Author: AAA Staff

ET3 | Model Medical Triage Line Notice of Funding Opportunity

From CMS on March 12, 2021

Emergency Triage, Treat and Transport (ET3) Model Medical Triage Line – Notice of Funding Opportunity (NOFO) Available

 

Today, the Centers for Medicare & Medicaid (CMS) is releasing a Notice of Funding Opportunity (NOFO) for the Emergency Triage, Treat and Transport (ET3) Model. Through the NOFO, CMS will fund state and local governments, their designees, or other entities that operate or have authority over a Public Safety Answering Point (PSAP) to establish or expand Medical Triage Lines aimed at reducing inappropriate use of emergency ambulance services and increasing efficiency in Emergency Medical Services (EMS) systems.

The NOFO complements the ambulance payment component of the ET3 Model, which began implementation on January 1, 2021 and for which the final list of Participants was posted today. Applicants to the NOFO must share at least one ZIP Code with the ambulance providers and suppliers that are participants in the model. Under the ET3 Model, CMS provides greater flexibility to ambulance care teams to address emergency health care needs of Medicare Fee-for-Service (FFS) beneficiaries following a 911 call, by paying ambulances to transport beneficiaries to Alternative Destinations or to facilitate Treatment in Place with a Qualified Health Care Partner, either in-person or through telehealth.

The NOFO is available at grants.gov under Opportunity Number CMS-2F2-21-001.

For more information, please see the ET3 Model’s webpage. Stay up to date on the latest ET3 Model news and updates by subscribing to the ET3 Model listserv or contact us at ET3Model@cms.hhs.gov.

CMS | Updated Nursing Home Visitation Guidelines

From CMS on March 10, 2021

 CMS Updates Nursing Home Guidance with Revised Visitation Recommendations

The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), issued updated guidance today for nursing homes to safely expand visitation options during the COVID-19 pandemic public health emergency (PHE).

This latest guidance comes as more than three million doses of vaccines have been administered within nursing homes, thanks in part to the CDC’s Pharmacy Partnership for Long-Term Care Program, following the U.S. Food and Drug Administration’s (FDA) authorization for emergency use of COVID-19 vaccines.

According to the updated guidance, facilities should allow responsible indoor visitation at all times and for all residents, regardless of vaccination status of the resident, or visitor, unless certain scenarios arise that would limit visitation for:

  • Unvaccinated residents, if the COVID-19 county positivity rate is greater than 10 percent and less than 70 percent of residents in the facility are fully vaccinated;
  • Residents with confirmed COVID-19 infection, whether vaccinated or unvaccinated, until they have met the criteria to discontinue transmission-based precautions; or
  • Residents in quarantine, whether vaccinated or unvaccinated, until they have met criteria for release from quarantine.

The updated guidance also emphasizes that “compassionate care” visits should be allowed at all times, regardless of a resident’s vaccination status, the county’s COVID-19 positivity rate, or an outbreak. Compassionate care visits include visits for a resident whose health has sharply declined or is experiencing a significant change in circumstances.

CMS continues to recommend facilities, residents, and families adhere to the core principles of COVID-19 infection control, including maintaining physical distancing and conducting visits outdoors whenever possible. This continues to be the safest way to prevent the spread of COVID-19, particularly if either party has not been fully vaccinated.

“CMS recognizes the psychological, emotional and physical toll that prolonged isolation and separation from family have taken on nursing home residents, and their families,” said Dr. Lee Fleisher, MD, CMS Chief Medical Officer and Director of CMS’ Center for Clinical Standards and Quality. “That is why, now that millions of vaccines have been administered to nursing home residents and staff, and the number of COVID cases in nursing homes has dropped significantly, CMS is updating its visitation guidance to bring more families together safely. This is an important step that we are taking, as we continue to emphasize the importance of maintaining infection prevention practices, given the continued risk of transmission of COVID-19.” 

High vaccination rates among nursing home residents, and the diligence of committed nursing home staff to adhere to infection control protocols, which are enforced by CMS, have helped significantly reduce COVID-19 positivity rates and the risk of transmission in nursing homes.

Although outbreaks increase the risk of COVID-19 transmission, as long as there is evidence that the outbreak is contained to a single unit or separate area of the facility, visitation can still occur.

For additional details on the updated nursing home visitation guidance released today, visit here: https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/nursing-home-visitation-covid-19-revised

A Fact Sheet can be found here: https://www.cms.gov/newsroom/fact-sheets/cms-updates-nursing-home-guidance-revised-visitation-recommendations

CO Mile High RETAC Virtual Conference | National EMS Safety Summit

From Colorado’s Mile High RETAC Foundation

5th EMS Financial Symposium

March 30, 2021

12th National EMS Safety Summit

March 31-April 2, 2021

Both Conferences

Virtual “Live” Presentations

Nationally Recognized Speakers:
Asbel Montes, Matt Zavadsky, Scott Moore, Chris Cebollero, A J Heightman, Sharon Lipinski, David Wiklanski, David Dalton, Douglas Kupas, Matthew Streger, Jason Brooks, John Montes, And More!!!

Conference Schedule is based on MST

All attendees will receive a meeting invitation with a unique code to join the conference via Zoom

Registration and conference documents

www.nationalemssafetysummit.org

CEU’s offered

Vendors will provide “live” product presentations

“See” you there!

Questions contact:  Shirley Terry @ sjterry@nationalemssafetysummit.org

Download Flyer

Webinar 3/18 | ASPR Healthcare System Cybersecurity Response

From the HHS Office of the Assistant Secretary for Preparedness and Response

Healthcare System Cybersecurity Response: Experiences and Considerations March 18, 2021 ~ 1:30-2:45 PM ET

Presenters on this webinar will discuss their experiences and tangible lessons learned in responding to cybersecurity incidents. This webinar builds upon the recently released Healthcare System Cybersecurity: Readiness and Response Considerations document and accompanying overview presentation that describes how to use the resource. The webinar will take place on Thursday, March 18, 2021 from 1:30-2:45 PM ET.

Register today!

Moderator:

  • John Hick, MD, Hennepin Healthcare Introductions:
  • Laura Wolf, Ph.D., Director, Division of Critical Infrastructure Protection, HHS ASPR Speakers (listed in alphabetical order):
  • Lisa Bazis, MS, Chief Information Security Officer, Nebraska Medicine
  • Craig DeAtley, PA-C, Director, Institute for Public Health Emergency Readiness, MedStar Washington Hospital Center
  • Dawn Straub, MSN, RN, NEA-BC, Executive Director, Nursing Professional Practice & Informatics, Nebraska Medicine

Register Now►

California | Solano County’s Helen Pierson Named Woman of the Year

From California Senator Bill Dodd on March 5

VALLEJO – Helen Pierson, whose company, Medic Ambulance Service, has been on the front lines of the coronavirus pandemic, transporting some of the first people exposed to the virus on the Princess Cruise ship and later, organizing mobile testing and vaccine dissemination, has been named Woman of the Year for Solano County by Sen. Bill Dodd.

“Helen stepped up in a major way, helping to keep our community safe during one of the worst public health crises the world has ever seen,” Sen. Dodd said. “She leads a dedicated team that Solano County and the surrounding region has come to depend on. She also volunteers her time and energy for numerous community organizations. I couldn’t be more proud to recognize Helen for her important work.”

“We love our community, which has done so much to support us over the years,” Helen Pierson said. “It’s an honor to be recognized. My parents and big brother started this company four decades ago, and we have a great group of medical professionals who deserve so much of the credit for our success today.”

Medic Ambulance, founded by the Manfredi family in 1979, provides 911 emergency services for Solano County with its fleet of 70 ambulances and 350 employees. The company also serves parts of the greater Sacramento area and North Bay.

Helen Pierson started with the company in 1988 and was named CEO in 2019. Under her leadership, Medic Ambulance played a key role in pandemic response as well as serving communities impacted by severe wildfires. The company was among the first in the nation to treat and transport COVID-19 patients as they came into Travis AFB in early 2020. It later partnered with Solano County to provide mobile coronavirus testing to at-risk facilities and expanded this partnership to mobile vaccinations. Additionally, Medic Ambulance deployed ambulance strike teams to Kern, Santa Cruz, Napa, Sonoma, Mendocino, Butte and Solano counties over the past year.

Helen is a past-president of the California Ambulance Association — only the second woman in the association’s 65-year history to hold this position. She also plays key roles in many community organizations including Vallejo Rotary, Leadership Vallejo and Saint Francis High School in Sacramento. She was recognized as the Kiwanian of the Year in 1993 and was Vallejo Rotary Club president for 2015-2016. Helen is a past board member of Christian Brothers High School.

She lives in Fairfield with her husband and has three adult children who work in her family business.

###

Senator Bill Dodd represents the 3rd Senate District, which includes all or portions of Napa, Solano, Yolo, Sonoma, Contra Costa, and Sacramento counties. You can learn more about the district and Senator Dodd at www.sen.ca.gov/dodd.

 

ResponderStrong | Personalized Wellness for Emergency Responders

Grit Digital Health Introduces World’s First Personalized Wellness Platform for Emergency Responders

Access YOU | ResponderStrong

At a time when emergency responders are under immense stress, innovative health tech organization develops YOU | ResponderStrong wellness tool to support comprehensive well-being for at-risk group

DENVERAug. 27, 2020 /PRNewswire/ — Grit Digital Health LLC, a tech startup at the intersection of behavioral health, well-being and technology, has partnered with The Anschutz Foundation, Global Medical Response (GMR) and All Clear Foundation to create YOU | ResponderStrong — the world’s first personalized wellness platform for emergency responders. Emergency responders face well-being challenges (e.g. shift work, consistent exposure to trauma, and working in high risk environments) that put them at higher risk for mental health issues and suicide, yet barriers make it difficult to seek out available resources and discuss concerns, leaving many to struggle with these challenges alone.

For emergency responders, rescuing others is second nature, but the mental and physical impacts can be debilitating if left unaddressed. Studies show that first responders are more likely to die by suicide than in the line of duty, 20 to 25 percent of all first responders experience post-traumatic stress and the life expectancy of a first responder is 20 years less than average.

“Responders shouldn’t pay for their service with their lives, either in longevity or quality,” said Rhonda Kelly, founder of ResponderStrong and director of health, wellness and resilience for GMR. “Especially now when the stressors are so extreme and prolonged, burnout is on a meteoric rise. The result of our failing to meet our basic human needs, burnout is one of our biggest enemies. This tool is a tremendous aid in supporting our self-care, building our resiliency, and improving our quality of life.”

Using a human-centered research and design process, the founding partners of you.responderstrong.org brought together national leaders across various emergency responder verticals (law enforcement, EMS, fire service, dispatch and healthcare workers, etc.) to uncover the needs, motivations and challenges of these populations with respect to their mental health and well-being. The insights gathered during this process highlighted the increased pressure and new risks currently facing emergency responders across the country.

“One challenge that has been clear for first responders is figuring out the balance between being able to perform their jobs and also act in the other roles they fill as parents and spouses,” said Caleb Demers, LCSW, who works directly with emergency responders as a clinical social worker and member of the LEADER program at McLean Hospital. “Many patients we work with use a lot of energy attempting to not ‘bring the work home,’ but now that is a tangible fear with more immediate consequences. We see first responders work very hard to maintain confidence and competence in their roles, but when their supports are not as accessible, it affects their mental health.”

The solution is a digital platform, available 24/7, with hundreds of evidence-based resources and tools to support emergency responders with their personal and professional well-being. The first platform of its kind, YOU | ResponderStrong uses a tailored profile and proprietary health assessments to personalize the experience for each emergency responder that creates an account. The platform delivers customized online resources and tools across three areas of well-being: Succeed (financial and career success), Thrive (mental and physical health) and Matter (purpose and connections). The foundations of this comprehensive approach lie in Grit Digital Health’s proprietary well-being model.

“High stress work environments invariably lead to stress that carries into one’s personal life,” said Nathaan Demers, Psy.D., VP and director of clinical programs at Grit Digital Health. “It’s essential that we support the comprehensive well-being of emergency responders by decreasing the stigma and providing educational resources regarding how to support peers, as well as oneself. This is especially important in times of heightened stress, as we see now in light of COVID-19.”

The platform is built on a research-backed tool called YOU, a personalized well-being software created for college campuses and later expanded to serve rural veterans, community mental health centers, workplace wellness and now emergency responders. The platform provides an experience aligned with key research insights gathered from emergency responders: maintaining confidentiality, keeping data secure, including crisis information and providing 24/7 access to support any need any time. Data provided to tap into the platform’s personalization algorithm is completely anonymous, an essential aspect in building trust with emergency responders using the platform.

“Emergency Responders sacrifice more than most and shoulder unfathomable burdens to keep us all safe,” said Janell Farr, president of All Clear Foundation. “They are so focused on helping others that they often don’t take time to help themselves. And if they would like to, options have previously been limited. With YOU | ResponderStrong, responders can now easily assess their overall well-being and immediately access content to enhance their health, well-being and everything in-between.”

The platform is currently undergoing further testing and iteration efforts. Grit Digital Health will collaborate with the founding partner organizations to roll out a second version of the ResponderStrong wellness tool in fall 2020. The release will include learnings from testing with emergency responders and analysis of impact/engagement data. See the tool in action by visiting you.responderstrong.org.

About Grit Digital Health

Grit Digital Health develops behavioral health and well-being solutions through design and technology that envision a new way to approach mental health and well-being. The company solves complex health problems through innovation and creativity, including products that address veteran transitions to civilian life, student loneliness and well-being, employee satisfaction and the mental health of working-age men. For more information, visit www.gritdigitalhealth.com.

About All Clear Foundation

All Clear Foundation is a nonpartisan, nonprofit 501(c)3 supporting First Responders by creating, convening, amplifying and funding innovative programs to improve their life expectancy and wellbeing – as well as the wellbeing of their families. In addition to YOU | ResponderStrong, the foundation has curated a First Responder Resource Database with thousands of resources for responders and their families, and recently launched  ResponderRel8, a peer-to-peer chat app that enables First Responders to connect, celebrate and commiserate with peers without fear or stigma getting in the way, and anonymously if they choose. To learn more about All Clear Foundation’s programs or to join the cause, visit AllClearFoundation.org.

About The Anschutz Foundation

Founded in 1984, The Anschutz Foundation was created by Philip F. Anschutz as a private charitable foundation. Over three decades, the foundation has given substantially to hundreds of nonprofit organizations primarily concentrated in Colorado. The Anschutz Foundation currently makes more than 500 grants annually. In 2016, The Anschutz Foundation received the Outstanding Foundation award from National Philanthropy Day in Colorado. This annual event celebrates exceptional philanthropic and volunteer contributions in Colorado. For more information, visit theanschutzfoundation.org.

About Global Medical Response (GMR)

With more than 38,000 employees, Global Medical Response teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services in the United States, the District of Columbia and around the world. GMR was formed by combining the industry leaders in air, ground, managed medical transportation, and community, industrial/specialty and wildland fire services. Each of our companies have long histories of proudly serving the communities where we live: American Medical Response (AMR), Rural Metro Fire, Air Evac Lifeteam, REACH Air Medical Services, Med-Trans Corporation, AirMed International and Guardian Flight. Combined, we completed 4.9 million patient transports last year utilizing 7,000 ground vehicles, 111 fire vehicles, 306 rotor-wing aircraft and 106 fixed-wing aircraft. We are the largest medical transport company in the world, focusing on intimate and high-service solutions at a local level. For more information, visit globalmedicalresponse.com.

SOURCE Grit Digital Health LLC

FirstWatch Resilience Dialogue Webinars

From FirstWatch

Monthly Interactive Session
Friday, March 12th, 2021 | 9:00am PT / Noon ET
Resilience involves the ability to handle stress, bounce back, and move forward in life. The challenges of the last year highlight the need for individual, organizational, and collective resilience. We’ve learned a lot about how to build resilience and improve your ability to deal with all kinds of stress. These dialogues are open forums to explore resilience, all the things that cause stress in our lives, relationships, and more. Please join us for these monthly interactive sessions where everyone, including family members, is welcome. They will be held the second Friday of the month at 9am Pacific time.

Credit Card Fee Class Action Settlement

Dear AAA Members:

As you may know, there is a class action lawsuit pending in the U.S. alleging Visa, MasterCard and their member banks engaged in anticompetitive practices. The case, Payment Card Interchange Fee Settlement, alleges activity that includes collusion which artificially inflated the interchange fee that all AAA members paid to accept Visa and MasterCard branded credit cards. The proposed settlement provides that any merchant that accepted Visa and MasterCard credit cards at any time between January 1, 2004 and January 25, 2019 will be entitled to participate in the $5.54 billion-dollar settlement

Sign Up Now

Class Action Refund has over 17 years of experience in managing complex claims and is an innovator of a niche service that specializes in the recovery of antitrust settlements for businesses, which includes large organizations like the AAA. Class Action Refund can ease the burden of self-filing. The life cycle of a claim can take several years to settle and may require various types of documentation and correspondence with the claims administrator in order to substantiate the claim. Class Action Refund will manage the entire filing process and inform you of milestones as necessary, so that you may stay focused on your core business. Additionally, there are NO OUT-OF-POCKET COSTS TO AAA MEMBERS. Class Action Refund will reduce its normal 33% contingency fee of funds recovered to 25% for AAA members.  If no recovery is made, then no fee is charged.

Any member interested in availing themselves of Class Action Refund’s recovery management services, for the Payment Card Interchange Fee Settlement can quickly and easily sign up below!

Sign Up Now

Mr. Hugh Bellingreri, Senior Account Manager, is the contact person for members. Please call Hugh directly at 914-630-5116, or you can reach him by email at hbellingreri@classactionrefund.com with any questions. 

Sign Up Now

Disclaimer: No claim forms are available at this time, and no claim-filing deadline exists. No-cost assistance will be available from the Class Administrator and Class Counsel during any claims-filing period. No one is required to sign up with any third-party service in order to participate in any settlement. For additional information regarding the status of the litigation, interested persons may visit www.paymentcardsettlement.com, the Court-approved website for this case.

Treatment In Place in Senate Draft

Ambulance Treatment in Place Bill Included in Senate Draft Budget Reconciliation Package

The draft bill by Senate Democrats on a Budget Reconciliation package includes the language of S. 149 which would waive the transport requirement under Medicare for certain 9-1-1 ground ambulance services during the public health emergency. The Senate is expected to consider the package as soon as tomorrow.

Senators Catherine Cortez Masto (D-NV) and Bill Cassidy, M.D. (R-LA) introduced S. 149 on February 3 which is supported by the AAA, International Association of Fire Chiefs, International Association of Firefighters, National Volunteer Fire Council and National Association of EMTs.

Under S. 149, the Centers for Medicare and Medicaid Services (CMS) would have the authority to waive the requirement that a patient must be transported to a medical facility in order for a ground ambulance service organization responding to a 9-1-1 emergency call to be reimbursed by Medicare when there is a community-wide EMS protocol restricting the transport of the patient.  Ground ambulance service organizations whose paramedics and EMTs are on the frontlines of this pandemic are struggling financially due to the reduction in ambulance transports and higher costs such associated with responding to medical emergencies that cannot be reimbursed because of the transportation requirement. S. 149would greatly help address part of that problem and recognizes the critical role that ground ambulance service organizations are playing in controlling hospital surges and reducing the spread of COVID-19 .”

The House has already passed their version of Budget Reconciliation and would still need to pass a Senate version before sending to the President. S. 149 would provide CMS with the authority and, if passed, the AAA would advocate for the agency to exercise that authority and follow through with the waiver starting at the beginning of the public health emergency.

EMS.gov | Rural EMS training and recruiting grants

From NHTSA’s Office of EMS

DEADLINE REMINDER: Apply now for rural EMS training and recruiting grants
Eligible applicants from rural EMS agencies are encouraged to submit applications before March 18, 2021

EMS organizations planning on applying for a Rural EMS Training Grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment must submit applications by March 18. SAMHSA plans on awarding up to $5.5 million in awards to help eligible agencies recruit and train personnel. More information is available on SAMHSA’s website.

In recognition of the great need for emergency services in rural areas and the critical role EMS personnel serve across the country, SAMHSA plans on funding up to 27 projects, with a maximum of $200,000 per grant awardee. Eligible applicants include rural EMS agencies operated by a local or tribal government (fire-based and non-fire based) and non-profit EMS agencies.

Learn More or Apply Now

Download Your Member E-Books!


Did you know? All American Ambulance Association PDF E-Books are now free to members! This $1000+ value is yet another way that AAA is delivering value through membership.

New releases include the 2021 Medicare Reference Manual, 2021 HIPAA Manual, and 2021 Human Resources Toolkit!

Download E-Books Now!

Please note that you must be logged in using your member account in order to see the $0.00 member e-book pricing. The link to download your e-book will be delivered in your email order confirmation.
Not yet a member? Join today to gain access!

Cybersecurity for EMS: Combatting The Cyber Kill Chain

Cybersecurity for EMS: Combatting The Cyber Kill Chain
Watch on Facebook Live | Watch on YouTube
Recorded February 25, 2021
Speaker: Mark Campbell, Global Medical Response

Add your IT and Cybersecurity Team to AAA’s New Working Group!

AAA members, please email the name, job title, and email address of your tech leader to amanda@ambulance.org for inclusion in a new Basecamp collaborative group.

JAMA | Ontario | Economic Analysis of MIH Delivered by EMS

From JAMA on February 24, 2021

Economic Analysis of Mobile Integrated Health Care Delivered by Emergency Medical Services Paramedic Teams

Question  Is mobile integrated health care (MIH) delivered by emergency medical services more efficient than regular ambulance responses in addressing the needs of urgent care in the community?

Findings  This economic evaluation compared 1740 calls serviced by MIH in 2018 to 2019 with propensity score–matched ambulance calls for the same period and 2 years prior and found that MIH was associated with a decrease in the proportion of patients transported to the emergency department and saved health care costs compared with regular ambulance responses.

Meaning  These findings suggest that MIH is a promising and viable solution to meeting urgent health care needs while improving the efficiency in using emergency care resources.

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Childcare Benefit: Kindercare Discount & Priority Placement

AAA understands that EMS staff often experience significant challenges securing quality, reliable childcare, and that these challenges have been exacerbated by school and daycare closures caused by COVID-19. We are here to help!

The American Ambulance Association is proud to share that we have partnered with Kindercare to offer EMS providers priority childcare placement as well as a 10% discount on tuition. Please share this information with your staff! Visit www.kindercare.com/aaa for full details.

Kindercare Locations

AAA member employee families receive priority placement at all 1600 Kindercare centers.

Childcare Services & Age Range

AAA member employees save 10% on full-time, part-time, and drop-in tuition for children ages six weeks to 12 years at any KinderCare Learning Center or Champions before- and after-school sites nationwide.

Existing  Kindercare Families

This offer is available to new families as well as those already enrolled in a participating center.

Tuition Discount Guide

  1. Search for a center or site that is near you (Search All Centers)
  2. Schedule a tour of the center or site online or by phone with the center information provided.
  3. When you enroll (or if you’re already enrolled), let your Center Director know you are a member of American Ambulance Association and that you are eligible for a 10% tuition benefit.
  4. Your Center Director will apply the discount on your next billing cycle.

 

Senators Wyden & Cortez Masto Propose Mobile Crisis Response Teams

From Chairman Ron Wyden on February 18

FOR IMMEDIATE RELEASE

Contact: Taylor Harvey   

February 18, 2021

 

WYDEN, CORTEZ MASTO, SENATORS PROPOSE FUNDING TO IMPROVE PUBLIC SAFETY WITH MOBILE CRISIS RESPONSE TEAMS

After Down Payment on the Policy Included in Reconciliation Relief Legislation, CAHOOTS Act Builds on Proven Models to Help Americans with Mental Illness and Enhances Medicaid Funding to States

Washington, D.C. – Senate Finance Committee Chair Ron Wyden, D-Ore., Senator Catherine Cortez Masto, D-Nev., and six senators today proposed a bill to help states adopt mobile crisis response teams that can be dispatched when a person is experiencing a mental health or substance use disorder (SUD) crisis instead of immediately involving law enforcement. The funding is provided through an enhanced federal match rate for state Medicaid programs.

“I’m proud there is a down payment on CAHOOTS in the emergency relief package moving through Congress now,” Wyden said. “Every day there are stories across the country of Americans in mental distress getting killed or mistreated because they did not receive the emergency mental health services they needed. White Bird Clinic in Eugene, Oregon has been a pioneer for years in this area, and it’s high time the CAHOOTS model is made available to states and local governments across the country. I am eager to get the down payment signed into law and continue working to get further investments in mobile crisis services made under the bill across the finish line.”  

“Individuals experiencing a behavioral health crisis deserve to be treated with compassion and care by health care and social workers,” Cortez Masto said. “These professionals are extensively trained in deescalating situations and addressing mental health crises, and this legislation would help more states across the country fund mobile crisis teams. I’m hopeful that these investments in community-based crisis intervention services will be included in the final version of the current coronavirus relief package, and I’ll continue to advocate for effective, trauma-informed care for those in need.” 

Earlier this month, the House Energy and Commerce Committee included provision in its budget reconciliation language for COVID-19 relief that makes an investment in these services by funding state Medicaid programs at an enhanced 85 percent federal match if they choose to provide qualifying community-based crisis intervention services and funding state planning grants to apply for the option. The pandemic has taken a serious toll on the mental health and wellbeing of Americans with studies showing a four-fold increase in the rates of anxiety and depressive disorders since the beginning of the pandemic.

The bill, the Crisis Assistance Helping Out On The Streets (CAHOOTS) Act, grants states further enhanced federal Medicaid funding for three years to provide community-based mobile crisis services to individuals experiencing a mental health or SUD crisis. It also provides $25 million for planning grants to states and evaluations to help establish or build out mobile crisis programs and evaluate them.

Senators Jeff Merkley, D-Ore., Bob Casey, D-Pa., Tina Smith, D-Minn., Dianne Feinstein, D-Calif., Sheldon Whitehouse, D-R.I., and Bernie Sanders, D-Vt., are co-sponsors of the CAHOOTS Act.

A one page summary of the bill can be found here. Legislative text can be found here.

CMS Ambulance Open Door Forum Feb 25

From CMS on February 18, 2021

February 25 Open Door Forum

Thursday, February 25, 2021 | 14:00 ET

Dial: 1-888-455-1397 & Reference Conference Passcode: 8604468

The next CMS Ambulance Open Door Forum is scheduled for:

Date:  Thursday, February 25, 2021

Start Time:  2:00pm-3:00pm PM Eastern Time (ET);

Please dial-in at least 15 minutes before call start time.

Conference Leaders: Jill Darling, Susanne Seagrave

Agenda

**This Agenda is Subject to Change**

  1. Opening Remarks

Acting Chair- Susanne Seagrave, Acting Director, Division of Data Analysis and Market-Based Pricing (Center for Medicare)

Moderator – Jill Darling (Office of Communications)

  1. Announcements & Updates

III. Open Q&A

**DATE IS SUBJECT TO CHANGE**

Next Ambulance Open Door Forum: TBA

ODF email: AMBULANCEODF@cms.hhs.gov

———————————————————————

This Open Door Forum is open to everyone, but if you are a member of the Press, you may listen in but please refrain from asking questions during the Q & A portion of the call. If you have inquiries, please contact CMS at Press@cms.hhs.gov. Thank you.

Open Door Participation Instructions:

This call will be Conference Call Only.

To participate by phone:

Dial: 1-888-455-1397 & Reference Conference Passcode: 8604468

Persons participating by phone do not need to RSVP. TTY Communications Relay Services are available for the Hearing Impaired.  For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.

Instant Replay: 1-866-372-3811; Conference Passcode: No Passcode needed

Instant Replay is an audio recording of this call that can be accessed by dialing 1-866-372-3811 and entering the Conference Passcode beginning 1 hours after the call has ended. The recording is available until February 27, 2021, 11:59PM ET.

For ODF schedule updates and E-Mailing List registration, visit our website at http://www.cms.gov/OpenDoorForums/.

Were you unable to attend the recent Ambulance ODF call? We encourage you to visit our CMS Podcasts and Transcript webpage where you can listen and view the most recent Ambulance ODF call. Please allow up to three weeks to get both the audio and transcript posted to: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts.html.

CMS provides free auxiliary aids and services including information in accessible formats. Click here for more information. This will point partners to our CMS.gov version of the “Accessibility & Nondiscrimination notice” page. Thank you.

Minnesota | EMS workers adapt and persist, amid stress of pandemic

From Minnesota Public Radio

Comfort in the chaos: EMS workers adapt and persist, amid stress of pandemic

Paramedic Heidi Rennick describes her first COVID-19 call last spring like “walking on to a movie set.”

When she arrived at the hospital, there were COVID-19-only floors, red tape and full beds.

The challenges have mounted since those first cases, and emergency medical services across the state have adapted with new protocols, treatment plans and personal protective equipment — and in some smaller communities, where emergency medical services are volunteer-operated, shifts have been hard to fill.

Rennick, a staff paramedic, and EMT John Aldrich work together for Lakes Region EMS, covering the Chisago Lakes area, north of the Twin Cities.

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CISA Cyber Hygiene Services

Reducing the Risk of a Successful Cyber Attack

Adversaries use known vulnerabilities and phishing attacks to compromise the security of organizations. The Cybersecurity and Infrastructure Security Agency (CISA) offers several scanning and testing services to help organizations reduce their exposure to threats by taking a proactive approach to mitigating attack vectors.

  • Vulnerability Scanning: Evaluates external network presence by executing continuous scans of public, static IPs for accessible services and vulnerabilities. This service provides weekly vulnerability reports and ad-hoc alerts.
  • Web Application Scanning: Evaluates known and discovered publicly-accessible websites for potential bugs and weak configuration to provide recommendations for mitigating web application security risks.
  • Phishing Campaign Assessment: Provides an opportunity for determining the potential susceptibility of personnel to phishing attacks. This is a practical exercise intended to support and measure the effectiveness of security awareness training.
  • Remote Penetration Test: Simulates the tactics and techniques of real-world adversaries to identify and validate exploitable pathways. This service is ideal for testing perimeter defenses, the security of externally-available applications, and the potential for exploitation of open source information.

Frequently Asked Questions

How much does it cost? CISA cybersecurity assessment services are available at no cost.

Who can receive services? Federal, state, local, tribal and territorial governments, as well as public and private sector critical infrastructure organizations.

When will my services begin? Vulnerability Scanning and Web Application Scanning typically begin within one week of returning the appropriate forms.

Who performs the service? Cyber Hygiene services are provided by CISA’s highly trained information security experts equipped with top of the line tools. Our mission is to measurably reduce cybersecurity risks to the Nation by providing services to government and critical infrastructure stakeholders.

Get Started

Email us at vulnerability_info@cisa.dhs.gov with the subject line “Requesting Cyber Hygiene Services” to get started.