Copy
View this email in your browser

DENVER MEDICAL BULLETIN
Official Publication of The Denver Medical Society June 2020

COVID-19 updates and resources

Denver  Medical Society has joined with Colorado Medical Society and other medical communities across the state to coordinate efforts to bring you critical up to date information on the COVID-19 pandemic and its impact on Colorado. Join virtual physician town hall meetings on Wednesday evenings from 6 PM-7:00 PM and Virtual Grand Rounds on specific topics. Each town hall will cover new information and engage directly with key stakeholders to get support and answers on the COVID-19 pandemic.  Listen to past programs and register for upcoming session at cms.org/COVID-19. Join the Physician COVID-19 Discussion Board to stay in touch with your colleagues and share information. Visit the same page for resources and FAQs on topics like telehealth, financial support, and PPE.

COVID-19
Testing Information

The Metro Denver Partnership for Health (MDPH) is collaborating with health systems, the governor’s office and CDPHE to create guidance for COVID-19 community-based testing in the Denver metropolitan region. MDPH has put together some resources and recommendations to help you in your testing efforts and want to ask for your help in understanding our testing capacity in the Front Range: 

  1. A health system testing guidance document has been created for your reference. Public health leaders are urging you to begin prioritizing and testing all symptomatic patients. This document covers how to screen, assess and schedule these patients for appointments. These procedures do not replace any processes you already have in place; however, if you are looking to increase your services and are considering who you want to test, please use this document to support your work. If you do expand your services, let us know! MDPH would like to hear about your experiences and would like to follow-up with you on a quick evaluation. 
  2. MDPH is also collaborating with CDPHE and 2-1-1 to develop a repository for patients to find testing sites. In the coming weeks you will receive a testing capacity survey to complete. The goal is to help both the state and local leaders understand health systems’ COVID-19 screening, specimen collection, or testing efforts in one place. It will be used to help quantify testing capacity in each community and connect patients to care.  There may be barriers with increasing your testing efforts, including having sufficient number of supplies and personnel. We are here to help support your efforts and connect you with the appropriate resources. If you have any questions, please contact Nicole Steffens from the Colorado Health Institute here. To request support from CDPHE on testing supplies, please use this form. 

Top 10 Tips for Reopening Your Medical Office During COVID-19
Kerin Torpey Bashaw, MPH, RN, Senior Vice President, Patient Safety and Risk Management, and Debbie K. Hill, MBA, RN, Senior Patient Safety Risk Manager, The Doctor's Company

As state and local governments determine that criteria have been met to implement Phase One of the federal Opening Up America Again Guidelines, medical offices will begin reopening—and will need to make modifications to keep patients and office staff safe. Though the dynamics surrounding COVID-19 will continue to change in the weeks and months ahead, what must not change is physicians and medical office staff remaining vigilant.

We’ve heard from physicians that they are concerned about the risks involved in reopening their practices. In response to these concerns, we offer the following 10 recommendations:

  1. Provide refresher training for all staff on triageinfection controluse of personal protective equipment (PPE), and patient communication.
  2. Determine staff needs for PPE based on levels of infection in the community, types of patients seen, and types of patient care procedures performed. See guidance from the Occupational Safety and Health Administration (OSHA).
  3. Contact your insurance agent or medical professional liability carrier to confirm that coverage has been reinstated at the desired level if you have requested adjustments in your professional liability coverage during the crisis.
  4. Schedule in-person visits according to medical priority. Consider continued telehealth visits for patients at high risk for COVID-19 who don’t need to be seen in person.
  5. Follow guidelines from the Centers for Disease Control and Prevention (CDC) for patient COVID-19 screening upon appointment scheduling and on day of appointment.
  6. Avoid patient-to-patient contact by considering separate entrance and exit doors, limiting capacity, asking patients to wait in the car, and allowing only one-patient visits. If patient must be accompanied, screen chaperone for COVID-19. See the CDC’s Outpatient and Ambulatory Care Settings: Responding to Community Transmission of COVID-19 in the United States.
  7. Assess whether public, work, and treatment areas are equipped to reduce the spread of COVID-19. For example, use Environmental Protection Agency (EPA)-approved cleaning chemicals with label claims against the coronavirus. For more information, see OSHA’s Ten Steps All Workplaces Can Take to Reduce Risk of Exposure to Coronavirus. For a list of disinfection products effective against coronavirus (COVID-19, also known as SARS-CoV-2), see the Environment Protection Agency list.
  8. Screen healthcare personnel daily for symptoms/travel/contacts relevant to COVID-19. Any unprotected occupational exposure by staff members should be assessed and monitored. See Interim U.S. Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with Coronavirus Disease 2019 (COVID-19).
  9. Follow return-to-work guidelines for healthcare workers with confirmed or suspected COVID-19.
  10. Maintain an open line of communication with all vendors and supply chains for infection control purposes and access to available resources.
Concerns will persist regarding the possibility of COVID-19’s resurgence as state and local governments implement the phases of the Opening Up America Again Guidelines. We urge you to:

We’ve provided these tips because we are driven by our mission to advance the practice of good medicine. As always, use your best clinical judgment. Continue to be diligent and proceed with caution as you manage patients within your facility. Stay abreast of community incidence of disease and restructure your approach when needed.

The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider considering the circumstances of the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.

7 Social Distancing Tips for Healthcare Waiting Rooms
From Greenway Health

Since the onset of the COVID-19 crisis, practices have made dramatic changes to the way they deliver care and operate every day.

As practices begin to reopen for elective procedures and non-urgent appointments, they continue to make changes to safeguard employee and patient safety. In this world of social distancing, where do waiting rooms fit?

We asked customers how they’ve adjusted to the “new normal.” They shared several ways to limit exposure while ramping up in-person visits.

Inform patients of new policies prior to the visit.

As your practice expands safety measures, you can reduce patient confusion and frustration by communicating new protocols prior to appointments. Whether your practice requires patients to wear masks or restricts family members or children from coming along, make sure patients are aware of any new guidelines.

“All our scheduled patients have been asked to wear a mask or face covering and to call from their car upon arrival,” said Mary Tolbert, Business Office Manager, San Luis Dermatology & Laser Clinic.

Click here to see all 7 tips.
Reopening Your Practice: A Primer for Colorado Physicians
offered by Colorado Medical Society 


Find Colorado specific guidance for re-opening your practice in compliance with Colorado Executive and Public Health Orders as well as the AMA’s comprehensive check list for practices and additional resources here.

Virtual Evening Features AMA President Speaking With Colorado Physicians

Recorded session still available

AMA President and practicing psychiatrist, Patrice Harris, MD, MA, was the featured speaker at a virtual event sponsored by the Colorado Psychiatric Society and co-sponsored by the Denver Medical Society on May 16. Originally scheduled as an in-person event to be held at the Hilton Denver Inverness Hotel, the program was changed to a virtual evening that included the participation of the New York City Psychiatric Society. Dr. Harris addressed  the AMA’s multi-faceted response to the COVID-19 pandemic, including specific ways of responding to the mental health needs of physicians and the public during this time of crisis followed by a live question and answer session.

In addition, the evening featured an interview between New York Times Op-Editor Richard A. Friedman, MD, and comedian Gary Gulman of HBO's The Great Depresh. Dr. Friedman is a professor of clinical psychiatry and the director of the psychopharmacology clinic at Weill Cornell Medical College in New York. He is an expert in the neurobiology and treatment of mood and anxiety disorders and has done research in depression. Gary Gulman is an NYC comedian who was a finalist on the NBC reality-talent show Last Comic Standing in its second and third seasons and has released a number of comedy specials, including 2019's The Great Depresh on HBO. Dr. Friedman, who treated Mr. Gulman for depression, discussed with him his personal journey through treatment and recovery and Mr. Gulman’s current work to use comedy to de-stigmatize clinical depression and encourage those suffering from it to seek treatment.

If you were unable to join the event on May 16 you can still access  the recorded  version. CLICK HERE TO REGISTER for DMS_CPS 2020 Virtual Spring Meeting

DMS Physicians Interview Candidates for CO Legislature

Colorado Consortium Lunch and Learn sessions

Adjusting to social distancing, DMS physicians this year conducted interviews for candidates in Denver legislative districts via Zoom. Each election cycle, COMPAC identifies open or competitive Colorado Senate and House districts where physicians can weigh in by supporting, as well as establishing relationships with, promising candidates. COMPAC then reaches out to local medical societies to conduct in-depth interviews that focus on issues important to physicians and their patients. Participating physician interviewers receive a briefing book on timely issues and background information from the CMS lobbying staff. Following the interviews, the COMPAC board weighs the recommendations of local physicians in determining whether to offer support to specific candidates. 

In Denver, most district races are competitive in the primary races rather than in the general election. This year, DMS members Drs. Christine LaRocca, Lucy Loomis, Elizabeth Lowdermilk, Michael Moore, and Usha Varma interviewed candidates for House Districts 6 and 7 in advance of the June primary. Our thanks to these physicians for contributing their time and expertise. If you are interested in participating in future candidate interviews please contact us.

Wednesdays May-October, 12:30-1:15 p.m.
 

The Colorado Consortium for Prescription Drug Abuse Prevention’s Provider Education work group is pleased to announce a series of free lunch and learn sessions Wednesdays through October from 12:30-1:15 p.m. Each presentation is eligible for .75 AMA PRA Category 1 Credits™. You must pre-register here to receive CME credit; this link also takes you to each program's individual accreditation statement, objectives and disclosures.

If you’d simply like to drop-in and not receive CME credit, no pre-registration is required. The 45 minute sessions will include a didactic session followed by Q&A. Click here for a complete list of topics and dates. 

 

All sessions will be held via Zoom at the link here. Programs will be recorded and posted online for future viewing. 

Medical Spanish Online Opportunities

For nearly 20 years Denver Medical Society has partnered with Rios Associates to offer our annual 4-day intensive Medical Spanish and Cultural Competency program. This year we were forced to move the class online but that has actually revealed new opportunities. 

Based on growing interest, we would like to share information about Rios Associates' various CME Medical Spanish and Cultural Competency Trainings.

We are now offering CME Personalized One on One courses and small group Virtual Trainings via Webex. You will use the same materials as in our Intensive live seminars, and will receive instructions, explanations and guidance with LIVE instructors over the internet. 

Finally, we are offering a Self Study CME program, which, allows you to study at your own pace and receive up to 45 AMA category 1 credits upon completing the book and corresponding exams.

In addition, Rios Associates is also contracting/partnering with hospitals and clinics for online private and group classes. 

 

All of the above trainings include the medical Spanish textbook and AMA credit.

Please visit Rios Associates website for more information: www.riosassociates.com

Or contact them at 520-907-3318

 

Denver Medical Bulletin: Alan E. Kimura, MD-President/Publisher / Elizabeth L. Lowdermilk, MD-Chair of the Board / Michael L. Moore, MD, President Elect / Jeremy L. Weiss, DO, Treasurer / Kathy Lindquist-Kleissler, Executive Director. The Bulletin is the official publication of the Denver Medical Society, established April 11, 1871, as the first medical society in the Rocky Mountain West. Published articles represent the opinions of the authors and do not necessarily represent the official policy of the Denver Medical Society. All correspondence concerning editorial content, news items, advertising and subscriptions should be sent to: The Editor, Denver Medical Bulletin, 1850 Williams Street, Denver, CO 80218.
Phone (303) 377-1850.
Copyright © *2020* *Denver Medical Society*, All rights reserved.

Our mailing address is:
*1850 Williams Street Denver, CO 80218*

Want to change how you receive these emails?
You can update your preferences or unsubscribe from this list.