Post-Covid-19 Practice Recovery Toolkit
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sd POST-COVID-19 PRACTICE RECOVERY TOOLKIT July 2020 | 2nd Edition Table of Contents Foreword: The 2nd Edition .............................................................................................................................. 5 Introduction ....................................................................................................................................................... 7 Returning to the New Normal: A Timeline ............................................................................................... 9 Practice Operations ......................................................................................................................................... 11 Make a Plan ..................................................................................................................................................... 13 Preparation ...................................................................................................................................................... 13 Safety in the Workplace .............................................................................................................................. 13 Communication .............................................................................................................................................. 17 Customer Service .......................................................................................................................................... 17 Clinical Operations .......................................................................................................................................... 19 Patient Management in the Office ............................................................................................................ 21 Personal Protective Equipment (PPE) Recommendations (Tables I-IV) ....................................... 23 Understanding the Difference (PPE Infographic) ................................................................................. 31 What are Air-Purifying Respirators? (PPE Infographic) ..................................................................... 33 Prioritizing Patient Scheduling .................................................................................................................. 35 People Who Are at Higher Risk for Severe Illness .............................................................................. 37 Screen Patients before In-Person Visits ................................................................................................ 39 Pre-Visit Screening Script Template ....................................................................................................... 43 Maximize the Value of the In-Person Visit ............................................................................................. 45 COVID-19 Testing Strategy for Practices .............................................................................................. 47 Adult Ambulatory Home Management Treatment Guideline ..........................................................49 Timeline for Follow-Up: Community-Based Patients ........................................................................... 51 Ambulatory Negative COVID Test Algorithm – Symptomatic Pediatric Patient ........................ 53 Pediatric Office Triage to Evaluate for Multisystem Inflammatory Syndrome in Children ...... 55 Clinical Decompensation and the ED ...................................................................................................... 57 Cleaning & Infection Control ...................................................................................................................... 59 Business Operations and Legal Considerations .................................................................................... 61 Notification of Enforcement Discretion (“Notice”) for Telehealth .................................................. 63 Malpractice/Risk Considerations .............................................................................................................. 65 Review Legal Implications for Financial Assistance ............................................................................. 71 Top 20 Best Practices for Revenue Cycle Management (RCM)...................................................... 75 Billing ................................................................................................................................................................ 77 Money-Saving Tips and Ideas ................................................................................................................... 79 Human Resource Operations ....................................................................................................................... 81 Screening, Vulnerable Staff, Return-to-Work, the ADA, and the EEOC ....................................... 83 Leadership, Communication, and Employee Care Needs ................................................................ 89 Psychological Responses to Phases of Disaster .................................................................................. 91 Staffing/Payroll ............................................................................................................................................. 93 Telemedicine .................................................................................................................................................... 95 Conclusion: The New Normal ......................................................................................................................99 Other Resources and References ............................................................................................................ 103 CMG Post-COVID-19 Practice Recovery Toolkit, 2nd Edition 3 Checklist to Prepare Practices for COVID-19 ...................................................................................... 105 Medical & Professional Associations ....................................................................................................... 111 Template for Practice Communication to Patients about Reopening or Resuming Care ....... 115 Multilanguage Poster for Patients .......................................................................................................... 117 Hand Hygiene Poster for Restrooms (English) ................................................................................... 119 Hand Hygiene Poster for Restrooms (Spanish) ................................................................................. 120 YNHH Social Distancing Guidelines ........................................................................................................ 121 CT DPH 2019 Novel COVID-19 Case Report Form ............................................................................ 125 FIT Testing Resources ............................................................................................................................... 127 HEPA Filter Resources .............................................................................................................................. 129 Use of PPE When Caring for Patients with Confirmed or Suspected COVID-19 (Poster) ..... 133 Criteria for Return to Work for Healthcare Personnel ..................................................................... 135 Communication Skills for Staff Wearing PPE ...................................................................................... 139 Rescheduling Medical Care is Important (Infographic for Patients) ............................................. 145 YNHHS Pulmonary Function Lab Pandemic Reopening Guidelines – Phase I .......................... 147 CMG Contact List ........................................................................................................................................ 149 References .................................................................................................................................................... 151 CMG Post-COVID-19 Practice Recovery Toolkit, 2nd Edition 4 Foreword: The 2nd Edition The Post-COVID-19 Practice Recovery Toolkit has undergone a few changes to ensure that your practice is provided with the most up-to-date and relevant information at this time. Please review the most significant changes below and click on the links to be redirected to each of their locations: Updated PPE recommendations for procedures, with unique charts for Adult Medicine, Pediatric Medicine, and Specialty Medicine provided at the request of CMG members Added section regarding regional travel advisories Added update regarding PPP Flexibility Act of 2020 Added update regarding healthcare related expenses eligibility under the Provider Relief Fund Added additional information to “Screening, Vulnerable Staff, Return-to-Work, the ADA, and the EEOC” section Added HEPA filtration resource to the Appendix Added “Rescheduling Medical Care is Important” infographic to Appendix Added YNHHS Pulmonary Function Lab Pandemic Reopening Guidelines to Appendix Added Communication Skills for Staff Wearing PPE to the Appendix CMG Post-COVID-19 Practice Recovery Toolkit, 2nd Edition 5 CMG Post-COVID-19 Practice Recovery Toolkit, 2nd Edition 6 Introduction Dear CMG Member, We have compiled a number of resources designed to help your practice begin to reopen and recover from the many challenges posed by the COVID-19 pandemic and resultant shelter-in-place