Coronavirus Update #40
Reminder About Advance Directives and MOLST Orders

Please be sure to review residents' advance directives and Maryland MOLST orders to ensure these documents are up-to-date.

Healthcare professionals can learn more about the Maryland MOLST form HERE .
Updated COVID-19 Resource Request Process

As we have previously shared, The Maryland Department of Health (MDH) is working closely with the Maryland Emergency Management Agency (MEMA) to organize emergency suppliers of equipment and services that will aid in the response to the COVID-19 crisis.

If your organization needs personal protective equipment (PPE), please fill out the Emergency Medical Material request form and send it to your local Emergency Operations Center. Please see the NEW AND UPDATED contact list.

Thank you to all of you and your staff for providing these essential services. Please direct questions to your local emergency management contact. 
Medline Webinar: Today at 2:00 PM EST

Join healthcare workers on the frontlines of the COVID-19 pandemic in some of the hardest hit regions across the country. Learn from those who have experienced an outbreak as they share practical tips on how they’re responding on this webinar .

COVID-19 Response: Best Practices and Hope from Healthcare
Providers Experiencing an Outbreak

Friday, April 3, 1 PM CST/2 PM EST
PharmScript Webinar: April 15 at 2:00 PM EST

Join PharmScript, LLC. on Wednesday, April 15th, from 2:00-3:00 pm EDT. The webinar will be presented by Sue LaGrange, Director of Education, along with Lisa Thomson, Director of Education Chief Strategy and Marketing Officer, for Pathway Health Services, Inc. Sue and Lisa will share the following learning objectives:

  1. Identify the components of infection control and prevention surveillance program to identify symptoms and contain infections related specifically to respiratory illness
  2. Identify important factors in a facility outbreak management program
  3. Provide the ability to review your facilities readiness for influenza type illness community outbreak including COVID-19

Infection Prevention Surveillance and Monitoring during COVID-19
Wed, Apr 15, 2020 2:00 PM - 3:00 PM EDT
BENHA Approval of Out of State Administrators

BENHA's legal counsel has determined that the official definition of "healthcare practitioner" has been redetermined to include Maryland LNHA's, as it relates to Governor Hogan's Public Order "Relating to Various Health Care Matters" which was issued by the Governor on 3/16/2020.

Therefore, out-of-state LNHA's are permitted to work as the administrators of Maryland nursing home facilities, provided they submit a provisional license application within 10 days after first working at a Maryland nursing home as the administrator of record.
Every Interaction is a Risk  

COVID-19 spreads principally person-to-person. Every interaction between people increases the risk of spread, particularly now that the virus is in most areas of the United States.  

The goal is to minimize the number of interactions with residents. This AHCA/NCAL guidance provides some ideas on how to achieve this goal. It includes:

  1. Reducing the number of various (non-essential) people entering the building;  
  2. Targeting the number of interactions with residents by: 
  • Reducing the number of different staff entering a resident’s room 
  • Increasing efficiency of tasks when entering in a resident’s room to decrease the number of times staff enter 

It’s a simple formula for how spread happens – the more interactions that happen with a variety of people, the greater the chance of spread. So, continue to creatively reduce the number of interactions between people and stop the spread of this deadly virus. 
CMS Reports Frequent Incorrect Use of PPE   

AHCA/NCAL has heard from CMS that a common theme they are finding during COVID-19 infection control focused surveys are PPE not being used correctly, including donning and doffing procedures. Surveyors are having staff demonstrate handwashing and donning and doffing of PPE. 

We encourage you to review with your teams the appropriate way to apply and remove all PPE, including gloves, gowns, masks, and eye protection. Performing observations yourself can be helpful to prepare staff for surveyor observation and to quickly correct any practices needing improvement.  

  • These documents can be printed and posted in your center to ensure your staff are aware of how to appropriately don PPE

  • These documents can be printed off and posted in your center to ensure your staff are aware of how to appropriately doff PPE.  

  • The following video explains how to do hand hygiene and donning/doffing PPE appropriately.  
Compassionate Care Amidst the COVID-19 Crisis 

Ensuring compassionate care in the midst of this pandemic, when human, equipment and financial resources are significantly strained, when we are balancing professional and personal struggles, can be a challenge. Advance care planning or end-of-life conversations can be difficult in the best of circumstances, let alone the current environment with restrictions, heightened emotions, and scarce resources.  

COVID-19 Case Study (Not Maryland)

Please see this  Case Study that HFAM wrote after being contacted by a SNF provider in another part of the country.

Please review this case study and share with your teams -- it includes critical insight and real time experience.
Child Care for Essential Personnel

Maryland Family Network (MFN) is partnering with the Maryland State Department of Education (MSDE) to make it fast and easy for essential personnel to find safe quality child care during the State of Emergency.

Maryland’s child care providers are essential to stemming the spread of and finding a cure for the COVID-19 pandemic. Our region is teeming with the Nation’s top researchers, doctors, and policy makers. As the Coronavirus continues to spread and demands on these and other essential personnel grows, they need to know their children are safe in order to stay focused on keeping the rest of us safe and healthy.

Visit this  site  to learn more or call 877-261-0060 to locate child care.

While all child care is closed for the general public, child care is  not closed for essential personnel. In addition to new programs being developed by the State, MSDE recently launched a program to allow child care providers that would otherwise be closed to open to serve children of essential personnel exclusively. There will be additional child care providers approved under this new provision and available to provide child care.   LOCATE will have the listing of approved sites for these services for your stakeholder's staff to identify child care services.

Please urge your staff to visit: for more information on these child care options.
Did you miss HFAM's previous alerts?

Visit our website to view all previous HFAM alerts, as well as guidance
from our federal and state partners.
Please email for additional questions, and visit for additional information and resources.
Thank you.

We cannot thank you enough for the dedication and diligence in doing all that you can for the residents in your communities. HFAM continues to monitor the COVID-19 pandemic with our state and national partners and will do all we can to support you during this time.