• Home

  • Documents

  • µ ] v ' ] ] ^ ] o ] W X X...E v ] µ U D X X é < µ ] l Z } Ç U D X X é D µ ] ] } ^ v U...
2
Austin Geriatric Specialists P.A. Liam M. Fry, M.D., C.M.D., F.A.C.P. ♦ Anjana Philip, M.D. Michael Krol, M.D. ♦ Heather Herrington, M.D. ♦ Charitha Sridhar, M.D. Chris Stearns, M.D. ♦ Samira Shahnaz, M.D. ♦ Matthew Brimberry, M.D. Nabanita Basu, M.D. ♦ Kausik Roy, M.D. ♦ Mauricio Sardan, M.D. 1108 Lavaca Street Suite #110-320, Austin, TX 78701♦ ph 512-477-4088 ♦ fax 512-482-0390 March 12, 2020 Liam Fry, MD, CMD, FACP President, Austin Geriatric Specialists Memo: Coronavirus (COVID-19) in Nursing Homes and Assisted Living Facilities Our medical leadership team is diligently monitoring the global pandemic of Coronavirus. We have connected with the CDC Health Alert Network as well as the Texas Department of Health and Human Services, the local health departments, and CMS. We are receiving regular and direct communication from these agencies including updates with regard to level of risk which is rapidly rising throughout parts of the country, including in Texas. As a result, we are implementing new levels of precaution for all Nursing homes and Assisted Living Facilities that include: Restricting visitors Restricting all non-essential health care providers (marketers, volunteers, trainees) Mandatory screening (via questionnaire that CMS has proposed) of every single person that comes into the building (staff, visitors, vendors, physicians, practitioners, state surveyor or health dept. personnel, etc.) Restricting access to the building to one front entrance where screening is done Families of the residents are/in the process of being contacted regarding all these measures Restricting/postponing all outside appointments to clinics, consultants, imaging centers, etc. Specific requests of physicians/practitioners: **Please be thoughtful about all outside medical appointments that your patients are scheduled for in March or April. Any and all appointments that are not essential should be rescheduled until this pandemic has passed. Doctors ‘offices, imaging centers, etc. are at a MUCH HIGHER RISK of having other patients with COVID and thus exposing our resident. If you can call the consultant and get orders/instructions that way; send a photo; perhaps even use facetime – this is the time to do any/all that you can to keep our residents away from outside people, especially outside sick people. Only you – with your level of license and training – will be able to say it is okay to reschedule the appointment – PLEASE DO THIS

µ ] v ' ] ] ^ ] o ] W X X...E v ] µ U D X X é < µ ] l Z } Ç U D X X é D µ ] ] } ^ v U D X X í í ì ô > À ^ ^ µ ] · í í ì r ï î ì U µ ] v U dy ó ô ó ì

  • Upload
    others

  • View
    38

  • Download
    0

Embed Size (px)

Citation preview

Page 1: µ ] v ' ] ] ^ ] o ] W X X...E v ] µ U D X X é < µ ] l Z } Ç U D X X é D µ ] ] } ^ v U D X X í í ì ô > À ^ ^ µ ] · í í ì r ï î ì U µ ] v U dy ó ô ó ì

Austin Geriatric Specialists P.A.

Liam M. Fry, M.D., C.M.D., F.A.C.P. ♦ Anjana Philip, M.D. Michael Krol, M.D. ♦ Heather Herrington, M.D. ♦ Charitha Sridhar, M.D. Chris Stearns, M.D. ♦ Samira Shahnaz, M.D. ♦ Matthew Brimberry, M.D.

Nabanita Basu, M.D. ♦ Kausik Roy, M.D. ♦ Mauricio Sardan, M.D.

1108 Lavaca Street Suite #110-320, Austin, TX 78701♦ ph 512-477-4088 ♦ fax 512-482-0390

March 12, 2020 Liam Fry, MD, CMD, FACP President, Austin Geriatric Specialists Memo: Coronavirus (COVID-19) in Nursing Homes and Assisted Living Facilities Our medical leadership team is diligently monitoring the global pandemic of Coronavirus. We have connected with the CDC Health Alert Network as well as the Texas Department of Health and Human Services, the local health departments, and CMS. We are receiving regular and direct communication from these agencies including updates with regard to level of risk which is rapidly rising throughout parts of the country, including in Texas. As a result, we are implementing new levels of precaution for all Nursing homes and Assisted Living Facilities that include:

Restricting visitors Restricting all non-essential health care providers (marketers, volunteers, trainees) Mandatory screening (via questionnaire that CMS has proposed) of every single

person that comes into the building (staff, visitors, vendors, physicians, practitioners, state surveyor or health dept. personnel, etc.)

Restricting access to the building to one front entrance where screening is done Families of the residents are/in the process of being contacted regarding all these

measures Restricting/postponing all outside appointments to clinics, consultants, imaging

centers, etc.

Specific requests of physicians/practitioners:

**Please be thoughtful about all outside medical appointments that your patients are scheduled for in March or April. Any and all appointments that are not essential should be rescheduled until this pandemic has passed. Doctors ‘offices, imaging centers, etc. are at a MUCH HIGHER RISK of having other patients with COVID and thus exposing our resident. If you can call the consultant and get orders/instructions that way; send a photo; perhaps even use facetime – this is the time to do any/all that you can to keep our residents away from outside people, especially outside sick people. Only you – with your level of license and training – will be able to say it is okay to reschedule the appointment – PLEASE DO THIS

Page 2: µ ] v ' ] ] ^ ] o ] W X X...E v ] µ U D X X é < µ ] l Z } Ç U D X X é D µ ] ] } ^ v U D X X í í ì ô > À ^ ^ µ ] · í í ì r ï î ì U µ ] v U dy ó ô ó ì

Austin Geriatric Specialists P.A.

Liam M. Fry, M.D., C.M.D., F.A.C.P. ♦ Anjana Philip, M.D. Michael Krol, M.D. ♦ Heather Herrington, M.D. ♦ Charitha Sridhar, M.D. Chris Stearns, M.D. ♦ Samira Shahnaz, M.D. ♦ Matthew Brimberry, M.D.

Nabanita Basu, M.D. ♦ Kausik Roy, M.D. ♦ Mauricio Sardan, M.D.

1108 Lavaca Street Suite #110-320, Austin, TX 78701♦ ph 512-477-4088 ♦ fax 512-482-0390

**Please do NOT come into the facility if you have traveled to an area with known Coronavirus or have had contact with someone for at least 14 days. There is significant and ongoing concern that asymptomatic individuals can and do spread the virus. Please work with the administrator and DON who can help assist with telephonic or telehealth (where available) or even FaceTime etc. to make sure your patients are cared for. Similarly, please consider postponing your routine, regulatory visits as able and consolidating your staff (i.e. only one practitioner as opposed to a rotation of several, etc.)

** Call health department for any suspected case, no matter how probable or

improbable – You can certainly delegate this to the facility DON or administrator, but encourage them to do it ASAP. With other disease outbreaks, the tendency has been to “get a plan in place” first, then call the local health dept. DO NOT DO THAT – CALL FIRST

**No medical students, no NP students, no residents, or other students Use DROPLET precautions: Mask, gown, splash guard if possible secretions sprayed

to the face (very unlikely); Hospitals are using airborne precautions out of an abundance of caution, but CMS and CDC have instructed nursing homes without negative pressure rooms (i.e. all the ones in Texas) to use DROPLET precautions

Do NOT call 911 or send patients to the hospital unless they are critically ill and

require hospitalization due to inability to care for them in NH; If you do send them out – you MUST alert the EMT, ER staff, etc. BEFORE that the patient is coming with suspected COVID19

**This disease KILLS our patients – 19 patients in LTC facility in Washington State have died of COVID19 with an additional 35 testing positive on Monday and more deaths expected for a mortality rate of at least 25%.

Sincerely, Liam Fry, MD, CMD, FACP


D ] Z h v î ì î ì · 2021. 1. 2. · D ] Z h v î ì î ì W µ o ] Z ~h X^ X r r µ v Z µ v : v µ Ç î ì î ì Z } µ P Z u U î ì î ì Z v l ] d ] o

D ] Z h v î ì î ì · 2021. 1. 2. · D ] Z h v î ì î ì W µ o ] Z ~h X^ X r r µ v Z µ v : v µ Ç î ì î ì Z } µ P Z u U î ì î ì Z v l ] d ] o

Documents
v ] µ } ( W } ( ] } v o ^ µ ] · } Z µ ~/ v ( } u ] } v v ' µ ] o ] v 81,9(56,7< 2) $//$+$%$' , o l u ] o W Z o l X µ À Z î ì î ì P u ] o X } u / v ] µ } ( W } ( ] }

v ] µ } ( W } ( ] } v o ^ µ ] · } Z µ ~/ v ( } u ] } v v ' µ ] o ] v 81,9(56,7< 2) $//$+$%$' , o l u ] o W Z o l X µ À Z î ì î ì P u ] o X } u / v ] µ } ( W } ( ] }

Documents
d µ Ç U í ó X ì ï X î ì î ì U í î W í ñ WD

d µ Ç U í ó X ì ï X î ì î ì U í î W í ñ WD

Documents
o / v } µ } Ç h^ Z } Z } Á í X îD } Ì ^ µ µ o Z } µ r v ' } Á ] v P J } v P ... · 2020-02-19 · / v ( í î X î òD í X ò P l ( } ò í õ U ò ì ì } µ v µ ~& Z

o / v } µ } Ç h^ Z } Z } Á í X îD } Ì ^ µ µ o Z } µ r v ' } Á ] v P J } v P ... · 2020-02-19 · / v ( í î X î òD í X ò P l ( } ò í õ U ò ì ì } µ v µ ~& Z

Documents
v° Æ ° L µ¿Ì ¯ ävÌ µ° P o X } u Ù Ì '9? !©µ v© v¿ xÆ ÆÙ Ì ... · ~/DK t/ v v ] } v o D ] ] u K P v ] Ì ] } v ï X ñ 9, ] P Z ^

v° Æ ° L µ¿Ì ¯ ävÌ µ° P o X } u Ù Ì '9? !©µ v© v¿ xÆ ÆÙ Ì ... · ~/DK t/ v v ] } v o D ] ] u K P v ] Ì ] } v ï X ñ 9, ] P Z ^

Documents
v v ] } v o ^ Ç u } ] µ u } v D µ o ] ] ] o ] v Ç ^ µ ... · Z ] W d ] o µ Z } ^ l ò õ r ^ v o } v ' Ç r } Æ Z d & µ Ì Ì K À Ì l ] v < X U P Ì o ] l 7 X K À Ì

v v ] } v o ^ Ç u } ] µ u } v D µ o ] ] ] o ] v Ç ^ µ ... · Z ] W d ] o µ Z } ^ l ò õ r ^ v o } v ' Ç r } Æ Z d & µ Ì Ì K À Ì l ] v < X U P Ì o ] l 7 X K À Ì

Documents
Belegung Lehrveranstaltungen SS21 planungsgrundlage inkl ... · í ð ì í ò X ì í ì ìsK µ µ v P h v v Z u v // í ð ì í ò X ì í ì íh µ µ v P h v v Z u v

Belegung Lehrveranstaltungen SS21 planungsgrundlage inkl ... · í ð ì í ò X ì í ì ìsK µ µ v P h v v Z u v // í ð ì í ò X ì í ì íh µ µ v P h v v Z u v

Documents
7JTB #BMBODF 5SBOTGFS€¦ · í X ì ì 9 } ( Z ( } ] P v µ v Ç v } v ] v h X^ } o o X í X ì ì 9 } ( Z h X^ } o o v } v Z } µ ] v

7JTB #BMBODF 5SBOTGFS€¦ · í X ì ì 9 } ( Z ( } ] P v µ v Ç v } v ] v h X^ } o o X í X ì ì 9 } ( Z h X^ } o o v } v Z } µ ] v

Documents
X v v ] } Z v µ ] X X î ì í õ r î ì î ì W ] Ì ] À } o

X v v ] } Z v µ ] X X î ì í õ r î ì î ì W ] Ì ] À } o

Documents
Commission Disclosure Complete List Final- July 2020 · < } l > ] µ ] & µ v ì X ì õ 9 ì X ì ì 9 < } l D } v Ç D l ^ Z u ì X ì ô 9 ì X ì ì 9

Commission Disclosure Complete List Final- July 2020 · < } l > ] µ ] & µ v ì X ì õ 9 ì X ì ì 9 < } l D } v Ç D l ^ Z u ì X ì ô 9 ì X ì ì 9

Documents
1396 Manual 20160807 - NetSuite · &' óy // , } µ ] v P / v µ ] } v D v µ o î ì í ò ì ô ì ô &' óy // , } µ ] v P & v > ] v ~ X E } X í ï õ ò & } Z v } v W } Á ^

1396 Manual 20160807 - NetSuite · &' óy // , } µ ] v P / v µ ] } v D v µ o î ì í ò ì ô ì ô &' óy // , } µ ] v P & v > ] v ~ X E } X í ï õ ò & } Z v } v W } Á ^

Documents
&]LZ ^ µ v Ç} (> v ]oîU îìí ó · Á Á Á X ] ] µ v } X , } oÇt ll ^ Z µ o ]oõ W ]}vl Wou ^µv Ç ^ µ Çs] P]oD WðWì ì v òWì ì Xu X

&]LZ ^ µ v Ç} (> v ]oîU îìí ó · Á Á Á X ] ] µ v } X , } oÇt ll ^ Z µ o ]oõ W ]}vl Wou ^µv Ç ^ µ Çs] P]oD WðWì ì v òWì ì Xu X

Documents
} Z } o W } X v · W ] Ì Ì ^ X D } U ð r ñ ì í î í r & ] v Ì t d o X ì ñ ñ î ó ñ ó X í r r u ] o ] ] µ v ] ( ] X ] r W ] ] X µ v ] ( ] X ]

} Z } o W } X v · W ] Ì Ì ^ X D } U ð r ñ ì í î í r & ] v Ì t d o X ì ñ ñ î ó ñ ó X í r r u ] o ] ] µ v ] ( ] X ] r W ] ] X µ v ] ( ] X ]

Documents
MBNJ Parent Handbook 2019 - bneiakiva.org · î ,psruwdqw 'dwhv 6xpphu r -dqxdu\ ¨ ò ì ì Ç u v z ] o µ x r $sulo d µ ] ] } v ] v ( µ o o ] µ x

MBNJ Parent Handbook 2019 - bneiakiva.org · î ,psruwdqw 'dwhv 6xpphu r -dqxdu\ ¨ ò ì ì Ç u v z ] o µ x r $sulo d µ ] ] } v ] v ( µ o o ] µ x

Documents
 · ] } } v µ } ð ï ð n Á Á Á X ] } } v µ } X } u X ï ì u } & ] } } v µ } ñ ï ð n Á Á Á X ] } } v µ } X } u X ï ì u } &

 · ] } } v µ } ð ï ð n Á Á Á X ] } } v µ } X } u X ï ì u } & ] } } v µ } ñ ï ð n Á Á Á X ] } } v µ } X } u X ï ì u } &

Documents
o } v ] ^ µ o u v Ç / v ( } u ] } v Wd Z v } o } P Ç U î ì ô t u µ U î > ] v P ' } v P Z X U o ] v í í ò ì î ð U W X Z X Z ] v X u ] o W Ì Z } i Ì Z o µ X µ X v ~:

o } v ] ^ µ o u v Ç / v ( } u ] } v Wd Z v } o } P Ç U î ì ô t u µ U î > ] v P ' } v P Z X U o ] v í í ò ì î ð U W X Z X Z ] v X u ] o W Ì Z } i Ì Z o µ X µ X v ~:

Documents
^ P Ç Z } u u v ] } v } D ] ] P u ] ] } v v ^ µ } Z ] o ] v ] v D ] v µ ] o ] v P · 2020-06-12 · : µ v ñ u î ì î ì î d o } ( } v v Æ µ ] À ^ µ u u Ç x x x x x x

^ P Ç Z } u u v ] } v } D ] ] P u ] ] } v v ^ µ } Z ] o ] v ] v D ] v µ ] o ] v P · 2020-06-12 · : µ v ñ u î ì î ì î d o } ( } v v Æ µ ] À ^ µ u u Ç x x x x x x

Documents
Z Xd X/ X r î ì ì ñ &KZD t/ z o Ç } Ç ^W/K } W µ o ] µ Z } ] Ç · í Z Xd X/ X r î ì ì ñ &KZD t/ z o Ç } Ç ^W/K } W µ o ] µ Z } ] Ç î / r E } X } ( µ Á Z o ]

Z Xd X/ X r î ì ì ñ &KZD t/ z o Ç } Ç ^W/K } W µ o ] µ Z } ] Ç · í Z Xd X/ X r î ì ì ñ &KZD t/ z o Ç } Ç ^W/K } W µ o ] µ Z } ] Ç î / r E } X } ( µ Á Z o ]

Documents
Á ] v Ì X µ X X v Ì ] X µ X X v Ì · 4 ! Introduction) This!report!outlines!2009!findings!from!10!of!the!countriesparticipating!in!the!World!Internet!Project! (WIP),including!New!Zealand.!The!WIPis

Á ] v Ì X µ X X v Ì ] X µ X X v Ì · 4 ! Introduction) This!report!outlines!2009!findings!from!10!of!the!countriesparticipating!in!the!World!Internet!Project! (WIP),including!New!Zealand.!The!WIPis

Documents
} u } } v } o o D D t ô ò ì KW Z d/KE D Eh > · ì ð X ì ô X î ì í ó K ] } v D v µ o D D r ô ò ì s í X ì í X ò h W u W & ] ^ µ u v µ ^ } v ^ µ u v µ W s o µ

} u } } v } o o D D t ô ò ì KW Z d/KE D Eh > · ì ð X ì ô X î ì í ó K ] } v D v µ o D D r ô ò ì s í X ì í X ò h W u W & ] ^ µ u v µ ^ } v ^ µ u v µ W s o µ

Documents
December Initial Budget Presentation 2019...µ µ W/>Kd P u v ( } o o } Á W •& ] o î ì í õ W ] o } À v µ } ( ¨ î ì ì U ì ì ì X ... Z v P 9 í X ñ ð 9 î X ñ ó 9

December Initial Budget Presentation 2019...µ µ W/>Kd P u v ( } o o } Á W •& ] o î ì í õ W ] o } À v µ } ( ¨ î ì ì U ì ì ì X ... Z v P 9 í X ñ ð 9 î X ñ ó 9

Documents
W W r P o ] µ v P µ Z ,/s r^ Z Á µ v l Ìœbersicht... · o o P X r u X U Æ X ' µ v Z ] U Z ] u ] Ì ] v D } Z v ò ì ï ì t ï ð ò î ì ï ì ì ] v ( } v } À } Æ ]

W W r P o ] µ v P µ Z ,/s r^ Z Á µ v l Ìœbersicht... · o o P X r u X U Æ X ' µ v Z ] U Z ] u ] Ì ] v D } Z v ò ì ï ì t ï ð ò î ì ï ì ì ] v ( } v } À } Æ ]

Documents
& µ o Ç ] o } ( } u ( } } o o P t ] · ( } ^ µ Ì µ l ] rD ] Ç µ } µ o ] v P X < µ u U h X V µ Ç U W X V ^ ] v P Z U s X s X V W l Z U K X V ^ ] v P Z U X < X Z^ À î ì

& µ o Ç ] o } ( } u ( } } o o P t ] · ( } ^ µ Ì µ l ] rD ] Ç µ } µ o ] v P X < µ u U h X V µ Ç U W X V ^ ] v P Z U s X s X V W l Z U K X V ^ ] v P Z U X < X Z^ À î ì

Documents
v o P í Ì µ Z ] Z o ] v ] ( º ] ' Á Z µ v P À } v µ Á v µ ... · õ o } u º v U ^ Z µ o À v í ô ì X õ ò ò U ì ì ¦ r ¦ í ì o ] v P U > v l ] î X ñ ñ ó

v o P í Ì µ Z ] Z o ] v ] ( º ] ' Á Z µ v P À } v µ Á v µ ... · õ o } u º v U ^ Z µ o À v í ô ì X õ ò ò U ì ì ¦ r ¦ í ì o ] v P U > v l ] î X ñ ñ ó

Documents
EKsK J J J >/E K^ · µ u } o l í î X ì ò î î X ì ò ì î X ì ó í î X ì ó î î X ì ó ì í X ì ô í í X ì ô î í X ì ô ï í X ì ô í ì X ì õ

EKsK J J J >/E K^ · µ u } o l í î X ì ò î î X ì ò ì î X ì ó í î X ì ó î î X ì ó ì í X ì ô í í X ì ô î í X ì ô ï í X ì ô í ì X ì õ

Documents
E } ] ( ] ] } v } ( u µ r & µ v ] v P & } W ] } W : µ o Ç í U î ì î ì } : µ ... · 2020-06-26 · KW / ^ Z } } o E u ] Ç ^ ] &^ K' &t^ ì ì í ì í ô ì ì ' KZ' X t

E } ] ( ] ] } v } ( u µ r & µ v ] v P & } W ] } W : µ o Ç í U î ì î ì } : µ ... · 2020-06-26 · KW / ^ Z } } o E u ] Ç ^ ] &^ K' &t^ ì ì í ì í ô ì ì ' KZ' X t

Documents
} u ] v / rK P v ] Ì ] } v o ~ o o W } i î X X ] î X X ......Z À ] Á ^ µ s À ] o o s Á i µ u v E s s } u o í X ì ì í X ì ì ì X ì ì í X ì ì í ì ì 9

} u ] v / rK P v ] Ì ] } v o ~ o o W } i î X X ] î X X ......Z À ] Á ^ µ s À ] o o s Á i µ u v E s s } u o í X ì ì í X ì ì ì X ì ì í X ì ì í ì ì 9

Documents
Long Stay VISA Jan 2020 Rev02 - LMG · 2020. 3. 6. · h r> } v P^ Çs/^ î ì î ì r& î ì î ì rW X ì ï X ì î X î ì î ì d Z v P o ] Z o v P µ P µ ] v Z ] o } ( v (

Long Stay VISA Jan 2020 Rev02 - LMG · 2020. 3. 6. · h r> } v P^ Çs/^ î ì î ì r& î ì î ì rW X ì ï X ì î X î ì î ì d Z v P o ] Z o v P µ P µ ] v Z ] o } ( v (

Documents
} µ µ ^ d } o W ] } E u } } µ µ E u DZW ~Z X ZW ~Z X '^d ... · ,hE' D D À o ,Y ds ð í ds } µ µ í î ð X ì ì î ð X ì ì ð X ï î î ô X ï î ds ds î ds Z ] µ

} µ µ ^ d } o W ] } E u } } µ µ E u DZW ~Z X ZW ~Z X '^d ... · ,hE' D D À o ,Y ds ð í ds } µ µ í î ð X ì ì î ð X ì ì ð X ï î î ô X ï î ds ds î ds Z ] µ

Documents
Classroom listening audit - batodfoundation.org.uk · } u ] o Ç W µ o ] v ' v U d Z } ( Z ( r > ] v } > v X î ì í ì X h î ì í ô X ^ } µ W Z W l l Á Á Á X u Z P µ ]

Classroom listening audit - batodfoundation.org.uk · } u ] o Ç W µ o ] v ' v U d Z } ( Z ( r > ] v } > v X î ì í ì X h î ì í ô X ^ } µ W Z W l l Á Á Á X u Z P µ ]

Documents