COVID-19 in the Ambulatory Care Setting: A Practical Guide for the Multidisciplinary Team
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Release Date: March 30, 2020
Expiration Date: March 30, 2021
Click here for a patient resource that you can print out and distribute to answer patients’ FAQ on COVID-19.
Click here for a copy of the CDC PPE Sequence.
Click here for a list of questions from clinicians during a live webinar on COVID-19, along with answers from the expert faculty. We are working on answering even more questions submitted. This document will be updated soon with additional information.
Click here to download the content slides.
In December 2019, the World Health Organization (WHO) received notification of a cluster of patients with pneumonia of unknown cause. By January 23, 2020, the coronavirus causing this outbreak – SARS-CoV-2 – had been identified. The disease it causes is termed COVID-19. The virus has been demonstrated to have person-to-person transmission and appears to have higher infectivity than the other 2 zoonotic coronaviruses (SARS and MERS), but a lower case-fatality rate. On March 11, 2020, WHO declared the spread of COVID-19 a pandemic and, two days later, on March 13, 2020, a national emergency was declared in the US in response to the disease.
The complete clinical picture of COVID-19 is not fully understood. The illness has a range of severity from mild to fatal. Because some infected individuals are asymptomatic and many have mild symptoms, the public-health threat is high.
Much information is available about identification and management of patients with COVID-19 who present to hospitals. Very little has been written about how healthcare providers (including physicians, nurses, and pharmacists) should proceed when a patient comes to a private ambulatory-care setting with a clinical presentation consistent with COVID-19.
This webcourse, COVID-19 in the Ambulatory Care Setting: A Practical Guide for the Multidisciplinary Team, will provide clinicians in this setting with information on how to prepare for patients who have COVID-19 symptoms, what to do when these patients do present, and what to report to local public-health authorities. The activity will also help clinicians decide on an appropriate patient disposition, clean and disinfect facilities, and determine if healthcare providers and staff need to self-quarantine.
Welcome and introductions
Preparing for the unannounced COVID-19 patient
In-office management of a patient with suspected COVID-19
What to do when a patient with suspected COVID-19 leaves the ambulatory care office, clinic, or urgent-care setting
Anthony D. Harris, MD, MPH
Professor, Epidemiology and Public Health Division
Head, Genomic Epidemiology and Clinical Outcomes
University of Maryland School of Medicine
Anthony D. Harris, MSc, MD, FRCPC is an infectious disease physician and epidemiologist whose research interests include emerging pathogens, antimicrobial-resistant bacteria, hospital epidemiology/infection control, epidemiologic methods in infectious diseases, and medical informatics. He has published more than 230 papers. He has or has had funding from the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), and the Agency for Healthcare Research and Quality (AHRQ) to study antibiotic resistance and hospital epidemiology. He has been extensively involved in coronavirus, influenza, and SARS outbreak and emergency management planning.
Karen Hoffmann, RN, MS, CIC, FSHEA, FAPIC
Infection Preventionist, Quality, Safety, and Oversight Group
Centers for Medicaid & Medicare Services
Clinical Instructor, Division of Infectious Diseases
University of North Carolina School of Medicine
Chapel Hill, NC
Karen Hoffmann, RN, MS, CIC, FSHEA, FAPIC is a contractor with the Centers for Medicare & Medicaid Services, serving as the infection preventionist in the Quality, Safety and Oversight Group. Since 1988, she has been a Clinical Instructor in the Division of Infectious Diseases at the University of North Carolina’s School of Medicine in Chapel Hill. Karen has specialized in infection prevention and control for more than 35 years, beginning at the Detroit Medical Center, then at the University of Virginia, and for 23 years as the Associate Director of the North Carolina Statewide Program for Infection Control and Epidemiology (SPICE). She is a Fellow in the Society for Healthcare Epidemiology of America (SHEA) and served on the SHEA Journal Editorial Board from 1991 to 2001. She is also a Fellow of APIC and has maintained her certification in infection prevention and control since 1988.
Karen has been the recipient of several awards, including the 2010 SHEA Advanced Practice Infection Preventionist Award and the APIC Chapter Leadership Award. She was the first recipient of Infection Control Today’s Infection Control Educator of the Year. In 2011, she received the Old North State Award for her dedicated service to the citizens of North Carolina. Karen has been an invited speaker to state, national, and international conferences, and has authored many abstracts, articles, and book chapters. She is currently serving as the 2019 APIC President. Karen earned her bachelor of science in nursing from Indiana University and master of science in healthcare epidemiology from the University of Virginia.
Terry Ann Glauser, MD, MPH
Potomac Center for Medical Education
Terry Ann Glauser, MD, MPH, Medical Director at the Potomac Center for Medical Education, obtained her medical degree from Jefferson Medical College and was a residency-trained, board-certified emergency medicine physician. She served as an Assistant Director of the Emergency Department of a regional burn center; was an instructor in the Department of Surgery, Division of Emergency Medicine, at Jefferson Medical College; and was a Clinical Associate in the Department of Medicine at the University of Pennsylvania School of Medicine. Subsequently, she completed a Master’s in Public Health at the Johns Hopkins Bloomberg School of Public Health. She has been involved in continuing medical education since 1995.
The intended audience for this program is US and Canadian healthcare professionals who manage patients in an ambulatory office, clinic, or urgent-care setting, including physicians, nurses, and pharmacists.
This program is designed to address ACGME and NAM competencies, including delivering patient-centered care and practicing evidence-based medicine.
At the conclusion of an activity, participants should be able to:
- Develop protocols that address the situation of a patient with suspected COVID-19 in the ambulatory care setting, including private office, clinic, or urgent-care facility
- Indicate which specimens to obtain from a patient with suspected COVID-19 and send those samples to a laboratory capable of testing them
- Determine an appropriate disposition for a patient suspected of having COVID-19
- Describe measures needed to clean and disinfect the office after a patient suspected of having COVID-19 departs
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Potomac Center for Medical Education and Rockpointe. The Potomac Center for Medical Education is accredited by the ACCME to provide continuing medical education for physicians.
PHYSICIAN DESIGNATION STATEMENT
The Potomac Center for Medical Education designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
For questions regarding CME credit or the evaluation, please email email@example.com.
ABIM MOC DESIGNATION STATEMENT
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
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PHARMACIST ACCREDITATION STATEMENT
The Potomac Center for Medical Education is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
PHARMACIST CREDIT DESIGNATION
The Potomac Center for Medical Education designates this educational activity for a maximum of 1.50 contact hours (0.15 CEUs) of continuing education credit (UAN number 0418-9999-20-002-H01-P).
This is a knowledge-based activity.
NURSING CREDIT STATEMENT
This activity has been submitted to the Maryland Nurses Association for approval to award contact hours. The Maryland Nurses Association is accredited as an approver of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
The Potomac Center for Medical Education (PCME) adheres to the policies and guidelines, including the Standards for Commercial Support, set forth to providers by the Accreditation Council for Continuing Medical Education (ACCME) and all other professional organizations, as applicable, stating those activities where continuing education credits are awarded must be balanced, independent, objective, and scientifically rigorous.
All persons in a position to control the content of a continuing medical education program provided by PCME are required to disclose any relevant financial relationships with any commercial interest to PCME as well as to learners. All conflicts of interest are identified and resolved by PCME in accordance with the Standards for Commercial Support in advance of delivery of the activity to learners.
The program faculty reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:
Anthony D. Harris, MD, MPH: Nothing to disclose
Karen Hoffmann, RN, MS, CIC, FSHEA, FAPIC: Nothing to disclose
Non-faculty Content Contributors
Non-faculty content contributors and/or reviewers reported the following relevant financial relationships that they or their spouse/partner have with commercial interests:
Terry Ann Glauser, MD, MPH; Blair St. Amand; Katie Propst, PhD: Nothing to disclose
The contents of some CME/CE activities may contain discussions of non-approved or off-label uses of some agents mentioned. Please consult the prescribing information for full disclosure of approved uses.
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In Collaboration with MedChi
Jointly provided by the Potomac Center for Medical Education and Rockpointe
Approved by the Maryland Nursing Association
This activity is not supported by any grantor or commercial interest.
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