PRACTICE SUPPORT RESOURCES
PRACTICE MANAGEMENT CARE NETWORK WEBINAR
Paul D. Vanchiere, MBA
April 9, 2020
Update September 16
UPDATED DE-ISOLATION GUIDELINES
To align with new Center for Disease Control (CDC) and LA County Department of Public Health recommendations, patient de-isolation guidelines were updated last month.
These recommendations were modified by the CDC and LA County based on evidence demonstrating that patients with COVID-19 do not remain infectious longer than 10 days after their symptoms began. Related evidence demonstrates that patients who are immunocompromised or had severe COVID-19 infections do not remain infectious longer than 20 days after their symptoms began. Due to the nature of the PCR test, however, patients can continue to test positive, not because they are able to infect others, but because CHLA’s highly sensitive PCR tests are able to identify trace particles of the virus, which is interpreted as a positive result. Unfortunately, the tests are not designed to differentiate between live virus that can cause infection and dead, fragments of viral particles that can remain in the body for a much longer time. Based on the existing evidence, test-based strategies for de-isolation are no longer recommended as they result in prolonged isolation of patients who continue to test positive but are no longer infectious.
No additional testing is recommended or required for patients who have previously tested positive for COVID-19 until 90 days have passed since their original positive test, at which point immunity to the virus may have waned. The exception to this re-testing protocol is if the patient develops a recurrence of symptoms.
Please note, the updated de-isolation guidelines also provides updated guidance for the scenario in which a patient tests negative, but their parents have tested positive for COVID-19.
Update September 2
COVID-19 CONTACT TRACING RESOURCES FOR LEADERS
In response to many requests for additional information on back to work guidelines and contact tracing, click here for two documents for your reference. The “Contact Tracing Process” document provides details about CHLA’s overall contact tracing process along with communications templates. The “COVID-19 Exposure Risk Assessment for MANAGERS” document is a two-page reference guide with quarantine and testing recommendations. We recommend also saving the link as a favorite so that you can refer to the most recent versions of the attached documents as CHLA periodically makes changes.
We would like to emphasize that the CHLA guidelines are intended to ensure adequate and safe staffing for the hospital. They do differ from the LA County guidelines that are much more restrictive.
THE BUSINESS IMPACT OF COVID-19 ON PEDIATRIC PRACTICES
PMI WEBINAR SERIES
Paul D. Vanchiere, MBA and Chip Hart
Webinar 1 (March 19)
Webinar 2 (March 26)
Webinar 3 (April 2)
Webinar 4 (April 7)
Webinar 5 (April 16)
SMALL BUSINESS LOAN RESOURCES
Update - June 16, 2020
BLUE SHIELD FINANCIAL RELIEF PROGRAMS
Blue Shield of California (“BSC”) will extend financial support to providers to help offset the financial impact COVID-19 has had on their revenue stream. There are two options that would apply to the CHLA Care Network members. They include, Advance Pre-payments and Direct Financial Support. These options generate monies to providers for services equal to a defined portion of their historical BSC claims or through Member Receivables (MR).
The Advanced Pre-payment is not a loan. Rather, it is an advance of future claims to be offset later. There are no fees or interest applied to the advance of future claims. The maximum advance is a percentage of historical BSC provider payments : 25% of total 2019 claims payments (equal to 3-month average).
The Member receivables are member co-pay and/or co-insurance obligations (payables) to providers that are currently outstanding and open on the providers’ financial system as a valid receivable.
Intake, Evaluation and Approval Process
Providers shall complete the application form
Providers email application form to: Financecommunication@blueshieldca.com
Provider requests will be evaluated every Monday and Thursday by the Program Review Committee.
Once a request is approved, the provider must sign applicable paperwork.
Under the advanced payment program, funds are released within 2 days after signed documents have been received by BSC.
CARES ACT INFORMATION
The Paycheck Protection Program Flexibility Act (PPPFA) was signed into law on June 5, 2020. This bill was the result of numerous concerns raised by small business owners in the wake of the Paycheck Protection Program (PPP) portion of the CARES Act. Securian Financials’ Teri Hirt has provided the Care Network with the attached document that summarizes the revisions the PPPFA has made to the PPP to help you better understand what changes have been made.
Please click here to view the document.
Can be used for
SBA approved lenders
Lesser of $100 million or 2.5 times average monthly payroll
6 months (interest accrues)
Payroll, benefits, mortgage interest, rent, utilities, other debt
Yes, for EIDL
Yes, if 75% payroll
Up to $2 million
Up to 30 years
1 year (interest accrues)
Payroll, benefits, accounts payable, other expenses
For loans over $25, 000
Yes, for $10,000 advance
No for loans under $200K
SMALL BUSINESS MANAGEMENT RESOURCES
CA Academy of Family Physicians: Resources for Solo And Small Practice Family Physician
PATIENT AND FAMILY RESOURCES
Free meals and groceries
Articles to Read
Talking About Race: Race and Racial Identity – The National Museum of African American History & Culture
Talking About Race: Social Identities and Systems of Oppression – The National Museum of African American History & Culture
Books to Read
Biased: Uncovering the Hidden Prejudice That Shaped What We See, Think, and Do – Jennifer L. Eberhardt – 2019
Black Feminist Thought – Patricia Hill Collins – 2000
I Know Why the Caged Bird Sings – Maya Angelou – 1969
Just Mercy – Bryan Stevenson – 2014
Me and White Supremacy – Layla F. Saad – 2020
So You Want to Talk About Race – Ijeoma Oluo – 2018
White Rage – Carol Anderson – 2017
Children’s Books to Read
Last Stop on Market Street – Matt de la Peña and Christian Robinson – 2015
Sulwe – Lupita Nyong’o and Vashti Harrison – 2019
The Day You Begin – Jacqueline Woodson and Rafael López – 2018
The Proudest Blue – Ibtihaj Muhammad, S. K. Ali, and Hatem Aly – 2019
The Story of Ruby Bridges – Robert Coles and George Ford – 2020
LA Black Owned Businesses to Support
Movies and TV to Watch
Clemency (Chinonye Chukwu) — Available to rent
If Beale Street Could Talk (Barry Jenkins) — Hulu
Teach Us All – Netflix
Whose Streets? – Available to rent or on Kanopy
Podcasts to Listen to
A Historic Crossroads for Systemic Racism and Policing in America – Harvard Kennedy School Policy Cast
Mixed Company – Mixed Company
The Stoop – The Stoop