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COVID-19 Resources & Guidelines for NDs
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IMPORTANT INFORMATION ABOUT THE NOVEL CORONAVIRUS (COVID-19)

As the coronavirus spreads and efforts to contain it escalate, Naturopathic Physicians need to be aware of the latest advisories from public health authorities in order to advise patients accordingly.

The OANP advises NDs to follow public health guidelines and standard preventive medicine protocols, including basic naturopathic and lifestyle protocols that can support the immune system and mitigate the risk of exposure to infectious diseases.

The OANP is working with the AANP and other state associations in order to provide the most current information. However, the information that we are receiving surrounding COVID-19 is constantly changing. Please refer to the Oregon Health Authority for state specific information and consult your attorney regarding any legal advice. We are here to support you!

COVID-19 CLINICAL INFORMATION & RESOURCES

March 23, 2020 - Governor Kate Brown issues Executive Order 20-12, directing everyone in Oregon to stay at home to the maximum extent possible and adding to the list of businesses that will be temporarily closed to stem the spread of COVID-19 in Oregon. The order is effective immediately, and remains in effect until ended by the Governor.

April 02, 2020 - Governor Kate Brown issues Executive Order 20-13, placing a 90-day moratorium on commercial evictions for nonpayment, in light of the impacts on business owners caused by the COVID-19 crisis. The order also strengthens Governor Brown's previous ban on residential evictions, and prohibits landlords from charging tenants late fees for nonpayment of rent during the moratorium.

April 14, 2020 - Governor Kate Brown announces a public health framework for restarting non-emergent and elective procedures in medical and dental offices that require PPE, including priorities, required steps and specific criteria.

April 30, 2020 - Review OANP Guidance for Oregon Naturopathic Physicians regarding COVID-19 Clinical Protocols in accordance with the Governor's public health framework for resuming non-emergent and elective procedures requiring personal protective equipment (PPE).

Current information and guidance available on OBNM COVID-19 Information page

Clinical Presentation: Symptoms of COVID-19 include fever, cough, myalgia, and shortness of breath. Less common symptoms include sore throat, headache, and diarrhea.


March 20, 2020 - COVID-19 Office Protocol Help Sheet; includes front desk triaging protocols, and provider and hygiene information for clinics and offices

March 23, 2020 - OHA Interim COVID-19 Guidance for Elective and Non-Urgent Health Care Procedures. OHA has released guidance on which providers and facilities are covered, which procedures are exempt, wellness visits, PPE equipment and other FAQs.

Updated May 9, 2020: - OHA Provisional Guidance Report; review the current clinical presentation, risk factors, clinical management, and treatments for COVID-19 infection.

Updated April 20, 2020 - OHA Guidance for providers regarding COVID-19 testing: This report provides guidance for evaluating which patient groups should be tested and where testing can be performed around the state.

Asymptomatic persons and those with symptoms that do not necessitate medical evaluation are not recommended for testing. Individuals with mild symptoms that do not necessitate medical evaluation should remain at home until 72 hours after any fever or cough resolve. Persons with mild or moderate COVID-19-like illness who seek testing risk exposing others in healthcare settings, including members of the public, other patients, and healthcare workers. Evaluation and testing of such persons in a healthcare setting consumes resources that may become extremely limited, including personal protective equipment (PPE), swabs and viral transport media used to collect diagnostic specimens, and ties up clinical resources, including healthcare staff and rooms.

To protect our community, here at the OANP, we believe it is important to ask yourself the following questions before providing in-person patient care during the current pandemic:

1) Is the patient care that I am providing urgent or emergent in nature, or could it wait?
2) Am I putting myself, employees, patients, or office staff at risk for exposure?
3) Am I helping to flatten the curve to protect those at risk?
4) Do I have the ability to practice telemedicine during the pandemic for all non-urgent concerns?
5) If I am swabbing for COVID-19, do I have a way to keep others and myself safe while doing so?

We feel it is not our goal or responsibility to regulate all NDs in the state of Oregon. However, we would like our profession to have the information that it needs to be successful and avoid disciplinary action by the state. We suggest that if you plan to keep your in-person practice open during this time period, you contact the Oregon Health Authority directly to make sure that you are in compliance with all state laws and regulations.

Effective April 1, 2020 - Access information regarding the CDC's New ICD-10-CM code: U07.1 COVID-19 for the 2019 Novel Coronavirus (COVID-19)

The National University of Natural Medicine (NUNM) and the Helfgott Research Institute are requesting contributions of de-identified data from patients/clients who have been supported in your practice for COVID-19 exposure or prevention.
Record and submit your case information HERE.



PHYSICIAN BUSINESS RESOURCES

Telemedicine involves the use of electronic communications to enable health care providers at different locations to share individual patient medical information for the purpose of improving patient care. Providers may include primary care practitioners, specialists, and/or subspecialists. The information may be used for diagnosis, therapy, follow-up and/or education.

View OANP's Sample Telemedicine Informed Consent Form


Quick Start Course
The Kalish Institute of Functional Medicine is offering a Telemedicine Masterclass that will include pre-recorded lectures as well as twice weekly live sessions to help answer questions and address any barriers you may experience in setting up your telemedicine clinic.
Register for this free course or get more information HERE.


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April 6, 2020 - OHA Telemedicine/Telehealth Billing Guidance for Oregon Health Plan Fee for Service Providers To ensure members of the Oregon Health Plan have continued access to appropriate physical, behavioral and oral health services during the COVID-19 pandemic, the Oregon Health Authority (OHA) has expanded coverage for the delivery of services using telemedicine/telehealth platforms, effective January 1, 2020.


Updated April 7, 2020 - The MTSL Group has developed the following telemedicine fact sheets for practitioners in Washington and Oregon:


DCBS Telemedicine Guidelines For the duration of the COVID-19 outbreak, or until otherwise directed by the directors of the Department of Consumer and Business Services and the Oregon Health Authority, the state expects health plans of all types to provide increased access to health care services through telehealth delivery platforms and to encourage patients to use telehealth delivery options to limit the amount of in-person health care services they seek. This includes commercial health plans regulated by DCBS and Medicaid health plans regulated by OHA.
HERC COVID-19 billing guidance Updates include new codes for serological COVID-19 antibody tests, COVID-19 related diagnoses and telemedicine codes.
CMS Telemedicine Guidelines Updates include new rules on telehealth and a variety of other codes.

Lawyers for Good Government Foundation (L4GG) announced the launch of its Small Business Remote Legal Clinic, offering pro bono legal consultations for small business owners to help them understand and act upon the options available under the COVID-19 stimulus package and other grant and loan programs that may be available to them.

Access more information at L4GG's website.

OANP created a help sheet for NDs to quickly navigate information on small business loans

OANP has compiled a list of Corporate Partner Resources for NDs to help your practice during the COVID-19 pandemic. OANP corporate partners regularly support Oregon NDs through partnership with OANP. During the COVID 19 pandemic our corporate partners are working even harder to create resources and gather information to support you. Thank you to all of our corporate partners!


WEBINARS AND INFO SESSIONS

AANP Webinar recordings related to COVID-19 (available free of charge)

Quantified Financial Partners: COVID-19 Stimulus Package- What you need to know

OHA Weekly COVID-19 Informational Sessions for Oregon Health Care Providers

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OREGON ASSOCIATION OF NATUROPATHIC PHYSICIANS
PO Box 5876
Portland, OR 97228

Phone: 503-262-8586