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September 2, 2020COVID-19 Updates and Other News (9/2/20)SARS CoV2 IgG ANTIBODY Testing Now Offered by Munson HealthcareLaboratoriesMunson Healthcare is now able to perform in-house antibody testing using the SARS CoV2 IgGANTIBODY platform. The tests will be performed at Munson Medical Center and can be used toidentify potential convalescent plasma donors.Important recommendations when considering this test:While this test is available, we still question the clinical utility of the antibody testing result outside ofconvalescent plasma donor identification for these reasons.The understanding of the immune response to SARS CoV-2 and its implications for diseasemanifestation and for immunity to reinfection is in its infancy. Given the uncertainty surroundingthese antibody tests, to date they have no clinical utility outside of approved uses, such asidentification of potential convalescent plasma donors.A positive does not allow one to conclude immunity and a negative does not rule out active norrecent infection. For use in a specific patient outside the context of a study or donor identification,the test has a real capacity to cause harm in that if positive, there is the potential for a false sense ofsecurity of immunity. No prudent advice about patient behavior or risk can be given based on thesetests. The tests are not far enough along in development to have any clinical utility in that soundinterpretation is impossible and therefore the capacity for patient harm is real.In addition, insurances may not cover the cost of these studies, causing additional financial impact tothe patient and the healthcare system when ordered.It is Munson Healthcare’s recommendation that SARS CoV-2 antibody tests not be ordered outsideof identification of potential convalescent plasma donors.Additional Test Details:Test Name:SARS CoV2 IgG ANTIBODYSample Type:Serum. Blood draw needed.Collection Device:Gold Top TubeCost: 89.50Reimbursement by Medicare: 43.13This test can be run 24 hours a day/7 days a week. You should expect a result by the next day in mostinstances.Test results will be reported as below: Negative. No IgG antibodies to SARS CoV2 detected, Negative results may occur in serumcollected too soon following infection, in immunosuppressed patients, or in some individualswith prior mild illness. Follow up testing with a molecular test is recommended in
symptomatic patients. This test should not be used to exclude active or recent COVID 19disease. Testing approved under the FDA emergency use authorization. Equivocal. Please retest patient in 10 to 14 days. Positive. SARS CoV2 IgG antibodies detected. Results suggest recent or prior infection withSARS CoV2. Correlation with epidemiologic risk factors and other clinical and laboratoryfindings is recommended. Serologic results should not be used to diagnose recent SAR CoV2infection. Protective immunity cannot be inferred based on these results alone. Infrequently,false positive results may be due to prior infection with other human coronaviruses. Testingapproved under FDA emergency use authorization.Questions: Munson Medical Center Laboratory, 231-935-2877Free COVID-19 Testing for Michigan ResidentsBear River Health Primary Care (BRHPC) is providing both Rapid (10-minute) Serology Antibody andPCR testing at the following locations: Thursday, Sept. 3, 10 am – 2 pm, Inn at Bay Harbor, 10 am – 2 pm Tuesday, Sept. 8, 10 am – noon, TC Family Video (916 U.S.-31 North, Traverse City) Tuesday, Sept. 8, 2 – 4 pm, Family Video (705 N. Cedar Street, Kalkaska) Wednesday, Sept. 9, 10 am – noon, Boyne Highlands Rd. (600 Highland Rd., Harbor Springs) Wednesday, Sept. 9, 2 – 6 pm, Harbor Springs High School Thursday, Sept. 10, 10 am – noon, Inn at Bay Harbor Thursday, Sept. 10, 2 – 5 pm, Odawa Casino (1080 S. Nicolet Street, Mackinaw City)BRHPC operates these sites for: Asymptomatic individuals No doctor order or appointment is needed; participants will be tested first come first serve atthe testing sites Adults over age 18 will need to provide a state or government issued ID. If the participant hasinsurance, they should bring their card; if they do not have insurance, they will need toprovide their social security number. Minors ages 12-17 can be tested provided they areaccompanied by a parent or guardian.As these are not Munson Healthcare sponsored events, patients’ test results will not be uploadedinto PowerChart.COVID-19 Testing and Cases for Northern MichiganPlease note that we are now reporting these numbers for the northern Michigan region; not onlyMunson Healthcare: Total tested: 102,476* Total tested positive: 1,920* Total tested negative: 100,556* Total COVID-19 deaths: 65* Patients tested positive and currently in one of our MHC hospitals: 3***As of 9/1/20
**As of 9/2/20Protecting Access to Medicare Act (PAMA) Education and Testing PeriodExtended to 1.1.22On January 1, 2020, CMS implemented a new mandate – section 218 of Protecting Access to MedicareAct (PAMA) – that changes the prior authorization process for ordering certain advanced diagnosticimaging studies. The education and testing period for PAMA has now been extended until January 1,2022.When ordering an advanced diagnostic imaging service for a Medicare beneficiary, a provider is nowrequired to consult a qualified Clinical Decision Support Mechanism (CDSM). CDSMs are electronicportals through which appropriate use criteria (AUC) is accessed. The CDSM provides a clinicalDecision Support Number (DSN) denoting if the order adheres to the AUC. The CDSM replaces theprior authorization process for Medicare patients, is faster, and provides a more specific diagnosis aswell as more information on the order.EMRs should have prepared to meet this mandate by embedding a qualified decision supportmechanism within their software. Please check with your EMR to see how they will be supportingyour office to meet this mandate. If your practice’s EMR will not be implementing a CDSM or if youdon’t have an EMR, there are several free web portals that will provide a DSN.A reminder that Munson Healthcare is asking that any order for radiology testing (CT, MRI, PET,nuclear medicine) for a Medicare patient include a decision support number.For more information: Munson Healthcare PAMA webpage with PAMA FAQ CMS-PAMA Regulations CMS Appropriate Use Criteria Program Clinical Decision Support and the ACR Appropriate Use Criteria FAQQuestions: Dan Fly, 231-935-7941, dfly01@mhc.netProvider Moves: New, Retirees, Location Changes, No Longer Practicing, etc.We have updated our Provider Moves webpage that lists provider moves in the past month across theMunson Healthcare system, including: New Providers Provider Location Changes Retired Providers Provider No Longer on Staff (or practicing) Other Updates (e.g., name changes, practice moves, new fax numbers)
In addition to a listing of Provider Moves for each system hospital, there is an Excel spreadsheet tohelp practices update their EMRs. We would appreciate your feedback on this spreadsheet(physicianliaison@mhc.net).Two-Factor Authentication Coming to Remote MS Office 365 Effective Sept.9Munson Healthcare is now extending two-factor authentication (2FA), a.k.a. Imprivata ID, to allremote Microsoft Office 365 users. This includes remote users of: MS TEAMS SharePoint 365 COVID-19 Self-Screening/Work Entry website and appSo, if you access these programs outside of the Munson Healthcare network, this change applies toyou.As the Sept. 9 rollout date approaches, more information will be forthcoming, such as helpful how-todocs, Command Center information for questions, and enrollment information for all MHC networkusers, including Healthcare Team members at Charlevoix Hospital, Manistee Hospital, OtsegoMemorial Hospital, and all affiliated offices and facilities in those locations.Foster Family Community Health Center Urgent Care Hours ChangePlease note an upcoming change in hours: Beginning Tuesday, Sept. 8, Foster Family CommunityHealth Center’s Urgent Care location will see patients seven days a week from 9 am - 8 pm.“Foster Family Community Health Center Urgent Care will be condensing our hours in anticipation ofcontinued changes to the landscape of healthcare delivery,” said Karri Vaughan, FFCHC Urgent CareClinic manager. “We will continue providing our community with high-quality episodic care of acuteinjury and illness while remaining flexible and responsive to the ever-changing needs of our patients.”Patients are encouraged to walk in or call 231-935-8686 for information. No appointments arenecessary.Please Consider Giving BloodBlood Supply ShortageVersiti Blood Center of Michigan’s red blood cell supply is critically low for all blood types (O- and A- inparticular) and has issued an Urgent Need Appeal. If you can, please consider giving blood at: An upcoming Munson Healthcare blood drive (see below for more information). A mobile blood drive near you. Go to donate.miblood.org/donor/schedules/zip and enteryour zip code. The nearest Versiti donor center.Your donation will save lives. To learn more about the steps Versiti is taking to keep donors safe, visitwww.versiti.org/home/coronavirus-information. Also, check out our blog on COVID-19 AND DonatingBlood: Is it Safe?
CFCC Blood Drive Friday, September 11What: Versiti Blood Drive for Munson Healthcare Providers and Staff Only*When: Friday, September 11, 12 - 4 pmWhere: Cowell Family Cancer Center Basement, Room B031Appointments: Please make appointments online les/drive schedule/119995. This blood drive is NOTsearchable by zip code.Flyer to Print and Post: Click here for a flyer for this event.*Note: This blood drive is only open to Munson Healthcare providers and staff. All donors should usethe tunnel to access the blood drive in Room B031 in the basement of the Cowell Family CancerCenter. A limited number of people will be allowed in the room at one time and extra precautions arebeing taken to ensure donor and employee safety.
into PowerChart. COVID-19 Testing and Cases for Northern Michigan Please note that we are now reporting these numbers for the northern Michigan region; not only . don't have an EMR, there are several free web portals that will provide a DSN. A reminder that Munson Healthcare is asking that any order for radiology testing (CT, MRI, PET,
