Ed Gaines Profile picture
#healthcare #attorney #physicians & #clinicians advocate, honorary member of #ACEP & co-founder #EDPMA, #tennis enthusiast & dad—posting as an individual

Mar 29, 2020, 9 tweets

#COVID19 #ED macro compliments of @ercoderguy (intro is mine)

1/While your health system or hospital may already have sufficient policies and processes in place to capture the universe of all “rule-in” or “rule-out” COVID-19 patients, the new legislation passed (3/18/20) known..

2/ as The Families First Coronavirus Response Act (COVID-19 2.0) and The CARES bill, which passed the Senate yesterday and is expected to be passed by the House today (COVID-19 3.0), require governmental and commercial health plans to reimburse ...

3/ clinicians for both testing and treatment for suspected COVID-19 patients. Testing and treatment should be at no cost sharing to the patients for office, urgent care centers (UCC), and ED place of service (POS) evaluation and management (E/M) service codes....

4/It is vital that data is captured on the universe of these patients treated in the ED and UCCs.
Therefore, we are recommending a statement like the one below is included within the documentation to clearly capture the universe of patients....

5/ In certain EMRs, this statement could be linked to an order in the EHR that applies to all potential COVID-19 patients—that order could be an isolation order for a room or placement designation for example (enough intro, here's Jason's macro--

6/ “**Patient Name** was evaluated in the Emergency Department on **Date** for the symptoms described in the history of present illness. He/she was evaluated in the context of the global COVID-19 pandemic, which necessitated consideration that the patient might be at risk for ...

7/ infection with the SARS-CoV-2 virus that causes COVID-19. Institutional protocols and algorithms that pertain to the evaluation of patients at risk for COVID-19 are in a state of rapid change based on information released by regulatory bodies including the CDC and federal ...

7/ and state organizations. These policies and algorithms were followed during the patient's care in the ED.”

NB: I am reminded of an old Mercedes TV ad that describes a safety feature that they developed, had patented but never enforced the patent--allowing other car ...

8/ companies to use it in car body design--the ad said simply "somethings are too important not to share"--that informs this post and my next one.

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