COVID-19 Informational Resource Page (Updated 11/08/21)

The Virginia MGMA has created this page as a resource for medical practice management professionals regarding COVID-19. It includes current information, webinars, articles, documents, links, etc. we are receiving on this rapidly changing situation. Our Corporate Sponsors have also submitted helpful information. Please check this page often for updates.
NOTE: VMGMA has not vetted these resources and recommends you consult your attorney or CPA before making any changes to how you conduct business. This page is for information only.             

VDH Guidance Eligible Vaccinators

MGMA

(11/4/21) Biden administration releases COVID-19 vaccine mandates

This morning, the Biden administration released two rules pertaining to COVID-19 vaccine mandates. Both rules will require applicable employers and healthcare facilities to fully meet vaccination requirements by Jan. 4, 2022. MGMA is currently analyzing these regulations and will inform members of information pertinent to medical groups upon further review. A brief description and links to the rules as well as FAQs are below:
CMS facilities COVID-19 vaccine mandate
The Centers for Medicare & Medicaid Services (CMS) released an interim final rule with comment period, which requires all staff within Medicare and Medicaid-certified facilities to be vaccinated against COVID-19. Under the rule, eligible staff must receive the necessary shots to be fully vaccinated by Jan. 4, 2022. Certain exemptions based on medical conditions or religious beliefs, observances or practices could apply. This regulation will not apply to physician’s offices because they are not subject to CMS health and safety regulations.
The press release and FAQs can be found here.

(11/4/21) OSHA ETS: COVID-19 vaccine mandate with testing option
The Occupational Safety and Health Administration (OSHA) released its second emergency temporary standard (ETS) which applies to employers with 100+ employees. The ETS mandates that these employers must require COVID-19 vaccines or weekly testing for employees. The ETS is effective immediately upon publication in the Federal Register. In order to comply, employers must ensure that (1) all requirements other than testing for employees who have not completed their entire primary vaccination dose(s) are met 30 days after publication and (2) testing for employees who have not received all doses required for a primary vaccination 60 days after publication.
The fact sheet can be found here.
The FAQs can be found here.
The ETS landing page can be found here.

Centers For Medicare & Medicaid Services (Philadelphia Regional Office)

To keep up with the important work the Task Force is doing in response to COVID-19, please click HERE. For a complete and updated list of CMS actions, guidance and other information in response to COVID-19, please visit the Current Emergencies Website.

(11/8/21) COVID-19 Health Care Staff Vaccination IFC-6: Presentation Slides and Video
Thank you for your interest in in the COVID-19 Omnibus Vaccine Rule (IFC-6). Yesterday’s stakeholder call had a limit of 10,000 participants and we exceeded that number. Please accept our apologies.
CMS has posted the presentation slides and a recording of the stakeholder call for your convenience.
To view the slides, visit: https://www.cms.gov/files/document/covid-19-health-care-staff-vaccination-ifc-6-national-stakeholder-call-slides.pdf
To view the video, visit: https://www.youtube.com/watch?v=xHA0zY1aC-Y
In addition to the resources above, CMS has prepared a frequently asked questions document, available here: https://www.cms.gov/files/document/cms-omnibus-staff-vax-requirements-2021.pdf

(11/4/21) 
Biden-Harris Administration Issues Emergency Regulation Requiring COVID-19 Vaccination for Health Care Workers
National requirement protects patients at nearly 76,000 providers and covers more than 17 million health care workers
The Biden-Harris Administration is requiring COVID-19 vaccination of eligible staff at health care facilities that participate in the Medicare and Medicaid programs. The emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) today protects those fighting this virus on the front lines while also delivering assurances to individuals and their families that they will be protected when seeking care.
“Ensuring patient safety and protection from COVID-19 has been the focus of our efforts in combatting the pandemic and the constantly evolving challenges we’re seeing,” said CMS Administrator Chiquita Brooks-LaSure. “Today’s action addresses the risk of unvaccinated health care staff to patient safety and provides stability and uniformity across the nation’s health care system to strengthen the health of people and the providers who care for them.”
The prevalence of COVID-19, in particular the Delta variant, within health care settings increases the risk of unvaccinated staff contracting the virus and transmitting the virus to patients. When health care staff cannot work because of illness or exposure to COVID-19, the strain on the health care system becomes more severe and further limits patient access to safe and essential care. These requirements will apply to approximately 76,000 providers and cover over 17 million health care workers across the country. The regulation will create a consistent standard within Medicare and Medicaid while giving patients assurance of the vaccination status of those delivering care.
Facilities covered by this regulation must establish a policy ensuring all eligible staff have received the first dose of a two-dose COVID-19 vaccine or a one-dose COVID-19 vaccine prior to providing any care, treatment, or other services by December 5, 2021. All eligible staff must have received the necessary shots to be fully vaccinated – either two doses of Pfizer or Moderna or one dose of Johnson & Johnson – by January 4, 2022. The regulation also provides for exemptions based on recognized medical conditions or religious beliefs, observances, or practices. Facilities must develop a similar process or plan for permitting exemptions in alignment with federal law.
CMS accelerated outreach and assistance efforts encouraging individuals working in health care to get vaccinated following the Administration’s announcement that it would expand the requirement for staff vaccination beyond nursing homes to include additional providers and suppliers. Since the Administration’s announcement, nursing home staff vaccination rates have increased by approximately nine percentage points – from 62 to 71 percent. This increase is encouraging, and this regulation will help to ensure even greater improvement in the vaccination rate among health care workers.
A recent White House report describes the evidence that vaccine requirements work. An analysis of health care systems, educational institutions, public-sector agencies, and private businesses shows that organizations with vaccination requirements have seen their vaccination rates increase by more than 20 percentage points and have routinely seen their share of fully vaccinated workers rise above 90%.
States and individual health systems have historically addressed vaccination requirements for diseases such as influenza and hepatitis B. Today, more than 2,500 hospitals, or 40 percent of all U.S. hospitals, have announced COVID vaccination requirements for their workforce. They span all 50 states, the District of Columbia, and Puerto Rico. The report also found that vaccination requirements have not led to widespread resignations in the health care workforce and that the requirements are an essential tool to protect patients and health care personnel.
CMS will ensure compliance with these requirements through established survey and enforcement processes. If a provider or supplier does not meet the requirements, it will be cited by a surveyor as being non-compliant and have an opportunity to return to compliance before additional actions occur. CMS’s goal is to bring health care providers into compliance. However, the Agency will not hesitate to use its full enforcement authority to protect the health and safety of patients.
The requirements apply to: Ambulatory Surgical Centers, Hospices, Programs of All-Inclusive Care for the Elderly, Hospitals, Long Term Care facilities, Psychiatric Residential Treatment Facilities, Intermediate Care Facilities for Individuals with Intellectual Disabilities, Home Health Agencies, Comprehensive Outpatient Rehabilitation Facilities, Critical Access Hospitals, Clinics (rehabilitation agencies, and public health agencies as providers of outpatient physical therapy and speech-language pathology services), Community Mental Health Centers, Home Infusion Therapy suppliers, Rural Health Clinics/Federally Qualified Health Centers, and End-Stage Renal Disease Facilities.
CMS is taking necessary action to establish critical safeguards for the health of all people, their families, and the providers who care for them. CMS knows that everyone working in health care wants to do what is best to keep their patients safe. Yet, unvaccinated staff pose both a direct and indirect threat to the very patients that they serve. Vaccines are a crucial scientific tool in preserving and restoring efficient operations across the nation’s health care system while protecting individuals. This new requirement presents an opportunity to continue driving down COVID-19 infections, stabilize the nation’s health care system, and ensure safety for anyone seeking care.
To view the interim final rule with comment period, visit: https://www.federalregister.gov/public-inspection/2021-23831/medicare-and-medicaid-programs-omnibus-covid-19-health-care-staff-vaccination
To view a list of frequently asked questions, visit: www.cms.gov/files/document/cms-omnibus-staff-vax-requirements-2021.docx

 

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VMGMA 2021 Corporate Sponsor Resources
McKesson Medical Surgical
-  Webinar: COVID-19 Trends Impacting Providers, powered by Avalere
-  Webinar: Preparing for the New Normal: Virtualizing Medical Care Post Pandemic, brought to you by Amwell
Webinar Wednesday Page: Complete form on right of screen to be alerted to upcoming webinars
-  McKesson Medical-Surgical Covid-19 Support Portal
Coverys
- FAQ For Policy Holders & Helpful Information
- COVID-19 Article
RxVantage
- Blog Post: Combating Burnout During the Ongoing Pandemic
- Blog Post: 7 Books for Managers to Read During COVID and Beyond
- Blog Post: Message Reps Individually or in Groups
- Updated "Reopening Playbook" with more resources and insights for practices navigating a new normal in vendor/rep communications.

- Safely Re-Opening Amid COVID-19 Vendor Rep. Visitation Protocol Update
- Sample Policy: COVID-19 Vendor/Rep Visitation Protocol Update
- Insight/Guidance on Vendor/Rep Visitation
Article
(5/18/20) Contain Costs By Addressing Financial Barriers to Medication Adherence
(5/18/20) Building a Clinical Education Strategy
(5/18/20) 5 Ways to Boost Practice Efficiency on a Shoestring Budget
(5/18/20) COVID-19 & Medical Practices Updating Protocols For Rep Engagement
(5/18/20) Life Science Companies & Healthcare Providers Partnering for Value Based Patient Care
(5/18/20) 7 Free or Low Cost Ways to Increase Practice Efficiency
RCM&D

- Click HERE for COVID-19 information.
MSVIA / MSV
- Click HERE for MSVIA COVID-19 information.
- Click HERE for MSV COVID-19 information.
HandCraft Linen & Uniform Specialists
- Article: How To Reduce Contamination in Patient Rooms
Curi
- COVID-19 Resource PAGE
The Doctors Company
- COVID-19 Malpractice Coverage FAQ Page. Although it is written for TDC members, there is general information included as well.
- COVID-19 Resource Center
LabCorp
- Link to LabCorp Informational Page

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Virginia Becomes First State to Adopt COVID-19-Related Workplace Health and Safety Standard  (Lexology Article)

Virginia Department of Health: Click HERE
CDC
: Click HERE
US Department of Labor / Wage & Hour Division
   - Employee Rights Poster
   - Paid Sick Leave & Expanded Medical Leave Under FFCRA

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VMGMA 2021 CORPORATE SPONSORS

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