Guidance to Physicians

Updated

To inform and provide the most current information about the following topics:

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2.

3.

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5.

Updated

• What the team does

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• Reporting happens within 24 hours• Reporting is not immediate• If the physician feels reporting needs to be

immediate based on clinical assessment, the physician should report sooner

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• Health departments are prioritizing what is reported or not based on the situation locally

• COVID19 Nurse Team is adjusting as needed

• What the team does NOT do

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• Physicians are responsible for assessing the

patient medically

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• Physicians are responsible for assessing

whether or not the patient’s symptoms are

able to be managed at home

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• Physicians are responsible for determining ir

testing is advised

• See Teladoc COVID19 Guidance to Physicians

(later slides in this deck)

• See COVID19 Protocol

2) NEW! Select Code CDC “What to do if you are sick with COVID-19”

This is handout attached to Z20.828 = https://www.cdc.gov/coronavirus/2019-

ncov/downloads/sick-with-2019-nCoV-fact-sheet.pdf

4) Stay at home except to get medical care that cannot be managed virtually

5) Call ahead before visiting your doctor

• Call ahead before visiting your doctor

2) NEW! Select Code CDC “What to do if you are sick with COVID-19”

This is handout attached to Z20.828 = https://www.cdc.gov/coronavirus/2019-

ncov/downloads/sick-with-2019-nCoV-fact-sheet.pdf

• Stay at home except to get medical care that cannot be managed virtually

• Call ahead before visiting your doctor

• If you have to go out, facemask & avoid public gatherings, public transportation (e.g. buses, subways, ferries, ride-shares), maintain distance (approx. 6 feet) from others

• Call ahead before visiting your doctor

2) No restriction on movement

3) Self-observation for 14 days - remain alert for subjective fever (feeling feverish), cough, shortness of breath

4) If feels feverish or develops cough or difficulty breathing, then take temperature and self-isolate in the home, limit contact with others, seek medical advice by phone

• Call ahead before visiting your doctor

Refer to latest Teladoc COVID-19 protocol, here: https://www.teladoc.com/provider-resources/covid-19-protocol-and-guidance/

Code: Code: Code:

With or without symptoms

Code:

With or without symptoms

Code:

With symptoms

Code:

Without symptoms

Code:

NEW! Select Code CDC “What to do if you are sick with COVID-19”

This is handout attached to Z20.828 = https://www.cdc.gov/coronavirus/2019-ncov/downloads/sick-with-2019-nCoV-fact-sheet.pdf

Refer to latest Teladoc COVID-19 protocol, here: https://www.teladoc.com/provider-resources/covid-19-protocol-and-guidance/

1) Where is the latest COVID19 clinical protocol found?

https://www.teladoc.com/provider-resources/covid-

19-protocol-and-guidance/

2) How will you be alerted to changes in protocol or new supporting

guidance?

News “ALERT”

providerrelations@teladoc.com

Credentialing@Teladoc.com

3) Will the COVID19 materials be posted on Smarter-U (on-line provider

training/resources)?

CDC Mitigation Strategies – denotes areas with significant cases and community spread starting

• Santa Clara, CA Seattle, WA New Rochelle, NY Florida Massachusetts• https://www.cdc.gov/coronavirus/2019-ncov/index.html

CDC Testing Map• https://www.cdc.gov/coronavirus/2019-ncov/testing-in-us.html

CDC PUI Criteria (NEW! Includes prioritization lab testing guidance)• https://www.cdc.gov/coronavirus/2019-nCoV/hcp/clinical-criteria.html

State Public Health COVID19 websites for the states you hold a medical license

Johns Hopkins University Map: https://www.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6

State Health Department Phone Numbers:

• https://www.cdc.gov/coronavirus/2019-ncov/downloads/Phone-Numbers_State-and-Local-Health-Departments.pdf

• Most states have set up a COVID-19 hotline and are alerting the local public through Facebook, Twitter, local news feeds, etc.

County & City Health Department Phone Numbers:

• https://www.naccho.org/membership/lhd-directory

• The contact numbers in the NACCHO directory is for the ‘primary contact’ at each local health department and may not be the most direct

contact for COVID-19. You (and let the patient know) will likely need to be directed to a more appropriate contact person at the agency.