2021 APTA House of Delegates Packet Posted

The House will consider 13 motions, including 11 proposed changes to the APTA bylaws.

APTA members can now access the first official packet of motions that will be considered by the 2021 APTA House of Delegates when it convenes August 28 virtually and Sept. 11-12 in Washington, D.C.

Members, click here to login for more information and to access the packet. 

 

HHS: Provider Relief Timing Determines Spending Deadline

Inside Health Policy
By Dorothy Mills-Gregg
 
...HHS’ announcement [on June 11th] creates four provider relief payments periods and gives providers one year to spend it all. For example, the upcoming deadline of June 30 applies to the payment period of April 10, 2020 to June 30, 2020, and the next deadline of Dec. 31 applies to monies received July 1, 2020 to Dec. 31, 2020.
 
Providers receiving more than $10,000 in relief during a payment period will have three months to report how they used it -- previous guidance gave them one month to submit all their expenditures and revenue separated by type and grouped by quarter. Providers who received $10,000 or less during a payment period will not have to submit a report for that period.
 
The audit requirements for provider relief recipients who received $750,000 or more appear to be unchanged. These reporting requirements do not apply to the rural health clinic COVID-19 testing program or the uninsured program.
 
HHS began distributing a large chunk of the $178 billion provider relief fund early on -- before June 30, 2020 -- with a $46 billion general distribution and $20 billion in targeted relief for hospitals in so-called hot spots, $13 billion for safety net hospitals and $11 billion for rural facilities.
 
The other general and targeted distributions, including the problematic second general distribution, went to providers no earlier than July 3, according to the Government Accountability Office. HHS is still distributing provider relief; the last distribution was announced in October.
 
“These updated requirements reflect our focus on giving providers equitable amounts of time for use of these funds, maintaining effective safeguards for taxpayer dollars, and incorporating feedback from providers requesting more flexibility and clarity about [provider relief fund] reporting,” said Diana Espinosa, acting administrator for the Health Resources and Services Administration, the agency that manages provider relief distributions...

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OSHA Issues COVID-19 Workplace Standards

From SESCO Management Consultants

The Occupational Safety and Health Administration (OSHA) has released an emergency temporary standard (ETS) that healthcare employers must follow. At the same time, OSHA concurrently issued updated, non-mandatory guidance for non-healthcare employers.

The ETS is effective immediately upon publication in the Federal Register. As of June 17, 2021, the ETS has not been published in the Federal Register; as such, it is uncertain when the ETS will become effective. Employers must comply with most provisions within 14 days of the effective date, and with provisions involving physical barriers, ventilation, and training within 30 days of the effective date.

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U.S. Hits Encouraging Milestones on Virus Deaths and Shots

The Associated Press reports, “COVID-19 deaths in the U.S. have dipped below 300 a day for the first time since the early days of the disaster in March 2020, while the drive to put shots in arms hit another encouraging milestone Monday: 150 million Americans fully vaccinated. The U.S. death toll stands at more than 600,000, while the worldwide count is close to 3.9 million, though the real figures in both cases are believed to be markedly higher. About 45% of the U.S. population has been fully vaccinated, according to the CDC. Over 53% of Americans have received at least one dose of vaccine. But U.S. demand for shots has slumped, to the disappointment of public health experts.”

Despite the progress, WebMD Health News reports, “More people need to get vaccinated if the United States wants to prevent the spread of deadly variants this winter, says a top vaccine expert. ‘Vaccines are our only way out of this,’ Paul Offit, MD, a member of the FDA Vaccines and Related Biological Products Advisory Committee, said on CNN. ‘Unless we vaccinate a significant percentage of the population before winter hits, you're going to see more spread and the creation of more variants, which will only make this task more difficult.’”

 

One-fifth of asymptomatic COVID patients developed long-haul symptoms

Modern Healthcare
Lisa Gillespie
 
Almost one-fifth of asymptomatic COVID-19 patients later developed conditions associated with long-haulers, according to a new white paper from FAIR Health.
 
The healthcare transparency not-for-profit studied private insurance claims associated with 1.9 million patients who had a COVID-19 test, and then and looked at any health issues 30 days or more after their initial diagnosis. The analysis found 19% of asymptomatic individuals had at least one long-haul symptom, but the number is likely larger.
 
"A large number of asymptomatic people probably escaped attention in the early months of the pandemic, because testing wasn't that widely available," FAIR Health president Robin Gelburd said. "This should alert physicians and other providers to being attentive to those kinds of symptoms, because they may not have had a COVID-19 diagnosis in their chart."
 
The most common post-COVID-19 conditions include pain, breathing difficulty, high cholesterol, fatigue and hypertension. Anxiety was also commonly reported.
 
Meanwhile, half of patients who were hospitalized with COVID-19 had associated conditions after diagnosis, and 27.5% who had symptoms when tested later had linked conditions. The ranking of the most common post-COVID conditions varied by age group. For example, in the under 18 population, pain and breathing difficulties were the top two conditions.
 
"If someone tested positive, and escaped getting quite ill or were completely symptomatic, they should be attentive to the fact that they may still be exposed to some lingering symptoms," Gelburd said. "If they are experiencing different kinds of conditions that are atypical from the time before the diagnosis, they should communicate the fact that they tested positive, even though they may not have been quite sick."
 
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