NJAASC has curated authoritative information and a list of resources for our Membership’s reference. We will continue to update this as more information becomes available.
All:
I just wanted to give everyone an update on goings on.
There almost certainly will be elective surgeries back in ASCs (and hospitals) in New Jersey.
NJAASC is working closely with MSNJ, Hospital Association and NJDOH for this to happen.
Both New York and Pennsylvania recently restarted, and our governor is part of a regional task force of governors who all tend to work together. That said, I do not expect ours to look like New York’s.
We are also in communication with the other members of the Access to Care Coalition of other medical specialty societies, and are all rowing in the same direction, so to speak.
We would hope for this month, but this is still a fluid situation and things can literally change minute by minute.
This would be in the form of an Executive Order, and would set a date for electives to come back, sometime after the announcement of the EO. It would not be instantaneous.
Now after that happens the next hurdle will be under what guidelines patients can return to ASCs and hospitals for said surgeries.
NJAASC will be working with NJDOH on this as well, just as we did with the recommendations on how to proceed with non-electives under EO 109.
I know a lot of centers are constantly asking me what shape and form will these guidelines take, and how can we get prepared?
I have always answered, and still will -that to me, there is no sense in doing your own, as these guidelines will be given to you- by NJDOH.
Will they borrow heavily from CDC and others?
So yes you can prepare in a general sense, but the final say will come from the Department.
When all of this comes together, we will be putting on another webinar for all of you.
On another front, we continue to discuss the postponement of the Ambulatory Assessment with the Governors Office, Budget and the Legislature.
While we have had favorable comment and I am more optimistic than I was a week or so ago, nothing concrete has been decided.
Again, our partners in the Access to Care Coalition have weighed in on this topic with the appropriate people.
I would also like to thank everyone for their kind words and comments regarding NJAASC and the work we have done during this crisis.
We continue to be the point of contact for NJDOH, and ask that any questions you have be directed to us, we will make sure they get to where they belong.
As always, stay tuned to NJAASC for all your updates,
Jeff Shanton
President, NJAASC
PAST COVID E-BLAST HAVE BEEN ARCHIVED DUE TO SPACE RESTRAINTS AND TO KEEP THINGS CURRENT.
LEAPFROG SAFETY GRADES- APPROPRIATE AT THIS TIME? – 5/4/20
Leapfrog put out its hospital safety grades, though some believe it is inappropriate during the COVID crisis, and unfair.
NJAASC met with the Leapfrog representatives in New Jersey the other month and expressed our extreme displeasure with their ASC roll out. We told them that in all good conscience we could not recommend that New Jersey ASCs participate until Leapfrog actually listens to the ASC community, and realizes that we are not hospitals!
HEALTH CARE COVERAGE AND COVID- 5/4/20
There is a growing concern that millions may lose health care coverage due to the crisis and people losing their jobs.
INFORMATION ON COVID TESTING AND SEROLOGY FROM DOH – 4/30/20
The serology testing is a source of confusion for many.
If you would like to do a serology test there are 4 waived FDA/EUA test at this time. They are presumptive tests. The serology tests require a Certificate of Compliance as they are moderately complexed and a NJ State Laboratory License. You can contact
joan.mikita@doh.nj.gov
for an application and information.
Read the package insert for type of specimen before buying any serology test as many are not approved for finger stick/capillary blood. If you would like to perform the test on capillary blood the test would then elevate to high complexity and Performance Specifications would be necessary to validate the test method.
This would include method comparison, accuracy, sensitivity and specificity.
At this time there are 3 FDA/EUA waived/POC tests that can be used with a Certificate of Waiver. They are molecular and will let the user know if the patient has COVD19 at that time.
The FDA/EUA web site lists all tests approved at this time and changes daily.
Unfortunately a lot of mis-information has been provided by sales representatives and is not accurate.
I hope I have answered your question.
Melanie Rinaldi
Manager of CLIA program
Clinical Lab Evaluator 3
Off: 609-406-6832
Fax 609-406-6827
NEW YORK GUIDELINES FOR SURGERIES – 4/30/20
QUESTIONS ABOUT PPE – 4/30/20
Q: We are going to reopen when we get the ok, but having difficulty with getting PPE, of course, mostly masks.
We found kn95 but are only 95% for filtration efficiency and not 99.9% like an np5
Will we be safe if we where those and then put a regular level 2 or 3 over it, and then change that over mask every patient??
There are varying degrees of PPE needed based on what you are doing……
Stefanie Mozgai, BA, RN, CPM
Assistant Commissioner
Department of Health
Health Facility Survey & Field Operations
PO Box 367
Trenton, NJ 08625-0367
VIOLATIONS OF EXECUTIVE ORDERS – 4/30/20
I have been asked the question, so I am answering.
I hope no-one has to use this!
If you need to report a violation of an Executive Order- click here to report:
ICAR UPDATE – 4/30/20
Hi ICAR partners,
The
CDC LTC mini webinars
are now
live
! They are all published on the Key Strategies to Prepare for COVID-19 in Long-term Care Facilities (LTCFs)
web page
at the bottom under a “Webinar Series” section. These new webinars will be a great training tool/resource for frontline long-term care staff members.
Here are the direct links to each webinar:
Additionally, we would like to provide some additional
ICAR resources
, including our Infection Control Auditing Guidance and our Caught Red-Handed exercise for proper hand hygiene.
Both documents can be accessed directly through the links below:
Jessica Arias, Bridget Farrell, Carol Genese, Melody Lee - NJDOH ICAR Team
BIPARTISAN GROUP OF SENATORS URGES REOPENING OF CERTAIN SECTORS OF ECONOMY INCLUDING ASCS FOR ELECTIVE PROCEDURES- 4/29/20
Trenton –
Senate President Steve Sweeney and Senators Paul Sarlo, M. Teresa Ruiz, Steve Oroho, Declan O’Scanlon and Troy Singleton issued the following joint statement today offering Governor Murphy’s Economic Commission a plan to continue the public safety measures needed to counter the COVID-19 crisis and to offer some strategic steps to guide the reopening of New Jersey’s economy.
For more than a week, the bipartisan group of Senators have been consulting with the business community regarding strategies for reopening. The Senators stress the need for advance planning so it will bolster the state’s economic recovery, restore jobs and businesses, and rebuild the fiscal stability of state and local government while protecting the public’s health and safety.
“We implore the Governor’s commission to move swiftly with advancing a plan to support economic recovery for New Jersey. The Senate has been engaged in conversations with business owners and organizations who are experiencing this crisis and we have been communicating their needs with the Governor’s office and our legislative colleagues.
“Collectively, we need to make sure the communities that have struggled the most during this crisis have their issues carefully considered and addressed.
“We look forward to continuing this productive working dialogue with the Governor’s economic workgroup.
“With the Institute for Health Metrics and Evaluation projecting that New Jersey may be able start opening up on May 27, we do not have much time. We are fortunate that social distancing and stay at home orders have resulted in positive results. The Governor mentioned today, as he has for several days, that our trends continue to move in a positive direction.
“As we are developing plans for a full scale re-opening, we should consider how low-risk businesses and industries can safely reopen now, such as:
- Construction;
- Car sales;
- Outdoor recreation like parks, golf courses;
- Beach activities where social distancing can be sustained; and,
- Elective Surgeries and other needed medical needs.
“These are consistent with New York and Pennsylvania where these activities are allowed:
- Passive Recreation in the parks of Pennsylvania;
- Passive Recreation in the parks of New York;
- Golf in Pennsylvania as of May 1;
- Golf in New York for individuals only;
- Elective surgeries in New York; and,
- Elective surgeries in Pennsylvania.”
QUESTION REGARDING ASCS AND TESTING- CLIA LICENSE- 4/29/20
Q: I have been asked if the rapid test is available to a facility or medical practice for staff and pts...does NJDOH require them to have a CLIA license to do so?
A: A CLIA certificate is required to perform any laboratory testing. Testing falls under a Certificate of Waiver or Certificate of Compliance.
Currently there are 3 FDA/EUA waived COVID19 tests available. They are POC molecular tests. At this time there are no serology waived tests. Moderate or High complexity tests require a NJ State Laboratory License. Please contact
joan.mikita@doh.nj.gov
for information.
The FDA/EUA website lists the approved tests available and their complexity.
Please contact me with any further questions.
Melanie Rinaldi
Manager of CLIA program
Clinical Lab Evaluator 3
Off: 609-406-6832
Fax 609-406-6827
PRIOR AUTHORIZATIONS DURING THE CRISIS - 4/29/20
You need to check with insurance carriers regarding prior authorizations for surgery considered elective during the crisis.
Some carriers are extending these for 90 days or more.
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