Embed Size (px)
Citation preview
COVID-19The latest updates from the front lines
Dr. Steven Buslovich, MD, MS, CMD
Dr. Michael Wasserman, MD, CMD
About our speakers
Dr. Steven Buslovich is a practicing geriatrician and certified medical director of skilled nursing home and post-acute care facilities. He is an active committee member in the American Geriatrics Society’s (AGS) and the Society for Post-Acute & Long Term Care Medicine. He is the co-founder of Patient Pattern and an expert in frailty, complex care management, and PDPM. Dr. Buslovich has been leading a regional COVID-19 task force and collaborating with national leaders throughout the pandemic.
About our speakers
Dr. Michael Wasserman is President of the California Association of Long-Term Care Medicine (CALTCM). He is Medical Director at Eisenberg Village, Los Angeles Jewish Home. He has devoted himself to serving the needs of seniors for over 30 years. Dr. Wasserman serves as a board member for the Wish of a Lifetime Foundation. He speaks extensively and has been published on topics including geriatrics, healthy aging, Alzheimer’s, practice management and managed care.
Information Overload
● Updates from NY and CA COVID-19 experiences
● Ridiculous Policies around COVID-19
● Strategies for Universal Testing in Facilities
● Reopening Skilled Nursing Facilities and ACF
● Open Discussion – Ask the Panelists
Today’s learning
objectives
“A frail elderly person represents a
complex system at the edge of
failure.” (Rockwood, 2009)
COVID-19: Updates
● Nearly half of all deaths are occurring in SNFs
● Persistent outbreaks in ALFs and Senior Housing, Special Needs Residents
● Shortage of PPE
● Staffing challenges
● Media and family challenges
Quadruple Aim
● Stellar Infection Control
● Abundance of PPE
● Readily available testing
● Incident Command Center
Ridiculous Policies
● March 25th: SNF Facilities must accept COVID-19 positive patients
● May 11th: SNF Facilities must not accept COVID-19 positive patients
New York DOH Directive
May 11th NY State Executive Order
Ridiculous Policies
● March 25th: SNF Facilities must accept COVID-19 positive patients
● May 11th: SNF Facilities must not accept COVID-19 positive patients
● All NY nursing home staff must be tested twice weekly
May 11th NY State Executive Order
Ridiculous Policies
● March 25th: SNF Facilities must accept COVID-19 positive patients
● May 11th: SNF Facilities must not accept COVID-19 positive patients
● All NY nursing home staff must be tested twice weekly
● No required testing for hospital staff
Ridiculous Policies
● March 25th: SNF Facilities must accept COVID-19 positive patients
● May 11th: SNF Facilities must not accept COVID-19 positive patients
● All NY nursing home staff must be tested twice weekly
● No required testing for hospital staff
● Assisted Care Facility “bounty”
Ridiculous Policies
● March 25th: SNF Facilities must accept COVID-19 positive patients
● May 11th: SNF Facilities must not accept COVID-19 positive patients
● All NY nursing home staff must be tested twice weekly
● No required testing for hospital staff
● Assisted Care Facility “bounty”
● CDC Guidance once there is an outbreak
Ridiculous Policies
● March 25th: SNF Facilities must accept COVID-19 positive patients
● May 11th: SNF Facilities must not accept COVID-19 positive patients
● All NY nursing home staff must be tested twice weekly
● No required testing for hospital staff
● Assisted Care Facility “bounty”
● CDC Guidance once there is an outbreak
● CMS Guidelines for reopening
Why The “Ridiculous” Policies?
Testing Testing Testing
● Universal Testing
● Staff Testing
● Resident/Patient Testing
Outcome Trends
● What types of facilities are experiencing outbreaks?
● What types of facilities are able to control outbreaks?
● What are the characteristics of patients that have unfavorable outcomes?
COVID-19: National focus on physiological risk
“There’s a physiologic age and a numeric age. People with pre-existing conditions —significant heart, kidney, or lung disease, any immunosuppression, or recent cancer — are at increased risk.”
Dr. Deborah BirxWhite House Coronavirus Support Coordinator
Cohorting and Resource Allocation Tools (Free)
Risk Assessment Tool for ALF, Home Care, Community
patientpattern.com/frailty-risk
COVID-19 scrubbing analytics
MDS Five-Star predictor
PDPM insights
Real-time QM improvement
Pre-transmission MDS scrubbing
Trusted by thousandsof providers
SimpleAnalyzer™
Poll
Open roundtable session
Questions & Answers
Thanks for attending!
Slides and recording are available at
simpleltc.com/covid-19-updates
