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NYS SOciety of ORTHOPAEDIC Surgeons

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  • Thu, June 04, 2020 1:26 PM | Babette Atkins (Administrator)

    Effective immediately, the AAOS Registry Program will begin collecting COVID-19 data through the capture of the ICD-10 code for COVID-19 confirmed diagnosis, U07.1. The new code is enabled across each of the AAOS registries, including: the American Joint Replacement Registry, the world’s largest national registry of hip and knee joint replacement data by annual procedural count; the Shoulder & Elbow Registry; the Musculoskeletal Tumor Registry, and the American Spine Registry, a collaborative effort between the American Association of Neurological Surgeons (AANS) and the AAOS. 

     

    WHY NOW?

    The AAOS has taken swift action to understand COVID-19’s current and future impact on musculoskeletal care. With more than 1.97 million procedures across four registries, the AAOS Registry Program already collects clinical data to support orthopaedic surgeons, hospitals, health systems, and ambulatory surgery centers (ASCs) in providing the highest quality musculoskeletal care. Now more than ever, it is critical to collect data that will provide additional insights on the quality of care and outcomes of orthopaedic patients in the COVID-19 environment.  

     

    WHAT WILL THE DATA REVEAL?

    By adding the ICD-10 code to the AAOS Registry Program, sites who contribute the data will have the ability to monitor the impact of COVID-19 on patients undergoing future joint replacement procedures. Tracking COVID-19 data will help analyze the impact of COVID-19 on outcomes, trends of surgery based on the pause in elective surgery, and the trends of patient-reported outcomes (PROMs) due to delayed procedures. It will also track the potential impact on CMS value-based payment models and coverage for patients recovering from COVID-19. On a broader scale, long-term data from the registries may allow for future insights into COVID-19 and its impact on clinical outcomes.

    Key learnings from the AAOS Registry Program will be delivered to participants, the orthopaedic community, and the broader public throughout the coming years.

     

    HOW ARE CURRENT AND NEW REGISTRY PARTICIPANTS IMPACTED?

    Hospitals, health care systems, practice groups, and ASCs already participating in the registries will not need to join a new registry or engage in a new way to submit their data. Capturing this code will not change the site’s workflow since it was added as an accepted value for existing diagnosis or comorbidity code files. The ICD-10 code can be submitted as a pre-operative comorbidity or prior diagnosis present on admission and as a reason for readmission.

    Participants who have questions about submitting the new code can reach out to AAOS Registry Support at RegistrySupport@aaos.org for assistance. To enroll in a Registry, contact an AAOS Registry Engagement Associate via email RegistryEngagement@aaos.org or phone 847-292-0530.

  • Tue, June 02, 2020 1:29 PM | Babette Atkins (Administrator)

    Our patients are finally getting the high-quality care they deserve as state and local governments continue to relax restrictions on surgical practices. Most importantly, this care is being provided in an environment that is safe for patients, staff, and society. All those involved in patient care—including the patients themselves—understand that certain aspects of our practices have changed. The need for social distancing requires that we see fewer patients and utilize telemedicine whenever possible. We are becoming accustomed to wearing masks during office hours and our patients welcome symptom screening before being seen. COVID-19 antigen testing is being required by many institutions prior to surgery and this has been well received by patients. Despite the inconvenience, they understand and appreciate the steps we are taking to protect them. In short, we are all getting used to the “new normal.”

    > Read more

  • Fri, May 22, 2020 5:14 PM | Babette Atkins (Administrator)

    Under the Paycheck Protection Program (PPP) created by the CARES Act, loans may be forgiven if borrowers use the proceeds to maintain their payrolls and pay other specified expenses.

    The Treasury Department and Small Business Administration recently released the application form and instructions for loan forgiveness. The forgiveness forms, instructions, and worksheets can be downloaded here.

    PPP borrowers must apply for loan forgiveness with the lender that processed the loan.

  • Tue, May 19, 2020 5:19 PM | Babette Atkins (Administrator)

    This Guidance is directed at Ambulatory Surgery Centers (ASC) Office Based Surgery practices (OBS), and Diagnostic and Treatment Centers (DTC) that are located in counties without a significant risk of COVID-19 surge and are deemed eligible to perform Deferred Procedures, (i.e., elective surgeries and non-urgent procedures).

    These centers and practices are required to meet the same provisions  required of hospitals in these eligible counties that are also resuming deferred procedures.

    Any ASC, OBS, or DTC that fails to comply with this Guidance may be subject to civil penalties.

    Guidelines for Restarting Elective Surgery Post COVID-19 - with Members as of 4.29.20.pdf
  • Fri, May 15, 2020 5:31 PM | Babette Atkins (Administrator)

    The House of Representatives passed the Health and Economic Recovery Omnibus Emergency Solutions Act (H.R. 6800), which includes over $3 trillion in funding for state and local governments, hospitals and physicians, payments to individuals, and other assistance.

    > Access the AAOS Summary

  • Tue, May 05, 2020 5:49 PM | Babette Atkins (Administrator)

    In this pre-recorded webinar, the Joint Commission provides an overview of COVID-19 routes of transmission and focuses on prevention strategies for freestanding surgical centers to consider prior to resuming elective procedures: Preventing Coronavirus Transmission in Ambulatory Surgery Centers 

  • Fri, May 01, 2020 1:27 PM | Babette Atkins (Administrator)

    As the world’s largest medical association of musculoskeletal specialists, AAOS announced in November 2019 a strategic investment in the field of biologics and future disruptive technologies. Over the next five years, AAOS will prioritize research and development for a biologics-focused competency addressing issues of unreliable information and patient receipt of substandard care from nonorthopaedists, as well as continuing to be the trustworthy source of information for patients, members, and external providers and payers. This reprioritization is an expansion of previous work of many members on previous committees who also worked in this space.

    > Read more

  • Thu, April 30, 2020 5:32 PM | Babette Atkins (Administrator)

    The Centers for Medicare & Medicaid Services (CMS) issued another round of regulatory waivers and rule changes with the goal of increasing diagnostic testing and access to medical care during the COVID-19 pandemic.

    The AAOS Office of Government Relations has developed an overview for members with high-level key points

  • Wed, April 29, 2020 10:49 AM | Babette Atkins (Administrator)
    (as taken from the MLMIC website)

    Executive orders are a method for the state government to ensure all actions can be taken to respond effectively and efficiently to a state emergency without being impeded by state laws and regulations that ordinarily serve a purpose but during the emergency can often hinder the fastest and best response to an emergency. The executive order accomplishes this goal by suspending or modifying certain laws or regulations that are listed in the order.

    No. 202.24
    April 29, 2020

    This Executive Order authorizes, through May 25, licensed pharmacies to administer the tests to detect COVID-19 or its antibodies in patients suspected of having COVID-19 or of having recovered from COVID-19.

    Read the full executive order
    No. 202.18
    April 21, 2020

    This executive order suspends and modifies various public health law and education law provisions and regulations, until May 16, to maximize the pool of health care professionals available to assist the State in the response to COVID-19. Among those of particular note are the following:

    • Allows several health care providers such as physicians, nurses, and physician assistants licensed in Canada to practice medicine in New York State.
    • Permits retired respiratory therapists to practice along with numerous other retirees in various health care provider specialties not previously authorized by executive order.
    Read the full executive order
    No. 202.16
    April 14, 2020

    This executive order suspends or modifies certain laws through May 12, 2020. Among this order’s provisions are the following with an impact on health care:

    • Mandates that essential businesses (which includes physician offices) who remain open for business with one or more employees in the workplace must be provided, at no cost to such employees, face coverings that they must wear when in direct contact with customers or members of the public. This directive takes effect on Wednesday, April 15 at 8 pm.
    • Permits individuals meeting the federal requirement for testing personnel appropriate to the assay or device authorized by FDA or NY Department of Health to perform testing for detection of SARS CoV-2, or its antibodies, in specimens collected from persons suspected of suffering a COVID-19 infection.
    Read the full executive order
    No. 202.14
    April 7, 2020

    This executive order broadly continues the directives in previous executive orders issued since March 7 regarding the COVID-19 outbreak to May 7. Among the provisions that regard health care and malpractice liability are the following:

    • Allows graduating medical students to immediately begin practicing medicine under the supervision of a licensed physician
    • Continues the limited immunity from liability protections for physicians and certain other medical professionals in their rendering of medical services in support of the State’s response to the COVID-19 outbreak to May 7
    • Continues the tolling of the statute of limitations deadlines for filing civil lawsuits to May 7
    Read the full executive order
    No. 202.12
    March 28, 2020

    This Executive Order contains one health care matter directing hospitals and health care facilities to permit one person to be present who is a support person for a patient giving birth.

    Read the full executive order
    No. 202.11
    March 27, 2020

    Continuing the State’s efforts to ensure sufficient numbers of healthcare professionals, nursing graduates (RN and LPN programs) may be employed for 180 days with supervision of a registered professional nurse and endorsement from the employing hospital or nursing home, and midwives licensed and in good standing from any state or Canada may practice in New York State without penalty. Also, physicians assisting the State’s response in a SUNY facility are provided with the defense and indemnification, as if a state employee. This Order also declares a modification of EO 202.10 on the dispensing of hydroxychloroquine or chloroquine by pharmacist and declares that COVID-19 guidance issued by DOH are immediately effective and supersede any prior conflicting guidance issued, including local health departments.

    Read the full executive order
    No. 202.10 - Summary of Immunity Provisions
    March 25, 2020

    This Executive Order ensures that New York State has adequate hospital bed capacity, supplies, and providers to treat patients affected with COVID-19, as well as patients afflicted with other maladies. To assist in this goal, the Governor has provided immunities to licensed healthcare individuals through April 22, 2020.

    Read the summary by Mia D. VanAuken, Esq., Fager Amsler Keller & Schoppmann, LLP
    No. 202.10 - Executive Summary
    March 25, 2020

    New York’s Governor declared a state of disaster emergency for the entire State of New York on March 7, 2020, which authorizes him to temporarily suspend or modify, to the extent necessary, any statute, local law, ordinance, order, rule, or regulation of any agency and authorizes him to issue directives to cope with the disaster.

    Read the full article by Mia D. VanAuken, Esq., Fager Amsler Keller & Schoppmann, LLP
    No. 202.6
    March 18, 2020

    This executive order primarily mandates that most New York businesses reduce their in-office workforce by 50 percent. The order makes an exception for essential businesses providing essential services. The following is a list of essential health care operations:

    • Research and laboratory services
    • Hospitals
    • Walk-in-care health facilities
    • Veterinary and animal health services
    • Elder care
    • Medical wholesale and distribution
    • Home health care workers or aides
    • Doctor and dentist offices
    • Nursing homes, or residential health care facilities or congregate care facilities
    • Medical supplies and equipment providers
    Read the full executive order
    No. 202.5
    March 18, 2020

    This executive order contains numerous suspensions and modifications of New York laws and regulations. Among those of particular note are the following:

    • Allows physicians, physician assistants, and nurses licensed anywhere in the U.S. to practice medicine in New York State.
    • Allows NY licensed but not registered physicians to practice medicine in New York State.
    • Allows hospital staff who are privileged and credentialed to work in a hospital or health care facility in another state to practice in a hospital or health care facility in New York State.
    Read the full executive order
    No. 202.4
    March 16, 2020

    This Executive Order directed local and state employees whose position is non-essential to either work from home or take leave. In addition, the Order mandated closure of all New York State schools until April 1.

    Read the full executive order
    No. 202.3
    March 16, 2020

    This Executive Order limited gatherings in any one location to no more than 50 persons. The Order also required food service establishments to no longer serve food on premises but only via delivery or pick up and it closed all gyms, fitness centers and movie theaters in the state.

    Read the full executive order
    No. 202.2
    March 14, 2020

    This Executive Order concerned suspension and modification of law governing elections in New York State. It also imposed certain requirements on school districts closing due to a local state of emergency.

    Read the full executive order
    No. 202.1
    March 12, 2020

    This Executive Order suspends various laws and regulations in order to permit expansion of services and temporary facilities for health and human service providers. Also, the order suspended laws and regulations relating to child care to allow flexibility for providers while continuing to protect children’s health and safety.

    Read the full executive order
    No. 202
    March 7, 2020

    This Executive Order suspended or modified a variety of New York Education Law and Public Health Law provisions in order to accomplish the following:

    • Allow unlicensed persons to, upon training, collect swab specimens from persons suspected of having COVID-19.
    • Authorized the New York State Department of Health to enact emergency rules and regulations to, among other things, permit hospitals to most effectively prepare for, and treat, the influx of persons seriously infected with COVID-19.
    Read the full executive order
  • Sun, April 26, 2020 4:08 PM | Babette Atkins (Administrator)

    The US Health and Human Services (HHS) has indicated that the application portal is open for physicians to avail themselves of a portion of the $20 billion allocation from the CARES Act Provider Relief Fund.  

    The AMA has advised that  anyone who has a Billing TIN who lost revenue in March and/or can estimate lost revenue in April due to the COVID-19 crisis, should be filling out this portal.   


    The AMA has also put together this guide to help physicians pull together the information they need to submit to the portal. Here is additional information from HHS regarding the distribution.

About the Society

Advocating for the orthopaedic surgeon, patients and musculoskeletal health in New York.

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info@nyssos.org
1-518-439-0000
Address: PO Box 38004, Albany, NY 12203


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