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COVID-19 Tools & Resources: CDC


LeadingAge Michigan is the convener for policy and advocacy discussions around critical senior issues for not-for-profit and mission based providers. We partner with a broad base of like-minded entities focused on policies that support member ability to serve Michigan seniors. This page is designed to provide a current set of resources that will assist in maintaining a safe and calm environment during the potential pandemic that is now developing.






Updates to NHSN

Next week, NHSN will be holding a series of webinars as noted below. MDHHS this week identified that EMResource has now been updated to accommodate the changes to the NHSN data requirements.

NHSN Listen Only Webinars

Tuesday, September 1 (1-2PM ET)
Thursday, September 3 (1-2PM ET)


CDC Diagnostic Tests for COVID

CDC has developed two laboratory tests that identify COVID. The newer of these tests also identifies the presence of Influenza A and B viruses. Testing for all three viruses at the same time will help create the information needed to reduce the spread while conserving resources. The new test is called the multiplex assay.


CDC Filtering Facepiece Respirator Reuse

The CDC has updated its entire guidance on Filtering Facepiece Respirators and has archived the previous version.


CDC Returning to Work

Updated guidance this week on general requirements for workers to return to employment along with safety considerations.


CDC Training Topic: COVID-19 Surveillance to Enable Early Detection and Response to Outbreaks: National Healthcare Safety Network (NHSN) Mandatory Data Collection

Date: Thursday, August 6, 2020

Time: 4:00 – 5:00 PM ET

Advance Registration Required: Register here.


CDC Updates to Testing as Part of Return to Work and Isolation Policies

CDC Updates to Testing as Part of Return to Work and Isolation Policies
Several policies were updated in the past several days that revise recommendations for test based strategies in regard to employees returning to work and residents who undergo discontinuation of transmission-based precautions. Test based strategies can unnecessarily extend the period of confinement, and CDC offers the symptom or time-based strategy in most situations. Persons with serious illness related to COVID or who are immunosuppressed might be better served using a test based strategy, since they may have a longer period where they are contagious. Additionally, some changes were made to the criteria when using a symptom or time-based strategy.

Updated links below:

Discontinuation of Transmission Based Precautions
Updates to Symptom Based Strategy


CDC Issues Hand Sanitizer Warning 

The CDC and FDA have issued warnings about hand sanitizer products containing methanol, a toxic alcohol that can cause fatal symptoms when absorbed through the skin or ingested. The CDC Health Advisory Warning issues recommendations and general information about methanol-based hand sanitizers is also available.


CDC Update: Preventing Spread of COVID 19 in Retirement Communities and Independent Living Facilities

CDC updated its recommendations for senior communities and are intended to supplement any state or local requirements. They find these communities at high risk for severe illness based on the population and may have additional risks based on communal activities. The recommendations includes several strategies to encourage behaviors to reduce spread.


CDC: Clinical Questions about COVID 19: Updated 6/28/2020


CDC: Preparing for COVID-19 in Nursing Homes

Adds the recommendation for facilities to create a plan for testing residents and personnel.


CDC Underlying Medical Conditions List

As of June 25, the CDC updated its list of underlying medical conditions list that includes persons of all age groups: chronic kidney disease, COPD, immunosuppression, obesity, heart conditions, sickle cell disease, and diabetes. These conditions make certain individuals at increased risk for severe illness. There is an additional list that may cause increased risk as well.


CDC Updates 


CDC Updates Several Guidance Documents over this last week 

The CDC Testing Guidance for Nursing Homes has been updated to reflect CMS QSO 20-30-NH Guidance for Nursing Home Reopening for State and Local Officials.

Preparing for COVID-19 in Nursing Homes has been updated to include NHSN reporting requirements, need for facilities to create a plan for testing, and recommendations to assign a dedicated staff member for managing infection control.

Supporting Loved Ones in Residential Facilities resource sheet from the CDC.


CDC Issues Activities to Support the COVID Response and the Plan to Open America

This document details CDC’s response to the pandemic and considerations for reopening business and other activities safely. Expanding testing is a critical feature, along with staffing and PPE resources. Since this is a recommendation, it would be up to the state to determine the ultimate rules for reopening. The resources needed to achieve safe reopening will be significant and LeadingAge Michigan will continue to advocate for adequate support.


Other CDC Updated Materials 


CDC Infection Prevention and Control Assessment Tool for Nursing Homes

Michigan iPRAT Teams who will be assisting residential care facilities respond to COVID – 19 pandemic will be utilizing the CDC ICAR Tool. The tool can be relevant for the entire range of residential care facilities and works as a baseline assessment of infection control needs.


CDC Updates Several Guidance 

Yesterday, the CDC listed updated guidance on several areas that are not directly pertinent to long term care facilities.  


SNF Mandatory Reporting Using NHSN 

CDC has issued instructions for providers who may have misidentified their facility type during NHSN enrollment. Instructions can be found at On the webpage, scroll down to Resources, under Facility Resources you will then click “How to Change LTC Facility Type.” 


CDC Updates 

While fever, cough, and shortness of breath are still the most commonly reported symptoms, other symptoms have been reported and may actually precede the others. Almost all hospitalized patients have cough or shortness of breath. The CDC has added six other symptoms that often present, but there are others as well such as gastrointestinal symptoms.






















CDC Updates Several Guidance



















Today, the CDC announced its update to several guidance documents. Several focus on provisions to improve source control – basically limiting all the potential sources of infection. These policies include all healthcare personnel using a facemask at all times and applying social distancing when not possible – such as eating. Cloth masks can be used by visitors but facemasks should be reserved for health care staff in times of shortages. N95 masks continue to be recommended when providing care to confirmed positive patients.

Criteria for employees to return to work have been updated to identify that test-based strategies are the recommended avenue. Although there continue to be concerns with decontaminating and reusing N95 respirators, CDC recognizes that there may be a need to continue that practice to optimize supplies.

For healthcare personnel, the period of exposure risk has been changed from onset of symptoms to 48 hours before symptom onset, in alignment with public health recommendations.

The CDC also included required reporting for health care providers to report all medication errors, events, and clinical outcomes involved in using hydroxychloroquine and chloroquine; and are encouraged to report the same for all other treatments for COVID-19. Reports can be submitted online to FDA MedWatch.







CDC Guidance: Implementing Safety Practices for Critical Infrastructure Who May have had Exposure to Suspected or Confirmed COVID-19


Critical Infrastructure Workers may be permitted to continue work following potential exposure to COVID-19 as long as they are asymptomatic and additional precautions are taken to protect them and the community.





More Information on MDHHS Testing Guidance





New and Updated CDC Guidance



Disinfecting Your Facility if Someone is Sick and Healthcare Infection Prevention and Control FAQs for COVID-19




CDC Updates



Retirement Communities and Independent Living and Interim Guidance for Businesses and Employers






CDC Updates




Yesterday the CDC held a Clinician Outreach and Communication Activity Webinar. The PowerPoint for this presentation include basic information but some resource links that might be helpful.  Additionally, CDC has postedStrategies for Optimizing the Supply of PPE – members should review.


CDC Updated Infection Control Guidance











APIC - COVID-19 Resources








The Association for Professionals in Infection Control and Epidemiology has created some resources for health care. Click on APIC resources after choosing this link. Members might focus on PPE Dos and Donts Education Posters that apply to infection control in general, public policy updates which include information on surveys and coding, and APIC is allowing free access to their text book chapter on outbreaks until 9/2020. This might be a good resource for members who wish to review their processes.




CDC Information for Healthcare Professionals



This website provides evaluating and reporting persons under investigation, infection control guidance, and clinical guidance.




Guidance for risk assessment of Health Care Professionals with Potential Exposure




Workplace, School, and Home Guidance - CDC












CDC Guidance on Masks for Health Personnel







This updated CDC guidance alerts state surveyors that staff are not required – on a temporary basis – to validate the date of a facility’s last annual test of the fit of N95 masks worn by workers in Medicare- and Medicaid-certified facilities. CMS is temporarily suspending surveyor validation of the test to minimize the discarded masks associated with such testing. Additionally, the FDA approved a CDC request for an emergency use authorization (EUA) to allow healthcare workers to use certain industrial respirators during the COVID-19 outbreak in healthcare settings. 











COVID-19 Healthcare Planning Checklist - HHS - ASPR (Assistant Secretary for Preparedness & Response)





This checklist is adapted from a variety of HHS Pandemic Influenza Planning resources. However, it identifies specific activities that should be done to prepare and respond to COVID -19. It is not intended to set forth mandatory requirements by the Federal Government. Review the CDC website for the most current situation materials. Members might consider focusing on the first section – Safety and Infection Control and the last section for long term care organizations and skilled nursing facilities. This provides a good review and some perhaps new ideas for facility emergency preparedness plans.




CDC Printable Fact Sheets for the Public

Includes printable posters that includes signs and symptoms, basic facts, spread of germs, etc.






CDC Information on Coronavirus Disease





This is the CDC website page directly summarizing the history and issues of COVID-19, including the current situation summary and map, and contains some information for healthcare professionals. This site might be helpful for an overview of basic COVID -19 history.



CDC Guide to Preparing Your Community


This website discusses the work of the CDC in preparing communities for COVID 19 – with a focus on systems and business in the community. There is discussion of reinforcing infection control principles.





CDC Video Series, Coronavirus Prevention for Individuals


CDC developed videos that discuss the origin, risk, and interventions for protections for general audiences.




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