Technical Request Regarding Incoming Email

 

The Colorado Department of Public Health and Environment, Office of the State Registrar of Vital Statistics sends periodic reminders/requests to facility IT staff to ensure email communications are allowed (not blocked, refused, spam/junk, etc.) from the below addresses: cdphe.vitalrecords411@state.co.us cdphe_vitalrecords411@state.co.us cdphe.coves@state.co.us  noReply@cohosting-by-genesis.com The first two are from our office directly and are used to communicate monthly regarding birth and death completion and signing, reminders, updates, etc. The third is from our office directly and is used to provide system and technical support of the COVES system (Colorado Vital Events System) regarding vital event reporting. The fourth is from our COVES system vendor and provides time-critical email notices regarding death records to be completed and signed, multi-factor authentication login codes, etc. Recipients may include staff/supervisors/managers involved with vital event reporting, physicians, advance practice nurses, physician assistants and other medical professionals. If you have questions or concerns, please contact Michelle Cowell, Field Unit Supervisor, Office of the State Registrar of Vital Statistics at michelle.cowell@state.co.us. Unsubscribe | Update Profile | Constant Contact Data Notice CDPHE | 4300 Cherry Creek Dr. South | Denver, CO 80246 US

June 18, 2025 Board of Health Rulemaking Hearing Regarding Labor and Childbirth Policy

 

To: General Hospitals, FSEDs, Community Clinics and Community Clinics with Emergency Centers, Birth Centers, and all parties interested in SB21-193 and HB24-1459 From: HFEMSD Thank you to those of you who participated in the stakeholder process to implement statutory standards in Section 25-3-126, C.R.S. that require certain health facilities to have policies in place to protect pregnant people’s rights in the perinatal period.  The Board of Health has granted our request for rulemaking for 6 CCR 1011-1, Chapters 4 (General Hospital), 9 (Community Clinics), 13 (Free Standing Emergency Departments) and 22 (Birth Centers) for updates related to this statutory change. A public rulemaking hearing on Jun 18, 2025 at 10:00am to consider the proposed changes. Notice of the hearing is hereby given pursuant to the provisions of Section 24-4-103, C.R.S. You may provide your comments to the Board in advance of the June rulemaking hearing for their consideration. To submit written comments to the Board, please email cdphe.bohrequests@state.co.us. The Board also welcomes oral testimony regarding rulemakings and the stakeholder process at the hearing. To provide oral testimony, you must sign up before 5:00 pm on Jun 17, 2025. The time for giving oral testimony may be limited to 3 minutes or less. For further details about providing feedback at the Board of Health meeting, please visit Participate in the Board of Health.  The agenda for the public meeting and other meeting documents can be accessed at Board of Health meetings. To access the Zoom link on the day of the meeting, please visit Board of Health meetings.

Your input needed: Update List of Supplemental Healthcare Staffing Agencies

 

To: Facility Administrators From: CDPHE, HCPF, and CDLE It’s time to update the list of Supplemental Healthcare Staffing Agencies that healthcare facilities are using in Colorado.  Colorado Revised Statute (C.R.S.) § 8-4-125 requires staffing agencies providing services in Colorado to healthcare facilities that are licensed by the Department of Public Health and Environment pursuant to C.R.S. § 25-1.5-103(1)(a) to submit semi-annual reports to the Division of Labor Standards and Statistics (DLSS). DLSS shares the data submitted with the Colorado Departments of Public Health and Environment (CDPHE) and Health Care Policy and Financing (HCPF). To identify which SHSAs need to report, CDPHE and HCPF gather information about the staffing agencies they utilize from healthcare facilities. If you are licensed under C.R.S. § 25-1.5-103(1)(a), please complete this Healthcare Provider Questionnaire on or before March 28, 2025.   For further information contact the DLSS Reporting and Accountability Programs by email at acdle_health_staffing@state.co.us or phone (720) 235-8291.

CDC call for cases: serious adverse events after ceftriaxone administration

 

To: Prescribers, Infection Preventionists, Pharmacists, Facility Administrators From: Healthcare-Associated Infections/Antimicrobial Resistance Program, Colorado Department of Public Health and Environment The Centers for Disease Control and Prevention (CDC), in collaboration with state and local health departments, is investigating reports of serious adverse events, including deaths, following receipt of injectable ceftriaxone. To date, events have not been associated with a single product manufacturer or lot and a definitive causal link to ceftriaxone has not been established. A public health investigation is underway to identify and characterize serious adverse events associated with ceftriaxone exposure. CDC is requesting reports of serious adverse events following the administration of ceftriaxone to assist with the ongoing investigation. Please report to CDC adverse events that meet the following criteria, occurring after September 1, 2024: 1. Occurred within 6 hours after receipt of injectable* ceftriaxone in a non-ICU setting, and 2. Resulted in death or required cardiopulmonary resuscitation**, and 3. Not attributed by the treating provider(s) to a cause other than ceftriaxone administration***. *including both intramuscular and intravenous routes of administration **cardiopulmonary resuscitation defined as the use of chest compressions and mechanical ventilation or provision of rescue breaths to maintain circulatory flow and oxygenation during cardiac arrest ***such as known infection, other underlying medical condition, or exposure to a medication or medical product other than ceftriaxone Please make reports to CDC’s Division of Healthcare Quality Promotion at HAIoutbreak@cdc.gov. Healthcare providers should report serious adverse events that might be associated with a medical product to FDA’s MedWatch Program and to the product manufacturer. For questions about this message, contact the Healthcare-Associated Infections and Antimicrobial Resistance Program, Antimicrobial Stewardship Pharmacy Lead: cdphe_hai_ar@state.co.us.

Summary of Findings for all reportable occurrences, effective 2/1/25

 

To: Facility Administrators/Managers From: HFEMSD, HFEQ, Occurrences Program  Dear Providers,  The Department has updated the format of its Summary of Findings for all reportable occurrences, effective 2/1/25. You may notice that the information included in these summaries has been abbreviated, however will still contain the necessary statutory and regulatory requirements for public posting. For your purposes, the occurrence reporting requirements and reporting process remain the same.  Thank you for your attention to this matter.  If you have any questions, please contact our Occurrence Line at 303-692-2900.

Labor and Childbirth Rule Language Feedback Reminder: Deadline for Comment—January 17, 2025

 

To: Hospitals, Birth Centers, Community Clinics, Freestanding Emergency Departments (FSEDs), and all those interested in SB21-193 and HB24-1459 From: HFEMSD The Department is currently seeking written feedback regarding proposed revisions to draft rule language to implement statutory standards in Section 25-3-126, C.R.S. that require certain health facilities to have policies in place to protect pregnant people’s rights in the perinatal period.  As previously communicated, the Department will be accepting feedback and comments regarding these drafts only in written format only at this time, either through the labor and childbirth rule language feedback form or by email.  This is a friendly reminder to please submit all written comments, either by form or email, no later than 5:00 p.m., January 17, 2025. To review the Department’s proposed rule language, please select the respective rule chapter: 6 CCR 1011-1, Chapter 4 - General Hospitals (including critical access hospitals) 6 CCR 1011-1, Chapter 9 - Community Clinics and Community Clinics and Emergency Centers (includes only those with emergency centers) 6 CCR 1011-1, Chapter 13 - Freestanding Emergency Departments 6 CCR 1011-1, Chapter 22 - Birth Centers The Department welcomes any and all feedback regarding the proposed rule language. The labor and childbirth rule language feedback form requires that responses be typed into the question fields. If you have a document or documents containing your comments, please email them to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us. At this point, the Department expects any remaining stakeholdering of these proposed rules will be through written comment only. However, stakeholders will be notified in the event that the Department determines it is necessary to reconvene the Labor and Childbirth Policy Stakeholder Group for future meetings. If you would like to receive updates regarding this process, please sign-up for the interested parties list. Please note that if you signed up as part of the previous stakeholder process, you do not need to sign up again. Stakeholders will also be notified regarding the Board of Health process when the Department determines, based on stakeholder feedback, that it is ready to go forward with a request for rulemaking. Questions and comments regarding this rulemaking may be submitted to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us.  Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request. If you would like to request an accommodation in order to submit a comment regarding this regulatory update, please notify the Nondiscrimination Coordinator at cdphe_nondiscrimination@state.co.us or 303-692-2102.

Labor and Childbirth Rule Language Feedback Deadline for Comment—January 17, 2025

 

To: Hospitals, Birth Centers, Community Clinics, Freestanding Emergency Departments (FSEDs), and all those interested in SB21-193 and HB24-1459 From: HFEMSD Last week, the Department communicated that it is seeking written feedback regarding proposed revisions to draft rule language to implement statutory standards in Section 25-3-126, C.R.S. that require certain health facilities to have policies in place to protect pregnant people’s rights in the perinatal period.  As mentioned in that message, at this time the Department will be accepting feedback and comments regarding these drafts only in written format, either through the labor and childbirth rule language feedback form or by email.  Please submit all written comments, either by form or email, by 5:00 p.m., January 17, 2025. To review the Department’s proposed rule language, please select the respective rule chapter: 6 CCR 1011-1, Chapter 4 - General Hospitals (including critical access hospitals) 6 CCR 1011-1, Chapter 9 - Community Clinics and Community Clinics and Emergency Centers (includes only those with emergency centers) 6 CCR 1011-1, Chapter 13 - Freestanding Emergency Departments 6 CCR 1011-1, Chapter 22 - Birth Centers The Department welcomes any and all feedback regarding the proposed rule language. The labor and childbirth rule language feedback form requires that responses br typed into the question fields. If you have a document or documents containing your comments, please email them to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us. At this point, the Department expects any remaining stakeholdering of these proposed rules will be through written comment only. However, stakeholders will be notified in the event that the Department determines it is necessary to reconvene the Labor and Childbirth Policy Stakeholder Group for future meetings. If you would like to receive updates regarding this process, please sign-up for the interested parties list. Please note that if you signed up as part of the previous stakeholder process, you do not need to sign up again. Stakeholders will also be notified regarding the Board of Health process when the Department determines, based on stakeholder feedback, that it is ready to go forward with a request for rulemaking. Questions and comments regarding this rulemaking may be submitted to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us.  Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request. If you would like to request an accommodation in order to submit a comment regarding this regulatory update, please notify the Nondiscrimination Coordinator at cdphe_nondiscrimination@state.co.us or 303-692-2102.

Labor and Childbirth Rule Language Comment Form

 

To: Hospitals, Birth Centers, Community Clinics, Freestanding Emergency Departments (FSEDs), and all those interested in SB21-193 and HB24-1459 From: HFEMSD The Department is seeking written feedback regarding proposed revisions to draft rule language to implement statutory standards in Section 25-3-126, C.R.S. that require certain health facilities to have policies in place to protect pregnant people’s rights in the perinatal period.  Thank you to everyone who participated in meetings in 2023 and 2024 to discuss and develop regulatory language to incorporate the new requirements of Section 25-3-126, C.R.S. into 6 CCR 1011-1, Chapter 4 - General Hospitals, and 6 CCR 1011-1, Chapter 22 - Birth Centers. We deeply value your participation and your feedback is critical to the success of the stakeholder process.  During our final in-person meetings, it was expressed that the proposed rule language may not adequately ensure that a pregnant person’s rights are protected in all situations regardless of medical condition, including in both emergent and non-emergent circumstances. Taking that into consideration, and further reviewing the statutory language and state and federal law, the Department has revised the proposed rule language and expanded the scope of this rulemaking to apply to general hospitals, community clinics with emergency centers, freestanding emergency departments (FSEDs), and birth centers. Please note that critical access hospitals are subject to the new requirements in Chapter 4 though they will soon be incorporated into Chapter 16 as a result of SB24-121. Also, only community clinics that have emergency centers will be subject to the new standards in Chapter 9. To review the Department’s proposed rule language, please select the respective rule chapter: 6 CCR 1011-1, Chapter 4 - General Hospitals (including critical access hospitals) 6 CCR 1011-1, Chapter 9 - Community Clinics and Community Clinics and Emergency Centers (includes only those with emergency centers) 6 CCR 1011-1, Chapter 13 - Freestanding Emergency Departments 6 CCR 1011-1, Chapter 22 - Birth Centers The Department will be taking written comments regarding the draft rule language at this time. Any and all feedback regarding the proposed rule language is welcome. To submit a written comment, please use the comment form. This form requires that responses are typed in the question fields. If you have a document or documents containing your comments, please email them to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us.  At this point, the Department expects any remaining stakeholdering of these proposed rules will be through written comment only. However, stakeholders will be notified in the event that the Department determines it is necessary to reconvene the Labor and Childbirth Policy Stakeholder Group for future meetings. If you would like to receive updates regarding this process, please sign-up for the interested parties list. Please note that if you signed up as part of the previous stakeholder process, you do not need to sign up again. Questions and comments regarding this rulemaking may be submitted to Alexandra Haas at alexandra.haas@state.co.us or Francile Beights at francile.beights@state.co.us.  Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request. If you would like to request an accommodation in order to submit a comment regarding this regulatory update, please notify the Nondiscrimination Coordinator at cdphe_nondiscrimination@state.co.us or 303-692-2102.

Sterile Solutions Supply Chain Disruption for Dialysis Treatment

 

To: All providers or those affected by the saline shortage From: Health Facilities and Emergency Medical Services Division URGENT ATTENTION REQUIRED - The Health Facilities and Emergency Medical Services Division needs assistance in updating information about who provides dialysis services at various facilities and the number of patients receiving dialysis at home. Hurricane Helene impacted one of the largest IV fluid suppliers, owned by Baxter International, in North Carolina. This has resulted in supply chain disruptions and gaps in supplies of normal saline IV fluids, irrigation fluids, sterile water, and certain dextrose solutions. Baxter has resumed shipping to hospitals and dialysis centers, and global plants are increasing production to meet U.S. needs. However, because of ongoing disruptions, some products remain on allocation. The division asks that you complete the Google Form linked below.  IF YOU OR SOMEONE IN YOUR FACILITY/AGENCY HAVE ALREADY COMPLETED THIS FORM YOU DO NOT NEED TO COMPLETE THE FORM AGAIN. The information in this form will help identify the number of patients receiving intravenous and peritoneal dialysis at various facilities and their locations. This form will also provide information on the number of patients receiving home dialysis for those facilities that provide home care services. Please include a reliable contact person and the facility or agency’s phone number.  Please complete this Google Form with the requested information.

Sterile Solutions Supply Chain Disruption by Peritoneal Dialysis

 

To: All providers or those affected by the saline shortage From: Health Facilities and Emergency Medical Services Division URGENT ATTENTION REQUIRED - The Health Facilities and Emergency Medical Services Division needs assistance in updating information about who provides dialysis services at various facilities and the number of patients receiving dialysis at home. Hurricane Helene impacted one of the largest IV fluid suppliers, owned by Baxter International, in North Carolina. This has resulted in supply chain disruptions and gaps in supplies of normal saline IV fluids, irrigation fluids, sterile water, and certain dextrose solutions. Baxter has resumed shipping to hospitals and dialysis centers, and global plants are increasing production to meet U.S. needs. However, because of ongoing disruptions, some products remain on allocation. The division asks that you complete the Google Form linked below.  IF YOU OR SOMEONE IN YOUR FACILITY/AGENCY HAVE ALREADY COMPLETED THIS FORM YOU DO NOT NEED TO COMPLETE THE FORM AGAIN. The information in this form will help identify the number of patients receiving intravenous and peritoneal dialysis at various facilities and their locations. This form will also provide information on the number of patients receiving home dialysis for those facilities that provide home care services. Please include a reliable contact person and the facility or agency’s phone number.  Please complete this Google Form with the requested information.

Sterile Solutions Supply Chain Disruption by Peritoneal Dialysis

 

To: All providers or those affected by the saline shortage From: Health Facilities and Emergency Medical Services Division URGENT ATTENTION REQUIRED - The Health Facilities and Emergency Medical Services Division needs assistance in updating information about who provides dialysis services at various facilities and the number of patients receiving dialysis at home. Hurricane Helene impacted one of the largest IV fluid suppliers, owned by Baxter International, in North Carolina. This has resulted in supply chain disruptions and gaps in supplies of normal saline IV fluids, irrigation fluids, sterile water, and certain dextrose solutions. Baxter has resumed shipping to hospitals and dialysis centers, and global plants are increasing production to meet U.S. needs. However, because of ongoing disruptions, some products remain on allocation. The division asks that you complete the Google Form linked below.  IF YOU OR SOMEONE IN YOUR FACILITY/AGENCY HAVE ALREADY COMPLETED THIS FORM YOU DO NOT NEED TO COMPLETE THE FORM AGAIN. The information in this form will help identify the number of patients receiving intravenous and peritoneal dialysis at various facilities and their locations. This form will also provide information on the number of patients receiving home dialysis for those facilities that provide home care services. Please include a reliable contact person and the facility or agency’s phone number.  Please complete this Google Form with the requested information.

Sterile Solutions Supply Chain Disruption by Peritoneal Dialysis

 

To: All providers or those affected by the saline shortage From: Health Facilities and Emergency Medical Services Division URGENT ATTENTION REQUIRED - The Health Facilities and Emergency Medical Services Division needs assistance in updating information about who provides dialysis services at various facilities and the number of patients receiving dialysis at home. Hurricane Helene impacted one of the largest IV fluid suppliers, owned by Baxter International, in North Carolina. This has resulted in supply chain disruptions and gaps in supplies of normal saline IV fluids, irrigation fluids, sterile water, and certain dextrose solutions. Baxter has resumed shipping to hospitals and dialysis centers, and global plants are increasing production to meet U.S. needs. However, because of ongoing disruptions, some products remain on allocation. The division asks that you complete the Google Form linked below. This will help identify the number of patients receiving intravenous and peritoneal dialysis at various facilities and their locations. This form will also provide information on the number of patients receiving home dialysis for those facilities that provide home care services. Please include a reliable contact person and the facility or agency’s phone number.  Please complete this Google Form with the requested information.

Update on Saline and Sterile Solutions Supply Chain Disruptions

 

To: Home Health Agencies, Administrators, and OASIS Coordinators From The .To: All who may be affected by the saline shortage  From: HFEMSD We are reaching out with updates on the supply chain disruptions affecting saline and other sterile solutions due to Hurricane Helene. The recent storm impacted the Baxter facility in North Carolina, which supplies a significant portion of IV solutions and irrigation fluids across the U.S. This has led to a temporary shortage of normal saline IV fluids, irrigation fluids, sterile water, and certain dextrose solutions. Baxter has resumed shipping to hospitals and dialysis centers, and other global plants are scaling production to support U.S. needs. However, due to continued disruptions, certain products remain on allocation. Current and Upcoming Actions: Supply Coordination: HHS and ASPR are working with public and private partners to stabilize the supply chain, expedite FDA assessments of alternative products, and increase domestic manufacturing. Preparation for Further Storm Impact: With Hurricane Milton potentially affecting supply, assets are being pre-deployed, and production is being shifted from at-risk areas. Guidance for Providers: HHS encourages providers to: Evaluate and conserve supplies, prioritizing critical use cases. Review guidance from Baxter and ASHP on managing and conserving fluids effectively. Baxter is working directly with customers regarding allocations, and additional updates are available on their website. HHS will continue to coordinate with manufacturers and distributors and keep healthcare providers informed as this situation evolves. Baxter newsroom Hurricane Helene updates ASHP - fluid shortages suggestions for management and conservation Thank you for your patience and cooperation as we work through these supply chain challenges together. .