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COVID-19

MNAAP wants to make sure members have useful, accurate information during the COVID-19 pandemic. In the tabs below, you will find recent webinars on this subject, as well as resources from reputable partner agencies, such as the Minnesota Department of Health (MDH) and the Centers for Disease Control and Prevention (CDC).

Return to Sports Protocol for Student Athletes

The Minnesota State High School League (MSHSL) Sports Medicine Advisory Committee, in collaboration with MDH, has established a protocol for student athletes returning to sports after being diagnosed or testing positive for COVID-19. The protocol includes a recommended medical evaluation by a Qualified Medical Provider (MD/DO/PAC/ARNP) before returning to physical activity and team training. See more about this protocol.

Close Contact Reporting Guidance

The Minnesota Department of Health (MDH) sent a letter to MNAAP asking for chapter members help with an issue in close contact reporting. The letter, signed by Ruth Lynfield, MD, FAAP, state epidemiologist; and Sarah Lim, MD, explains that MDH “has received reports from healthcare providers of instances where they have been asked by patients to re-assess a close contact determination that has been made by public health, usually due to disagreement with recommendations for isolation or quarantine.”

If you receive such a request, MDH asks that you decline to provide a close contact determination and instead refer patients to MDH guidance and encourage compliance with public health recommendations.

 

You can read the entire letter here.

School Decision Guidance

The Minnesota Chapter of the American Academy of Pediatrics (MNAAP), at the request of the Governor’s Children Cabinet and pediatricians around the state, have put together a guide to help parents navigate what type of learning will be best for their children and adolescents as we start this school year. This document is intended to be used by pediatricians and other clinicians who provide care to children and adolescents as they talk with parents of their patients and also to be used by the parents as they decide what to do. Feel free to share it with whomever you believe may find it useful.

School Decision Guidance for Parents (PDF) School Decision Guidance for Parents

What to Do While You Wait for a COVID-19 Test Result from the Minnesota Department of Health (find versions translated into 11 languages on this page)

Mask Use for Children

MNAAP Stance on Masks at School (PDF) MNAAP Stance on Masks at School

MN Mask Guidance for School-Aged Children (PDF)MN Mask Guidance for School-Aged Children

A Toolkit for Helping Your Child Wear a Mask During COVID-19 from the University of Rochester Medical Center

Clinic Messages to Patients and Families

Communicating the importance of continuing well child visits and immunizations during the COVID-19 pandemic can clear up confusion for parents and patients, and provide reassurance. Consider using the templates below for written messages and phone messages to families about clinic practices to keep children safe and healthy during the pandemic. These messages can be revised to match your clinic’s specific protocol.

Message templates: Well child visit messages for families during COVID-19

Social media is a great tool to help remind parents and patients of the importance of continuing well child visits and immunizations, even during the COVID-19 pandemic. The AAP is reporting between 70 and 80 percent of children are delaying visits to the doctor out of fear over COVID-19.

Consider using one of the posts or images below, reposting a MNAAP post, or by creating your own and tagging MNAAP on Facebook or Twitter.  You can also download this infographic to print or post: Well Child Visits Infographic

Sample social media posts:

  • Well child care is important, even during a pandemic. Wash your hands often and call your pediatrician to discuss regular well child visit options.
  • Stay on track with vaccinations! Washing your hands and social distancing help prevent COVID-19 and routine immunizations help prevent many other dangerous illnesses.
  • Pediatricians are here for you by phone, through telehealth or in person! Call your doctor today to learn the options available for your child’s visits and vaccinations.

Social media images:

 

Important COVID-19 reminders:

Many Families Eligible for Lump Sum to Address Food Insecurity

Families still have time to apply for additional food assistance benefits to help feed their children this summer when they are not receiving school lunches. The extended deadline for Pandemic-Electronic Benefit Transfer (P-EBT) is now July 31. The benefits are issued by the Minnesota Department of Human Services in a lump sum of $325 per child to purchase food within a year of the date issued. Those who have applied will receive the benefit automatically; those who have not can apply for P-EBT online.
Families with school children who received the federal free and reduced-price meal program can apply for P-EBT online at

www.mn.p-ebt.org.

 

Testing Updates
MDH recommends that all people who participated in recent protests and/or community clean-ups should be tested for COVID-19. This includes people who are asymptomatic. Free testing is available at locations in communities impacted by recent large gatherings.
It is especially important to respect patient confidentiality in testing some patients following protests. Recognize that some patients may be afraid to seek care because they fear legal consequences from participating in protest activities. To ensure confidentiality, here are some recommendations:
  • Do not ask patients about the details of their participation as this is not relevant to testing and may dissuade them from participation.
  • If a patient mentions the details of their participation, do not document unless relevant to their immediate health needs.
  • HIPPAA privacy rules supersede any concern you may have about your patient’s involvement in recent events.
  • Results of these tests should be processed consistent with your institution’s policy

 

 

 

 

 

 

 

 

 

Minnesota Receives Waiver Approval for Telemedicine in Medicaid and MinnesotaCare 

Minnesota recently received a Medicaid waiver approval regarding use of telemedicine for Medicaid and MinnesotaCare programs.

 

Resources by Source

From the Minnesota Department of Health

Minnesota COVID-19 Dashboard 

COVID-19 information for Health Care Professionals

  • Executive orders from Gov. Tim Walz related to COVID-19
  • Guidance on reporting COVID-19 infections
  • Minnesota guidance for evaluating and testing patients.

Mental Health tips for health care providers during COVID19

COVID-19 Recommendations for Health Care Workers (PDF)

Pediatric Vaccination During COVID-19 (PDF)

From the American Academy of Pediatrics

Critical Updates on COVID-19

  • Clinical guidance
  • Information on PPE
  • Telemedicine and telephone care resources
  • Coding information
  • Information for families
  • Physician wellness tips

The AAP has launched a new virtual community to connect directly physicians with one another about everything related to the novel coronavirus, from the impact on practices to PPE to telehealth. Sign in to the community using your AAP username/ID and password.

 

From the Centers for Disease Control and Prevention (CDC)

COVID-19 information for Health Care Professionals

  • Current Interim Guidance
  • Resources for Healthcare Professionals Caring for COVID-19 Patients

Strategies for Optimizing the Supply of PPE (From the CDC)

From the Minnesota Governor’s Office

  • Childcare Information
  • Call 1.888.291.9811 to be directed to available providers
  • View available childcare providers on this map
  • Read the governor’s letter regarding childcare for emergency workers here

 

 

From Children’s Minnesota

COVID-19 Clinician Toolkit 

From the Minnesota Children’s Cabinet

(PDF) Children and Families Resources in COVID-19 Response – A comprehensive list of available resources and information for families during the COVID-19 pandemic

Resources by Topic

Children’s Emotional/Mental Health

Family Support Services

The Minnesota Department of Human Services (DHS) will begin issuing emergency supplements to qualifying households on April 28 and will continue throughout May on a staggered basis. People who qualify don’t have to take any action. Instead, the supplemental aid will be added to their Electronic Benefit Transfer (EBT) cards.
Information about SNAP and other hunger resources is collected on the DHS food emergency webpage . Food help is also available through the Minnesota Food HelpLine, 1-888-711-1151 or  www.mnfoodhelpline.org.

Guidance for Child & Teen Checkups (C&TC)

According to the Minnesota Department of Human Services, the benefit of attending a C&TC well visit and receiving necessary immunizations and screenings should be balanced with the risk of exposure to other children and adults with potential contagious diseases. Many providers are reviewing their daily workflows and practices in consideration of their patient population, safe practice capacity, clinic environment as well as guidance from the Minnesota Governor’s executive orders. The current American Academy of Pediatrics (AAP) recommendations for providing well visits and immunizations during the COVID-19 Pandemic as of Mar. 19, 2020 are:

  • Newborn visits or infant weight checks
  • Well child visits two years of age and younger, of special importance maintaining up to date immunization status
  • Reschedule well visits for those in middle childhood and adolescence to a later date

 

 

Telemedicine

COVID-19 Coding and Non-Direct Care

AAP Guidance: Telehealth Payer Policy in Response to COVID-19

The Great Plains Telehealth and Resource Assistance Center (gpTRAC) provides“Telehealth Office Hours”
With the significant uptick of interest in utilizing telehealth in the delivery of care (specifically at home), gpTRAC has initiated “telehealth office hours” via Zoom, specifically for Primary Care Clinics/Providers (Tuesdays at noon) and Mental Health Clinics/Providers (Thursdays at noon). These sessions will continue for several weeks in order to provide an opportunity for organizations and providers to get timely information and to ask specific questions as they initiate telehealth within their clinic structure.  For the link to the on-going Tuesday (Primary Care) office hours, click here. The link for the Thursday (Mental Health) office hours can be found here.

 

 

 

COVID-19 Decision Tree for People in Schools, Youth and Child Care Programs

Presented September 16, 2020 by MNAAP, MDH and MMA

Replay link available here

Additional Resources:

Children’s Mental Health: Adapting in the Era of COVID-19 

Presented April 27, 2020 by MNAAP and Dr. Kirsten Cowan, Essentia Health

Presentation Slides: Cowan_Children’s Mental Health Virtual Visits COVID19 4.27.20

COVID-19: What are Pediatric Practices Doing Differently?

Presented April 6, 2020 by MNAAP and Children’s Minnesota

Presentation Slides (PDF): COVID 19 and Pediatric Practices

COVID-19: Impact on Children, Preparing the Community

Presented March 20, 2020 by Children’s Minnesota

Presentation Slides: COVID-19: Impact on Children, Preparing the Community

Wednesday, September 16; 12-1 p.m.

COVID-19 Decision Tree for People in Schools, Youth and Childcare Programs 

Hosted by MNAAP, the Minnesota Medical Association, and MDH

 

The Great Plains Telehealth and Resource Assistance Center (gpTRAC) provides “Telehealth Office Hours”

With the significant uptick of interest in utilizing telehealth in the delivery of care (specifically at home), gpTRAC has initiated “telehealth office hours” via Zoom, specifically for Primary Care Clinics/Providers (Tuesdays at noon) and Mental Health Clinics/Providers (Thursdays at noon). These sessions will continue for several weeks in order to provide an opportunity for organizations and providers to get timely information and to ask specific questions as they initiate telehealth within their clinic structure.  For the link to the on-going Tuesday (Primary Care) office hours, click here. The link for the Thursday (Mental Health) office hours can be found here.

The American Academy of Pediatrics (AAP) has launched ECHO groups across the country that meet twice per month at various times and days of the week.

 

The Minnesota Academy of Family Physicians (MAFP) is partnering with DHS, Stratis Health, Project ECHO and others to offer online education on COVID-19 through twice weekly (Tuesdays and Thursdays) ECHOs.

 

The Minnesota Department of Health is holding weekly calls for infectious disease professionals each Wednesday from 8-9 a.m. and with the Minnesota Hospital Association on Thursdays from 12:30-1:30 p.m.

 

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