Rural Health Clinic COVID-19 Listening Session Updates

Oregon Office of Rural Health Rural Health Clinic COVID-19 Listening Session Facilitator: Rochelle Schultz Spinarski Rural Health Solutions April 23, 2020 Welcome! Please put your name and clinic name in the chat box and your phone on mute. Thank you!

Agenda: Updates COVID-19 Roundtable Discussion

If you missed prior RHC COVID-19 listening sessions: Rural Health Clinic COVID-19 Listening Session 1, March 23, 2020 Responses to questions posted here: https://www.ohsu.edu/sites/default/files/2020- 04/RHC%20Questions%20Answered%20032620.pdf. o Recording and slides here: https://www.ohsu.edu/oregon-office-of-rural-health/orh- covid-19-resources-rural-health. Rural Health Clinic COVID-19 Listening Session 2 April 9, 2020 Video Slides Local EOC List January 2020 Notes

Updates Continued Phase 3.5 Legislation - $225 MILLION grant program exclusively for federally certified Rural Health Clinics for testing and related expenses associated with the COVID-19 pandemic. Details on how this money will be distributed still need to be worked out but NARHC expects that EVERY federally certified Rural Health Clinic will receive money from this fund. Oregon case and county-level data, go to the Oregon Health Authority website, which OHA updates once a day: www.healthoregon.org/coronavirus Summary tables of OHA s epi curve and persons tested tables are available at: OHA Data Dashboard Oregon revised guidelines for COVID-19 testing to prioritize populations disproportionately impacted by COVID-19 and all frontline workers: those living or working in congregate care or group living facilities: communities most impacted by health disparities and health inequities essential frontline workers CMS guidance on telehealth billing for RHCs Framework for Restarting Non-Emergent Elective Procedures in Medical and Dental Offices, https://www.oregon.gov/gov/Documents/executive_orders/eo_20-10.pdf o o o

Listening Session Key Areas for Roundtable Discussion Polls oDo you have the capacity to test anyone who presents with COVID- 19 symptoms or concerns? oAre you developing/do you have plans to operate in a COVID-19 present environment? Discussion: Operating in a COVID-19 Present Environment oKey elements to your plan (e.g., COVID-19 operational changes made that will be sustained) and key considerations or concerns identified during planning process.

Discussion: Operating in a COVID-19 Present Environment oWhat are the key elements to your plan (e.g., COVID-19 operational changes made that will be sustained)? oWhat key considerations or concerns did you identify during planning process? Poll: Future - quarterly OR RHC webinar discussions.

Resources to Support Operations & Community RHIhub RHIhub: Rural COVID-19 Innovations Small hospital s experience with a surge in patients Surge plans, tools and guidance to resume operations

COVID-19 Resources Oregon Office of Rural Health: https://www.ohsu.edu/oregon-office-of-rural-health/orh-covid-19- resources-rural-health Oregon Health Authority: https://www.oregon.gov/oha/ph/pages/index.aspx OHA COVID-19 Updates: https://govstatus.egov.com/OR-OHA-COVID-19 (sign up for e-updates) Phase 3 Coronavirus Legislation Expands Telehealth to RHCs: https://www.web.narhc.org/News/28264/Phase-3-Coronavirus-Legislation-Expands-Telehealth- to-RHCs Centers for Disease Control and Prevention: https://www.cdc.gov/coronavirus/2019- nCoV/index.html CDC Clinician Outreach and Communication Activity - https://emergency.cdc.gov/coca/ Centers for Medicare and Medicaid Services: https://www.cms.gov/newsroom/press- releases/public-health-news-alert-cms-develops-new-code-coronavirus-lab-test National Organization of State Offices of Rural Health https://nosorh.org/covid-19-updates/ Rural Information Hub - https://www.ruralhealthinfo.org/topics/covid-19 COVID-19 Emergency Declaration Health Care Providers Fact Sheet: https://www.cms.gov/files/document/covid19-emergency-declaration-health-care- providers-fact-sheet.pdf

Oregon State Topics/Resources Telemedicine https://www.oregon.gov/oha/HSD/OHP/Announcements/Expansion%20of%20fee-for- service%20telemedicine%20coverage.pdf https://www.oregon.gov/oha/HSD/OHP/Announcements/Oregon%20Health%20Plan%20coverage%20 of%20telemedicine%20services.pdf https://dfr.oregon.gov/insure/health/understand/Documents/DFR- OHA%20Telehealth%20Guidance.pdf Survey & Certification https://www.cms.gov/files/document/qso-20-12-all.pdf General Resources https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/DISEASESAZ/Pages/emerging-respiratory- infections.aspx https://govstatus.egov.com/or-covid-19

Oregon RHC COVID-19 Listening Session - Tentative May 7, 2020, 2:00pm 2:30pm Webinar

Oregon Office of Rural Health RHC Resources Office of Rural Health resources are available for all program areas. Your primary contact is: Rondyann Gerst Field Services Program Manager | Rural Health Clinics Oregon Office of Rural Health 503.312.3907 (cell) | gerst@ohsu.edu (email) This Photo by Unknown Author is licensed under CC BY-SA-NC