COVID-19 Update | October 9, 2020
Technical Guidance, Standards and Resources
Infection Prevention and Control
Clinical Care and Treatment
Special Settings and Populations
Incident Management
Event Announcements
CDC COVID-19 Partner Update October 19, 2020: Campus Guidebook – Slowing the Spread at US Colleges and Universities (CDC)
Oct 19, 3 PM 
Updates on CDC’s COVID-19 response, including the latest scientific information and what everyone should know about protecting themselves and others; review CDC COVID-19 guidance for Institutions of Higher Education in the presentation Campus Guidebook – Slowing the Spread at US Colleges and Universities.
Speakers: Dr. Cliff McDonald, Dr. Greta Massetti, Dr. Lisa C. Barrios, LCDR Samantha Morga
Federal Policy Updates
CMS released new guidance on hospital reporting requirements for COVID-19
CMS published on October 6 new guidance on hospital reporting requirements for COVID-19 as a condition for their participation in Medicare and Medicaid. These new reporting requirements were included in an August 26 interim final rule with comment period which requires hospitals and critical access hospitals (CAHs) report data in accordance with a frequency and in a standardized format to be specified by the U.S. Department of Health and Human Services (HHS).
Enforcement of these requirements began on October 6. The guidance includes:
  • Required Data Elements for Reporting: The table on p. 3-11 displays the required data elements that facilities must report to satisfy the new conditions of participation requirements. Several data elements must be reported daily and include information such as the number of hospital beds, bed occupancy, total mechanical ventilators, number of suspected or confirmed cases of COVID-19, number of COVID-19-related deaths, etc. A second set of data elements pertaining to influenza can be reported daily on an optional basis, though CMS states it intends to make these data elements mandatory as well. A final set of data must be reported once per week on Wednesdays and pertain to medical supply counts.
  • Reporting Timeline: CMS states that facilities should complete reporting within one business day of the reporting period. The agency further clarifies that if a facility cannot report on weekends or holidays, it may submit data on the next business day.
  • Enforcement: On p. 11, CMS states facilities that fail to comply with the reporting requirements will receive a notification from their CMS Location. Three weeks after receiving an initial notification, facilities that remain noncompliant will receive a second notice stating that failure to comply may result in termination from the Medicare program. Facilities that remain noncompliant for six weeks will then receive their first enforcement notification letter and will have one week to demonstration compliance. If providers do not comply within that week, they will receive a second and a third letter and will again have one week to demonstration compliance.

    Failure to comply after that point will result in facilities receiving a fourth and final enforcement letter. Facilities will then have 30-days to demonstrate compliance. CMS states that failure to comply within this 30-day period may result in termination.

    CMS further clarifies that the initial parts of the enforcement process (i.e., the steps involving the noncompliance notifications during the first three-week period) are only applicable from October 7 – November 18, 2020. After this period, CMS states the enforcement process will begin at the stage where CMS delivers its first enforcement notification letter (i.e., after the first six weeks of noncompliance). 
CMS also includes information on an appeals process on p. 11-12. We hope this update is helpful and welcome any questions.
SHEA Education and Events
SHEA Podcast: We’re All in this Together: COVID-19 Allies in Infection Prevention
This series focuses on the collaborative efforts and opportunities for different disciplines to address and confront the COVID-19 pandemic. Each week's episode will include discussion around what different organizations are doing to address COVID-19, what have been the biggest challenges, what changes have been made, and what opportunities there are to work together to handle the pandemic. Access the full podcast series on LearningCE.
SHEA Rapid Response Podcast: COVID-19 Update: What We Know Now
This series highlights changes in the COVID-19 outbreak and updates in the medical literature. Each week's episode will include a summary of important news, a brief summary of medical literature and guidelines on infection prevention that have been published related to COVID-19, and discussion around the latest and most important questions surrounding the outbreak. Access the full podcast series on LearningCE.   
Tune in to the latest episode: International Perspectives: South Africa
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  • List of guidelines and statements from other organizations for insight into stakeholders’ points-of-view. Not comprehensive; not vetted or endorsed by SHEA.  
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