Dear Benchmarks' Members, 

Please see below for the balance of information, guidance and technical assistance that we have found as of 6:45 pm this evening that we wanted to be sure to put on your radar!

Take care of each other and stay safe and healthy!

The Benchmarks' Team

NC Healthcare Supply Conservation Considerations
 
Supply conservation and related preparedness activities should be considered now for implementation across the healthcare system as part of a coordinated response to COVID-19. The below supply conservation considerations focus around Personal Protective Equipment (PPE) Usage but many of the considerations are multi-purpose strategies.


Updated on March 23, 2020 at 11:35 a.m. EDT.

In light of developing reports of   confirmed cases of coronavirus disease (COVID-19) in North Carolina, the NC AHEC Program is committed to helping health care professionals, providers, and communities across our state access the most up-to-date information on COVID-19. This page will continue to be modified as new and updated resources are developed.

DPH and NC AHEC Weekly Forum for Providers
EVERY FRIDAY FROM 12:30 TO 1:30 P.M.
 
Join the Zoom meeting room on your computer, or dial-in at (646) 558-8656 using webinar ID 705-979-628.

Co-sponsored by the Division of Public Health (DPH) and NC AHEC, this weekly forum will provide the latest updates on COVID-19 and allow health care providers the opportunity to ask questions. Subject matter experts from DPH will provide a quick update on any new developments and respond to questions received before or during the forum. The forums will continue until they are no longer needed.

Send any questions for DPH subject matter experts to be prepared to answer to  [email protected]. Questions must be received no later than 5 p.m. on the Wednesday prior to the call.


NC Medicaid, CCNC, and NC AHEC Webinar Series for Providers
EVERY THURSDAY FROM 5:30 TO 6:30 P.M.
  
View the   recordingtranscript, and   slide deck from March 19, 2020.


Community Care of North Carolina (CCNC) and NC AHEC are working together with NC Medicaid to help North Carolina's health care providers address the challenge of the COVID-19 pandemic, especially to understand Medicaid policies.

A key resource will be a webinar held every Thursday evening from 5:30 to 6:30 p.m. Featuring subject-matter experts from NC Medicaid, CCNC, and NC AHEC, this weekly webinar series will address Medicaid policies including new options for telephonic and telehealth delivery of care for Medicaid beneficiaries, provide a one-stop location gathering the latest information from NC DHHS, and deliver practice support coaching to help practices implement new clinical workflows in response to the changing demands of COVID-19. 

Please submit any questions for subject-matter experts to prepare for in advance to   [email protected] before 5 p.m. on the Wednesday preceding the webinar.

Follow these links to add the event series to your  Outlook,  Google, or   Yahoo calendar.

DPH and NC AHEC Weekly Forum for Health Care Facilities and Home-based Providers
EVERY TUESDAY FROM 11 A.M. TO 12 P.M. BEGINNING MARCH 24
  
Join the Zoom meeting room or dial-in at (646) 558-8656 with webinar ID 988 453 520.

Co-sponsored by the Division of Public Health (DPH) and NC AHEC, this weekly forum will connect health care facilities and home-based providers with subject matter experts to receive a brief update on new developments on COVID-19 and respond to questions received before or during the forum. The forums will continue until they are no longer needed.

Please submit any questions for subject-matter experts to prepare for in advance before 5 p.m. on the Sunday preceding the webinar to  [email protected].

NC DHHS and NC AHEC Weekly Business Forum
EVERY WEDNESDAY FROM 11:30 A.M. TO 12 P.M. BEGINNING MARCH 25

 
Join the Zoom meeting room or dial-in at (646) 558-8656 with webinar ID 920 999 281.

The NC Department of Health and Human Services' Division of Public Health (DPH) and NC AHEC will hold weekly forums for the NC business community. The forums will enable members of the business community to obtain timely information on COVID-19 and to pose questions directly to public health subject matter experts. 

Please submit any questions for subject-matter experts to prepare for in advance to  [email protected]. Questions must be received no later than 5 p.m. on the Monday prior to the forum.

NC AHEC and Office of Rural Health (ORH) Telehealth Webinar Series
Information and registration details coming soon.

CCNC and NC AHEC Resources
Community Care of North Carolina (CCNC) and NC AHEC are working together to support providers by providing general information on COVID-19 and specific guidelines including coding suggestions for healthcare providers serving Medicaid beneficiaries. T hese resources include a one-pager outlining   NC Medicaid billing changes effective March 13, 2020. Visit our partnership   webpage for additional resources.

Centers for Disease Control and Prevention (CDC)
The CDC manages the central hub for the latest news and guidelines on COVID-19. Visit  cdc.gov to explore their resources.

The CDC also provides   a repository of communication tools related to COVID-19, including  print materials in English, Spanish, and Chinese. These resources are available for public use at no charge and are well-suited for distribution and display in practices.

North Carolina Department of Health and Human Services (NC DHHS) Resources
NC DHHS has a comprehensive webpage where visitors can access updates and resources on COVID-19 designed for all audiences. All North Carolinians are encouraged to visit  ncdhhs.gov/coronavirus for more information.

Included on this page is helpful information for:
There is also information on  how to combat fear and anxiety about COVID-19.

AHEC Online Courses for Providers and Health Care Professionals
Regional AHECs are actively developing webinars and online course modules on topics related to COVID-19. Health care professionals can visit the  visual course catalog to view our offerings available statewide.

AHEC Digital Library (ADL)
AHEC librarians and the Health Sciences Library at the University of North Carolina at Chapel Hill have curated a collection of resources to direct health care providers and the public to the most current and reliable information on COVID-19. Visit  guides.lib.unc.edu/COVID19 to access these resources.

Recommendations for Use of Personal Protective Equipment (PPE) and Personal Health and Safety
Providers should contact their local Emergency Management agency or county health department if they are in need of PPE. Non-urgent questions can be sent to  [email protected].


The following health and safety guidelines are adapted from the   Center for Disease Control (CDC) webpage on COVID-19.

SYMPTOMS
Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases. The following symptoms may appear 2-14 days after exposure.
  • Fever
  • Cough
  • Shortness of breath
PREVENTION
  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Follow CDC's recommendations for using a face mask.
    • CDC does not recommend that people who are well wear a face mask to protect themselves from respiratory diseases, including COVID-19.
    • PPE should be used by people who show symptoms of COVID-19 to help prevent the spread of disease to others. The use of face masks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).
  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
    • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.


From WRAL: Child care referral program available for parents in need; relief fund launched for families, providers

With schools closed and employers allowing remote work, many of us don't require child care to ensure our kids are safe because we are at home with them. (Keeping them entertained is another story, especially if you're trying to work and help them learn and stay busy. We've got some resources  here and  here and  here and more to come.)

But others with essential jobs - working in hospitals, clinics, grocery stores, drug stores and in law enforcement - must leave the house to go to work everyday. Some of them need child care for their kids, but many child care centers are shut down because of the pandemic.

Child Care Services Association, a North Carolina-based group that works to ensure affordable, accessible, high quality child care for all, is here to help.

It has two resources for families - a toll free number that will link them up to specialists who can help them find child care that's available in their area.

It's also launched on Monday a scholarship fund to help child care programs and families.

"We're saying to families, if you don't have to go to work and you can work from home, stay home with your child," said Marsha Basloe, the association's president. "But if you are a parent who really provides a necessary service and you've got to be at work ... we have a database."

Here are the details via the association:
Child Care Referral Program

If you are a parent who provides necessary services to, or cares for, members of our communities and your child care has fallen through or is unavailable because of COVID-19 closures, call 888-600-1685 to be connected with the right fit for you and your child.

At this time, representatives are available to assist families from 8 a.m. to 5 p.m., weekdays. Care options are for parents whose typical child care arrangements are unavailable due to school or child care closings and who cannot access other care. Options are available for infants up to children age 12.

Basloe said the phone line has been busy. The specialists, who are working from home, are linking families up with licensed child care and family child care programs across North Carolina.
"North Carolina is known for having licensed care, and we want health and safety regulations followed," she said. "And right now, we really want health and safety regulations followed."

The specialists are working with families based on their specific needs for location and cost. They include families who may receive a child care subsidy.

"We're trying to match programs with people," Basloe said.

Mecklenburg County Stay at Home Order:

From the Charlotte Observer:

An order for people to "stay at home" goes into effect on Thursday morning in Charlotte as well as other municipalities and the unincorporated areas of Mecklenburg County, officials announced Tuesday afternoon.

The "stay at home" order - prompted by the spread of COVID-19 locally - is similar to the "shelter in place" orders issued in other jurisdictions. Mecklenburg County's order will be in effect for the next three weeks, starting 8 a.m., March 26, County Manager Dena Diorio said.
Public and private gatherings of more than 10 people are banned under Mecklenburg's order, superseding a prior directive that limited gatherings to 50 individuals. Certain businesses - grocery stores and pharmacies, for example - are permitted to stay open. The proclamation permits "leaving the home for essential activities," which includes seeking medical care or going to care for a friend or loved one.


As we all come to terms with the new reality of social distancing and a global pandemic, the potential health risks for youth and staff in secure custody settings is cause for concern. Staff in a New York City juvenile detention center have already  tested positive for COVID-19. The North Carolina Department of Public Safety has  s uspended visitation and volunteer activities at all juvenile justice facilities. Currently legal visits for juveniles in secure custody are still allowed. 

These heightened concerns about secure confinement of youth raise questions about whether and how ongoing secure custody hearings can happen in our current environment and what alternatives exist to both preserve public safety and prevent use of the congregate juvenile detention setting as much as possible.  This blog will discuss when hearings on continued secure custody must be held, even in light of the emergency directive; important considerations if those hearings are conducted remotely; and the range of release options available to the court.

Hearings on Continued Secure Custody Should Be Held Unless Waived by the Juvenile
  Emergency Directive 1 ordered by Chief Justice Beasley on March 13, 2020 and effective March 16th requires rescheduling of district court proceedings unless, among other things, the proceeding is necessary to preserve the right to due process of law. Hearings on the need for continued secure custody are critical for the preservation of due process of law. 

The North Carolina Court of Appeals has clearly held that "[a]lthough juvenile proceedings are not criminal prosecutions, due process rights attach when the violation complained of places the juvenile in danger of confinement,"  In the Matter of Reginald Lee Wade, Juvenile 67 N.C.App. 708 (1984). The decision to continue a juvenile in secure custody is precisely about the loss of liberty resulting in confinement. These hearings are therefore necessary to preserve the right to due process of law as required by the emergency directive.....
COVID 19 - Tip Cards for First Responders - Persons with Disabilities

The following is a resource that AAHD was involved in sponsoring and disseminating, Tips for First Responders, which could be helpful for healthcare professionals and emergency responders on the front line, who are working with people with disabilities.  

After Hurricane Katrina, and recognizing the lack of planning, response and recovery for people with disabilities, the American Association on Health and Disability (AAHD) was very involved in emergency planning, response and recovery with disability partners. 

AAHD and our leading partner, the University of New Mexico, Center for Development and Disability, developed a variety of resources for people with disabilities. In 2017, the 5th edition of the Tip Cards for First Responders was created.  

The Tip Cards can be downloaded as a PDF at no cost on the AAHD website or UNM website at:

Loads of Great Resources


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