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policy

Negotiations continue on a bipartisan physical infrastructure plan after Senate Republicans blocked a procedural vote to begin formal deliberations on the framework. Republican senators opposed the legislative text because it is not final and has no Congressional Budget Office score.

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Essential Insights

While most states remain consumed by the ongoing COVID-19 crisis, state leaders are drafting fiscal year 2021 budgets and shifting focus to rebuilding their economies, improving health equity, and investing in health care infrastructure.

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state-action

The Federal Emergency Management Agency is supporting vaccination sites in 19 states and U.S. territories. States vary in their approaches to distribute COVID-19 vaccines to children; some are prioritizing subpopulations of children while others are involving child health stakeholders in planning.

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Essential Insights

Leaders from essential hospitals Oregon Health & Science University and Rhode Island Hospital founded a national nonprofit that provides donated personal protective equipment to facilities in need during the COVID-19 pandemic.

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state-action

The Arkansas governor appointed a steering committee to recommend distribution methods for federal COVID-19 funds across the states. A new National Governors Association memorandum offers planning recommendations for concurrent emergencies during the COVID-19 public health crisis.

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policy

The Joint Commission will resume regular surveys of health care facilities; Gilead Sciences Inc. donates a second round of remdesivir to treat severe COVID-19 cases; CDC issues antibody testing guidelines.

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policy

The new waivers and flexible options are designed to increase hospital capacity, rapidly expand the health care workforce, temporarily eliminate certain paperwork requirements, and promote telehealth in Medicare.

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policy

CDC recommends shelters plan for higher usage during the outbreak and consult with community leaders, local public health departments, and faith-based organizations about places to refer clients if a shelter space is full.

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policy

These cases bring the total number of COVID-19 cases detected and confirmed in the United States to 16. The Centers for Disease Control and Prevention and the Food and Drug Administration have issued new guidance and resources to prevent the spread of the virus and improve testing.

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policy

The agency announced it will count patients repatriated by the Department of State separately from other cases. Additionally, the World Health Organization developed an emergency ICD-10 code for COVID-19.

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policy

The new coronavirus — now officially called COVID-19 — has infected 15 people in the United States. The Centers for Disease Control and Prevention released new guidance for health care providers to help with risk assessment, monitoring, and work restriction decisions.

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policy

The new authorization allows any CDC-qualified laboratory to use the 2019-nCoV diagnostic test. Each test kit can evaluate up to 800 patient samples.

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policy

Of interest to essential hospitals, the rule targets emergency preparedness, hospital quality program requirements, infection control, and physical examinations.

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policy

The final rule revises conditions of participation and conditions for coverage and also targets emergency preparedness, quality reporting, infection control, and physical examination requirements.

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policy

The agency is waiving program requirements and suspending enforcement activities in Florida, Georgia, North Carolina, South Carolina, and Puerto Rico.

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quality

The Office of the Assistant Secretary for Preparedness and Response initiative seeks to harness cutting-edge technologies to support emergency response and recovery. It will kick off with an innovation day event, Aug. 7–8, to engage with stakeholders.

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policy

Also last week, the Senate Committee on Health, Education, Labor, and Pensions advanced the bipartisan Lower Health Care Costs Act and the House Committee on Ways and Means marked up five Medicare-focused bills.

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We thank President Trump for signing the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019, which will direct more resources to hospitals and other providers on the front lines of disasters and other public health threats.

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policy

The Pandemic and All-Hazards Preparedness and Advancing Innovations Act would provide $385 million annually for the Hospital Preparedness Program. Congress stacks its agenda ahead of the July Fourth recess, focusing on health care funding, surprise billing, single-payer proposals, and drug pricing.

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policy

A House subcommittee hearing features testimony from an essential hospital on the importance of Medicaid disproportionate share hospital funding. The House is expected to approve a bill providing $385 million in annual funding for the Hospital Preparedness Program.

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policy

The Senate last week passed a new version of the Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019. House and Senate panels continue work to address balance billing and drug pricing ahead of next week's recess.

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policy

The guidance lists warning signs for which hospital staff should be aware, recommendations for active shooter responses, and suggested protective measures.

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quality

Learn why cultural competency matters during emergencies, explore the potential consequences of being culturally incompetent, and gain resources to help build understanding.

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state-action

A new report finds that nearly 90 percent of hospitals, on average, within each state are part of a coalition to work with emergency management and public health officials to ensure emergency preparedness in their communities.

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policy

As the partial government shutdown enters its fourth week, the House has passed a bill to reauthorize the Pandemic and All-Hazards Preparedness and Advancing Innovation Act, which includes $385 million in annual funding for the Hospital Preparedness Program.

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We now call on the Senate to invest in the nation’s disaster response and public health infrastructure by reauthorizing the Pandemic and All-Hazards Preparedness and Innovation Act.

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policy

As the partial government shutdown continues, the House this week will consider the Pandemic and All-Hazards Preparedness and Advancing Innovations Act and a bill to extend funding for the "Money Follows the Person" demonstration program.

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policy

The 116th session of Congress convenes as leaders seek a deal to end a partial government shutdown, while health care legislation hangs in the balance.

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policy

House and Senate Democratic leaders vowed to pursue legislation to intervene after a judge ruled the Affordable Care Act unconstitutional; negotiations continue on a spending package to fund portions of the federal government before current funding expires on Dec. 21.

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policy

Ahead of the holiday recess, the Senate needs to approve the Pandemic and All-Hazards Preparedness and Advancing Innovations Act, while both chambers work to finalize a year-end spending bill to avoid a partial government shutdown.

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policy

The House Democratic Caucus on Wednesday will hold closed-door votes to elect its leadership team for the next session of Congress; Congress faces several deadlines as lawmakers return from the holiday weekend.

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policy

America’s Essential Hospitals encouraged the agency to continue its efforts to reduce regulatory burden at essential hospitals, including through refining Medicare and Medicaid conditions of participation.

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policy

Senators of both parties and House Republicans last week began elections for leadership positions in the 116th session of Congress; after the Thanksgiving holiday, lawmakers will continue work to approve a spending bill by Dec. 7.

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policy

Senators left Washington earlier than expected to campaign for midterm elections after confirming 15 federal judicial nominees and failing to overturn a regulation expanding short-term insurance plans.

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policy

The Centers for Medicare & Medicaid Services is waiving program requirements and suspending enforcement activities in Florida and Georgia.

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policy

The discussion draft addresses several patient care scenarios that could lead to surprise billing; Congress is expected to vote this week on reauthorization of the Pandemic and All-Hazards Preparedness Act, government funding for fiscal year 2019, and a bipartisan opioid package.

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policy

Elements of the proposal of interest to essential hospitals include targeting emergency preparedness, hospital quality program requirements, infection control, and physical examinations.

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policy

Bills to repeal the medical device tax and expand health savings accounts go to a House floor vote; a House committee advanced legislation that would fund the Hospital Preparedness Program at about $265 billion annually.

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quality

University Medical Center New Orleans mobilizes volunteers to teach community members how to stop bleeding in medical emergencies.

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policy

A new bill by Rep. Chris Collins (R-NY) would impose a user fee for hospitals participating in the 340B Drug Pricing Program; a House subcommittee marked up hospital preparedness and graduate medical education bills.

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policy

The June 19 webinar will explore the 2016 final rule on emergency preparedness requirements for Medicare- and Medicaid-participating health care providers, along with 1135 waivers.

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policy

The House aims to complete voting by the July Fourth recess, but Senate work on opioid legislation likely will continue into August amid a shortened recess.

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policy

The Pandemic and All-Hazards Preparedness Reauthorization Act, which includes $385 million annually for the Hospital Preparedness Program, has been cleared for consideration on the Senate floor; Congress aims to vote on opioid package before the July Fourth recess.

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policy

The measure passed by Congress and signed by President Trump Monday funds the government through Feb. 8 and extends the Children's Health Insurance Program six years, but leaves unresolved a delay of Medicaid disproportionate share hospital cuts.

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policy

The updated standards focus on collaboration between health care providers and emergency management officials in the community.

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quality

Orlando Regional Medical Center has turned the June 2016 nightclub shooting into an opportunity to help other hospitals and communities prepare for, and recover from, mass casualty events.

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policy

Affected providers will be exempt from reporting provisions of the Medicare Hospital Outpatient Quality Reporting Program, Hospital Inpatient Quality Reporting Program, and Ambulatory Surgical Center Quality Reporting Program.

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quality

Two free online simulations help health care providers improve decision-making skills during infectious disease outbreaks and public health emergencies.

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policy

The Centers for Medicare & Medicaid Services, the Centers for Disease Control and Prevention, and other federal agencies have released several resources to help health care providers prepare for and respond to disasters.

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policy

The online course provides an overview of disaster preparedness and skills to gauge compliance with emergency preparedness requirements that go into effect on Nov. 15.

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policy

The Centers for Medicare & Medicaid Services is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to hospitals and health care facilities in Federal Emergency Management Agency–designated major disaster counties.

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policy

The deadline for Medicare- and Medicaid-providers and suppliers to meet applicable requirements of the rule, including training and testing, is Nov. 15.

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quality

The challenge asks organizations to share how they use the National Health Security Preparedness Index to advance health security and disaster preparedness.

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policy

The deadline for meeting all applicable requirements of the rule is Nov. 15; CMS will host a provider conference call on April 27 to review the rule.

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quality

The 90-minute webinar will focus on training hospital epidemiologists in the interpersonal skills necessary to handle an infectious disease outbreak.

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Essential Insights

Fifteen patients affected by the "Chimney Tops 2" fire in Tenn. were taken to the ED at University of Tennessee Medical Center, the area's only level I trauma center.

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policy

The CMS FAQ answers questions about new regulatory requirements to ensure health care facilities are ready for disasters and public health emergencies.

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policy

In the final rule, CMS sets forth national requirements for Medicare and Medicaid participating providers and suppliers to ensure health care facilities are prepared during emergencies.

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Essential Insights

On July 25, two teenagers were killed and at least 16 other people were injured in the second mass shooting in Florida this summer.

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policy

The new guidance reinforces the importance of compliance with HIPAA to prevent and recover from cyber threats.

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Essential Insights

Orlando Regional Medical Center, Central Florida’s only level I trauma center, treated nearly 50 victims of the largest mass shooting in the United States.

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quality

New hospital resource offers examples of ways to fight antibiotic-resistant bacteria and outlines CDC's core elements of stewardship programs.

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policy

The new provisions include updated sprinkler requirements and increased flexibility to allow for facility modernization. Hospitals and other health care facilities must comply with the regulations by July 3.

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quality

Select laboratories nationally will have access to new diagnostic tool that enables providers to determine with one test, rather than three, whether a patient is infected with chikungunya, dengue, or Zika.

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policy

Just added: CDC interim guidance for management of survivors of Ebola Virus disease in U.S. health care settings

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Essential Insights

Near or far away from the big game, essential hospitals stand ready to treat Super Bowl fans.

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quality

Week-long annual event will engage stakeholders in discussion and education about antibiotic stewardship in inpatient, outpatient, and animal health settings.

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policy

Travelers from Liberia will no longer be screened upon entry. CDC recommends providers continue screening patients who have traveled from Liberia for symptoms of Ebola and other infectious diseases.

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quality

Event, open to all providers, will focus on coordinating efforts in the fight against the increasing number of potentially life-threatening germs that resist drugs created to treat them.

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quality

Vital Signs report recommends collaboration between public health departments and health care facilities to stop antibiotic resistance, promote infection control.

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quality

New York's Bellevue Hospital Center to join Emory University and University of Nebraska Medical Center in collaboration with federal agencies.

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quality

Interactive map tracks real-time weather along with locations of Medicare patients who rely on electrically powered medical equipment.

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quality

The ASPR TRACIE features emergency preparedness resources, one-on-one technical support, and an online forum to share user-developed templates, plans, and other materials.

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quality

Staff from Ebola assessment hospitals will learn how to prepare facilities and staff to receive, isolate, and care for patients being evaluated for Ebola.

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quality

Three association members were among nine groups of grantees that will receive funding to sustain preparedness for treating patients with Ebola and other highly infectious diseases.

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quality

CDC guidance covers evaluation criteria, infection control information for MERS-CoV. Criteria include fever, pneumonia, recent travel to the Arabian Peninsula or South Korea.

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policy

The plan serves as a guide for federal departments and agencies to combat the spread of antibiotic-resistant bacteria. Funding is included in the president's proposed FY 2016 budget.

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policy

Slow week for health care work as Department of Homeland Security funding demands lawmakers' attention

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policy

Grants will support Ebola preparedness activities at hospitals, fund regional networks for Ebola patient care, and create pathogen treatment centers nationally

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quality

Cleveland's MetroHealth System and Henry Ford Health System in Detroit share their experiences dealing with the 2013-2014 Polar Vortex.

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policy

Training videos help ED personnel identify, triage, and briefly manage the care of patients who may have Ebola or any highly infectious disease.

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quality

At Olive View-UCLA Medical Center, older staff are teaching younger docs with no measles experience how to recognize symptoms.

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policy

Guidance covers the management and testing of routine clinical specimens for Ebola, while minimizing risk to laboratory personnel.

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Association's new online magazine adds human-focused, emotional storytelling to its public policy, education, performance improvement, and research offerings.

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quality
Essential Insights

Our new online magazine called Walls Down features emotional storytelling covering one core aspect of essential hospitals – the specialized, lifesaving services they provide, such as trauma care, neonatal intensive care, and disaster response.

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policy

Treatment centers together have 53 beds suitable for Ebola care, and more than 80 percent of travelers from Ebola-affected countries live within 200 miles of a center.

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policy

HHS notes that HIPAA patient privacy provisions still apply during public health emergencies, though HHS secretary can waive specified provisions in certain circumstances.

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policy

The House Committee on Foreign Affairs, Subcommittee on Africa, Global Health, Global Human Rights, and International Organizations called an emergency hearing to address the Ebola outbreak, including the capacity to contain it in the United States.

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quality

The agency's recommendations include tips for patient placement, environmental infection control, use of personal protective equipment, and patient care considerations.

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policy

HHS announced $840 million in emergency preparedness awards to states and municipalities to support state and local health systems.

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Essential Insights

As one of the hospitals on the front lines of last year’s Boston Marathon bombings, Boston Medical Center this year has taken several steps to honor victims of the tragedy.

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policy

Comments on the proposed rule are now due to CMS March 31 instead of Feb 25. America's Essential Hospitals will submit comments to CMS. The proposed rule seeks to establish emergency preparedness requirements for Medicare and Medicaid participating providers and suppliers.

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policy

Member feedback needed on emergency preparedness conditions of participation comments. The draft comments were emailed to members Tuesday Feb. 19. We plan to submit comments to CMS on Tuesday, Feb. 25. Contact Xiaoyi Huang, assistant vice president for policy, with feedback or questions.

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institute

Recent journal articles highlight important disaster preparedness, patient safety, and social issues affecting health care.

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policy

Rule proposes national emergency preparedness requirements for health care facilities

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