COVID-19 Overview and Update
Local Information and Resources
April 5, 2020
Dear AAP-OC Chapter Members,
 
Thank you to Dr. Weiss, Jim Peterson, Dr. Zahn, and Dr. Adler for their expert advice on our chapter chat this week!

The AAP-OC Chapter is committed to keeping you apprised of the key updates and resources you need for yourself and your patients.

Please join us for our second virtual chat about COVID-19 issues that are affecting your practice today.

Please register below and provide questions or topics you would like addressed during the chat.

AAP-OC Chapter Virtual Chat #2
COVID-19 Update
Tuesday, April 7, 2020
6:00pm PDT
Missed the April 2, 2020 Chapter Chat?

PERSONAL PROTECTIVE EQUIPMENT
Due to the continuing shortage of personal protective equipment (PPE), AAP-OC has created a PPE drive to collect and distribute needed equipment throughout the community.
DONORS NEEDED
We are looking for donors of PPE and cleaning/sanitizing supplies to connect to the practices who need them. If you are able to donate, please complete the Donor Survey below.
NEWBORNS OF MOTHERS WITH COVID-19
AAP Update : Managing newborn care when mother is diagnosed or suspected of having COVID-19.

TESTING UPDATES
Social distancing remains the best way to flatten the curve and reduce the time COVID-19 will be affecting our community. Testing should be considered only when it will significantly change management.

WHO TO TEST: COVID-19 testing should be performed for hospitalized patients with significant respiratory illness and symptomatic health care workers (fever and respiratory symptoms). Testing of non-priority populations can be performed based on provider discretion and available resources ( CDC Testing Criteria ).  Patients who have mild illness and do not belong to a high priority population do not need to be tested.  (OCHCA)

HOW TO TEST:
CHOC Hospital is offering testing for all pediatric patients on their Orange campus at the Outdoor Evaluation Center (OEC).

If you have a patient who might need COVID-19 testing, instruct the parent to call the  CHOC Nurse line at 1-844-GET-CHOC . They will be connected with a hotline provider who will triage the patient via Telehealth. If approved for testing, the patient will be asked to come to the OEC for COVID-19 nasopharyngeal testing.

If you are testing patients in your own practice, the appropriate PCR testing codes are: Quest - 39444, and Labcorp – 139900.


POSITIVE OR SUSPECTED COVID-19 PATIENTS:
Both Labcorp and Quest are reporting all COVID-19 positive patients to the OCHCA, so you are only requested to inform the OCHCA of positive results from Quest or Labcorp for persons who are health care workers, hospitalized, or live in a long term care facility.

Symptomatic patients  with confirmed or suspected COVID-19 should remain in self isolation for 7 days after illness onset, 72 hours after last fever, and until feeling better.
 
 
Household members & caregivers  exposed to confirmed or suspected COVID-19 patients should be quarantined at home for 10 days after the last unprotected contact with that person.


NO RECOMMENDED TREATMENT
Currently there is no treatment for COVID-19. While trials are ongoing, no medications are recommended including hydroxychloroquine, which has potential toxicities (OCHCA). 
 
OCHCA Provider 24-7 hotline : 714-834-8180 OCHCA 
OUTPATIENT CORNER
TELEHEALTH

Thank you again to Dr. Weiss, DO, Vice President, Population Health, CHOC Children’s for sharing his tips and expertise on Telehealth on our chapter chat this past week. See here for resources to help you integrate Telehealth into your practice. Please check back into our AAP-OC COVID19 website this upcoming week as Dr. Weiss is creating a toolkit to help practitioners successfully use and bill for Telehealth in their practices. 

Governor Newsom signed an executive order on Friday, April 3, 2020 expanding protections for practitioners using Telehealth. 


FINANCIAL

Thank you again to Jim Peterson, Executive Director of the Orange County Medical Association who helped practices understand their options for funding in the new stimulus package.

Also thank you to CHOC Health Alliance who is paying fee for service for Telehealth appointments for CHOC Health Alliance patients for the month of April!

CMA HOTLINE: (888) 401-5911
Free financial practice advice for CMA members


FINANCIAL RESOURCES

Free Webinar:



OTHER PROVIDER RESOURCES

Providing free emergency remote work kits to health professionals, nonprofit organizations, and other qualified organizations/entities.

Access is available for a limited time (new users only).

Phone consultation service provided by CHOC Children’s that assists pediatricians who care for patients with behavioral or psychiatric issues in a primary care setting. M-F, 8:30am - 5:00pm

The current crisis is an especially difficult time for healthcare professionals so Headspace is offering free access to Headspace Plus for all US healthcare professionals working in public health settings.

CMA Seeks volunteers to provide remote support to health care workers serving on the front lines of the COVID-19 pandemic.
paper_cutout_family.jpg
PARENT RESOURCES

CMA resource guide for families

Working and Learning from Home During the COVID-19 Outbreak
 
Speak to a CHOC nurse 24/7 to answer your questions about COVID-19 and your child 

To find nearby California after school and Summer Meal Programs sites through your iOS, Android, or Microsoft devices. The Emergency Meal Sites section may be used during unanticipated school closures due to emergency situations. 

REMEMBER THE IMPORTANCE OF
SOCIAL DISTANCING
ONLINE RESOURCES
AAP-OC Page is updated regularly with information from these emails and other important resources.

This website provides up-to-date information about known cases in Orange County, and provides key points about COVID-19, including print-ready handouts (multi-language) for your patients and families.

Includes and updated FAQ from pediatric infectious disease specialists. Includes information that is most relevant to pediatric patients and their families.

Includes critical updates from clinical guidance to practice management to patient handouts.

CDC
COVID-19 information specifically for healthcare providers. Includes protocols on evaluation, testing, and reporting patients, as well as infection control and PPE recommendations.

CMA
COVID-19 information for health care providers from the California Medical Association. 

If you have any further questions, please contact Jamie McDonald, Executive Director at jamie@aap-oc.org 
 
Thank you for all you do to ensure our patients, families, and community stay in optimal health during this time.
 

Best,
Katherine Williamson, MD, FAAP