Wednesday, August 21, 2019

HEALTH ALERT NETWORK BROADCAST

To: All Providers

From: Colorado Department of Public Health and Environment

HEALTH ALERT NETWORK (HAN) BROADCAST
Vaping cartridges potentially related to the severe acute pulmonary disease outbreak

- As of August 19th, more than 120 cases of severe acute pulmonary disease hospitalizations and respiratory support among previously healthy adults have been reported in at least 15 states. To date, one suspect case has been reported in Colorado.
- A reported common exposure among these patients is that they have been vaporizing or dabbing with cartridges or products, some containing cannabis (THC) or cannabindiol (CBD) oils, nicotine, synthetic cannabinoids, or a combination of these. At this time, no infectious cause has been identified.
Detailed background information, case definition and recommendations for providers is included on the HAN notice which accompanies this message.
- Clinicians and local health departments who become aware of cases similar to those described in the HAN notice are asked to report them to the Colorado Department of Public Health and Environment's (CDPHE) Disease Reporting Line: 303-692-2700 or 303-370-9395 (after hours). 

HAN Advisory - Vaping cartridges potentially related to the severe acute pulmonary disease outbreak

Small ALR Facility Workgroup meeting August 27, 2019

To: Assisted Living Residence Providers and Stakeholders 

From: Elaine McManis, Health Facilities and Emergency Medical Services, Deputy Division Director

The next Small ALR Facility Workgroup meeting will be August 27, 2019, 1:30-3:30 p.m., Building C, Room C1D on our Cherry Creek Campus. 

All non-CDPHE staff must sign in with security in Building A and get a guest badge before proceeding to Building C.

*Due to space constraints, non-workgroup members are invited to attend by phone.

To participate by telephone:
Step #1: Dial 1-712-770-8066 
Step #2: When prompted, dial participant passcode 727084
Step #3: You will be on music hold until a few moments before 2:00 P.M.
Step #4: Very important: Please press 4* and mute your telephone to prevent background noise. 

If you would like to make a comment or ask a question, press 4* to unmute. When you are finished talking, please re-mute your telephone using 4* again. 

Very Important: Do not use speakerphones or wireless headsets; they are not compatible with the audio conferencing technology.

Meeting documents can be found at: https://drive.google.com/drive/folders/1NNrHpgqtwZHG51sOk3JTEMXXM7mgI0JW

OASIS D and D1 Classes *FREE*

To: Federally Certified Skilled Home Health Facilities Administrators, Directors of Nursing, OASIS Coordinators, Billing and Coding Personnel, Licensed Home Health Facilities Administrators

From: The Education and Technical Assistance (ETA) Branch of the Health Facilities and Emergency Medical Services Division (HFEMSD)

ETA will offer classes on specific OASIS topics in Longmont, Denver, Pueblo and Aurora featuring OASIS D items and OASIS D1 transition guidance. Most classes are almost full. You may choose to take sessions all at once or individually as your interest and needs dictate. All registration is first-come, first-served, even for sessions within a hosting facility.

ETA reserves the right to cancel classes with low registration. Early registration is helpful.

OASIS D Basics (One Session): Course ID 1082008
This beginning three-hour class is how to get started with OASIS D.

OASIS D Item-by-Item (2 Sessions): Course ID 1082009
This practical application class reviews item-by-item data set completion. We will follow Mrs. Green's assessment, which will require two sessions to complete. Attendance at both sessions is required to complete this class.

OASIS Quality Measures (One Session): Course ID 1066910
This course assumes familiarity with the OASIS D Item Set, covering more advanced content and application.

To see additional session details and register for on-site attendance for one of these offerings:
1. Go to http://www.train.org/ 
2. Log in to your existing TRAIN account, or new users click "Create an Account"
3. Once you've logged in, or created an account, Search (top right) for the appropriate Course ID. (See above for desired training)
4. Click link for desired course.
5. Click the "Registration" tab.
6. Click the "Register" button for the session you wish to attend.
7. Remember to register separately for each desired course.

A detailed example of the above process (if needed)

Questions?: Please email betty.metz@state.co.us

CMS adds PDPM Implementation Webinars for MDS

To: Federally Certified Skilled Nursing Facilities Administrators, Directors of Nursing, MDS Coordinators, Billing and Coding Personnel, Licensed Nursing Facilities Administrators

From: The Health Facilities Education and Quality (HFEQ) Branch of the Health Facilities and Emergency Medical Services Division (HFEMSD)

The Patient-Driven Payment Model (PDPM) is coming for all MDS 3.0 submissions with an Assessment Reference Date (ARD, A2300) on or after October 1, 2019. This will have implications for submission to the Federal database (OBRA and optional Interim Payment Assessments) for Medicare reimbursements. There will be additional considerations for State reimbursements via Medicaid for using the Optional State Assessments (OSA).

CMS has provided videos of a recent training in Kansas City to assist with understanding this transition for Medicare Part A residents. The second video includes an example PDPM HIPPS code calculation.
Patient Driven Payment Model: What is Changing and What is Not(72 min)
Integrated coding & PDPM Case Study (58 min)

CDPHE will provide explanatory webinars to introduce these changes in Colorado and for Medicaid residents. Participants will identify State contacts for questions and further information.

Each CDPHE webinar will have course materials available before the sessions. It is important to register via Train.org, and to allow Train to send email notifications to receive the call-in times and URL. Multiple participants are welcome per phone line.

PDPM Practice Webinars (ID 1086630)
This series of 5 one-hour weekly webinars will compare and contrast the current Prospective Payment System (PPS) with upcoming PDPM concepts and requirements. 
- Intro - Adjustments and additions to the Item Set will be discussed. The new Interrupted Stay policy will be explained. A framework for the calculation of PDPM payments using the new HIPPS codes will be introduced. The webinar will be a prerequisite to further PDPM Practice Webinars because of terminology.
- Case 1 - Admit with Infection
- Case 2 - Admit for Procedure Aftercare
- Case 3 - Acute Infection becomes Pneumonia
- Case 4 - Complex Surgical Aftercare

Using the Optional State Assessment (OSA) for Medicaid Nursing Home Residents in Colorado (ID 1086621)
This will be a joint webinar between the Colorado Departments of Public Health and Environment (CDPHE) and Health Care Policy and Financing (HCPF) to clarify the use of OSA for nursing homes. Medicaid requirements and timelines will be explained, and practical examples of MDS 3.0 items will be reviewed. There will be time for Q&A. 

To see additional session details and register for session materials for one of these offerings:
1. Go to http://www.train.org/ 
2. Log in to your existing CO.TRAIN account, or new users click "Create an Account".
3. Once you've logged in, or created an account, Search (top right) for the appropriate Course ID. (See above for desired training)
4. Click link for desired course. Note open session options.
5. Click the "Register" button for the session you wish to attend.
6. Remember to register separately for each desired course.

Detailed Instructions for Using Train.org (if needed) 

Questions?: Please email betty.metz@state.co.us