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03/17/2020

Coronavirius - COVID-19 Information

Coronavirius - COVID-19 Information


The World Health Organization (WHO) has declared the outbreak of respiratory disease caused by a novel coronavirus a pandemic.

Please reference the CDC, the Ohio Department of Health and your local community health districts for the most up to date information for your practice location(s). Please follow the links below:

Masks Still Required in Healthcare Settings Under Amended Ohio Health Order

The Ohio Department of Health amended its remaining health order on May 17 to conform to the Centers for Disease Control and Prevention (CDC) guidance, which was issued on May 13.

While the ODH order generally provides more flexibility for fully vaccinated individuals to forgo wearing masks beginning June 2, the new guidance does not apply to healthcare facilities. Ohio's order reflects the CDC's recommendation that everyone wear masks in a healthcare setting regardless of vaccination status. This means that staff, patients, residents, and visitors should continue to wear masks in all healthcare facilities.

Under the Ohio order, fully vaccinated individuals must also continue to wear masks in congregate settings, such as nursing homes and assisted living facilities, and in places with large numbers of unvaccinated individuals, such as schools and daycare centers, when traveling on public transportation (including airplanes), and when at a business or employer that chooses to require masks.

The CDC said health care facilities should continue to refer to CDC’s infection prevention and control guidance for recommendations regarding source control and physical distancing in health care settings. The agency will provide updates if any changes are made to the guidance for healthcare settings.

               

Ohio Pandemic Vaccine Provider Update

The Ohio Department of Health has created a guidance document that shares vaccine updates, safety tips, and important resources with Ohio providers. 

The Ohio Pandemic Vaccine Provider Update is available on the Medical Board website at med.ohio.gov.

Statewide Vaccine Provider Location search
A recently-launched search tool shows COVID-19 Vaccine Provider Locations throughout Ohio who have received shipments of COVID-19 vaccines for those currently being vaccinated in Phase 1B. Search by county or ZIP code to see a list of providers near you with websites and contact information.
Please follow this link for vaccine provider locations in Ohio

COVID-19 Information & Resources:

  • State Medical Board of Ohio COVID-19 updates

  • Board of Pharmacy updates

  • State of Ohio's website

  • Department of Health hotline

    • 1-833-4-ASK-ODH

 

 

CARES Act Provider Relief Fund - The CARES Act Provider Relief Fund Payment Attestation Portal is now open. Providers who have been allocated a payment must sign an attestation confirming receipt of the funds and agree to the terms and conditions within 30 days of payment. - click here

 

**Updated COVID-19 Related Resource Pages** click on the links

APMA Working With American Academy of Dermatology (AAD) on COVID-19 Registry

Additional Vaccine Information:

Click here for an updated link regarding vaccine: COVID-19 Response Efforts - January 6, 2021.pdf

The Ohio Department of Health (ODH) recently released a Pandemic Provider Update on the COVID-19 vaccine.

ODH has identified who will be among the first to receive the initial vaccinations in early shipments in Phase 1A:

  • Healthcare providers and personnel who are routinely involved with the care of COVID-19 patients.
  • Residents and staff at nursing facilities.
  • Residents and staff at assisted living facilities
  • Patients and staff at psychiatric hospitals
  • People with intellectual disabilities and those with mental illness who in group homes or centers and staff at those locations
  • Residents and staff of Ohio’s veterans’ homes
  • EMS responders

OHFAMA petitioned ODH last week to include Ohio’s podiatric physicians and surgeons on the list of providers to receive the initial doses of the COVID-19 vaccine, as our members regularly treat at-risk, elderly patients and those with comorbidities. Moreover, many of our members travel between a variety of healthcare settings to provide care to patients.

We will continue to provide updates on where and when OHFAMA members can receive COVID-19 vaccination as information from ODH becomes available.

Vaccine Administration

OHFAMA learned last week that it is the opinion of State Medical Board of Ohio that administering the COVID-19 vaccine is not within the scope of practice for podiatric physicians.

However, we believe the Ohio Department of Health has the authority to grant podiatric physicians and surgeons (and other qualified healthcare providers) the ability to administer vaccinations during a public health emergency. We’ve asked ODH to confirm our interpretation of the law and noted OHFAMA members stand ready to aid in the pandemic response should our services be required.

We encourage you to review the Pandemic Provider Update for the latest COVID-19 vaccine information and links to vital information CDC information.

Ohio Department of Health Links for Office Information


Telemedicine

Ohio law defines telemedicine as the practice of medicine through the use of any communication, including oral, written or electronic communication, by a physician located outside of this state.  Pursuant to Ohio law, any practitioner, including physicians, podiatric physicians, nurse practitioners and physician assistants who treat a patient located in Ohio through telemedicine, must be licensed for full practice by the Ohio Board or possess a limited Ohio telemedicine certificate.

Under the Ohio Board’s new regulations, practitioners may issue a prescription for a non-controlled medication to a person whom the practitioner has never conducted a physical examination and who is located at a remote location so long as the following requirements are satisfied:

  1. The practitioner must establish the patient’s identity and physical location;
  2. The practitioner shall obtain the patient’s informed consent for treatment;
  3. The practitioner shall request the patient’s consent to forward the medical record to the patient’s primary care or other appropriate health care provider, if applicable, or refer the patient to an appropriate health care provider or facility;
  4. The practitioner shall complete a medical evaluation appropriate for the patient’s condition, which meets appropriate standards of care and may include portions of the evaluation having been conducted by other health care providers acting within their professional scope;
  5. The practitioner shall establish or confirm a diagnosis and treatment plan, including documentation regarding the necessity for the utilization of any prescription drug;
  6. The practitioner shall document the patient’s consent to treatment, pertinent history, evaluation, diagnosis, treatment plan, underlying conditions, contraindications and any referrals to appropriate health care providers, including primary care providers and healthcare facilities;
  7. In accordance with the standards of care, the practitioner shall provide appropriate follow-up care or recommend follow-up care with the patient’s primary care provider or other appropriate health care provider or facility; and
  8. The practitioner shall make a medical record of the visit available to the patient.

Additionally, controlled substances may be prescribed by a practitioner to a person for whom the practitioner has not performed a physical examination and who is located in a remote location, so long as the practitioner has met the steps outlined above for authorizing non-controlled substances and one of the following situations exists:

  • The person is an “active patient” of a health care provider who is a colleague of the practitioner, and the controlled substances are provided through an on-call or cross coverage arrangement between the health care providers. Note “active patient” means the practitioner conducted at least one in-person medical evaluation within the previous 24 months;
  • The physician is the medical director, hospice physician or attending physician of a hospice, and the controlled substance is prescribed to a hospice-enrolled patient;
  • The physician is the medical director or attending physician at a state-licensed institutional facility, and the controlled substance is prescribed to a facility inpatient or resident;
  • The patient is in a hospital or clinic registered with the United States Drug Enforcement Administration (DEA) to provide controlled substances when treated by an Ohio licensed physician or other DEA-registered provider furnishing services in accordance with the current standards of practice;
  • The patient is being treated by, and in the physical presence of, an Ohio-licensed physician or other DEA-registered provider and provides services in accordance with the current standards of practice; and
  • The physician has received a special DEA registration to provide controlled substances in the particular situation.

​The Ohio Board’s rules are consistent with changes seen in other states where the law allows for a relaxation of in-person examination requirements to facilitate expanded use of telemedicine.  Even so, practitioners should be aware the standard of care must always be maintained regardless of the method with which treatment is provided to a patient.


ADDITIONAL INFORMATION FROM THE CDC :

From the CDC website: Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings

The CDC website has an abundance of information concerning COVID-19, please follow this link to the CDC website for the full webpage of information regarding healthcare setting recommendations: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html

This link to the CDC website, includes information about long-term care treatment facilities: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/prevent-spread-in-long-term-care-facilities.html

 

Interim Guidance for Implementing Home Care of People Not Requiring Hospitalization for COVID-19

CDC has developed interim guidance for staff at local and state health departments, infection prevention and control professionals, healthcare providers, and healthcare workers who are coordinating the home care and isolation of people who are confirmed to have, or being evaluated for (COVID-19 (see Criteria to Guide Evaluation of Patients Under Investigation (PUI) for COVID-19).
Interim Guidance for Implementing Home Care of People Not Requiring Hospitalization forCOVID-19)



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