April 6, 2021 CMDA Virtual Meeting Agenda

Noon – 1:00 PM

Agenda

1. Updates: CHCA, Erin Thomas and CDPHE, Jo Tansey

2. No Matter How Popular Antibiotics Get They Will Never Go Viral  - Travis Neill PA-C

3. Pearls from the AMDA Conference: How to improve daily practice in PALTC - Dr. Sing Palat and Dr. Leslie Eber  

4. The CMDA/CHCA Annual Conference on April 23, 2021: It is Virtual and there is Still Time to Register - Allison Villegas PA-C

Register at CMDA.US 

     5. Brown University Research Opportunity below       

Remember: AMDA Podcasts are available for free at https://paltc.org/podcast

Attachments

COVID-19 GUIDANCE From CDPHE: Residential Care Facility (RCF) Comprehensive Mitigation Guidance Document 3/22/21

RCF Comprehensive Mitigation Guidance.docx

Amended Public Health Order: REQUIREMENTS FOR COLORADO SKILLED NURSING FACILITIES, ASSISTED LIVING RESIDENCES, INTERMEDIATE CARE FACILITIES, AND GROUP HOMES FOR COVID-19 PREVENTION AND RESPONSE. 3/22/21

PHO 20-20.SixthAmended.32221.pdf

CMDA Annual conference registration information

CMDA Attendee registration.pdf

CMDA conference Vendor information

Annual Conference Vendor information

Flier from CDPHE for familiies wanting to visit their loved one in a nursing home

RCF Flyer.pdf

March 2, 2021 Virtual Meeting Agenda

Noon – 1:00 PM

Agenda

1. Updates: CHCA, Erin Thomas and CDPHE, Jo Tansey
2. Public Policy Update: Tackling COVID19 in PALTC and Other Policy in New Administration - Alex Bardakh MPP
3. Update on COVID 19 Vaccine distribution in PALTC in Colorado after the federal program has been completed - Dr. Renee Marquardt
4. The AMDA Annual Conference: It is Virtual and there is Still Time: March 11-14

             Register using this link: https://paltc.org/annual-conference

      5. The CMDA Annual conference: April 23, 2021: It is also virtual and registration        is Open! Dr. Sing Palat and Dr. Leslie Eber

Remember: AMDA Podcasts are available for free at https://paltc.org/podcast

Attachments;

AMDA Interim Recommendations for Communal Activities and Visitation in PostAcute and Long-Term Care Facilities

Interim Guidance for Communal Activities and Visitation 25FEB2021 - FINAL.pdf

CMDA Annual conference registration information

CMDA Attendee registration.pdf

CMDA conference Vendor information

Annual Conference Vendor information.pdf

FDA updated guidance for the Pfizer COVID 19 vaccine storage

Fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-allows-more-flexible-storage-transportation-conditions-pfizer?utm_medium=email&utm_source=govdelivery

Information from Jennifer Stevens-Lapsley about a therapy program that can truly benefit our patients. 

The University of Colorado is examining the benefits of high-intensity strengthening for older adults followJennifer Stevens-Lapsleying a hospital or SNF stay in the home health setting. We are looking for clinicians and facilities to help with referring patients to the study.

Patients benefit from receiving 13 visits of home health PT (at no cost), enhanced clinical oversight, and financial compensation.

Our preliminary work resulted in a 6 fold reduction in rehospitalizations largely attributed to a 3 fold improvement in physical function.

Compensation will be available to clinicians for successful referrals.

Please contact Danielle Derlein (Danielle.Derlein@cuanschutz.edu) or Jennifer Stevens-Lapsley (Jennifer.Stevens-Lapsley@cuanschutz.edu) or call 303-724-9590 if you would be willing to help us optimize care for your patients.

HH Outreach Packet 092419.pdf

JAMA article: First-Dose COVID-19 Vaccination Coverage Among Skilled Nursing Facility Residents and Staff

jama_gharpure_2021_COVID 19 Vaccine Data PALTC(2).pdf

JAMA article: SARS-CoV-2 Vaccines, published 2/26/21

jama_creech_COVID 19 vaccine 2.26.21.pdf

Questions: Leslie Eber (720) 490-5079

Best Regards,

Leslie Eber, MD, CMD
CMDA President

Agenda

1. Updates: CHCA, Erin Thomas and CDPHE, Jo Tansey

2. AMDA’s updated Choosing Wisely, The top pearls for practice in PA/LTC: 1-15 - Allison Villegas PA-C

3. Outreach and Implementation of Novel Monoclonal Antibodies for COVID-19: Opportunity with University of Colorado - Dr. Matt Wynia 

4. CMDA Bylaws update- Dr. Sing Palat

5. The CMDA Annual conference April 23, 2021: We will go virtual! - Dr. Leslie Eber and Dr. Sing Palat

Remember: AMDA Podcasts are available for free at https://paltc.org/podcast

Attachments;

Opportunity to join a new AHRQ ECHO National Nursing Home COVID-19 Action Network cohort (16-week ECHO series): Monday 12-1:30 PM, to register use  this link: https://projectcore.echocolorado.org/Series/Registration/1361

JAMA COVID 19 Variant update JAMA COVID 19 Variants.pdf

CDPHE HAN: Quarantine Recommendations after COVID-19 Vaccination 

01272021 HAN Advisory - Correction_.pdf

Understanding SARS-CoV-2 Genetic Variants JAMA podcast

https://edhub.ama-assn.org/jn-learning/audio-player/18573574?utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=olf&utm_term=012821

ECHO COVID-19 Vaccine in Post-acute and Long-term Care: Answers to Your Questions Webinar (One-hour webinar) Monday, February 1 12:00 - 1:00 PM MT, Register using the link below:

https://ucdenver.zoom.us/webinar/register/WN_GJqwB1QgTySp3hmPG7T6pg

JAMA:  Risk Factors Associated With All-Cause 30-Day Mortality in Nursing Home Residents With COVID-19

JAMAinternal medicine risk factors for COVID 19 mortality in nursing homes.pdf

Telligen: COVID-19 in LTC Office Hours with Dr. Renee Marquardt: Vaccinations are Underway - What Next? February 11, 2021 Time: 1-2pm, register with link below:

https://telligenqinqio.zoom.us/meeting/register/tJMrdeuqrzwsH9eqM_p6KddfHhGSNeV7SJmV

 University of Colorado Department of Medicine: Implications of Genetic Variants of SARS-CoV-2: The Worrying Prospect of a New Pandemic Phase, presentation by Eric Poeschla, MD, Tim Gill professor of medicine, head of the Division of Infectious Diseases. The link is below.

https://www.youtube.com/watch?v=uaYiLJ4NES4&feature=youtu.be

AMDA Choosing Wisely

AMDA 15 Choosing Wisely.pdf

CMDA updated Bylaws, will vote on the updated version next month

updated CMDA Bylaws amendments 9.3.20.docx

Meeting recording:  https://youtu.be/TaGNF4RQlYg

Agenda

1. Updates: Erin Thomas and Jo Tansey
2. COVID-19 Vaccine Clinics in PA/LTC - Update and Pearls for a successful clinic -Dr. Sing Palat and Dr. Leslie Eber
3. Monoclonal Antibody treatment in PA/LTC: Utilization of the SPEED program - Dr. Eric France, Chief Medical Officer of CDPHE
4. The CMDA Annual conference 2021: We will go virtual on April 23, 2021

AMDA Choosing Wisely

AMD 15 Choosing Wisely.pdf

Colorado HAN: COVID-19 UPDATE - Variant Detected in Colorado | December 30, 2020

12302020 HAN Update - COVID19 Varian.pdf

CMDA updated Bylaws, will vote on the updated version next month

updated CMDA Bylaws amendments 9.3.20.docx

Caring for the ages article: Leadership, Advocacy, and Communication in Crisis: COVID-19 and Beyond

Leadership, Advocacy, and Communication in Crisis- Caring for the ages.pdf

MONOCLONAL ANTIBODY TREATMENTS IN LONG TERM CARE SETTINGS

https://www.ascp.com/page/mab?_zs=LXU1e1&_zl=51QJ7

CDHPE Website and guidance for Monoclonal antibody treatment for COVID 19

https://covid19.colorado.gov/for-coloradans/wellness/covid-19-treatments

Meeting recording:  https://youtu.be/ZipMJj_eH0Y

CMDA December 1, 2020 Virtual Meeting Agenda

Noon – 1:00 PM

COVID 19 vaccine hesitancy version 6 (1).pptx  /  Telehealth CMDA 12_2020.pptx

  1. Updates: Erin Thomas and Jo Tansey

  2. Telehealth Tips for Long Term Care Teams - Dr. Cari Levy 

  3. Vaccine Hesitancy and Education- Dr. Leslie Eber

  4. The CMDA Annual conference 2021: We will go virtual, April 23, 2021

Colorado COVID 19 vaccine phased distribution approach is below

Colorado Vaccine phases.png

The COVID 19 Vaccine distribution for Long Term Care staff in Colorado can be received via 3 Options:

1. Staff, including providers and medical directors can get vaccinated as part of the 1A phase at specific locations around the state (more details to follow)

2. Staff can get vaccinated at a facility that has chosen to become a COVID vaccine provider. Facilities can still enroll to be a provider if they can meet the requirements for storage, handling and reporting and must complete the application by 11/30/20. 

Requirements are here: https://docs.google.com/document/d/153Gz_ktHujMJi5ON5vULLXFemFQ6U84axJlD4gdLTJc/edit

Information to enroll as a COVID 19 vaccine provider is here: http://74.118.245.168/SyntropiCO/emrlogin.asp

3. Staff can be vaccinated later in the 1C phase with the residents at the facility (via CVS/Walgreens or their own pharmacy, which ever the facility has chosen)

IT is STRONGLY suggested that all staff and medial providers get their COVID 19 Vaccine as part of 1A so they are protected as Soon As Possible. 

Remember: AMDA Podcasts are available for free at https://paltc.org/podcast

Attachments; Zoom recording of Dr. Lea Watson’s telligen presentation on COVID Fatigue (A must view)

https://telligenqinqio.zoom.us/rec/play/d50UcXGj36HmNn9MxQ8vbEHKhQgsP3OGHQyP-GSvygjUwbLlUVZfkW4ZfVpT7ya6NW1905sEw3xcuwMT.pofOAyX33aWGASMI?continueMode=true&_x_zm_rtaid=DvyWMwqRRcaZdbHBzViwkA.1606239731364.93fb5bd47567f1624aa0e07fb0866140&_x_zm_rhtaid=507

CDC guidance on Testing and Management Considerations for Nursing Home Residents with Acute Respiratory Illness Symptoms when SARS-CoV-2 and Influenza Viruses are Co-circulating,

https://www.cdc.gov/flu/professionals/diagnosis/testing-management-considerations-nursinghomes.htm

JAMA Answering Key Questions About COVID-19 Vaccines

JAMA Vaccine education.pdf

JAMA COVID 19 and mRNA Vaccines

JAMA mRNA vaccines.pdf

FIFTH AMENDED PUBLIC HEALTH ORDER 20-20: REQUIREMENTS FOR COLORADO SKILLED NURSING FACILITIES, ASSISTED LIVING RESIDENCES, INTERMEDIATE CARE FACILITIES, AND GROUP HOMES FOR COVID-19 PREVENTION AND RESPONSE November 20, 2020

amended public health order 11.20.20.pdf

CDHPE guidance on visitation 11/19/20

Mandatory Visitation Requirements for Residential Care Facilities (1).docx

CDPHE updated Preparation and rapid response checklist for residential care facilities 11/12/20

COVID-19 LTCF Checklist_CDPHE_111220 .pdf

one little pathogen.pptx

Agenda:

   1. Updates: Ann Kokish and Jo Tansey

   2. Honoring the incredible work of Ann Kokish upon her retirement

   3. “1 little, 2 little, 3 little pathogens: how to differentiate COVID, FLU, RSV” - Dr. Clay Watson

   4. Flu update 2020 - Dr. Greg Gahm

Zoom meeting recording

Agenda

1. Updates: Ann Kokish and Jo Tansey
2. Covid and the State of Long Term Care:  Doug Farmer President & CEO, Colorado Health Care Association
3. Dementia Partnership tools for Staff support and selfcare - Dr. Leslie Eber
4. Flu update 2020 - Dr. Greg Gahm

Moral Distress and Injury CMDA 9_1_2020.pptx / Strike Force Stakeholder Meetings.pdf / Excellence in Caregiving Nomination Form 2020.pdf / Caregiving Award Letter to Nominators 2020 (1).pdf

Recording of Meeting

Agenda:

1. Updates: Ann Kokish and Jo Tansey
2. Moral Distress during COVID 19: Alexandra Donovan Board Certified Chaplain, Compassus Hospice & UCHealth
3. COVID 19 Residential Care Strike Force brief update: Leslie Eber MD CMD and Greg Gahm MD
4.  Journal Club This Thursday 12:30 - 1:00, COVID Vaccines, Convalescent Serum and Antigen Testing
5. CMDA Annual Conference will be held on April 23, 2021 Virtually. More information to follow
6. Alzheimer’s Association of Colorado presents the “George and Pat Sugerman Excellence in Caregiving Award”

Meeting notes /  Panel Slides

Recording

CMDA August 4, 2020 Virtual Meeting Agenda Noon – 1:00 PM Agenda:     1. Updates: Ann Kokish and Jo Tansey     2. Novel Experiences of Coronavirus Outbreaks in Colorado: A Medical Directors Panel        Panelists: Joyce Mobley, MD, Reza Esfahani, DO, Rebecca Jackson, DO, Karyn Leible, MD CMD        Moderator Sing Palat MD CMD     3. COVID 19 Residential Care Strike Force brief update: Leslie Eber MD CMD and Greg Gahm MD

IV Fluids in LTC / Business meeting / Surveillance Testing & Guidance

Agenda

1. Fluid replacement in the Long-Term care Setting- Dr. Zoran Lesic

2. CMDA business meeting and financial update- Dr. Sing Palat

3. CMDA Elections - Dr. Greg Gahm 

              Slate: 

               President - Leslie Eber, MD CMD

              Vice President- Sing Palat, MD CMD

                         Education Coordinator- Galin Hartsuiker, PA

                         Annual Meeting Coordinator + Liaison to Community- Allison Villegas, PA

                         Treasurer- Travis Neill, PA

Important Strike Force/CDPHE document on Residential Care Setting Surveillance Testing Strategy & Guidance. Please note:

   - If your facility has not been contacted you can still get help with testing

   -Testing includes all providers going to the facility and recommends engagement with the facility Medical Director

    - Please circulate to your Colleagues.