IHA Daily Briefing: Nov. 14

Monday, Nov. 14, 2022
Gov. EO Reinstates Additional Healthcare Flexibilities
IHA Webinar on Nursing, Pharmacy CMS CoPs Is 11/17
HRSA: New Nursing Workforce Dashboard
Nov. 17: CMS to Discuss REHs
FDA: Naloxone May Not Reverse Xylazine Effects
Guidelines for Youth Behavioral Health Crisis Care
Illinois COVID-19 Data
Briefly Noted

Gov. EO Reinstates Additional Healthcare Flexibilities
On Thursday, Gov. J.B. Pritzker issued new Executive Order (EO) 2022-22 (COVID-19 NO. 114), amending and extending some prior executive orders as follows:

  • Sections 9 and 10 of the previous Telehealth order (EO 2020-09) as amended by EO 2021-15 continues through Dec. 9.

  • Actions by the Illinois Dept. of Financial and Professional Regulation (IDFPR) for licensed professionals engaged in disaster response (EO 2020-23) continues through Dec. 9. This is the waiver that allows the IDFPR to take actions to increase the number of licensed professionals responding to the disaster, including issuing variances to allow for out-of-state licensees to practice within Illinois.

  • Sections 5, 7, 8 and 9 of EO 2021-22 (as amended by EO 2021-23 and EO 2021-27) requiring vaccination and testing requirements for healthcare workers were amended, re-issued and extended through Dec. 9.   

IHA Webinar on Nursing, Pharmacy CMS CoPs Is 11/17
For this week's “CMS Conditions of Participation 2022” webinar, expert presenter Lena Browning, MHA, BSN, RNC-NIC, CSHA, has over 60 topics to highlight. With a focus on nursing and pharmacy Conditions of Participation (CoPs), there’s a lot of ground to cover.

The webinar—from noon to 2 p.m. this Thursday, Nov. 17—is part of a five-part series IHA is offering to ensure members can meet the vast and varied CoP requirements from the Centers for Medicare & Medicaid Services (CMS).

Lena Browning, of Nash Healthcare Consulting, will present each webinar. She is a nurse leader, accreditation specialist, and an expert in CMS, The Joint Commission and state regulations. On Thursday, Browning will address these CoP requirements and more: 

  • Medications must be given timely and within one of three blocks of time;

  • A nursing care plan must be in writing, started soon after admission and maintained in the medical record; and

  • Hospitals must have a safe opioid policy approved by the Medical Executive Committee and staff must be educated on the policy.

The webinar will especially benefit hospital leaders and staff in:

  • Pharmacy;

  • Nursing;

  • Compliance;

  • Quality improvement;

  • Risk management;

  • Medical staff; and

  • Health information management.​

The registration fee is per webinar and includes an unlimited number of connections within the same hospital or health system corporate office. Subsequent webinars are Nov. 30 and Dec. 14Register today.

Contact us with questions.

HRSA: New Nursing Workforce Dashboard
The Health Resources and Services Administration (HRSA) has released a new dashboard that has “easy-to-use” nursing workforce data from the 2018 National Sample Survey of Registered Nurses to facilitate understanding of the landscape and challenges of the nursing workforce.

According to HRSA, the dashboard enables a user to access the 100,000 unique data points from the survey and apply the data to the nursing workforce landscape, including demographics, employment, education, earnings and hours for various categories of nurses (RNs, NPs and APRNs).

HRSA says the new dashboard serves as a benchmark for providing educators, health workforce leaders and policymakers with key details and developments of the nursing workforce supply.

First conducted in 1977, the National Sample Survey of Registered Nurses represents the longest-running survey of registered nurses in the U.S.

To learn more about the Nursing Workforce Dashboard, click here. To access additional HRSA data, click here.

Nov. 17: CMS to Discuss REHs
The Centers for Medicare & Medicaid Services (CMS) will discuss Rural Emergency Hospitals (REH) during an Open Door Forum this Thursday, Nov. 17. CMS representatives will discuss the recent Outpatient Prospective Payment System (OPPS) final rule, which includes REH payment policies and finalized Medicare Conditions of Participation.

To participate by phone, dial 1-888-455-1397 (passcode: 5109694). A recording of the call will be available one hour after its conclusion, and may be accessed by dialing 1-800-513-1169 (no passcode required).

For more information on this and other Open Door Forums, please visit CMS’ website.

FDA: Naloxone May Not Reverse Xylazine Effects
The U.S. Food and Drug Administration (FDA) is warning healthcare professionals that naloxone may not be able to reverse the effects of xylazine in fentanyl, heroin and other illicit drug overdoses. The FDA said it is aware of increasing reports of serious side effects from individuals exposed to fentanyl, heroin and other illicit drugs contaminated with xylazine, which is a sedative and pain reliever approved by the FDA for use in animals.

Per the FDA, healthcare professionals should continue to administer naloxone for opioid overdoses and consider xylazine exposure if patients are not responding to naloxone, or when there are signs or symptoms of xylazine exposure (e.g., severe, necrotic skin ulcerations).

A recent FDA letter to stakeholders provides clinical information about the risks of severe, necrotic skin ulcerations from repeated xylazine exposure, possible withdrawal symptoms and xylazine’s interference with successful treatment of opioid overdoses.

Guidelines for Youth Behavioral Health Crisis Care
American children, youth and young adults are demonstrating an increased need for support of their emotional and behavioral health needs. Last week, the Substance Abuse and Mental Health Services Administration (SAMHSA) released its National Guidelines for Child and Youth Behavioral Health Crisis Care publication, which outlines best practices, implementation strategies and practical guidance to aid with development of services to meet the needs of children, youth and their families experiencing a behavioral health crisis.

SAMHSA’s guidelines prioritize:

  • Keeping youth in their own homes as much as possible; avoiding out-of-home placements.

  • Providing developmentally appropriate services and supports that treat youth as youth—not adults.

  • Integrating family and youth peer support providers and people with lived experience in planning, implementing and evaluating services.

  • Meeting the needs of all families by providing culturally and linguistically appropriate, equity-driven services. 

Additional technical guidance is provided in a companion report produced by SAMHSA in conjunction with the National Association of State Mental Health Program Directors, A Safe Place to Be: Crisis Stabilization Services and Other Supports for Children and Youth. 

Illinois COVID-19 Data
To access updated Illinois COVID-19 data on daily case numbers, testing outcomes and deaths, click here. Hospitalization data, including the number of patients in the ICU and patients on ventilators, can be accessed by clicking here. The most recent COVID-19 vaccination data can be found by clicking here. The Illinois Dept. of Public Health (IDPH) updates its COVID-19 data at 1 p.m. Monday – Friday.

Briefly Noted
The Centers for Medicare & Medicaid Services’ (CMS) Office of Minority Health released a new report outlining the current state of health equity data collection across CMS programs. The report also details the progress made to date to improve CMS data collection, and defines CMS’ future actions to improve health equity data.

An estimated one in 50 deaths of otherwise healthy children under 5 across the globe can be attributed to respiratory syncytial virus (RSV), according to a study published in The Lancet Respiratory Medicine. The researchers’ estimated that “in high-income countries, one in 56 babies who are born on time and are healthy will be hospitalized with RSV in the first year of life.”