Ask Proactive – I’ve assumed a new role that requires me to audit our compliance with reporting to NHSN. The instructions for completion of the LTCF COVID-19 module are not clear in some areas. For example, we are the designated COVID-19 unit amongst two sister facilities. If the patient acquires COVID in my sister facility, then transfers to my facility, and passes away due to the infection, do I have to count this as a resident COVID death in my facility?

Q: I’ve assumed a new role that requires me to audit our compliance with reporting to NHSN. The instructions for completion of the LTCF COVID-19 module are not clear in some areas. For example, we are the designated COVID-19 unit amongst two sister facilities. If the...

Ask Proactive – We have a patient who received a skilled stay (34 days) using the spell of illness waiver (related to positive COVID condition and clinical needs). She just returned from the hospital outside her 30-day window, but still has 38 days remaining in the benefit period. Can we skill her again? How many times can we use the waiver for a patient?

Q: We have a patient who received a skilled stay (34 days) using the spell of illness waiver (related to positive COVID condition and clinical needs). She just returned from the hospital outside her 30-day window, but still has 38 days remaining in the benefit period....