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

COVID-19 Dashboards

The Missouri Hospital Association, in partnership with various state agencies, engaged in development of COVID-19 dashboards to assist local, regional and state decision-makers. Available dashboards include an interactive monitoring dashboard, regional and statewide dashboards, and state and national maps.

Media Library

View the latest COVID-19 Resources

Explore COVID-19

Click to view

adult daughter embraces her older parents

Sample Policies & Forms

Testing, Reporting & Treatment

Vaccine Updates

group of doctors and nurses heading towards a patient

Workforce

MHA Contacts

Jackie Gatz | Senior Vice President of Quality, Safety and Research | 573-893-3700, ext. 1330

MHA Resources Guidance

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
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)

MHA Contact

Jane Drummond | General Counsel and Senior Vice President of Governmental Relations | 573-893-3700, ext. 1328

State

Federal

Waivers

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)

Waiver Requests

MHA Contact

Jane Drummond | General Counsel and Senior Vice President of Governmental Relations | 573-893-3700, ext. 1328

Congressional Action

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

Clinical Guidance or Standards

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
Diabetes: COVID-19 and diabetes mellitus: from pathophysiology to clinical management
Post-Acute Sequelae of SARS CoV-2

Behavioral Health

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

End-of-Life and Palliative Care Resources

Infection Control Resources

APIC: COVID-19 Factsheets
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: Health Care Respiratory Protection Resources

LTCF and Nursing Home Guidance

Treating Pregnant Women or Children

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 | 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)

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.

MHA Contacts

Jackie Gatz | Senior Vice President of Quality, Safety and Research | 573-893-3700, ext. 1330
Mat Reidhead | Vice President of Research and Analytics | 573-893-3700, ext. 1331
Dave Dillon | Vice President of Public and Media Relations | 573-893-3700, ext. 1311

Data Submission to TeleTracking

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

MHA Reports

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

MHA Contact

Daphney Partridge | Vice President of Education | 573-893-3700, ext. 1333

On-Demand Education

Show-Me ECHO

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

MHA Contacts

Jackie Gatz | Senior Vice President of Quality, Safety and Research | 573-893-3700, ext. 1330
Andrew Wheeler | Vice President of Federal Finance | 573-893-3700, ext. 1336

MHA Resources

Financial Resources

MHA Resources

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
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.

Hospital Preparedness Resources

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

Telehealth Guidance

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

Other Guidance or Standards

Education

MHA Contacts

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

MHA Guidance Documents

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)

Resources

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)

CMS QSO Memos

MHA Contacts

Keri Barclay | Manager of Clinical Preparedness | 573-893-3700, ext. 1407

Guidance

Resources

MHA Contact

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

Digital Toolkits

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

Don't delay necessary care. Missouri hospitals are prepared and ready for care 24/7.

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 Resources

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.

Customizable Signage

Visitor Reintroduction Signage

Visitor policies have changed signs - red, yellow, green

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

MHA Resources

Resources

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 Contacts

Stephen Njenga | Director of Performance Measurement Compliance | 573-893-3700, ext. 1325

MHA Resources

Websites

Resources

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

MHA Policy Templates

Transitional Care Resources

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.

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

MHA Screening and Visitors Guides

CoxHealth PFE Sample Forms and Resources

Resources

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

MHA Contact

Keri Barclay | Manager of Clinical Preparedness/Coalition Administrative Liaison | 573-893-3700, ext. 1407

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.

Zest Health: Free COVID-19 Testing for Hospitals
FDA: FDA Authorizes Expiry Extension For BinaxNOW Tests (Jan. 8, 2022)
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)

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.

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)

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.

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

MHA Contact

Jackie Gatz | Senior Vice President of Quality, Safety and Research | 573-893-3700, ext. 1330

View the latest COVID-19 vaccine resources

Government Action

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)
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)

Vaccine Updates

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)

Resources

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)

MHA Contact

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

Staffing

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

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

Workforce Well-Being

Webinars

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

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)
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

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
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

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.
CHA: Self-Care Toolkit of Resources
APA Services: Self-Care Advice for Healthcare Providers during COVID-19

Infection Prevention & Control

Miscellaneous

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

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

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