COVID-19 Clinical Resources

Below are up-to-date COVID-19-related resources for clinicians and clinical administrators.

Alternate Care Sites

Alternate Care Sites (NPAIHB)
Alternate care site resources compiled by the Northwest Portland Area Indian Health Board.

Clinical Care

Indian Country Past ECHO COVID-19 Presentations (Indian Country ECHO)
Learn about up-to-date treatment recommendations from a team of vetted clinical experts. 

COVID-19 Treatment Guidelines (NIH)
NIH guidance for treating patients with COVID-19.

Clinical Care Guidance for Healthcare Professionals about Coronavirus (CDC)
Clinical care guidance about coronavirus for healthcare professionals.

Interim Clinical Guidance for Management of Patients with Confirmed COVID-19 (CDC)
Guidance for managing patients with confirmed COVID-19.

COVID-19 Technical Guidance: Patient Management (WHO)
Clinical care guidance about coronavirus for healthcare professionals.

Resources on Addiction and Pain Management Services During COVID-19 (NAM)
Resources on supporting patients and clinicians who treat and manage the care of patients with substance use disorder and/or who experience pain during public health emergencies. 

Emergency Situations: Preparedness, Planning, and Response (HHS)
These pages address the release of protected health information for planning or response activities in emergency situations.

Discontinuation of Isolation for Persons with COVID-19 Not in Healthcare Setting (CDC)
Guidance for ending isolation for patients from the Centers for Disease Control and Prevention.

Substance Use Disorders Linked to COVID-19 Susceptibility (MPJ)
Peer-reviewed article reporting findings from an analyses of electronic health records in the US; suggests that people with substance use disorders are more susceptible to COVID-19 infection and symptoms.

Communication

Resources for Tribal Community Messaging (NPAIHB)
Videos, print materials, PSAs, and other COVID-19 communication resources for tribal communities.

Patient Education Resources for I/T/U Providers (Indian Country ECHO)
COVID-19 patient education tools for providers serving American Indian and Alaska Native populations.

Communication Resources (CDC)
Videos, print resources, PSAs and other COVID-19 communication resources for the American public.

COVID-19 YouTube Channel (CDC)
Videos to share with patients on a variety of topics, including signs and symptoms of COVID-19, tips for disinfecting your home, social distancing, and how to wear a cloth face covering.

Tips for Social Distancing, Quarantine, and Isolation During an Infectious Disease Outbreak (SAMHSA)
Fact sheet that explains social distancing, quarantine, and isolation in the event of an infectious disease outbreak. It discusses feelings and thoughts that may arise and suggests ways to cope.

Community Health Tools (NIHB)
Resources, FAQs and infographics for Tribal public health departments and workers, community organizations, and Tribal community members on COVID-19.

Contact Tracing

Recommendations for Tribal Consideration- Contact Tracing (USET)
Fact sheet that briefly describes contact tracing process.

COVID-19 Case and Contact Investigations (AIHC)
List of resources on case investigations and contact tracing for tribes. 

Cases and Deaths by County (CDC)
Use this resource to see data on the number of cases and deaths from COVID-19 by county.

COVID-19 Contact Tracing Communications Toolkit (CDC)
Communications toolkit for contact tracers working within health departments.

Checklist for Tribes to Consider Prior to Contact Tracing (Indian Country ECHO)
Important considerations for contact tracers working within tribal communities.

Cherokee Nation COVID-19 Case Investigation and Contact Tracing Process (Indian Country ECHO)
Documents that outline the contact tracing process used by the Cherokee Nation.

Sara Alert
Sara Alert is a standards-based, open source software tool that automates the process of public health monitoring and reporting of COVID-19 and other infectious diseases.

Making Contact: A Training for COVID-19 Contact Tracers (ASTHO)
Introductory online course for entry-level COVID-19 contact tracers, for use by health agencies in rapid training of new contact tracers.

Johns Hopkins COVID-19 Contact Tracing (Coursera)
Free introductory online course on COVID-19 and contact tracing created by Johns Hopkins University.

Tribal Disease Detectives: Contact Tracing Training (NPAIHB):
Training on contact tracing in tribal communities, hosted by the Northwest Portland Area Indian Health Board.

First Responder Guidance

Interim Guidance for Emergency Medical Services (EMS) Systems and 911 Public Safety Answering Points for COVID-19 (CDC)
Guidance that applies to all first responders, including law enforcement, fire services, emergency medical services, and emergency management officials, who anticipate close contact with persons with confirmed or possible COVID-19.

Interim Guidance on COVID-19 and Field Trauma Triage Principles (HRTF)
Guidance for first responders on the impact of COVID-19 on trauma triage.

Guidance for Facilities

Preparedness Tools for Healthcare Professionals and Facilities Responding to Coronavirus (CDC)
Guidance that applies to all health professionals and facilities responding to coronavirus.

ICD-10-CM Official Coding and Reporting Guidelines April 1, 2020 through September 30, 2020 (CDC)
Official coding and reporting guidelines for COVID-19 from the Centers for Disease Control and Prevention.

Teledentistry Coding Guidelines (IHS)
This document provides coding guidelines for teledentistry.

Emergency Use Authorizations for Medical Devices During COVID-19 (FDA)
FAQs on emergency use authorizations for the use of unapproved medical products during the pandemic.

Guidance for Tribal Communities (CDC)
CDC guidance for Tribes on COVID-19, including advice for community members, tribal leaders, and partner organizations.

Possible Aerosol Transmission of COVID-19 and Special Precautions in Dentistry (NIH)
Dental care procedures involve an increased number of aerosols, which can increase the risk of COVID-19 infection. This study outlines several steps dental facilities can take to ensure the safety of their workers and patients.

Infection Control

Interim Infection and Prevention Control Guidance Recommendations for Patients with Suspected or Confirmed COVID-19 (CDC)
Interim guidance on infection and prevention control updated based on currently available information about COVID-19 and the current situation in the United States. 

Interim Guidance: Criteria for Return to Work for Healthcare Personnel with Confirmed or Suspected COVID-19 (CDC)
Interim guidance on return to work for healthcare professionals with confirmed or suspected COVID-19 updated based on currently available information about COVID-19 and the current situation in the United States. 

Infection Prevention and Control for the Safe Management of a Dead Body in the Context of COVID-19 (WHO)
Interim guidance for all those who tend to the bodies of persons who have died of suspected or confirmed COVID-19. 

Indian Country Past ECHO COVID-19 Presentations (Indian Country ECHO)
Learn about up-to-date treatment recommendations from a team of vetted clinical experts.

Guidance for Dental Settings (CDC)
Interim infection prevention and control guidance for dental settings during the COVID-19 response.

Using Personal Protective Equipment (CDC)
CDC guidance on using PPE.

Guidance for Tribal Communities (CDC)
CDC guidance for Tribes on COVID-19, including advice for community members, tribal leaders, and partner organizations.

Duration of Isolation and Precautions for Adults with COVID-19 (CDC)
CDC Guidance on when and how to discontinue isolation after COVID-19 infection.

Substance Use Disorders Linked to COVID-19 Susceptibility (MPJ)
Peer-reviewed article reporting findings from an analyses of electronic health records in the US; suggests that people with substance use disorders are more susceptible to COVID-19 infection and symptoms.

Optimize PPE Supply

Strategies for Optimizing the Supply of PPE and Equipment (CDC)
CDC’s optimization strategies for PPE provide a continuum of options for use when PPE supplies are stressed, running low, or absent.

PPE Burn Rate Calculator (CDC)
Model designed to assist healthcare facilities plan and optimize their use of PPE.

Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings (CDC)
CDC guidance on maximizing the use of N95 face masks.

Patient Education

Patient Education Resources for I/T/U Providers (Indian Country ECHO)
COVID-19 patient education tools for providers serving American Indian and Alaska Native populations.

Policies and Procedures (Tribal)

Cherokee Nation COVID-19 Policies and Procedures:

Northwest Portland Area Indian Health Board: 

United Southern and Eastern Tribes:

COVID-19 Tribal Documents (Turtle Talk)
Compilation of COVID-19 documents from tribal governments across Indian Country.

Guidance for Tribal Communities (CDC)
CDC guidance for Tribes on COVID-19, including advice for community members, tribal leaders, and partner organizations.

Applying Current Public Health Orders to Community Events (AMC)
Guidance to consider for ensuring the safety of attendees at tribal community gatherings, such as Pow wows, during the coronavirus pandemic.

Provider Wellness

Healthcare Personnel and First Responders: How to Cope with Stress and Build Resilience During the COVID-19 Pandemic (CDC)
Information to help healthcare providers recognize what stress looks like, take steps to build their resilience, and know where to go if they need help.

Managing Healthcare Workers Stress Associated with COVID-19 (VA)
Guidance for anticipating the stresses healthcare providers may experience and tips for monitoring the mental health and wellbeing of staff and putting in place supports for workers.

Mental Health Wellness Tips for Quarantine (Indian Country ECHO)
Learn strategies for maintaining mental wellness during quarantine.

Resources for Managing Stress (VA)
Strategies and tools for managing stress during the pandemic.

Reimbursement

COVID-19 Response: Testing and Treatment for the Uninsured (Indian Country ECHO)
Learn about reimbursement opportunities for healthcare providers offering testing and treatment to uninsured patients.

Reopening

Public Health Principles and Gating Criteria for Reopening Tribal Economies – Considerations for Clinical and Epidemiological Risk Assessments (NPAIHB)
Short description of criteria to consider when planning to reopen tribal economies. 

Reopening Risk Analysis Tool (xlsx) (NPAIHB)
A tool created by the Northwest Portland Area Indian Health Board to determine your level of risk for reopening; guidance for use of this tool is also provided.

Telemedicine

Documentation, Coding, and Billing Guidance for Coronavirus (RPMS) Configuration and Data Capture Guide (IHS)
A guide for staff at I/T/U locations for documenting, coding, and billing in RPMS for coronavirus.

RPMS EHR Note Templates for documenting Virtual Check-in and Telemedicine Encounters (NPAIHB)
Template for staff at I/T/U locations for documenting virtual check-in and telemedicine encounters.

How Lummi Tribal Health Center is Operationalizing Telehealth and Telemedicine (Indian Country ECHO): 

Telemedicine Healthcare Provider Fact Sheet (CMS)
Fact sheet for healthcare providers on Medicare coverage and virtual services.  

Best Practices for Telehealth During COVID-19 Public Health Emergency (NCBH) 
This document is intended to provide the background and resources necessary to help behavioral health providers begin or expand use of telehealth. 

COVID-19 Public Health Emergency and 42 CFR Part 2 Guidance (SAMHSA)
Important guidance for telehealth services regarding 42 CFR Part 2. 

Indian Country Past ECHO COVID-19 Presentations (Indian Country ECHO)
Learn about up-to-date treatment recommendations from a team of vetted clinical experts. 

DEA Information on Telemedicine (SAMHSA)
Details the fact that during a public health emergency, DEA-registered practitioners may issue prescriptions for controlled substances to patients for whom they have not conducted an in-person medical evaluation, provided several conditions are met.

Teledentistry Coding Guidelines (IHS)
This document provides coding guidelines for teledentistry.

Lummi Teledental Workflow (Indian Country ECHO)
Example of a teledental workflow model, provided by Lummi Tribal Health Center.

General Telemedicine Toolkit (CMS)
Collection of resources for providers seeking to establish permanent telemedicine programs.

Testing

Evaluating and Testing Persons for COVID-19 (CDC)
Guidance on the appropriate use of testing by the Centers for Disease Control and Prevention. 

Indian Country Past ECHO COVID-19 Presentations (Indian Country ECHO)
Learn about up-to-date treatment recommendations from a team of vetted clinical experts. 

COVID-19 Testing and Implications for Public Health Decision Making (USET)
Fact sheet on COVID-19 testing and implications for public health decision making in tribal communities.

COVID-19 Response: Testing and Treatment for the Uninsured (Indian Country ECHO)
Learn about reimbursement opportunities for healthcare providers offering testing and treatment to uninsured patients.

Training, Technical Assistance and Capacity Building

COVID-19 Online Trainings (WHO)
Free online modules on infection prevention, detection, response, and control.

Indian Country ECHO COVID-19 Online Sessions (Indian Country ECHO)
Free service for I/T/U clinicians and programs to enhance care delivery for patients with complex conditions, including COVID-19; offers a variety of online clinics, trainings, technical assistance, and capacity building. 

Johns Hopkins COVID-19 Contact Tracing (Coursera)
Free introductory online course on COVID-19 and contact tracing created by Johns Hopkins University.

Tribal Disease Detectives: Contact Tracing Training (NPAIHB):
Training on contact tracing in tribal communities, hosted by the Northwest Portland Area Indian Health Board.

Vaccine

Coronavirus Prevention Network
The Coronavirus Prevention Network was formed by the National Institute of Allergy and Infectious Diseases at the US National Institutes of Health to assist in vaccine development. Their website helps connect vaccine trials with potential volunteers.