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Virtual Spring Conference Live Session Schedule:
The Conference will remain open through June 26.
WiCAL MEMBERS
Please join Pat Boyer, Kate Dickson, and Dale Kelm
TOMORROW Wednesday, May 27 from 12:30-1:30 PM
on the importance of PEAL/WCCEAL. This is a live webinar and all WICAL members are able to watch and participate in the webinar. If you are not already enrolled in the Virtual Conference, please secure your virtual seat
HERE
.
Don’t worry, if you are unable to attend a live session, it will be recorded and added as an on-demand session, that you may view in accordance with your own schedule.
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COVID-19 Updates: May 27, 2020
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This update includes:
- DHS Publishes Scope Statements on LTC Emergency Rules
- Cotton Face Coverings from HHS Are Not PPE; Are Not Associated with FEMA PPE Shipment
- Increased Testing, Reporting to Federal Government Will Reveal More COVID Cases, Expert Says
- 72% of Nursing Homes Have Requested Testing Supplies; Update on Testing Progress
- HHS Extends CARES Act Relief Patient Portal Information Gathering
- CDC Investigating Possible Cases of COVID-19 Re-Infection: Request for Information
- Updated NCAL Guidance on Reporting in Assisted Living Communities
- Guidance on 1-2 Bed Adult Family Homes and Supported Living Apartments Posted to DHS Website
- COVID-19 Webinar for Health Care Providers: Friday, May 29, at 7 a.m.
- CMS Nursing Home Webinar - Thursday May 28th
- Dr. Nimale Stone from the CDC to Present at Telligen's LTC Office Hours
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As of today, there are 16,462 confirmed cases of COVID-19 in the state of Wisconsin and 539 deaths caused by the virus. Click
HERE
to view the latest outbreak information from the Wisconsin Department of Health Services. Click
HERE
to view COVID-19 projections for Wisconsin and the United States.
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DHS Publishes Scope Statements on LTC Emergency Rules
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The Wisconsin Department of Health Services has published several scope statements related to proposed emergency rules that will reinstate several regulatory flexibilities that were previously included in Emergency Order 21, which was issued by Gov. Evers and Secretary Palm in April, but expired May 11.
These scope statements, published on May 26, are now within a 10-day window for review. After 10 days, DHS can approve the scope statements and begin drafting the Emergency Rule. Once the rules are drafted, they will be submitted to the legislature for review. WHCA/WiCAL will update members on the movement of these rules as they work through the rulemaking process.
The scope statements include:
Nurse Aide Training/Feeding Assistants. This scope statement indicates that this Emergency Rule suspends all applicable state administrative code in order to restore statewide access to the
Emergency Nurse Aide and Temporary Nurse Aide programs. Currently, a waiver is required to continue these programs (see more info on waivers
here, under the Workforce and Staffing Resources tab). Proposed suspensions in this scope statement include:
- Suspend in its entirety s. DHS 129.03 (8), which defines the “clinical setting” in which CNAs must obtain clinical experience for certification, in its entirety.
- Suspend in part s. DHS 129.03 (30), which defines “nurse aide,” in accordance with s. 146.40, Stats., to temporarily permit greater flexibility for the CNAs who provide services in Wisconsin
- Suspend in part ss. DHS 129.03 (37) and 129.06 (1) (a), which require that clinical instructors for CNA training programs to have at least 2 years prior experience working as a nurse and completion of a course in adult education, to permit any registered nurse in Wisconsin with working experience to act as a clinical instructor.
- Suspend in its entirety s. DHS 129.05 (2) (b), which requires on-site preliminary approvals and reviews of training programs by the department, in its entirety.
- Suspend in its entirety DHS 129.06 (1) (e), which sets standards for primary instructors of nurse aide training programs to attend a pre-approved training course.
- Suspend in its entirety s. DHS 129.09 (5) (a), which provides eligibility for inclusion on the registry within 120 days of beginning employment.
- Suspend in part ss. DHS 129.11 to .20 which pertains to feeding assistants, to allow facilities to utilize non-nurse aids to provide feeding assistance to individuals who do not have complications with eating or swallowing.
Nursing home transfer requirements. The scope statement indicates that for COVID-19 related transfers, this Emergency Rule would suspend the notice requirements in s.
DHS 132.54, which requires that a patient in a nursing home be given “reasonable notice and an explanation of the reasons for the transfer.” with respect to any transfers related to COVID-19 issues.
CBRF staffing. This scope statement indicates that this Emergency Rule will suspend and revise ss.
DHS 83.16 (2) to allow 16- or 17-year-old staff at CBRF who meet all other training requirements in ch.
DHS 83, work under supervision, do not work alone, and do not pass medications to temporarily work as resident care staff in response to staffing shortages. This temporary suspension and revision to the rule will give CBRFs flexibility to maximize available staff, while further ensuring that residents at CBRFs continue to receive necessary services from resident care staff without delay.
Adult Family Home staffing. This scope statement indicates that this Emergency Rule will suspend in part s.
DHS 88.04 (1) (b) in order to permit 16- and 17-year old resident care staff at 3- and 4-bed AFHs, provided they 1) meet all other training requirements provided in ch.
DHS 88, respectively, (2) do not work alone, (3) do not pass medications, and (4) work under supervision.
Medicaid Benefits Management. This scope statement indicates that this Emergency Rule will suspend s.
DHS 107.10 (2) (e), as well as 107.10
(3) (a) to
(d), which requires prior authorizations before a provider can submit a claim for a drug that is not already subject to a federal rebate agreement, and establishes limits on the number of medication refills and days’ supply that can be provided. The Emergency Rule would also suspend s.
DHS 107.10 (3) (h), which provides a list of non-legend drugs that can receive Medicaid funding. These suspensions initially were part of Emergency Order 35, which expired on May 11. The purpose of these suspensions is to prevent delays or interruptions in receipt of necessary medications during the COVID-19 emergency. One rule suspension not included in the scope statement which was in EMO 35 is the suspension of
107.10(3)(e), related to drug supply caps, and WHCA has reached out to DHS for clarification on why that is not mentioned or included.
- Suspend in part s. DHS 10.31 (4) (b), which requires an applicant for family care benefits to “sign an application in the presence of a representative of the agency.”
- Suspend s. DHS 10.32 (4), which requires redeterminations of eligibility for benefits annually or when a change in circumstances occurs.
- Suspend DHS 10.34 (4) (a), which provides that an enrollee who does not contribute to the cost share of the enrollee’s care is ineligible for benefits.
- Suspend in part s. DHS 10.44 (2) (e), which requires managed care organizations to conduct face-to-face assessments with enrollees to identify the enrollee’s needs.
- Suspend Section DHS 10.44 (4) (e), which requires managed care organizations to conduct at least one performance improvement project annually.
- Suspend in part Section DHS 10.45 (2) (b), which provides that a managed care organization may disenroll an enrollee under circumstances specified in its contract with the department.
- Suspend s. DHS 10.55 (3), which requires applicants to request a fair hearing within 45 days of an adverse action.
The scope statement indicates that these rules should be suspended to prevent unnecessary spread of COVID-19.
If you have any questions or concerns about any of these scope statements, please contact WHCA/WiCAL Director of Government Relations and Regulatory Affairs,
Jim Stoa.
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Cotton Face Coverings from HHS Are Not PPE; Are Not Associated with FEMA PPE Shipment
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WHCA/WiCAL has heard from multiple nursing home administrators who have received a shipment of cotton face coverings. The packaging includes the Health and Human Services logo, but there is no additional documentation enclosed in the shipment. The link included on the packaging,
www.phe.gov/facecovering
, provides additional information on these cloth face coverings, and says to distribute the face covering to residents and staff:
- Staff and patients can use cloth face coverings when PPE is not required, such as commuting to and from the facility. (emphasis mine)
Due to concerns that these face coverings may have been associated with the
announced FEMA shipment of PPE
to nursing homes, WHCA/WiCAL reached out to the State Emergency Operations Center.
The SEOC confirmed that these face coverings are NOT part of the FEMA PPE shipment
– the face coverings came from HHS, with no explanation to facilities and little communication to state officials.
According to FEMA, the PPE supply includes surgical masks – not cloth masks.
Please note: these face coverings are not PPE.
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Increased Testing, Reporting to Federal Government Will Reveal More COVID Cases, Expert Says
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The number of reported cases of individuals in skilled nursing facilities (SNFs) with COVID-19 will likely more than double due to the data forthcoming from the
National Healthcare Safety Network (NHSN), said an expert from the American Health Care Association (AHCA).
As previously reported, SNFs are required to report to NHSN on all cases of COVID-19 among residents and staff, as well as to provide notifications to residents, their representatives, and families. This is happening at a time when states, the Centers for Medicare & Medicaid Services, and the Centers for Disease Control and Prevention (CDC) are recommending that all residents and staff be tested.
“We expect to see an increase in the number of COVID cases when NHSN reports its data, compared to what has been released to date by the states,” said David Gifford, MD, AHCA chief medical officer and senior vice president of quality and regulatory affairs. In an exclusive interview with Provider, Gifford said the impetus for the spike has much to do with the lack of testing.
“The reason for the increase is that testing has not been widespread and available,” said Gifford. “Up to this point, positive cases have been mainly individuals who develop symptoms and/or go to the hospital who have gotten tested, and mainly it has been those who have gone to the hospital. However, over half of nursing home residents who get tests have no symptoms at all.”
Wider testing that is being recommended by states and the federal government coupled will pick up many of these asymptomatic but infected residents, which is a good thing, but it has been happening right when reporting to the NHSN is occurring, Gifford said. “What that means is now that everyone is starting to test and report at the same time, you’re going to see a dramatic jump in the number of cases.”
Another reason for the spike is that not all states have released information. “Even though nursing homes have been submitting data to local and state health departments for months, some states haven‘t been releasing information, and therefore now you’re going to see cases from all nursing homes everywhere in the country reporting their data directly to the federal government,” said Gifford.
Though increased testing and reporting are happening, it is still not always clear who has COVID and who does not. “What we do know from CDC and other reports is that more than half of the residents who test positive do not have symptoms,” said Gifford. AHCA members that have done testing in buildings have often reported this to be the case among residents and staff, he said.
“For example, the building may have no identified COVID cases, and then they test everyone and they’ll find four people with COVID,” said Gifford. “Or they will have one person with symptoms and will then test everyone, and they’ll find two or three more people who have COVID but didn’t have symptoms.”
Gifford also pointed out that registration, uploading, and submitting the data to NHSN is taking time. What will be important going forward is to watch what happens over time, he said. “Once we start testing everyone and testing on a regular basis, then it will be important to watch how the numbers go,” he said. “But right now, we’re going to see dramatic increases, and it could be as much as a doubling or tripling of the numbers.”
When facilities detect new cases, they need to implement droplet precaution procedure, keeping residents isolated from other individuals and sending staff home, Gifford said.
Vigilance Needed as States Reopen
Gifford pointed out that as states begin to reopen, many cities and communities still have COVID-19 cases, which increases the risk of it spreading to long term care (LTC) facilities in those areas. As states reopen businesses and public areas, more individuals in the community are likely to contract COVID-19, and that increases the likelihood that individuals who work and visit LTC facilities will also contract it.
What should providers do? Continue to be vigilant, Gifford advised. “We need to be very diligent about screening people coming in and wearing source control masks and honoring social distancing, even within the building,” he said. “That said, we know that social distancing works and the better the weather that there should be ways to allow family members to visit with their loved ones. Excluding them in perpetuity going forward is not a good thing.”
Facilities with the capability to reconfigure common areas to allow social distancing during visits should do so, Gifford said. “We need to think about how to reconfigure the entryways, the foyers, or common areas so that you can allow visitors to come in.” He encouraged providers to be cautious and honor the practices that prevent the spread of the virus, including wearing source control masks, practicing social distancing, screening visitors, and minimizing the number of direct interactions with residents.
“Now, this is going to be more problematic for those facilities that don’t have large common areas or an easy way to take residents outside or let a visitor in without interacting with staff,” he said. “If people are close together, if the building design forces COVID patients to be moved through COVID-negative areas in the building, or if COVID patients must ride on elevators where they could be coughing on staff who don’t have the right personal protective equipment, that’s not good. We need to be hyper focused on how this virus spreads and in honoring the measures that help prevent the spread.”
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72% of Nursing Homes Have Requested Testing Supplies; Update on Testing Progress
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Wisconsin is making progress on its goal of testing all nursing home residents and staff during the month of May, said Department of Health Services Deputy Secretary Julie Willems Van Dijk on Tuesday.
Willems Van Dijk said that 266 of Wisconsin’s 366 skilled nursing facilities, or approximately 72%, have requested testing supplies from the state.
Many are conducting testing at their own facilities, while others are seeking assistance from the Wisconsin National Guard.
Willems Van Dijk also said they’re implementing a software program to boost COVID-19 contact tracing efforts.
She said the software will allow those being tested to upload their own information and have that connected directly to the state’s disease surveillance program.
The program will allow for the collection of information electronically, rather than paper records. And it’ll allow users to start thinking about contact tracing earlier so they can start to limit contact with other people as they wait for their test results.
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HHS Extends CARES Act Relief Patient Portal Information Gathering
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In the latest round up of COVID-19 developments, the American Health Care Association/National Center for Assisted Living (AHCA/NCAL) said on May 22 the Department of Health and Human Services (HHS) extended the CARES Act Provider Relief Fund attestation window to 90 days from the original 45 days.
This allows time to address additional questions and to offer providers time to collect necessary payment portal information, the association said.
In its
press statement, HHS said the attestation window and related acceptance of Terms and Conditions has been extended from 45 to 90 days from the date a provider received a payment to attest to and accept the
Terms and Conditions or return funds.
Providers should have received emailed letters from HHS on May 22, AHCA/NCAL said. Also, the association said providers need to identify the dates of each relief payment and identify their new attestation and Terms and Conditions acceptance date based on the extension. HHS recently updated the Fund
FAQs.
- Updated AHCA/NCAL CARES Act Provider Relief Fund FAQs;
- A merged version of Tranches 1 and 2 Terms and Conditions with easily identifiable changes as well as a redline version of the SNF Allocation Terms and Conditions showing differences relative to the Tranches 1 and 2 Terms and Conditions. SNF Allocation has its own Terms and Conditions. Each of the three versions of the Terms and Conditions must be attested to using Tax Identification Numbers (TINs) and award dollar amounts; and
- A table containing key FAQs and AHCA/NCAL interpretations of HHS guidance.
AHCA/NCAL said if providers have questions or concerns about Tranches 1, 2, or 3 awards, contact the HHS Hotline at (866) 569-3522.
Separately, NCAL said it has updated
guidance on notifications and reporting of confirmed cases of COVID-19 in assisted living communities. NCAL encourages all assisted living communities to follow state and local requirements for reporting. Providers should use documented reporting information when reaching out to local county and state health departments when requesting assistance for supplies.
On another topic, AHCA/NCAL said nursing facilities were required to submit their first set of data to National Health Safety Network (NHSN) by 11:59 p.m. on May 17 to be compliant with the
new requirements.
Facilities may choose to report more frequently, but at minimum must report at least once every seven days. The initial two-week grace period ended at 11:59 p.m. on May 24. Facilities that fail to begin reporting after the third week, ending at 11:59 p.m. on May 31, will receive a warning letter reminding them to begin reporting the required information to the Centers for Disease Control and Prevention (CDC)/NHSN.
Facilities that have not started reporting in the NHSN system by 11:59 p.m. on June 7, ending the fourth week of reporting, will see the Centers for Medicare & Medicaid Services impose a per day (PD) Civil Money Penalty (CMP) of $1,000 for one day for the failure to report that week. Each subsequent week that the facility fails to report will result in an additional one-day PD CMP imposed at an amount increased by $500, AHCA/NCAL said.
NHSN updated the instructions for the pathway forms on May 12. When completing the data collection and upload, providers should be sure to use the most
current instructions. Providers can find the new instructions on the NHSN website.
During one of the NHSN data reporting webinars, the NHSN team identified that each item question must have an answer entered or it will be counted as missing data and it will be counted as not being reported. “When you enter count data, even if the answer is nothing or zero, you must enter 0 in the data field. If you leave it empty, it will be flagged as ‘no answer,’” AHCA/NCAL said.
According to CDC, “To maintain consistency in reporting, if a facility is using crisis-level strategies,” the facility is experiencing a shortage. “In other words, PPE [personal protective equipment] strategies that do not commensurate with U.S. standards of care are considered as a shortage,” the association said.
For information in relation to CDC’s optimization strategies for PPE (standard, conventional, and crisis), AHCA/NCAL said it encourages facilities to refer to the
Optimize PPE Supply website.
A center can easily identify if it is missing data in the NSHN module by reviewing the calendar view page. Any pathway that is incomplete will be highlighted as a tan color. Pathways highlighted as green indicated all questions were answered. A missing pathway means the pathway has not been started. As of right now, NHSN does not send notices for incomplete data, the association said.
Centers are encouraged to review the calendar view to ensure all four pathways are highlighted in green to ensure compliance with reporting to NHSN.
Also, nursing centers are continuing to report a delay in being able to register and upload data to NHSN. There are also facilities that are reporting significant delays in having their questions answered via NHSN help desk. “Centers experiencing delays are encouraged to keep documentation of all attempts of contacting NHSN and any communications you have with them,” AHCA/NCAL said.
In addition, some facilities are reporting they are not receiving the Agreement to Participate and Consent email. If this is happening, follow these instructions:
- Log-in to SAMS.
- Select Long-term Care Facility Component and your facility/group name.
- Click “Submit” to review the “Agreement to Participate and Consent.”
- Click “Accept” next to the appropriate contact name.
- Click “Submit.” A pop-up notification will appear confirming this action.
- Click “ok” to acknowledge the notification.
If logged in to SAMS and see the “Annual Survey” alert on a facility homepage, follow these steps to remove the alert:
- On the facility homepage, click "Survey Required 2020" alert on the facility homepage to be directed to the online survey.
- Complete the “Facility Characteristics” section, and scroll to the bottom to click “save” to submit your survey.
In other news, CDC said the COVID-19 Module Overview for Long-term Care Facilities recorded video presentation and slideset are now available on the
COVID-19 LTCF Module webpage, as well as COVID-19 Module Enrollment Guidance for LTCF under Training.
CDC is also offering a webinar for providers and their concerns about hurricane season during the pandemic. The webinar is May 27 from 1 to 2 p.m. ET.
Register.
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CDC Investigating Possible Cases of COVID-19 Re-Infection: Request for Information
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The following message was sent to the COVID-19 Health Alert Network (HAN) listserv. The HAN will be the primary method for sharing time-sensitive public health information with clinical partners during the COVID-19 response. Health care providers and other officials can subscribe and unsubscribe using their preferred email address at the
DHS COVID-19 website
.
Summary
- CDC is interested in investigating possible cases of SARS-CoV-2 reinfection, defined as new clinical or laboratory evidence of COVID-19 after a documented period of recovery.
- Clinicians who are aware of cases meeting criteria for possible re-infection are invited to submit de-identified patient information to the CDC using a survey tool developed by the Infectious Disease Society of America.
Dear Colleagues,
Clinical investigators from the CDC are investigating possible cases of re-infection among patients believed to have recovered from COVID-19. Wisconsin clinicians are invited to notify CDC of suspected cases to assist in developing a case definition.
Several reports from China and South Korea have described cases of recurrent SARS-CoV-2 RNA detection (with or without symptoms) among patients who recovered from COVID-19; whether these cases represent re-infection versus intermittent viral RNA
shedding is still being determined. The extent to which such cases are occurring in the United States is unknown.
CDC’s COVID-19 Clinical Team is working with the Emerging Infections Network (EIN, Operated by Infectious Disease Society of America) to identify clinician-suspected cases of COVID-19 reinfection in adults aged ≥18 years who meet the following criteria:
- Laboratory-confirmed COVID-19 (SARS-CoV-2 PCR positive) disease with clinical recovery for approximately 10 days after symptom onset or diagnosis (if asymptomatic)
AND, subsequently had any one of the following:
- Two documented negative PCR tests results followed by a positive result;
- Recurrence of symptoms with positive PCR results; or
- Positive PCR results for ≥30 days (without any recurrence of symptoms).
CDC and DHS will work with providers and local health departments to determine next best steps for cases that represent potential reinfection (e.g., additional testing, epidemiologic investigation).
Thank you for your collaboration in this effort.
Sincerely,
Ryan Westergaard, MD, PhD, MPH
Chief Medical Officer and State Epidemiologist for Communicable Diseases
Wisconsin Department of Health Services
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Updated NCAL Guidance on Reporting in Assisted Living Communities
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NCAL has updated
guidance on notifications and reporting confirmed cases of COVID-19 in assisted living communities. NCAL encourages all assisted living communities to follow state and local requirements for reporting. Providers should use documented reporting information when reaching out to local county and state health departments when requesting assistance for supplies, such as personal protective equipment.
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Guidance on 1-2 Bed Adult Family Homes and Supported Living Apartments Posted to DHS Website
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Guidance on 1-2 bed adult family homes and supported living apartments is now posted on the
DHS website. The purpose of this guidance is to provide the best information currently available to help providers prevent the spread of COVID-19 and additional guidance for responding to a suspected, probable, or confirmed case of COVID-19.
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COVID-19 Webinar for Health Care Providers: Friday, May 29, at 7 a.m.
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COVID-19 Webinar for Health Care Providers
COVID-19 Testing and Reporting Guidelines Review
Friday, May 29, 7:00-8:00 a.m.
Join this Friday, May 29, at 7 a.m. for a webinar for health care providers on the current COVID-19 situation.
Or dial: 312 626 6799 or 646 558 8656
Webinar ID: 233 994 680
Presenters
Dr. Ryan Westergaard, Chief Medical Officer and State Epidemiologist, Division of Public Health, Wisconsin Department of Health Services
Traci DeSalvo, Communicable Diseases Epidemiology Section Chief and Acting Director, Bureau of Communicable Diseases, Division of Public Health, Wisconsin Department of Health Services
Additional subject matter experts from the WI Division of Public Health will also be on hand to answer questions from webinar participants.
Send your questions ahead of time!
Please note this mailbox is only for questions for this week's provider webinar.
Questions sent ahead of time will be prioritized during the Q&A part of the webinar.
Webinar recordings
Access recordings of previous COVID-19 provider webinars
here.
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CMS Nursing Home Webinar - Thursday May 28th
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Date: Thursday, May 28, 2020
Time: 3:00 – 4:00 PM CST
Note: Once you register, you will receive an email with your individual web link to join the webinar. The web link you receive will work for only one user. Please forward this email to other team members if you would like them to attend.
Event Description:
Please join for a new National Nursing Home Training Series! This will be a weekly series focused on infection prevention in the nursing home setting.
Invitations will be distributed weekly for each training in the series.
Topic:
Establishing an Infection Prevention Program, and conducting ongoing Infection Surveillance in the Nursing Home.
Participants of this webinar will learn to identify the basic components of an infection prevention program in the nursing home setting; describe the best-practice strategies needed to establish a program; and understand the key elements necessary for ongoing infection prevention surveillance.
Meet the Speaker:
Eli DeLille, MSN, RN, CIC, FAPIC
Quality Improvement Specialist and Infection Preventionist, Health Services Advisory Group
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Dr. Nimale Stone from the CDC to Present at Telligen's LTC Office Hours
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COVID-19 in LTC Office Hours: COVID-19 Testing Considerations & Cohorting
Thursday, May 28, 2020
2:00 p.m. CST
Dr. Stone is the Team Lead for Long-term Care for the Prevention and Response Branch within CDC’s Division of Healthcare Quality Promotion. She is a board-certified infectious disease physician with over 10 years of experience developing surveillance and quality improvement projects to track and prevent infections and antibiotic resistant pathogens in post-acute and long-term care settings. In her role at CDC, Dr. Stone oversees the development of guidance, educational resources, and implementation tools to support infection prevention and antibiotic stewardship activities in nursing homes. Currently, she supports the teams developing and implementing CDC guidance and educational resources to support nursing homes and assisted living facilities preparing for and responding to COVID-19.
Please join: click
here
to register!
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Pat Boyer, MSM, RN, NHA
| Director of Quality Advancement and Education |
pat@whcawical.org
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Business Partner Spotlight
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Navigator Group Purchasing, Inc.. is the largest and most experienced full-service GPO exclusively focused on senior living. Members gain access to a full range of programs, tools, and services to help them achieve their resident and financial goals.
As a full-service GPO, we have a complete services offering including: Group Purchasing, Data Analytics, Emerging Market Trends, Quality Metrics, Resident Satisfaction, Culinary Consulting Services, Software Solutions, and Advocacy and Legislative.
Operating as part of Managed Health Care Associates, Inc. (MHA), we conduct our business in accordance with the Mission and Vision that unify all MHA companies and solutions:
Mission
MHA is committed to deliver excellent value and enable the success of our Members, Customers and Business Partners in the alternate site health care setting. Through the use of innovative technology, solutions and services MHA assists in managing health care costs, improving operational efficiencies and supporting business growth.
Vision
To be recognized as the leader in delivering value through innovative technology, solutions and services to our Members, Customers and Business Partners by providing exceptional service through extraordinary people.
CONTACT:
Navigator Group Purchasing
Laurie Jochmann
800-642-3020
For the complete listing of WHCA/WiCAL Gold Business Partners, click
HERE
!
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