A Different Kind of Special Edition: COVID-19 UPDATE
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April 29, 2020 A Publication from the Chief of Staff and Chief Medical Officer RSNA Publishes Findings of COVID-19 Case at SJO Radiologist Dan Vu, MD, published a case report showing CT and radiographic findings from a St. Joseph Hospital patient with COVID-19. The newly launched Radiological Society of North America (RSNA ) Case Collection is a clinical resource to enhance professional development. The case can be found at cases.rsna.org/case/20089b73-72d4-4298- a0d1-b045e414c02b. A Different Kind of Doctor’s Day I appreciate that March 30, 2020, didn’t feel like a typical Doctor’s Day as we have all been working together to respond to the COVID-19 outbreak, but I do feel it is important to pause and say, “Thank you!” Thank you for being a part of St. Joseph Hospital! We are so grateful for all of your work throughout the year to help our patients heal in body, mind and spirit. We appreciate you making St. Joseph “your” hospital and caring for our community for many, many years. On behalf of all of our caregivers, thank you! Jeremy Zoch, Chief Executive Special Edition: COVID-19 UPDATE COVID-19 has forced physician practices to make big changes that reduce revenue. If your group practice is under financial strain, now is the time to seek aid. The CARES (Coronavirus Aid, Relief and Economic Security) Act passed on March 27, 2020, to provide financial relief to businesses across the country. The act enables Small Business Administration (SBA) loans and funding options to help practices like yours to retain staff and weather this crisis. Below are programs to mitigate the impact of lost revenue. Your practice can apply for more than one of these options. CARES Act SBA Loans and Grants • Paycheck Protection Program (PPP): The Paycheck Protection Program is available now through June 30, 2020, to provide small to medium-sized busi- nesses with up to two and a half times your monthly payroll costs (averaged over the past year). If secured, the loan can be used for typical expenses, including salaries, sick leave, insurance and rent. The amount can be forgivable (i.e. ,doesn’t need to be paid back) for expenses paid eight weeks from origination. If you lay off staff or decrease wages, you risk reducing the forgivable amount. If you conducted layoffs after Feb. 15 and can rehire and retain those employees through June 30, 2020, you still qualify for forgiveness. You have two years to repay unforgiven por- tions of the loan, at an interest rate of 1%. Apply for this loan through your existing bank (make sure they’ve handled SBA loans in the past). • Economic Injury Disaster Loans (EIDL): Small business owners are eligible to apply for working capital loans of up to $2 million through Dec. 31, 2020. This loan is available in addition to the PPP, and can cover general operating expenses and overhead while margins are tight. There is no forgiveness provision under EIDL. The SBA has an online application page that is live now. The application will take up to two hours to file. • EIDL Grants: Business owners can now secure an advance of up to $10,000 avail- able through Sept. 30, 2020. EIDL grants do not need to be repaid. These grants can be secured in conjunction with the Economic Injury Disaster Loans. Other Provisions of CARES Act In addition to SBA loans, the CARES Act outlines future financial aid opportuni- ties for our industry. The government has allotted $100 billion for the Public Health and Social Services Emergency Fund, designed to reimburse providers for expenses and lost revenue incurred during COVID-19. Guidance on how these funds will be distributed is pending, but providers should begin quantifying revenue loss and additional expenses to get ahead. Additional Aid Measures • Medicare Advanced/Accelerated Payment: Medicare participating providers can apply for an advance on future Medicare billing. The program provides three months of advanced payments within seven days of making a request. Continued on back Financial Relief for Physician Practices
Transcript of A Different Kind of Special Edition: COVID-19 UPDATE
April 29, 2020 A Publication from the Chief of Staff and Chief Medical Officer
gofundme posts
RSNA Publishes Findings of COVID-19 Case at SJO
Radiologist Dan Vu, MD, published a case report showing CT and radiographic findings from a St. Joseph Hospital patient with COVID-19. The newly launched
Radiological Society of North America (RSNA ) Case Collection is a clinical resource to enhance professional development. The case can be found at cases.rsna.org/case/20089b73-72d4-4298-a0d1-b045e414c02b.
A Different Kind of Doctor’s Day
I appreciate that March 30, 2020, didn’t feel like a typical Doctor’s Day as we have all been working together to respond to the COVID-19 outbreak, but I do feel it is important to pause and say, “Thank you!” Thank you for being a part of St. Joseph Hospital! We are so grateful for all of your work throughout the year to help our patients heal in body, mind and spirit. We appreciate you making St. Joseph “your” hospital and caring for our community for many, many years. On behalf of all of our caregivers, thank you!
Jeremy Zoch, Chief Executive
Special Edition:COVID-19 UPDATE
COVID-19 has forced physician practices to make big changes that reduce revenue. If your group practice is under financial strain, now is the time to seek aid. The CARES (Coronavirus Aid, Relief and Economic Security) Act passed on March 27, 2020, to provide financial relief to businesses across the country. The act enables Small Business Administration (SBA) loans and funding options to help practices like yours to retain staff and weather this crisis. Below are programs to mitigate the impact of lost revenue. Your practice can apply for more than one of these options.CARES Act SBA Loans and Grants• Paycheck Protection Program (PPP): The Paycheck Protection Program is available now through June 30, 2020, to provide small to medium-sized busi-nesses with up to two and a half times your monthly payroll costs (averaged over the past year). If secured, the loan can be used for typical expenses, including salaries, sick leave, insurance and rent. The amount can be forgivable (i.e. ,doesn’t need to be paid back) for expenses paid eight weeks from origination. If you lay off staff or decrease wages, you risk reducing the forgivable amount. If you conducted layoffs after Feb. 15 and can rehire and retain those employees through June 30, 2020, you still qualify for forgiveness. You have two years to repay unforgiven por-tions of the loan, at an interest rate of 1%. Apply for this loan through your existing bank (make sure they’ve handled SBA loans in the past).
• Economic Injury Disaster Loans (EIDL):Small business owners are eligible to apply for working capital loans of up to $2 million through Dec. 31, 2020. This loan is available in addition to the PPP, and can cover general operating expenses and overhead while margins are tight. There is no forgiveness provision under EIDL. The SBA has an online application page that is live now. The application will take up to two hours to file.• EIDL Grants: Business owners can now secure an advance of up to $10,000 avail-able through Sept. 30, 2020. EIDL grants do not need to be repaid. These grants can be secured in conjunction with the Economic Injury Disaster Loans.
Other Provisions of CARES ActIn addition to SBA loans, the CARES Act outlines future financial aid opportuni-ties for our industry. The government has allotted $100 billion for the Public Health and Social Services Emergency Fund, designed to reimburse providers for expenses and lost revenue incurred during COVID-19. Guidance on how these funds will be distributed is pending, but providers should begin quantifying revenue loss and additional expenses to get ahead.
Additional Aid Measures• Medicare Advanced/Accelerated Payment: Medicare participating providers can apply for an advance on future Medicare billing. The program provides three months of advanced payments within seven days of making a request.
Continued on back
Financial Relief for Physician Practices
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Applications can be filed through your local Medicare intermediary. • Payroll Tax Credits: Additional tax relief measures include Employee Retention Cred-its for up to 50 percent of employee wages (and up to $10,000 per employee) for wages paid between March 13, 2020 and Dec. 31, 2020, excluding those who received PPP assistance. Eligibility is determined if you ex-perience a 50 percent decline in revenue in a given quarter (compared to 2019 numbers). Certain small to medium-sized businesses can receive tax credits for up to 80 hours of paid sick time per employee.• Tax Filing and Payment Extensions: Federal IRS tax deadlines were extended to July 15, 2020. Many state deadlines to file and pay taxes including California have also been extended.
We’re here to support you as you navigate this crisis — and champion your courage as health care warriors on the unenviable front lines.
Matt Haberman, CEO, [email protected]
Financial Relief for PracticesContinued from page 1COVID-19 communication with doc-
tors. Please visit the SJO Medical Staff SharePoint site for COVID-19 resources and guidance. For log-in issues, call AskIT at 844-922-7548. If immediate assistance isn’t available, write down the ticket num-ber and call the Medical Staff Office at 714-771-8056 for help with troubleshooting.
Acute Care Inpatient COVID Team. Intensivists who manage the ventila-tors (among so many other duties) are a valuable resource in potential short supply. If physician demands rise due to patient census and complexity, we’re first seeking help from providers on staff at SJO (and familiar with Meditech) prior to seeking help from outside resources (such as community physicians, retirees, etc). Anesthesia will help with intubation and central lines, with assists from ECC and, if needed, Interventional Radiology.
Remdesivir Clinical Trial. We received activation for moderate and severe trials for Remdesivir as of April 9. More informa-tion can be found at the SJO Medical Staff SharePoint site.
COVID-19 Testing Ordering Process. On April 10, new internal testing and collection methods for rapid, in-house COVID testing and turnaround began. The Emergency Care Center (ECC) COVID-19 Clinic Navi-gator SWAB Team provides specimen col-lection in the SJO acute care setting. Once ordered, the patient’s nurse will notify the ECC SWAB team member, who will go the patient’s location to perform the test, walk the specimen to the laboratory, and per-form follow-up documentation. Physicians can find step-by-step ordering instructions and prioritization criteria documentation on Sharepoint and in packets on campus.
Convalescent Plasma Donation Program. SJO became one the nation’s first participating centers for an FDA-approved COVID-19 convalescent plasma patient access program in conjunction with Mayo Clinic. By mid-April, 12 patients were enrolled. Timothy Byun, MD, serves as principal investigator and Shahid Hayat, MD, as physician champion. For more details see coronavirus.providence.org/blog/uf/609717480.
COVID-19 Updates
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