As our members continue to provide high quality care to Ohio’s vulnerable populations, LeadingAge Ohio is urging everyone to review the following resources on control and prevention of Coronavirus (COVID-19).

COVID19@leadingageohio.org

If you have a question, concern, or want to share resources regarding COVID-19, we have a dedicated email account. Send a message to COVID19@leadingageohio.org, and we will get back to you quickly. As always, feel free to email or call any LeadingAge Ohio staff individually. 

Can't find what you're looking for?  Be sure and use the search feature at the bottom of our website.  

Recent Updates

Recent All Member Calls: Information

January 12: All-member call to discuss updates on Supreme Court decision on vaccine mandates and latest on shifting CDC and CMS guidance for healthcare personnel and visitors

Webinar Call Slides
Zoom Recording Link

December 7:  All-member call to discuss Visitation

Webinar Call Slides
Zoom Recording Link 12 7 21

November 17: All-member call to discuss Home Health Rule

Webinar Call Slides
Zoom Recording Link 11 17 21

November 9: All-member call to discuss vaccine mandate

Webinar Call Slides
Zoom Recording Link 11 9 21
Vaccine Mandate FAQ reference on call

October 5: All-member call to explore vaccine mandate

Webinar Call Slides
Zoom Recording Link 10 5 21

September 14: Don't Leave Money on the Table - 2021 QIP Collaborative

Webinar Call Slides
Zoom Recording Link 9 14 21

August 25:  Vaccine Mandate -- Resources available to-date on Biden Administration vaccine mandate announcement

All member Webinar Call Slides
Zoom Recording Link 8 25 21

July 27: FY 2022 Proposed Home Health Wage Index Rule & state home health licensure changes

All Member Webinar Call Slides
Zoom Recording Link 7 27 21

July 13: Overview of the State FY 2022-2023 Biennium Budget impact on LeadingAge Ohio members

All Member Webinar Call Slides
Zoom Recording Link 7 13 21

June 29: Discussion of HSA Provider Relief Timetables and Reporting

All Member Webinar Call Slides (pdf)
Zoom Recording Link 6 29 21


June 8:  Open time for general questions across all providers

All Member Call Slides (pdf)
All Member Call Recording

May 25:  Updated CDC guidance (masks, cohorting, vaccinations, etc.)

Discussion of Reopening Guidance [Members Only]
All member call recording

May 11: Regional Rapid Response Assistance Program (R3AP)

Discussion of Regional Rapid Response Assistance Program R3AP
All member call recording

April 27: Discussion of Closed POD vaccination program and Biennial Budget

All member call recording

April 27: All member call slides (pdf) [Members Only]

ODH Business Vaccine Program 4.27.21

Handouts Dr. Jump COVID-19

Information on Cycle Threshold SARS-COV-2 Fact Sheet

Amended Health Orders

Adult Day Orders

Visitation Orders

Testing Orders

Vaccination Information/Resources

Communication around the vaccine with residents and staff is important.  We've compiled several resources below to help in getting the word out and building confidence around the vaccine.

LeadingAge Ohio All Member Q & A: Vaccine Mandate (11/9/21)
LeadingAge Ohio All Member Q & A: Vaccine Participation (1/12/21)

Testing Resources

Lab Capacity Dashboard

The new dashboard provides self-reported information about labs that can run tests, including hours of operation, types of tests they accept, estimated turn-around time, and locations.

LeadingAge Resources

Visitation During COVID-19

As CMS updated visitation guidance for nursing homes, LeadingAge collaborated with Pathway Health on a Visitation During COVID-19 Toolkit for members. The 10 segment toolkit helps an organization navigate visitation guidance through a leader's guide, implementation checklists, competency tools for managers and all staff as well as a pre and post-test for all staff.  The toolkit can be modified or edited to your organization’s needs. The elements of the toolkit also may be used by various providers and service lines in the continuum of care.

Pandemic Playbook 

An interactive collection of insight, wisdom, and critical lessons LeadingAge members have learned about serving older adults during a catastrophic health crisis.

Coronavirus Resources

Visit this page regularly for current information, tools, and resources to help LeadingAge members plan for and respond to COVID-19.

 

Communications

None at this time.


None at this time.

Home Health and Hospice Newsletter: January 18, 2022

Home Health and Hospice Newsletter: January 11, 2022

Home Health and Hospice Newsletter: January 4, 2022

Home Health and Hospice Newsletter: December 21, 2021

Home Health and Hospice Newsletter: December 15, 2021

Home Health and Hospice Newsletter: December 7, 2021

Home Health and Hospice Newsletter: November 30, 2021

Home Health and Hospice Newsletter: November 23, 2021

Home Health and Hospice Newsletter: November 16, 2021

Home Health and Hospice Newsletter: November 9, 2021

Home Health and Hospice Newsletter: November 2, 2021

Home Health and Hospice Newsletter: October 19, 2021

Home Health and Hospice Newsletter: October 12, 2021

Home Health and Hospice Newsletter: October 5, 2021

Home Health and Hospice Newsletter: September 21, 2021

Home Health and Hospice Newsletter: September 14, 2021

Home Health and Hospice Newsletter: August 31, 2021

Home Health and Hospice Newsletter: August 24, 2021

Home Health and Hospice Newsletter: August 17, 2021

Home Health and Hospice Newsletter: August 10, 2021

Home Health and Hospice Newsletter: July 27, 2021

Home Health and Hospice Newsletter: July 20, 2021

Home Health and Hospice Newsletter: July 13, 2021

Home Health and Hospice Newsletter: July 6, 2021

Home Health and Hospice Newsletter: June 29, 2021

Home Health and Hospice Newsletter: June 22, 2021

Home Health and Hospice Newsletter: June 15, 2021

Home Health and Hospice Newsletter: June 8, 2021

Home Health and Hospice Newsletter: June 1, 2021

Home Health and Hospice Newsletter: May 25, 2021

Home Health and Hospice Newsletter: May 11, 2021

Home Health and Hospice Newsletter: May 4, 2021

Home Health and Hospice Newsletter: April 27, 2021

Home Health and Hospice Newsletter: April 20, 2021

Home Health and Hospice Newsletter: April 13, 2021

Home Health and Hospice Newsletter: April 6, 2021

Home Health and Hospice Newsletter: March 30, 2021

Home Health and Hospice Newsletter: March 16, 2021

Home Health and Hospice Newsletter: March 9, 2021

Home Health and Hospice Newsletter: March 2, 2021

Home Health and Hospice Newsletter: February 23, 2021

Home Health and Hospice Newsletter: February 16, 2021

Home Health and Hospice Newsletter: February 9, 2021

Home Health and Hospice Newsletter: February 2, 2021

Home Health and Hospice Newsletter: February 2, 2021

Education & Webinars

Coronavirus Spotlight Podcasts

LeadingAge Coronavirus Spotlights

Podcast series featuring presentations by LeadingAge members and subject-matter experts who have been guests on the live daily online updates. Listen to these brief but informative podcasts to learn more about how your colleagues are coping with the pandemic. 

Policies & Regulations

None at this time.

Provider/Setting Specific

PROVIDER OR SETTING-SPECIFIC RESOURCES

Adult Day/PACE/Senior Centers

Affordable Housing

COVID-19 Update and Discussions for Affordable Housing Call Notes [Members Only]

September 23 | September 1 |August 19 |August 5 |July 1 |July 1June 24 |  June 17 | June 10 |  June 3 | May 27 | May 20 | May 13 | May 6 |  April 29 (includes PPT and resource links)  | April 22 | April 8 | April 1 | March 18

Assisted Living Communities

Home Health

Hospice

Life Plan Communities

Nursing Homes

 

 

 

Toolkits/Guidance

PARRT Image

LeadingAgeOhioShop

Activity Professionals

Job Placement Support - We Need You

LeadingAge Visitation During COVID-19 Toolkit

None at this time.

You Asked... We Answered

Should nursing homes and assisted living facilities use the Regional Rapid Response Assistance Program (R3AP) for help accessing oral antiviral therapies, similar to the process for monoclonal antibody therapies?

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You Asked... We Answered

We have a resident who wants to use a humidifier. Is there any guidance about humidifiers related to COVID-19?

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You Asked... We Answered

Do rapid COVID tests detect the Omicron variant?

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You Asked... We Answered 12/9/21

Is health screening still required, and is it required to be handled by an individual such as a receptionist 24/7? We ask due to the relaxing of the visitation guidance.

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You Asked... We Answered

Is health screening still required, and is it required to be handled by an individual such as a receptionist 24/7? We ask due to the relaxing of the visitation guidance.

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You Asked... We Answered 12/7/21

I was reading the Ohio rules for hospice. The inpatient respite length of stay stood out to me. Ohio law states no more than seven consecutive days, where I understood respite to be no more than five nights and on day six would be paid at the routine homecare rate. Has something changed?

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You Asked... We Answered 11/30/21

For Ohio, are hospices required to provide 24-hour nursing coverage to our hospice patients when they are in respite? The Centers for Medicare & Medicaid Services (CMS) states a respite level of care up to five consecutive days can be provided more than once in a billing cycle. If a patient’s caregiver receives their five-day respite stay on 11/15 through 11/19 and shows a need again on 12/1 through 12/4, would this be acceptable?

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You Asked... We Answered 11/23/21

Are there any regulations around how frequently a hospice should document when their patients are in General Inpatient (GIP) level of care?

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You Asked... We Answered 11/16/21

With the COVID vaccine mandate, I am worried we may lose nurses and a social worker. Are we able to use contract staff if we cannot find nurses and a social worker to hire and if so, do we need to let the Ohio Department of Health (ODH) and the Centers for Medicare & Medicaid Services (CMS) know we are using contract staff?

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You Asked... We Answered

If a facility can’t get an item in from a vendor to correct a deficiency due to supply and shipping issues, can a facility apply for a waiver?

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You Asked... We Answered

Can visits by both a hospice registered nurse and social worker count as billable units towards the Service Intensity Add-On (SIA) payment if they are in the home of a hospice patient at the same time in the last 7 days of life?

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You Asked... We Answered

Can visits by both a hospice registered nurse and social worker count as billable units towards the Service Intensity Add-On (SIA) payment if they are in the home of a hospice patient at the same time in the last 7 days of life?

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You Asked... We Answered

If a fully vaccinated resident goes out with family over Thanksgiving weekend for a couple days, do they need to quarantine upon returning to the facility?

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You Asked... We Answered

Is it possible for a physician overseeing the care of a home health or hospice patient to bill for care plan oversight for their patients and if so, what all does that process entail?

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You Asked... We Answered

Is it possible for a physician overseeing the care of a home health or hospice patient to bill for care plan oversight for their patients and if so, what all does that process entail?

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You Asked... We Answered

What type of documentation is sufficient to be compliant with survey when a contracted staff member gets tested through another company?

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You Asked... We Answered

Can a revocation statement be signed by the patient or representative before the effective date of the revocation? For example, if a patient knows they are going to try one more round of chemo next Wednesday, can the patient/representative sign the revocation statement today with an effective date of next Tuesday?

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You Asked... We Answered

Can a temporary nurse aide who has been unsuccessful in passing the state STNA test three times still work as a temporary aide? This temporary nurse aide has worked for a minimum of 75 hours in our long-term care facility, including on-site observation, and has worked as a nurse aide under the COVID-19 pandemic waiver.

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You Asked... We Answered

We are seeking clarification around the regulatory expectation for updating a patient’s physician if the patient is not desiring to be admitted to home health within 48 hours of the referral order. We have notified the physician via fax and documented the notification. Is this allowed or does the staff need to speak to a live person at the doctor’s office?

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You Asked... We Answered

This week’s YAWAs are questions posed by the Ohio Department of Health (ODH) to the Centers for Medicare & Medicaid Services (CMS) and their subsequent answers. Recently the CDC released updated guidance for health care settings. In that guidance, CDC moved toward the use of county transmission rates as a basis for critical decision-making around certain topics such as testing frequency.

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You Asked... We Answered

This week’s YAWAs are questions posed by the Ohio Department of Health (ODH) to the Centers for Medicare & Medicaid Services (CMS) and their subsequent answers. There appears to be a conflict between the revised CMS QSO 20-38 memo and the current QSO 20-39 visitation.

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You Asked.. We Answered regarding the temporary nurse aide waiver

You Asked.. We Answered regarding the temporary nurse aide waiver.

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You Asked... We Answered: 9/14/21

With the new vaccine mandate for nursing facilities, will hospice staff have to be vaccinated in order to go to the nursing facilities to care for patients?

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You Asked... We Answered: 8/31/21

Can LeadingAge Ohio clarify if APRNs and PAs can certify and sign orders for home health in Ohio?

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You Asked... We Answered: 8/24/21

Will the new vaccine mandate for nursing facilities require hospice staff to be vaccinated in order to go to the nursing facilities to care for patients?

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You Asked... We Answered: 8/17/21

Can an Advanced Practice Registered Nurse (APRN) or Physician’s Assistant (PA) sign the plan of care for a certifying physician who is ill, or can another physician within the practice sign the POC for the original MD?

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You Asked... We Answered: 8/10/21

When COVID began, Medicare changed the nurse comprehensive assessment requirement to every 21 days. Is that still in effect or has it returned to every 14 days?

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You Asked... We Answered: 7/27/21

May a hospice use Continuous Home Care (CHC) in instances where the family wants to care for their loved one, but feels intimidated and uncertain how to care for them? May we use CHC to teach them, stabilize the environment, assess learning, and reinforce procedures in order to prevent a crisis when they don’t know what to do in a situation?

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You Asked... We Answered: 7/20/21

Is it a requirement for a hospice to obtain a physician’s order for GIP (General Inpatient) or CHC (Continuous Home Care) when these levels of care changes are made?

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You Asked... We Answered: 7/13/21

Is it possible to bill two inpatient respite care stays back-to-back so the family has more time to be away or rest?

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You Asked... We Answered: 7/6/21

One of our lead STNAs asked if the STNA for our QAPI team can rotate turns attending the meeting or if it must be the same STNA each time. We are currently meeting monthly.

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You Asked... We Answered: 6/30/21

When will the new language that allows temporary nurse aides working in the pandemic to become STNAs take effect?

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You Asked... We Answered: 6/28/21

Do we need to give the actual medication diversion policy to our patients, or can we summarize our policy for them and provide them the summary?

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You Asked... We Answered: 6/22/21

Can a HH agency delay services to a patient due to waiting on authorization from their insurance company? I know if a person goes to the doctor and they need a MRI and it needs to be authorized the doctor or hospital will not do it until it is authorized. We have insurance companies that are taking 2 weeks or better before giving us authorization and then they may come back with only 1 visit, and we’ve already seen the patient for 3 visits. Therefore, we have to write off the rest. The family wants hospice and Hospice B is willing to admit the patient to hospice with the primary diagnosis of COPD, so the patient can continue to get dialysis for their end stage renal disease (ESRD). My question is, even if Hospice B admits the patient with the primary diagnosis of COPD, wouldn’t they still be responsible for the dialysis, as the patient’s ESRD would be contributing to their terminal condition?

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You Asked... We Answered: 6/15/21

We had an attending physician refer their patient to hospice and then left on a long vacation. Is it possible for another physician in their group practice to sign the Certification of Terminal Illness (CTI) on behalf of the attending physician?

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You Asked... We Answered: 6/11/21

We are having issues getting new admissions transported from Columbus. The ambulance companies are all short staffed and are only transporting on “will-call” meaning they won’t transport our patients unless they have an emergency run to Columbus. With this being the case, a patient could be transported at any time. The family wants hospice and Hospice B is willing to admit the patient to hospice with the primary diagnosis of COPD, so the patient can continue to get dialysis for their end stage renal disease (ESRD). My question is, even if Hospice B admits the patient with the primary diagnosis of COPD, wouldn’t they still be responsible for the dialysis, as the patient’s ESRD would be contributing to their terminal condition?

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You Asked... We Answered: 6/1/21

We have the following patient scenario and question related to a patient who is wanting dialysis and is on hospice. Hospice A admitted a patient on May 12 to hospice with a diagnosis of end stage renal disease and additional diagnoses of COPD and CHF. The patient and family both said they were no longer going to pursue dialysis. However, on May 17, the patient had a good weekend, signed a revocation form from Hospice A, and recieved dialysis. The family wants hospice and Hospice B is willing to admit the patient to hospice with the primary diagnosis of COPD, so the patient can continue to get dialysis for their end stage renal disease (ESRD). My question is, even if Hospice B admits the patient with the primary diagnosis of COPD, wouldn’t they still be responsible for the dialysis, as the patient’s ESRD would be contributing to their terminal condition?

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Need Help?

Kathryn Brod, MBA

Kathryn Brod

President/CEO
614-545-9014
kbrod@leadingageohio.org

  • Is the association's primary spokesperson
  • Oversees staff and daily operations
  • Promotes LeadingAge Ohio's position and public policy goals to elected officials; staff liaison to Advocacy Committee
  • Responsible for implementing LeadingAge Ohio's strategic direction
  • Works with LeadingAge Ohio Board of Directors
  • Staff liaison to Human Resources Committee

Patrick Schwartz

Patrick Schwartz

Director of Strategic Communications
614-545-9026
pschwartz@leadingageohio.org 

  • Serves as lead member communications and media strategist for key association initiatives
  • Oversees digital strategy, including websites, newsletters and social media channels
  • Provides strategic direction for communicating organizational goals and achievements to members, partners, policy makers and the media
  • Serves as primary contact for media inquiries
  • Staff liaison to Communications/PR committee
Our national partner, LeadingAge, is an association of 6,000 not-for-profit organizations dedicated to expanding the world of possibilities for aging. Together, we advance policies, promote practices and conduct research that support, enable and empower people to live fully as they age.