►
From YouTube: Long-Term Care Facility Information Call - 02/27/23
Description
Agenda
1) Public Health Emergency Ending
2) COVID Data for Boulder County
3) Wastewater Surveillance
4) When to call BCPH
5) BCPH Contact Update
6) How to Fix Blocked Secure Emails
7) Future Information Sessions
B
B
B
A
A
A
Nobody
is
happy
or
sad
so
far,
most
most
hopeful
is
the
majority
and
then
about
one-third
reporting
to
still
feel
nervous
and
then
in
a
chat
kind
of
a
mixture
of
those
as
well.
Thanks
for
participating
in
that,
we
just
thought
it
would
be
good
to
kind
of
get
a
group
census
of
how
everyone
is
feeling
at
this
point.
B
So,
let's
move
on
today
we're
going
to
talk
about
a
couple
of
things.
Public
Health
Emergency
is
ending.
We
just
thought
we
would
cover
a
little
bit
of
that.
We're
going
to
go
over
some
of
the
data
for
Boulder
County,
we're
going
to
talk
about
Wastewater
surveillance
when
to
call
us
all
of
our
contact.
B
B
B
National
surveillance,
the
national
Wastewater
program,
will
continue
for
now,
and
positivity
rates
will
likely
go
away.
Since
the
CDC
cannot
compel
labs
to
report
hospitalizations.
The
CDC
will
still
can
collect
that
data,
but
the
frequency
will
change
and
then
Therapeutics.
The
paxilvid
is
still
available.
There's
a
large
stockpile
and
it
should
last
through
all
of
this
year
and
maybe
into
next
year.
B
B
B
That
will
end
also
on
May
11th,
which
I'm
sure
that
you
guys
are
more
than
aware
as
far
as
like
National
State
versus
local,
the
states
will
be
responsible
for
transitioning
from
Medicaid
continuous
coverage
back
to
monthly
checks
and
I
put
in
here
a
link.
So
if
you
have
anyone
who
needs
to
make
sure
that
their
contact
information
is
updated
so
that
they
can
make
sure
that
they
get
renewal
packages,
if
you
wanted
to
share
that
with
your
staff
today
and
then
Wastewater
surveillance
at
the
local
level
will
really
depend
on
local
budgets.
B
So
I
wanted
to
kind
of
talk
about.
You
know
the
difference
between
Community
transmission
and
Community
levels,
because
I
still
think
there's
some
confusion
about
that
and
when
you
go
on
the
website,
I
think
it's
pretty
confusing
as
well
from
the
CDC,
so
Community
transition
levels.
Those
are
levels
that
are
used
by
the
healthcare
and
sniffs,
and
some
memory
cares.
B
B
B
So
I
just
want
to
recognize
that
all
of
this
data
and
the
next
following
slides
come
from
Steffi
Goodman
and
she
is
our
data.
Expert,
extraordinaire
and
I
really
appreciate
all
the
work
that
she
does
to
provide
this
to
all
of
us.
So
so
again,
Community
levels,
that's
what
we
use
for
the
public
for
assistive
livings
for
independent
livings
and
some
memory
cares.
B
B
This
means
that
Community
transmission
levels
have
less
meaning
than
they
did
when
PCR
testing
was
done
on
a
large
scale.
So
the
we
know
that
the
public
testing
sites,
those
free
testing
sites
ended
in
January,
so
so
most
testing
is
done
at
home
or
no
testing
is
done
or
testing
is
done
in
the
hospital
setting.
B
B
B
So
this
graph
is
basically
taken
from
the
website
for
PD
or
cdphe
Wastewater
Trends
and,
as
you
Erie,
unfortunately,
is
experiencing
steady
increase,
Boulder,
Lafayette
and
Louisville
are
experiencing
increases
in
Boulder
or
I'm.
Sorry
long
or
Longmont
is
in
a
plateau
and
all
of
these
numbers
don't
add
up
for
Boulder,
but
these
are
actually
numbers
for
the
entire
state.
B
B
B
C
Stacy,
this
is
Michelle
I'm,
just
curious
to
know
if
you
think
or
I'm
curious
to
know
your
thoughts
on
whether
cdphe
will
elect
to
move
to
Wastewater
versus
Community
transmission
levels
for
sniffs,
just
because
it
does
provide
better
data
than
than
what's
currently
out
there
specifically
I.
Think
hospitalizations
are
down
yeah,
but
you
know
is
that
it's
not
really
truly
tracking
the
incidence
of
covet
in
the
in
the
community
right.
B
I
can't
speak
for
this.
You
know
for
cdphe
as
to
what
they'll
do,
but
and
Stuffy's
on
the
call
and
I'll
let
her
chime
in
as
well.
If
you
don't
mind
stuffy,
but
we
do
really
see
the
value
in
Wastewater,
surveillance
and
I
think
the
status
does
as
well
and
I
think
there
are
certain
metrics
that
are
going
to
go
away
with
the
CDC
as
far
as
like
positivity
rate,
so
I
think
that,
with
all
those
things
they'll
be
looking
for
new
ways
to
to
measure
risk.
B
A
D
That's
so
weird
anyway,
thank
you
for
your
question.
Michelle,
and
this
is
Steffy.
I
agree
with
Stacy
I.
Think
you
have.
You
have
a
perfect
question
and
I
think
lots
of
people
are
asking
that
same
very
same
question
like
where
do
we
go
from
here
in
terms
of
monitoring
and
measuring
and
making
decisions
based
on
what
we,
what
we
find
but
I
think
everybody.
D
My
impression
anyway,
is
that
everybody
waits
for
CDC
to
make
changes
PRI
before
they
go
ahead
and
change
how
they're
going
to
monitor
what
data
they're
going
to
use
to
Monitor
and
make
decisions.
So
I
think
that
I've
heard
like
mumblings
grumblings
about
CDC,
making
some
changes
but
I,
it's
you
know,
I
think
we
just
have
to
wait
and
see
if
that
makes
any
sense.
B
And
what
I
was
gonna
say?
Just
you
know
again,
funding
for
Wastewater
surveillance
is
I
think
is
probably
steady
as
far
as
like
the
CDC
doing
Wastewater
surveillance
because
they
use
that
surveillance
not
just
to
measure
things
like
covet,
but
things
like
polio
in
areas
that
have
really
low
polio
vaccination
rates.
They
can
use
that
viral
levels
from
any.
You
know
viral
illness
to
measure
you
know
what's
going
on
in
community,
so
it
won't
just
be
dependent
on
covid
they're
using
it
for
other
things.
B
A
We
wanted
to
put
out
there
common
common
when
to
call
us
I,
don't
know
where
I
read
comment
when
to
call
us
situations
that
might
arise
in
your
facility
when
we
would
like
you
to
reach
out
to
us
for
support.
So
when
you
have
any
sort
of
new
outbreak
or
cases
of
non-coveted
illnesses
in
the
facility,
this
can
even
be
prior
to
confirmatory
testing.
A
If,
especially,
if
there's
suspicion,
it's
not
covered,
if
it's
much
more
respiratory,
like
GI
related
when
you
kind
of,
are
starting
to
see
an
uptick
in
symptoms
again
before
confirmatory
test
is
any
other
confirmatory
testing
Sorry
any
of
those
situations.
We
would
like
you
to
reach
out
to
us
if
you
are
in
an
active
covet
outbreak
and
you're
already
working
with
an
individual
from
the
state
say
that
you
then
had
an
individual
test
positive
for
RSV
and
then
a
couple
others
test
positive.
A
Then
they
would
work
with
you
on
the
secondary
outbreak
likely
there
have
been
times
where
they
have
passed
off.
The
secondary
secondary
illness
outbreak
to
us
at
local,
public
health,
but
I
would
say
a
majority
of
the
time
if
you're
already
working
with
someone
with
the
state
they'll
kind
of
take
the
secondary
outbreak
as
well.
A
A
Sorry
outbreak
report
forms
there's
the
one
for
non-covered
respiratory
and
then
for
GI
and
then
below
there,
just
some
of
the
more
common
types
of
illnesses
that
we
see
in
long-term
care
and
the
definition
that
would
that
would
meet
outbreak,
so
norovirus
undiagnosed
GI.
You
know,
especially
if
you
have
residents
or
staff
that
have
symptoms,
that
the
duration
is
really
short
and
you're
not
able
to
test
them,
that's
pretty
common
and
so
that
still,
though,
meets
the
definition
of
a
of
a
GI
illness
outbreak.
So
those
definitions
are
there.
A
A
We
also
have
Rebecca
Herman
Debbie,
Martinez
and
Sarah
Delong,
who
are
also
part
of
the
congregate
living
long-term
care,
team,
Marilee
and
rohini.
If
you
ever
worked
with
either
of
those
two
fantastic
individuals
have
transitioned
off
the
long-term
care
team,
rohini
is
getting
getting
her.
Doctorate
and
Marilee
is
still
with
Boulder
County,
but
she
has
transitioned
off
of
our
team
and
is
working
with
another
priority
settings
team
and
then
those
are
all
of
our
email
addresses
there.
A
We
do
have
a
one
kind
of
universal
team,
email
address
and
phone
number
and
that's
the
Epi
at
bouldercounty.org
and
there's
the
phone
number
there
for
weekends
and
after
hours
we
put
this
in
our
signature,
usually
our
out
of
office
or
within
our
signature.
If
it's
just
for
after
hours,
we
ask
that
you
either
email
that
email
address
or
call
that
phone
number.
It's
the
chemical
disease
hotline,
which
is
there
in
monitor
24
7.
A
So
there
will
always
be
someone
on
the
phone
answering
you
or
will
return
your
call
quickly
and
really.
This
is,
for
you
know,
urgent
questions
or
concerns,
or
if
you
haven't
immediately
reportable
condition
kind
of
outside
of
our
hours
of
operation,
you
would
use
that
email
or
that
phone
number.
Otherwise,
you
can
feel
free
to
reach
out
to
any
of
us
that
are
are
presented
in
this
during
normal
business
hours
and
I
can
make
sure
that
I
include
our
phone
numbers
too.
A
That
is
super
important
for
us
to
have
kind
of
the
most
up-to-date
contact
list,
and
this
can
be
especially
important.
Should
there
be
in
a
situation
that
arises
and
we
need
to
get
a
hold
of
you.
So
we
love
to
request
not
only
contacts
that
are
there
during
the
week
Monday
through
Friday.
We,
we
know
that
issues
can
arise
after
hours
on
the
weekends,
so
kind
of
providing
multiple
contacts.
A
Phone
numbers
emails
for
kind
of
all
hours
of
the
day,
seven
days
a
week
so
that
we
could
get
a
hold
of
you
know.
Any
of
you
at
the
facilities
is
great.
So
if
you
are
comfortable
sharing
that
in
the
chat
or
emailing
that
over,
if
kind
of
in
the
last
year,
you've
had
any
new
staff
on
board,
we
would
love
to
have
their
contact
info
and
as
well
share
our
info
with
them
as
well.
A
All
right
so
blocked
emails,
so
with
Boulder
County
Public
Health
we've
identified
a
problem
with
firewalls
restricting
your
ability
to
see
our
secure
documents
so
Boulder
County,
Public,
Health,
encrypts
emails
with
a
encryption
system
called
vix,
zix
and
so
oftentimes.
If
you
do
receive
our
emails,
they'll
come
through
as
it'll
say
something
in
the
headline
as
secure
email
and
then
kind
of
go
on
to
say
whatever
else
we
put
as
the
title
of
the
email.
A
But
there
are
several
instances
where
we've
had
that
those
secure
emails
are
being
blocked
by
your
firewall
prior
to
even
receiving
them,
and
part
of
the
issue
is
that
we
don't
have
a
way
to
verify.
If
they're
coming
through,
we
don't
kind
of
get
a
bounce
back
right
away.
That
says
you
didn't
get
the
email,
it
just
looks
on
RN
like
we
sent
it
and
we
never
got
a
response
back
and
so
I
kind
of
looked
into.
A
This
I.T
at
Boulder,
County
or
you
could
email
one
of
us
and
we
could
work
to
get
in
touch
with
RIT
and
your
it
to
kind
of
figure
out
how
we
can
get
those
pushed
through
and
where
the
point
of
failure
might
be.
We
are
also
happy
to
send
test
emails.
I
know
a
couple
of
you
that
I've
worked
with
recently
I
kind
of
sent
a
test.
Can
you
you
know?
A
Can
you
see
my
encrypted
email
just
another
way
for
us
to
get
in
contact
with
you,
especially
we
will
encrypt
them
with
any
personal
health
information
attached
or
anything
that's
in
there.
That
needs
to
be
protected,
we'll
send
those
through
that
encrypted
site.
So
we
just
wanted
to
give
you
that
link
and
then
please
feel
free
to
reach
out.
A
We
are
looking
at
Future
topics
for
these
information
calls
so
I
have
a
list
of
I
think
six
different
topics
that
we
brainstormed,
we
thought
might
be
of
interest
to
you
all
so
I'll
put
them
up,
it'll,
be
multiple
choice
and
you
can
click
which
you
know,
one
of
them
all
of
them,
none
of
them.
If
they're
of
no
interest
to
you
and
then
I
also
would
welcome
you
all
to
put
additional
Topics
in
the
chat.
A
Should
you
have
other
areas
that
you
would
love
us
to
talk
about
that
as
my
Corgi
dog,
if
you
can
hear
her
barking,
okay,
so
I
just
launched,
the
poll
should
be
on
the
screen
as
well
as
in
the
in
the
chat,
but
the
topics
that
we
kind
of
brainstormed
are
mdros,
which
are
multi-drug
resistant
organisms
kind
of
in.
We
can
prioritize
that
or
make
it
more
specific
to
long-term
care
settings.
A
Respiratory
infections,
emerging
threats
and
infectious
disease
zoonotic
diseases
or
zoonoses
is
also
what
they're
known
as
which
are
infectious
diseases,
that
kind
of
jump
from
non-human
to
human
or
it
can
be
vice
versa.
Transmission
based
precautions,
overview
cleaning
and
disinfecting.
We
kind
of
thought
we
could
come
up
with
a
way
to
make
this
new
again
your
facility,
as
we
know,
with
covid
and
kind
of
everything
else
within
the
last
couple
of
years,
not
not
hard
to
have
burnout
with
a
lot
of
this
kind
of
these
topics.
A
C
A
B
And
we
really
wanted
to
Target
these
to
more
educational
sessions
that
you
may
not
get
from
the
state.
You
know
a
little
bit
different
focus,
a
little
more
infectious
disease
type
of
information
sessions
that
might
affect
your
long-term
cares
like
West
Nile,
you
know
different
respiratory
infections
introviruses,
you
know
RSV
specific
stuff.
B
A
Yes,
thank
you
Stacy,
and
it
might
be
something
to
you
know
that
we
hold
a
call,
and
you
know
if
you
we
might
be
able
to
provide
like
a
one-pager
summary
that
you
could
post
in
your
facility
you're
going
to
give
back
to
your
staff,
to
you
know
summarize
what
we
go
over,
whatever
you
think
would
be
more
most
helpful
and
informative
is
what
our
goal
is.
It's
not
meant
to
be
boring,
or
we
want
to
respect
your
time.
A
Certainly
so
kind
of
whatever
the
group
consensus
is,
is
how
we'll
move
forward
and
I'm,
seeing
we
have
quite
a
bit
of
you
interested
in
mdros
respiratory
infection,
emerging
emerging
threats,
transmission
based
precautions
and
cleaning
and
disinfecting.
So
thank
you
all
for
that
feedback.
If
there
are
any
other
ideas,
we
welcome
them.
Please
put
them
in
the
chat
and
we'll
make
note
of
that,
and
we
will
Target
those
for
our
future
topics
as
we
move
forward
in
the
coming
months.
A
B
B
Those
are
emergency
rulings,
which
means
that
they
will
expire
in
April,
but
they
anticipate
having
a
a
hearing
to
make
those
permanent
before
that
expiration
date.
So
all
of
the
things
that
long-term
care
facilities
do
to
meet,
though,
that
public
health
order,
such
as
masking
PPE,
use
testing
outbreak
management.
Things
like
that
will
all
stay
the
same
for
now
and
won't
have
any
changes
related
to
the
public
health
emergency.
B
B
And
it
would
be
again
for,
depending
on
the
topic,
30
minutes
to
an
hour
over
lunch
time
again
to
respect
your
your
time
as
well.
So
if
there
are
no
other
comments
or
questions,
we
appreciate
your
time
today
and
allowing
us
to
come
into
your
lunch
hour
and
just
talk
about
Wastewater
management
and
surveillance
and
what
that
looks
like-
and
we
are
excited
to
see
you
again
in
about
a
month.