Coronavirus

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​The COVID-19 pandemic took an enormous toll on the long term care community. But thanks to lifesaving vaccines, therapeutic treatments, and our dedicated providers, we are better able to manage COVID to help protect our residents and staff. AHCA/NCAL continues to work with the federal government and public health officials to assist long term care providers with guidance and resources to curb the spread of COVID-19. ​


​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

How You Can Help Prevent the Spread of COVID-19​​

 Providers

Please note tha​t skilled nursing providers should consult the guidance put forth by CMS and the CDC, and assisted living communities should consult CDC guidance. Providers should also check their local and state health departments for updates and potentially stricter guidance, but these are general, national prevention and containment tips:

 
Infection Control: Maintain i​nfection control policies and procedures as recommended by CDC.
 
Staff: Stay up to date on your COVID vaccinations! Regularly wash your hands and use PPE where appropriate. Stay home if you're sick.​ ​
 
Monitor: Keep an eye on rates of COVID in your surrounding community to determine the appropriate procedures for testing, PPE use, visitations, and other infection control measures.
 
PPE: Review federal, state and CDC guidance on appropriate use of masks, gowns, gloves, etc.​
 
Communicate: Report suspected or confirmed cases to public health officials. Keep residents, families and staff informed.
 
Engagement: Follow government guidelines for safe in-person visitations.


If a staff member shows symptoms of COVID-19: Have them go home immediately. 

If a resident shows symptoms of ​COVID-19​: Implement precautions based off CDC guidance, and contact the local health department. ​​

 Families

Coronavirus (COVID-19) poses a serious threat to older adults (especially 80 years old and older) and those with underlying health conditions. But thanks to vaccines, treatments, infection control procedures, and less severe strains of the virus, we are better able to manage COVID-19.

Here's how you can help: 

  • Stay in Touch: Make sure your loved one's facility has your emergency contact information. The facility may need to communicate with you about any developments regarding your loved one or about the facility as a whole.
    • Many long term care facilities are only permitted to share information about a resident to a designated health representative. Work together as a family unit to share information to keep everyone informed.​

  • Visiting the Facility: When visiting your loved one, coordinate with the staff ahead of time. 
    • Upon arrival, they may ask you some questions, take your temperature, have you take a COVID test, and/or make sure you're wearing proper protective equipment (like a mask) when you arrive. This is to make sure you do not pose as a potential risk to residents and staff.  
    • If you are asked to not enter the building, please understand this is for the safety of your loved one and everyone else in the building. Nursing homes and assisted living communities are following direction from the government to prevent the spread of this virus.
    • Please wash your hands or use alcohol-based hand sanitizer immediately upon entering and throughout your visit. Wear a mask and any other protective equipment as directed by the facility.

  • #GetVaccinated: Do your part to help slow the spread of COVID-19. High community spread is linked to outbreaks in nursing homes. Stay up to date on your COVID vaccinations. ​

 Residents

​Coronavirus (COVID-19) poses a serious threat to older adults (especially 80 years old and older) and those with underlying health conditions. But thanks to vaccines, treatments, infection control procedures, and less severe strains of the virus, we are better able to manage COVID-19.   

Here's how you can help reduce your risk: 

  • #GetVaccinated: Stay up to date on your COVID vaccinations. Your facility can provide more specific information about how they can help you get vaccinated. 
  • Take Precautions: Follow everyday preventive actions such as: 
    • Washing your hands or using alcohol-based hand sanitizers 
    • Covering your cough and sneezes 
    • Wearing a mask over your nose and mouth, when necessary  
  • Symptoms? Alert Staff: If you begin to experience difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, new loss of taste or smell, tell a staff member immediately.​


 

 

Having Conversations About Vaccines: Part 2 – How to Engage in Vaccine Conversationshttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Part-2-–-How-to-Engage-in-Vaccine-Conversations-.aspxHaving Conversations About Vaccines: Part 2 – How to Engage in Vaccine Conversations11/5/2024 5:00:00 AM<p>​<span data-contrast="auto" lang="EN-US" style="font-size:11pt;">​Welcome back to our four-part series on having conversations about vaccines with residents, family members, and staff. In the </span><a href="/News-and-Communications/Blog/Pages/Having-Conversations-about-Vaccines-Part-1-–-The-Science-of-Behavior-Change.aspx" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" style="font-size:11pt;"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">first post</span></span></a><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">, we explored the Transtheoretical Model of Change and its application to vaccine discussions. In this second part, we’ll go in-depth on using motivational interviewing—an evidence-based, culturally sensitive approach to discussing vaccines.</span><span data-ccp-props="{}" style="font-size:11pt;"> </span></p><div><div><span data-contrast="auto" lang="EN-US">Motivational interviewing is a technique that helps individuals explore mixed feelings and move toward healthy behavior changes that align with their values and needs. The CDC recommends four steps for applying motivational interviewing to vaccine conversations:</span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US"></span><br></div><div><span data-contrast="auto" lang="EN-US"><strong>Step 1: Embrace Empathy and Collaboration</strong></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">Approach hesitant individuals with compassion, empathy, and curiosity.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Avoid judgment </strong></span><span data-contrast="auto" lang="EN-US">— even if their statements contradict your views or current evidence. Their feelings are valid and reflect their personal experiences.</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Be mindful of cultural influences, family dynamics, and personal circumstances</strong></span><span data-contrast="auto" lang="EN-US"> that may shape their vaccine views.</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Remember</strong></span><span data-contrast="auto" lang="EN-US"><strong>:</strong> Arguing is counterproductive. Taking a strong initial stand often backfires, especially with people who have concerns about vaccines.</span><span data-ccp-props="{}"> </span></li></ul></div><div><span data-contrast="auto" lang="EN-US"><strong>Step 2: Ask Permission to Discuss Vaccines</strong></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">Begin by asking if they’re open to discussing vaccines. For example, say, “If it’s okay, I’d like to hear your thoughts on vaccines for staff and residents at this facility.”</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>If they decline</strong></span><span data-contrast="auto" lang="EN-US">, respect their choice:</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><ul><li data-leveltext="o" data-font="Courier New" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Courier New","469769242":[9675],"469777803":"left","469777804":"o","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Option 1</strong></span><span data-contrast="auto" lang="EN-US"><strong>:</strong> Move on respectfully. Say, “I respect that, but vaccines are essential to our overall approach to infection control. Perhaps we could discuss it another time.”</span><span data-ccp-props="{}"> </span></li></ul></ul></div><div><ul role="list"><ul><li data-leveltext="o" data-font="Courier New" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Courier New","469769242":[9675],"469777803":"left","469777804":"o","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="2" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Option 2</strong></span><span data-contrast="auto" lang="EN-US"><strong>:</strong> If appropriate, spend a few minutes exploring why they don’t want to talk about it. The goal here is understanding, not persuasion.</span><span data-ccp-props="{}"> </span></li></ul></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>If they agree</strong></span><span data-contrast="auto" lang="EN-US">, proceed to Step 3.</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>If they have questions</strong></span><span data-contrast="auto" lang="EN-US"> about vaccine safety, risks, or personal health, go to Step 4.</span><span data-ccp-props="{}"> </span></li></ul></div><div><span data-contrast="auto" lang="EN-US"><strong>Note</strong></span><span data-contrast="auto" lang="EN-US"><strong>:</strong> These conversations may require time and may span multiple visits.</span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US"></span><span data-ccp-props="{}"> </span></div></div><div><div><span data-contrast="auto" lang="EN-US"><strong>Step 3: Engage in Motivational Interviewing</strong></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">Use a scaled question to gauge their thoughts, such as, “On a scale of 1 to 10, how likely are you to get a vaccine?” Encourage them to vocalize both sides of their response.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Example</strong></span><span data-contrast="auto" lang="EN-US"><strong>:</strong> If they say “4,” ask, “Why a 4 and not a lower number?” and follow up with, “What would help move you closer to a 5 or 6?” This approach allows them to reflect on their values, health, and community needs.</span><span data-ccp-props="{}"> </span></li></ul></div><div><span data-contrast="auto" lang="EN-US">The goal is to help the individual become more open to moving toward higher numbers—in other words, becoming more receptive to vaccination. This process is often gradual and requires patience.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>Encourage them to vocalize the benefits</strong></span><span data-contrast="auto" lang="EN-US"><strong> of vaccination</strong>, as speaking aloud can help them process their choices and create forward momentum. Vaccine-hesitant individuals often have more practice explaining why they haven’t been vaccinated; reversing this by asking them to discuss potential benefits can be valuable.</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Be </span><span data-contrast="auto" lang="EN-US"><strong>compassionate and curious</strong></span><span data-contrast="auto" lang="EN-US"> about their mixed feelings, acknowledging both their desire to trust the vaccine's safety and their hesitation. It’s essential to show support, helping them incorporate personal values and the health needs of their family and community into their decision.</span><span data-ccp-props="{}"> </span></li></ul></div><div><span data-contrast="auto" lang="EN-US"><strong>Step 4: Respond to Questions about Vaccines, Health, or Mental Health</strong></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">If an individual asks about vaccine safety, risks, or their health or mental health, respond within the boundaries of your knowledge and ethics.</span></div><div><span data-contrast="auto" lang="EN-US"></span><span data-ccp-props="{}"> </span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="5" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>If you feel prepared and knowledgeable</strong></span><span data-contrast="auto" lang="EN-US">, respond empathetically, providing scientific information as needed. You can refer them to resources on the CDC website, listed below.</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="5" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US"><strong>If the question is outside your expertise</strong></span><span data-contrast="auto" lang="EN-US">, suggest they consult their medical or mental health provider or a knowledgeable expert.</span><span data-ccp-props="{}"> </span></li></ul></div><div><span data-contrast="none" lang="EN-US">By tailoring messages and interventions to each individual’s stage, understanding, feelings, and concerns, you can help improve vaccine uptake and support staff and residents throughout their vaccination journey. Remember, each conversation is an opportunity to build trust and empower individuals to make informed health decisions.</span></div><div><span data-contrast="none" lang="EN-US"></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="none" lang="EN-US">In Part 3 of our series, we’ll take on misinformation—one of the most common obstacles to vaccine acceptance. Join us as we explore ways to address misleading or incorrect information that may cause hesitation and uncertainty around vaccines.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":300,"335559739":300}"> </span></div><div><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":300,"335559739":300}"><br></span></div><div><span data-contrast="none" lang="EN-US">Visit the </span><a href="/Quality/Pages/GetVaccinated.aspx" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">#GetVaccinated</span></span></a><span data-contrast="none" lang="EN-US"> website for the latest resources and news on vaccines.</span><span data-ccp-props="{"134233117":false,"134233118":false,"335559738":300,"335559739":300}"> </span></div></div>Having Conversations About Vaccines: Part 2
New #GetVaccinated PSA Now Available for Downloadhttps://www.ahcancal.org/News-and-Communications/Blog/Pages/New-GetVaccinated-PSA-Now-Available-for-Download.aspxNew #GetVaccinated PSA Now Available for Download11/1/2024 4:00:00 AMThe American Health Care Association and National Center for Assisted Living (AHCA/NCAL) has released a new public service announcement (PSA) video, "Stronger Together," as part of its #GetVaccinated campaign. This PSA highlights how getting vaccinated allows us to enjoy life's special moments more safely with our loved ones. Both 30-second and 15-second versions are available for download at<a href="https://www.dropbox.com/scl/fo/qss4yxx64r4ncqxoz9awh/AGy4_6l40wlT4Fl6XTOWeWA?rlkey=auibteneu8rgolm0qhl0k4wfm&e=1&st=j2e26f7z&dl=0" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"> GetVaccinated.​us</a> and are suitable for closed-circuit television in facilities or social media sharing.<br>​<br>AHCA/NCAL launched the 2024-2025 #GetVaccinated campaign to prepare for the fall and winter respiratory virus season, with support from Moderna. The campaign offers various resources designed to encourage residents and caregivers to stay current with their immunizations. In addition, AHCA/NCAL has partnered with the U.S. Department of Health and Human Services (HHS) through the <a href="https://www.hhs.gov/risk-less-do-more/index.html" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"><em>Risk Less. Do More<strong>.</strong></em> </a>campaign to promote the latest vaccines for influenza, COVID-19, and respiratory syncytial virus (RSV).<br><br>Explore all AHCA/NCAL’s #GetVaccinated resources at<a href="https://getvaccinated.us/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"> GetVaccinated.us</a>.​​​<br><br>
CMS Issues Final Rule Impacting Nursing Home NHSN Reporting Starting January 1, 2025https://www.ahcancal.org/News-and-Communications/Blog/Pages/CMS-Issues-Final-Rule-Impacting-Nursing-Home-NHSN-Reporting-Starting-January-1,-2025-.aspxCMS Issues Final Rule Impacting Nursing Home NHSN Reporting Starting January 1, 202511/1/2024 4:00:00 AM<p>​<span data-contrast="auto" lang="EN-US" style="font-size:11pt;">​Late today, (Friday,  Nov. 1), the Centers for Medicare and Medicaid Services (CMS) released the </span><a href="https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2025-home-health-prospective-payment-system-final-rule-fact-sheet-cms-1803-f" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" style="font-size:11pt;"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">Calendar Year 2025 Home Health Prospective Payment System Rate Update</span></span></a><span data-contrast="auto" lang="EN-US" style="font-size:11pt;">, which includes significant changes to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) reporting requirements for nursing homes.</span></p><div><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US"><strong>Beginning on January 1, 2025, nursing homes will be required to electronically report information about COVID-19, influenza, and respiratory syncytial virus (RSV). </strong></span><span data-contrast="auto" lang="EN-US">This will replace the current nursing home COVID-19 reporting requirements to NHSN that are set to sunset on December 31, 2024.</span><span data-contrast="auto" lang="EN-US"></span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}">​<br></span></div><div><span data-contrast="auto" lang="EN-US"><strong>AHCA is pleased to see CMS and CDC acknowledge and address the reporting burden on providers in the final rule as well as in their response to AHCA’s comments. </strong></span><span data-contrast="auto" lang="EN-US">Specifically, CMS notes they are requiring the minimal necessary data for weekly data reporting to NHSN to maintain a level of situational awareness that will protect resident health and safety, and CDC has combined the required reporting fields into one simplified reporting form in NHSN. CDC will also provide enhanced user support, an improved helpdesk ticket response system, and training tailored to the LTC community to support the use of NHSN.</span></div><div><span data-contrast="auto" lang="EN-US"></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">The new data elements for which NHSN reporting will be required on January 1, 2025, include:</span><span data-ccp-props="{}"> </span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Facility census</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Resident vaccination status for COVID-19, influenza, and RSV</span><span data-contrast="auto" lang="EN-US">,</span><span data-contrast="auto" lang="EN-US"></span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Confirmed resident cases of COVID-19, influenza, and RSV (overall and by vaccination status)</span><span data-ccp-props="{}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" aria-setsize="-1" data-aria-posinset="4" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Hospitalized residents with confirmed cases of COVID-19, influenza, and RSV (overall and by vaccination status).</span><span data-ccp-props="{}"> </span></li></ul></div><div><span data-contrast="auto" lang="EN-US">The final rule also allows the Secretary of Health and Human Services, in the event of a future acute respiratory illness public health emergency (PHE), to require submission of additional related data elements or an increased frequency of reporting. CMS also withdrew the portion of the proposed rule that would have allowed the Secretary to increase data reporting if a significant </span><span data-contrast="auto" lang="EN-US"><em>threat</em></span><span data-contrast="auto" lang="EN-US"> for a PHE for an acute infectious illness exists.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><span data-contrast="auto" lang="EN-US">This rule is scheduled to be published on November 7, 2024, and can be found </span><a href="https://public-inspection.federalregister.gov/2024-25441.pdf" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">here</span></span></a><span data-contrast="auto" lang="EN-US">. Please feel free to send questions to </span><a href="mailto:regulatory@ahca.org" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink">regulatory@ahca.org</span></span></a><span data-contrast="auto" lang="EN-US">.</span><span data-ccp-props="{}"> </span></div>Friday, Nov 1 CMS released the Calendar Year 2025 Home Health Prospective Payment System Rate Update, which includes significant changes to the CDC NHSN reporting requirements for nursing homes
CDC Updates Guidance for COVID and Pneumonia Vaccineshttps://www.ahcancal.org/News-and-Communications/Blog/Pages/CDC-Updates-Guidance-for-COVID-and-Pneumonia-Vaccines-.aspxCDC Updates Guidance for COVID and Pneumonia Vaccines10/25/2024 4:00:00 AM<p>​<span data-contrast="auto" lang="EN-US" style="font-size:11pt;">​The Centers for Disease Control and Prevention (CDC) Director Mandy Cohen has endorsed two new recommendations from the CDC’s Advisory Committee on Immunization Practices (ACIP) regarding the COVID and pneumonia vaccines. </span><span style="font-size:11pt;"> </span></p><div><span data-contrast="auto" lang="EN-US"><strong>NEW </strong></span><a href="https://www.cdc.gov/media/releases/2024/s1023-covid-19-vaccine.html" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink"><strong>COVID</strong></span></span></a><span data-contrast="auto" lang="EN-US"><strong> Recommendations:</strong></span><span data-contrast="auto" lang="EN-US"> </span><span data-ccp-props="{}"> </span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">People 65 years and older, as well as those who are moderately or severely immunocompromised, should receive a second dose of the 2024-2025 COVID-19 vaccine six months after their first dose. </span><span data-ccp-props="{"134245417":false,"201341983":1,"335559739":0,"335559740":276}"> </span></li></ul></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">The updated guidance provides flexibility, allowing additional doses (e.g., three or more) for individuals who are moderately or severely immunocompromised, in consultation with their health care provider (a strategy known as </span><span data-contrast="auto" lang="EN-US">shared clinical decision-making</span><span data-contrast="auto" lang="EN-US">).</span><span data-ccp-props="{"134245417":false,"201341983":1,"335559739":0,"335559740":276}"> </span></li></ul></div><div><span data-contrast="auto" lang="EN-US"></span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US">The CDC states that data continue to confirm the importance of vaccination in protecting those most at risk for severe COVID-19 outcomes. Receiving the recommended 2024-2025 COVID-19 vaccine can restore and enhance protection against the virus variants currently causing the majority of infections and hospitalizations in the United States. COVID-19 vaccination also reduces the chance of developing Long COVID, a condition that can occur during or after acute infection and persist for an extended period.</span><span data-ccp-props="{}"> </span></div><div><span data-contrast="auto" lang="EN-US"></span><span data-ccp-props="{"134245417":false,"201341983":1,"335559685":1440,"335559731":0,"335559739":0,"335559740":276,"335559991":360}"> </span></div><div><span data-contrast="auto" lang="EN-US"><strong>NEW </strong></span><a href="https://www.cdc.gov/media/releases/2024/s1023-pneumococcal-vaccination.html" target="_blank" rel="noreferrer noopener" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083"><span data-contrast="none" lang="EN-US"><span data-ccp-charstyle="Hyperlink"><strong>Pneumonia</strong></span></span></a><span data-contrast="auto" lang="EN-US"> </span><span data-contrast="auto" lang="EN-US"><strong>Recommendation</strong></span><span data-contrast="auto" lang="EN-US"><strong>: </strong></span><span data-ccp-props="{}"> </span></div><div><ul role="list"><li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1" role="listitem"><span data-contrast="auto" lang="EN-US">Lowering the age for pneumococcal vaccination from 65 to 50 years.</span><span data-ccp-props="{"134245417":false,"201341983":1,"335559739":0,"335559740":276}"> </span></li></ul></div><div><span data-contrast="auto" lang="EN-US">The CDC explains that lowering the age for pneumococcal vaccination allows more adults to protect themselves from pneumococcal disease at the age when the risk of infection significantly increases. Pneumococcal bacteria can cause serious illnesses, including pneumonia, meningitis, and bloodstream infections. Older adults are at a heightened risk for pneumococcal disease.</span><span data-ccp-props="{}"> </span></div><div><span data-ccp-props="{}"><br></span></div><div><span data-ccp-props="{}"><span style="font-size:14.6667px;">Visit the <a href="https://www.cdc.gov/media/releases/2024/s1023-covid-19-vaccine.html" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">CDC website</a> for more information. Additional vaccine resources and news can also be found at AHCA/NCAL’s <a href="http://getvaccinated.us/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">GetVaccinated.us</a>​.</span></span></div><div><span data-ccp-props="{}"><br></span></div><div><span data-ccp-props="{}">Related Resource: </span></div><div><div><ul><li><a href="https://www.hhs.gov/risk-less-do-more/index.html" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"><em>Risk Less. Do More </em></a><br></li></ul></div><br></div>CDC Director Mandy Cohen has endorsed two new recommendations from the CDC’s Advisory Committee on Immunization Practices regarding the COVID and pneumonia vaccines.

​Guidance & Resources

​By Source


 AHCA/NCAL

Guidance
Emergency Preparedness

 CDC

Reporting Resources

 CMS

 Other Federal Agencies

 State & Local


​Guidance & Resources

​By Topic

 Notifications & Reporting Cases

Regulatory Requirements

 Personal Protective Equipment (PPE)

 Public Health Emergency (PHE) Unwinding | May 11, 2023

Medicaid and Medicare

 Testing

Regulatory Requirements
Rapid Point-of-Care Antigen Tests

 Treatments

 Vaccines

Education and Promotion
Vaccines for Long Term Care

 Workforce

Emotional PPE Project