dec. 18, 2020)
• COVID-19 and Your Workforce (March 2020)

• EEOC: What You Should Know About COVID-19 and the ADA, the Rehabilitation Act, and Other EEO Laws (May 28, 2021)
• OIG: FAQs – Application of OIG’s Administrative Enforcement Authorities to Arrangements Directly Connected to COVID-19 (May 14, 2020)
• CMS: FAQs for Hospitals and CAHs Regarding EMTALA
• SAMHSA: COVID-19 Public Health Emergency Response and 42 CFR Part 2 Guidance
• Office for Civil Rights, U.S. DHSS BULLETIN: HIPAA Privacy and Novel Coronavirus (February 2020)

MHA continues to send updated guidance memos to hospitals through MHA Today. Additionally, CMS policy memos are available online.*

*To see the most current memos, click the posting date column header twice.

• CDC: Strategies for Optimizing the Supply of PPE
• CDC: Strategies for Optimizing the Supply of N95 Respirators

• FDA: Safely Disposing of Home-Generated Used Sharps
• NETEC: Guide MY PPE Tool
• DHSS: Online Ventilator Request Information (Dec. 13, 2021)
  • Allocation Evaluation Process
  • Criteria for Allocation of Mechanical Ventilators
  • Management, Training and Deployment Plan

COVID-19 Testing Digital Toolkit

To assist hospitals in communicating about available COVID-19 testing sites and provide guidance on the appropriate care settings for those with COVID-19 symptoms, MHA developed a set of graphics. They are available for download and can be used in social media or other communications applications.

ACCESS THE TESTING TOOLKIT

COVID-19 & Delayed Care Digital Toolkit

Throughout the COVID-19 pandemic, health screenings and preventive procedures for cancer, heart disease, diabetes, well-child visits, substance use disorder and mental health dropped precipitously. To demonstrate the negative impact of delaying life-saving screenings and encourage Missourians to get their preventive health care back on track, MHA is launching a “COVID-19 and Delayed Care” digital campaign, which includes infographics and social media graphics.

Access the delayed care toolkit

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.

Access the reopening 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.

Access the hero toolkit

Mask Up Missouri

To reduce the spread of COVID-19 and maintain the progress in reopening, a coalition of stakeholders are promoting “Mask Up Missouri” to educate Missourians on the benefits of mask wearing. The group released a printable poster and social images that individuals, organizations and businesses can use to promote the wearing of masks in public. A Spanish version of the poster also is available.

Access the mask up resources

Student Superheroes

MHA, the Missouri Department of Elementary and Secondary Education, and the Missouri School Boards’ Association released a poster and social images reminding students that they can use their own powers to defend against the virus in their schools and communities. Spanish versions of these resources also are available.

access the student resources

Social Images

• Masks are still required in most medical facilities. 

Visitor Reintroduction Signage

To support hospitals during reopening, MHA created resources to support transitioning visitor policies, including visual tools.

Access the resources

Customizable Signage

MHA produced a series of customizable signage and flyers related to COVID-19, including when patients should contact their health care provider, visitor restrictions and policies, closed entrances, effective handwashing, and infection prevention techniques.

access the signage

Infographics

• COVID-19 & Adolescent Mental Health
• Rural Road to Recovery
• You’re Not Alone — Confronting COVID-19 And The Holidays

Messaging

• COVID-19 Testing Site Graphics
• Sample social messages
• Talking Points: COVID-19 Preparedness and Response Activities in Missouri (March 2020)

• MOStopsCOVID: COVID-19 Vaccine Digital Toolkit
• AHA: Wear a Mask Campaign
• MFH: Missouri Pediatricians Speak Out in Statewide Vaccination Campaign to Curb Surge in Child COVID-19 Cases (Aug. 24, 2021)
• Ad Council: COVID-19 Vaccine Education
• CDC: Project Firstline
• PrepareSTL Campaign: Local Health Organizations Partner to Reach Most Vulnerable During Coronavirus Crisis
  • Website
  • Flyers
  • Poster
  • PSA
• NRHA: COVID-19 Communications Toolkit
• HHS: COVID-19 Monoclonal Antibody Therapeutics Digital Toolkit

• MHA: COVID-19 Rural Health Care Fact Sheet (Sept. 17, 2020)
• MHA: COVID-19: Rural Hospital Compendium (June 3, 2020)
• MHA: Critical Access Hospitals: Accepting COVID-19 Patient Transfers

• Missouri Rural Health Association
• National Rural Health Association COVID-19 Resources
• Rural Health Information Hub COVID-19 Resources

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

• DHSS: Missouri’s Rural Hospitals Eligible for CARES Act Relief Funds (March 16, 2021)
• FMT: Innovations and Workforce Challenges for CAHs During COVID-19 (March 2021)
• FMT: CAH Partnerships During the COVID-19 Pandemic (March 2021)
• CMS: CMS Grants Additional Waivers To Small Rural And Sole Community Hospitals (Dec. 23, 2020)
• NRHA: How health partnerships can help rural communities prep for COVID (August 21, 2020)
• CMS: Rural Crosswalk: CMS Flexibilities to Fight COVID-19 (August 2020)
• CDC: COVID-19 Response Health Equity Strategy (July 2020)
• NRHC: COVID-19 Funding Sources Impacting Rural Providers (July 2020)
• RHI Hub: Rural Health Care Surge Readiness
• NRHC: COVID-19 Collection
• CDC: Guidance and Resources for Rural Communities
• RHV: The Future of Rural Value-Based Health Care And Surge Capacity (June 9, 2020)
• ASPR TRACIE: Rural Health and COVID-19 Quick Sheet
• AHA: Rural Case Studies: Rural Hospital Interventions for Coronavirus (COVID-19)
• USDA: COVID-19 Federal Rural Resource Guide
• U.S. Department of Agriculture Rural Development: COVID-19 Response

• Infectious Disease Control Policy During An Outbreak
• Employee Communicable Diseases Policy

MHA, Leading Age Missouri, Missouri Health Care Association and the Department of Health and Senior Services, 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.

• Hospital to Facility Transfer Form | Video
• Post-Acute Care and Behavioral Health to Hospital Transfer

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.

MHA Screening and Visitors Guides

• COVID-19 Reintroduction of Visitors Guidance
• Screening of Hospital Patients and Visitors
• Screening of Hospital Staff
• COVID-19 Screening Form
• Daily COVID-19 Symptom Attestation Form

CoxHealth PFE Sample Forms and Resources

• Consent for Patient/Family Teleconference
• Consent for Patient/Family Teleconference (Own Device)
• Virtual Visitor Teleconferencing Tip Sheet

Resources

• Missouri hospitals’ volunteer/auxiliary policies in response to COVID-19 (March 16, 2020)

• • MHA: COVID-19 Testing Resources
  • COVID-19 Testing Site Graphics
  • Convalescent Plasma for COVID-19: Current Status (7/27/21)
    
  • Monoclonal Antibodies FAQs (Dec. 30, 2021)
  • COVID-19 Clinical Operations FAQs

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.

• Zest Health: Free COVID-19 Testing for Hospitals
• FDA: FDA Authorizes Expiry Extension For BinaxNOW Tests (Jan. 8, 2022)
• DHSS: Standing Order for Eli Lilly mAb Cocktail (bamlanivimab/etesevimab) Administration (Sept. 14, 2021)
• FDA: FDA Authorizes AI Armband For COVID-19 Screening (March 19, 2021)
• FDA: FDA Authorizes First Fully At-Home COVID-19 Diagnostic Test (Dec. 15, 2020)
• Regeneron: Regeneron Monoclonal Antibody Therapy Available (November 2020)
• FDA: FDA Authorizes First COVID-19 Test For Self-Testing At Home (Nov. 17, 2020)
• NASEM: Advantages and Trade-offs of COVID-19 Diagnostic Tests, National Testing Strategies Examined in New Rapid Response to Government (Nov. 9, 2020)
• DHSS: Update: Recommended Measures to Limit False Positive Results with COVID-19 Antigen Tests (Nov. 9, 2020)
• FDA: FDA Authorizes First Test that Detects Neutralizing Antibodies from Recent or Prior SARS-CoV-2 Infection (Nov. 6, 2020)
• HHS: Abbott BinaxNOW™ COVID-19 Ag Card Point of Care SARS-CoV-2 Diagnostic Test Fact Sheet
• AHA: CMS Releases Guidance for COVID-19 Reporting Requirements for Laboratories and Long-term Care Facilities (Sept. 8, 2020)
• HHS: COVID-19 Testing Plans by State and Jurisdiction
• DHSS: Electronic COVID-19 Case Reporting Memo
  • MHA: Additional Details
• CDC: How to Report COVID-19 Laboratory Data
• MHA, DHSS: State Testing Strategy Webinar (June 24, 2020) – Recording | PowerPoint
• John Hopkins University: COVID-19 Contact Tracing Course
• FDA: FAQs on Testing for SARS-CoV-2
• CDC: Overview of Testing for SARS-CoV-2
• FDA: Independent Evaluations of COVID-19 Serological Tests
• AHA: CMS Issued New Guidance for States on the Medicaid Optional Uninsured COVID-19 Testing (XXIII) Group (June 4, 2020)
• Missouri DHSS: Health Update Requires Immediate Reporting of Antigen Tests
• CDC: Interim Guidelines for COVID-19 Antibody Testing (May 23, 2020)
• Missouri DHSS: Specimen Collection Supplies Order Form
• Missouri DHSS: COVID-19 PCR Testing Update
• Missouri DHSS: COVID-19 Serological Testing Quick Facts
• FDA: Policy for COVID-19 Tests During the Public Health Emergency (Revised) | Guidance Document (May 2020)
• Missouri DHSS: Update – COVID-19 Testing Expansion and Serology Reporting (April 30, 2020)
• Missouri DHSS: Update: New Criteria to Guide Evaluation and Laboratory Testing for COVID-19 at the Missouri State Public Health Laboratory (April 22, 2020)
• Missouri DHSS: Missouri Testing Sites
• ASPR TRACIE: Training and Technical Assistance (March 16, 2020)

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.

• FDA: FDA Authorizes Revisions to Evusheld Dosing
• HHS: COVID-19 Outpatient Therapeutics Decision Guide
• FDA: Fact Sheet for EUA for Evusheld
• DHSS: Monoclonal Antibody Infusion Website And Map
• FDA: EUA For Bamlanivimab And Etesevimab Administered Together (Aug. 27, 2021)
• FDA: FDA Revokes EUA For Bamlanivimab Administered Alone (April 16, 2021)
• DHSS: Updated Guidelines for the Anti-SARS-CoV-2 Monoclonal Antibody Treatment of COVID-19 (April 13, 2021)
• HHS: Update on COVID-19 Variants and Impact on Bamlanivimab Distribution (March 24, 2021)
• FDA: FDA Authorizes Monoclonal Antibodies for Treatment of COVID-19 (Feb. 9, 2021)
  • Fact Sheet for Health Care Providers EUA of Bamlanivimab
  • Fact Sheet for Health Care Providers EUA of Bamlanivimab and Etesevimab
• FDA: FDA Alerts Health Care Professionals and Compounders of Potential Risks Associated With the Compounding of Remdesivir Drug Products (Feb. 4, 2021)
• HHS: Therapeutics Distribution Locations
• DHSS: Standing Order to Administer BinaxNOW Rapid Antigen Test (Jan. 4, 2021)
• MHA: Monoclonal Antibodies FAQs (Dec. 15, 2020)
• FDA: Investigational COVID-19 Convalescent Plasma: Guidance for Industry (Nov. 16, 2020)
• Eli Lilly and Company: Lilly Bamlanivimap Antibody Playbook (November 2020)
• Operation Warp Speed: Update: Allocation and Distribution of OWS Therapeutics (Nov. 16, 2020)
• FDA: Bamlanivimab Granted EUA For First Antibody Drug Approved | Fact Sheet (Nov. 9, 2020)
• HHS: HHS, DOD Collaborate on Plans to Purchase of Lilly Investigational Therapeutic to Treat COVID-19 (Oct. 28, 2020)
• NIH: NIH Study Aims to Identify Promising COVID-19 Treatments for Larger Clinical Trials (Oct. 13, 2020)
• NIH: NIH Clinical Trial Testing Hyperimmune Intravenous Immunoglobulin Plus Remdesivir To Treat COVID-19 Begins (Oct. 8, 2020)
• FDA: Recommendations on Providing Clear Instructions to Patients Who Self-Collect an Anterior Nares (Nasal) Sample in a Health Care Setting for SARS-CoV-2 Testing (10/7/20)
• AmerisourceBergen: Remdesivir Available For Direct Hospital Purchase (Oct. 1, 2020)
• FDA: FDA Issues Emergency Use Authorization for Convalescent Plasma as Potential Promising COVID–19 Treatment, Another Achievement in Administration’s Fight Against Pandemic (August 23, 2020)
  • Fact Sheet for Health Care Providers
  • Fact Sheet for Patients
• NIH: NIH harnesses AI for COVID-19 diagnosis, treatment, and monitoring (Aug. 5, 2020)
• Mayo Clinic: Safety Update: COVID-19 Convalescent Plasma in 20,000 Hospitalized Patients (June 2020)
• FDA: FDA Warns of Newly Discovered Potential Drug Interaction That May Reduce Effectiveness of a COVID-19 Treatment Authorized for Emergency Use (June 15, 2020)
• HHS: BARDA Funds Two First-In-Human Studies for Regeneron’s COVID-19 Antibody Cocktail (June 15, 2020)
• FDA: FDA revokes EUAs for hydroxychloroquine, chloroquine for COVID-19 treatment (June 15, 2020)
• FDA: Fact Sheet for Patients and Parent/Caregivers EUA of Remdesivir for COVID-19
• CDC: Interim Clinical Guidance for Management of Patients with Confirmed COVID-19 (April 3, 2020)
  
• AACN: COVID-19 Pulmonary, ARDS and Ventilator Resources
• SCCM: Emergency Resources for COVID-19
• CDC: Interim Guidance for Collection and Submission of Postmortem Specimens from Deceased PUI for COVID-19 (February 2020)

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.

• CDC: Guidance for Certifying Deaths Due to COVID-19 (April 16, 2020)
• CDC: COVID-19 Death Data and Reporting Guidance

• DHSS: Vaccine Standing Orders
• CMS: Biden-Harris Administration Issues Guidance to States on Required Medicaid and CHIP Coverage for COVID-19-Related Treatment (Oct. 22, 2021)
• HHS: Biden-Harris Administration Provides $100 Million to Rural Health Clinics for COVID-19 Vaccine Outreach in Their Communities to Increase Vaccinations (July 22, 2021)
• DHSS: Revised COVID-19 Vaccine Standing Order Includes EMT-Basics (March 3, 2021)
• FDA: Emergency Use Authorization for Janssen COVID-19 Vaccine (Feb. 27, 2021)
  • Fact Sheet for Health Care Providers
  • Fact Sheet for Recipients and Caregivers
• HHS: HHS Permits Retired And Inactive Clinicians To Administer COVID-19 Vaccine (Jan. 27, 2021)
• DHSS: COVID-19 Vaccine Standing Order (Jan. 14, 2021)

• CDC: CDC Expands COVID-19 Booster Recommendations (Nov. 29, 2021)
• CDC: CDC Expands Eligibility for COVID-19 Booster Shots (Oct. 21, 2021)
• CDC: CDC Statement on ACIP Booster Recommendations (Sept. 24, 2021)
• AJMC: Pause of J&J Vaccine to Continue; ACIP to Reconvene After More Data Collected (April 15, 2021)
• Pfizer: Pfizer-Biontech Announce Positive Topline Results of Pivotal COVID-19 Vaccine Study in Adolescents (March 31, 2021)
• NIH: NIAID Statement on AstraZeneca Vaccine (March 23, 2021)
• AstraZeneca: AZD1222 US Phase III Trial Met Primary Efficacy Endpoint in Preventing COVID-19 at Interim Analysis (March 22, 2021
• FDA: FDA Allows More Flexible Storage, Transportation Conditions for Pfizer-BioNTech COVID-19 Vaccine (Feb. 25, 2021)
• CDC: Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines Currently Authorized in the U.S. | When to Quarantine (Feb. 11, 2021)
• MHA: Missouri Businesses And Hospitals Partner To Help Increase Awareness Of COVID-19 Vaccination Opportunities (Jan. 14, 2021)
• FDA: FDA Statement on Following the Authorized Dosing Schedules for COVID-19 Vaccines (Jan. 4, 2021)

• MHA: CMS COVID-19 Vaccine Mandate Guidance (Nov. 10, 2021)
• CDC: COVID-19 Vaccine Equity for Racial and Ethnic Minority Groups (Sept. 9, 2021)
• MHA: COVID-19 Vaccine FAQs (updated 8/31/21)
• MHA: MHA COVID-19 Vaccine Resource Guide (July 8, 2021)
• DHSS: Missouri Plain Language Guide for People with Disabilities, their Families and Caregivers (June 7, 2021)
• CDC: Increasing Access to Vaccination Opportunities: COVID-9 Vaccination Upon Discharge from Hospitals, EDs and Urgent Care Facilities (June 4, 2021)
• CDC: Clinical Considerations: Myocarditis and Pericarditis after Receipt of mRNA COVID-19 Vaccines Among Adolescents and Young Adults (May 28, 2021)
• CDC: Interim Public Health Recommendations for Fully Vaccinated People (April 27, 2021)
• HHS: COVID-19 Care for Uninsured Individuals – Vaccine Fact Sheets
• CMS: COVID-19 Vaccine Resources: What Partners Need to Know Now (March 29, 2021)
• DHSS: COVID-19 Vaccinator Guidance (Feb. 19, 2021)
• USP: COVID-19 Vaccine Handling Toolkit (January 2021)
• DHSS: COVID-19 Vaccine Order Request Form | Missouri’s COVID Vax Operations (Jan. 27, 2021)
• MHA: COVID-19 Vaccination Data Requirement Crosswalk and FAQs (Jan. 27, 2021)

If hospitals need help with temporary staffing during the COVID-19 outbreak, the APS Staffing Program has two crisis response agencies in their program.

Webinars

• NHA: Do As I Say, Not As I Do: Normalizing Mental Health Help-Seeking In Health Care (Sept. 27, 2022)
• MHA: Applying the Science of Change Management to Health Care Transformation (Feb. 9, 2022)
• MHA: Health Care Workforce: Lessons Learned And Preparing For The Year Ahead (Jan. 10, 2022)
• AJN: Practice/Academic Partnerships in the Age of COVID-19 (Oct. 15, 2020)
• MHA, MONL: Emergency Staffing Considerations Webinar – Recording | PowerPoint
• ACHE: Making the Shift: Strategies for Leading and Deploying Advanced Practice Providers in Times of Crisis

Articles, Toolkits & Resources

• MHA: The Impact of COVID-19: 5 Ways Workforce Planning Will Never be the Same
• Best Practice Medicine: Clinical Staffing
• NETCCN: National Emergency Tele-Critical Care Network
• ASPR TRACIE: The Work of Hospital Allied and Supportive Care Providers During COVID-19
• MHA: Mitigating Crisis Staff Shortages Fact Sheet
• MHA: COVID-19 Surge Staffing Solutions Fact Sheet
• NASEM: Crisis Staffing Recommendations
• ASPR TRACIE: Healthcare Facility Onboarding Checklist
• ASPR TRACIE: Healthcare Provider Shortages: Resources and Strategies for Meeting Demand
• ASPR TRACIE: Managing Healthcare Staffing Shortages During the COVID-19 Pandemic
• SCCM: Resource Availability for COVID-19
• CDC: Strategies to Mitigate Health Care Personnel Staffing Shortages

Webinars

• AHA: Stress Meter^TM
• AHA: Suicide Prevention – Evidence-Informed Interventions for the Health Care Workforce
• MHA: MHA COVID-19 Update: Lessons From the Field in Well-Being
• MHA: Clinician Well-Being Webinar Recording
• MHA: When Caring Hurts — Implementing a Peer Support Program for Second Victims
• MHA: COVID-19 and Mental Health Webinar: Department of Mental Health Resources
• Tend Health: Conversations for Clinicians Webinar Series
• UCSF Weill Institute for Neurosciences: Emotional Well-Being During the COVID-19 Crisis For Health Care Providers Webcast Series
• AONL: Be Well to Do Well: Driving Employee Wellbeing
• NAM: Supporting Clinician Well-Being During COVID-19
• NETEC: Resilience and Care of the Caregiver
• ANA: Be Confident Protecting Yourself and Providing the Best Care to Your Patients during this COVID-19 Pandemic
• ACP: COVID-19: Practical Advice and Support from Internists on the Front Lines
• Schwartz Center for Compassionate Care: Caring for Yourself & Others During the COVID-19 Pandemic: Managing Healthcare Workers’ Stress 
• McLean Hospital: Clinician Self-Care in the Time of COVID-19
• Schwartz Center for Compassionate Care: Leading with Compassion: Supporting Healthcare Workers in a Crisis
• TJC: COVID-19 Health Care Staff Trauma and Resilience Oriented Healing

Articles, Toolkits & Resources

• Press Ganey: Workforce Well-Being Resource Library
• NAM: Resource Compendium for Health Care Worker Well-Being
• AACN: Healthy Work Environment Standards
• Mayo Clinic: Well-Being Index and Resources
• VITAL WorkLife: Well-Being Resources
• National Fund: A Trauma-Informed Approach to Workforce (April 2021)
• The Washington Post: Burned Out by the Pandemic, 3 in 10 Health Care Workers Consider Leaving the Profession (April 22, 2021)
• AHA: Well-Being Playbook 2.0: A COVID-19 Resource for Hospital and Health System Leaders (Feb. 18, 2021)
• J&J: The Impact of COVID-19 on the Nursing Profession in the U.S.: 2020 Quantitative Survey Summary (Jan. 6, 2021)
• MHA: COVID-19 Employee Well-Being Fact Sheet (Sept. 24, 2020)
• ASPR TRACIE: Mitigate Absenteeism by Protecting Healthcare Workers’ Psychological Health and Well-being during the COVID-19 Pandemic

Caregiver Support

• Advisory Board: Compassion Fatigue Assessment
• The Gratitude Group: Tools and tactics to help you and your organization heal form stress, burnout, and trauma.
• MHTTC: Responding to COVID-19 Provider Well-Being
• HealthWell Foundation: Behavioral Health Grants Available For Health Care Workers Affected By COVID-19
• First Responder Provider Network
• VA: Managing Healthcare Workers’ Stress Associated with the COVID-19 Virus Outbreak
• New York Life, Cigna: Brave of Heart Fund
• The Happy MD: Learn the Simple Steps to Stop Physician Burnout
• MU School of Medicine: Office of Clinician Well-Being Resources
• NAM: Clinical Well-Being Resources During COVID-19
• TJC: Resilience for Second Victims During and After COVID-19
• AHA: Strategies to Prevent Health Professional Burnout Podcast (Nov. 10, 2020)
• TJC: Quick Safety Issue 54: Promoting psychosocial well-being of health care staff during crisis
• AMA: Caring for Healthcare Workers During Crisis: Creating a Resilient Organization
• AHA: Addressing Emotions on the Frontlines
• AHA: Proactive Conversations that Support Providers and Patients
• NAM: Strategies to Support the Health and Wellbeing of Clinicians During COVID-19
• AMA: Caring for our Caregivers during COVID-19
• ATTC: Compassion Fatigue and the Behavioral Health Workforce Curriculum Infusion Package
• JAMA: Understanding and Addressing Sources of Anxiety Among Healthcare Professionals During the COVID-19 Pandemic

Stress Management and Self-Care

• Healthy Nurse Healthy Nation
• DMH: Coping With COVID-19 Flyer
• MCN Healthcare: Mindfulness in the Midst of a Pandemic
• Ohio State University: COVID-19 Resources: How to Cope with Anxiety about Coronavirus
• Healthy Nurse Healthy Nation: Mental Health Help For Nurses
• APNA: Managing Stress & Self-Care During COVID-19: Information for Nurses
• CDC: Managing Fatigue During Times of Crisis: Guidance for Nurses, Managers, and Other Healthcare Workers
• AMA: 6 Ways to Address Physician Stress During COVID-19 Pandemic
• VA: Managing Healthcare Workers’ Stress Associated with the COVID-19 Virus Outbreak
• Shine: medication app is currently offering 1-year of premium free for healthcare workers.
• The Emotional PPE Project: The Emotional PPE Project is a directory that provides contact information of volunteer mental health practitioners to health care workers whose mental health has been impacted by the COVID-19 crisis.
• ANA Enterprise: Resources to Support the Mental Health and Resilience of Nurses
• CHA: Self-Care Toolkit of Resources
• APA Services: Self-Care Advice for Healthcare Providers during COVID-19
• APNA: Self-Care Tip Sheet for Nurses

• AHA, CDC: Project Firstline
• CDC: Criteria for Return to Work for Healthcare Personnel with SARS-CoV-2 Infection (Interim Guidance) (Sept. 10, 2021)

• New York Life, Cigna: Brave of Heart Fund
• HHS: COVID-19 Workforce Virtual Toolkit
• ASPR TRACIE: COVID-19 Workforce Virtual Toolkit: Resources for Health Care Decision-Makers Responding to COVID-19 Workforce Concerns
• SHRM: COVID-19 Workforce Tools and Resources
• DHSS: Temporary emergency child care facility for preschool and school-age children – Temporary Emergency License Provider Guidanceand Licensing Rules (March 2020)
• Employers can immediately provide tax-free qualified disaster payments to employees in connection with COVID-19. FAQs are available.
• Missouri DOL: Filing Mass Unemployment Claims