Executives of every type of organization are in the eighth (or more) week of a waiting game. How long will the pandemic crisis last? Will the recovery be quick or protracted? And, can my organization make it to the other side of the crisis and be sound enough to compete when it’s all over?
The answer to the first two questions are not clear. Almost every state is ‘reopening’ in some form—but commercial reopening is limited and consumer confidence (and behavior) is low (see Only Two States Have Yet To Begin Reopening). And thirty states are moving ahead with allowing medical practices to reopen (see 30 States Resuming Elective Surgeries).
But reopening is not the same as having revenue return to pre-pandemic levels—reopening is regional and with many limitations on all types of organizations. Organizations are in uncharted waters and there is disagreement at the federal level about the guidelines for organizations to reopen. On Thursday, the Centers for Disease Control and Prevention released revised guidelines for a wide range of organizations after previous guidelines were retracted by the White House:
- Child Care Programs During The COVID-19 Pandemic
- Workplaces During The COVID-19 Pandemic
- Restaurants & Bars During The COVID-19 Pandemic
- Schools During The COVID-19 Pandemic
- Youth Programs & Camps During The COVID-19 Pandemic
- Public Health Considerations For Reopening Mass Transit During The COVID-19 Pandemic
Between now and the time that a vaccination is widely available (if ever), the economic recovery will be halting. The big issue for most management teams is whether they have enough revenue and cash in the interim to get to the other side. The numbers are concerning. Primary care practices have enough cash on hand for four to eight weeks. Half of executives of organizations providing intellectual and developmental disability support services have another month of cash. A new survey of behavioral health organizations found that more than half can last another three months without emergency financial assistance and only 9% of organizations believe they could survive a year or more (see The Sound Of Closing Doors).
We’ve had four financial relief bills pass (see Another Round Of Emergency Relief Funding—Where Are We?). And, this week, the House passed another $3 trillion relief bill (see House Approves $3 Trillion Covid Aid Bill And Historic Rules Change To Allow Remote Voting). The legislation would provide nearly $1 trillion for state and local governments, a $200 billion fund for essential worker hazard pay, an additional $75 billion for Covid-19 testing, tracing, and isolation efforts, and a new round of direct payments to Americans of up to $6,000 per household. The bill and the summaries provided by the House are:
- Health & Economic Recovery Omnibus Emergency Solutions Act
- The Heroes Act: A Bold Response To The Coronavirus Pandemic & The Economic Collapse
- H.R. 6800, The Heroes Act: Title-By-Title Summary
- The Heroes Act: State & Territorial Coronavirus Relief Funds
But the legislation is a long way from passed.
And, my colleagues—Joseph Naughton-Travers, Sharon Hicks, Ken Carr, and Leon Hoover—hosted an OPEN MINDS Executive Roundtable, Planning Your Post-Crisis Recovery: What Are The Big Issues?, an online discussion session with OPEN MINDS Circle members. The session was a real-time Zoom meeting for sharing lessons learned from managing during the crisis, what lies ahead in terms of market disruption, and how executives are preparing for the new normal. (I liked how one of the executives attending the roundtable put it, “I do think we are only limited by our ability to be creative and innovative during this time. It’s just getting out of the crisis mindset and into innovation.”)
If you didn’t have time to participate live in these events, the recordings of both sessions are available. And, as usual, our team has put together a recap of the new developments and new resources needed to navigate this changing landscape.
Guidance For Reopening
On April 16, 2020, the Trump Administration released a three-phased approach to reopening based on the advice of public health experts with the aim of helping state and local officials reopen their economies and get people back to work, while protecting the health and safety of individuals.
In April 2020, the New York State Office of Addiction Services and Supports published guidance for non-hospital-based inpatient residential and addiction treatment provider organizations regarding the coronavirus disease 2019 public health emergency.
In March 2020, the Maryland Department of Health published guidance intended for smaller congregate living facilities such as residential treatment centers and group homes to prevent transmission of novel coronavirus 2019.
On April 7, 2020, the Maryland Department of Health Behavioral Health Administration published guidance for American Society of Addiction Medicine Residential Substance Use Disorder treatment in response to the coronavirus disease 2019 public health emergency.
On April 25, 2020, the Centers for Disease Control and Prevention published guidance for health care personnel who may be caring for individuals who are confirmed with or under investigation for COVID-19, as well as to assist health care facilities in reducing and preventing the transmission of COVID-19 in a shared or congregate housing setting.
In March 2020, the Substance Abuse and Mental Health Services Administration published guidance for outpatient mental health and addiction disorder treatment settings to follow during the COVID-19 public health emergency.
In May 2020, the Substance Abuse and Mental Health Services Administration published guidance for state psychiatric hospitals to minimize disease transmission of COVID-19.
The Latest In Testing & Treatment
Rite Aid will significantly expand its COVID-19 testing effort with the addition of 46 no-charge testing sites, most of which will operate through its stores’ drive-through windows, beginning May 11, 2020.
On April 29, 2020, officials at the Montgomery County, Pennsylvania Correctional Facility reported that 18.7% of the facility inmates (177 of the total 948 tested) tested positive for coronavirus disease 2019.
On April 27, 2020, the White House announced a plan to expand testing for coronavirus disease 2019 that would increase aid to states with the goal of expanding nationwide testing capacity to about 2 million tests per week.
The median cost of a single symptomatic infection with coronavirus disease 2019 would be $3,045 in direct medical costs during the course of the infection.
New Innovation In Tech
Pear Therapeutics, Inc., a leader in prescription digital therapeutics (PDTs), announced that it is launching a limited distribution program for its product candidate, Pear-004, for people living with schizophrenia.
Mayo Clinic has launched a new skill for Alexa, Amazon’s cloud-based voice service, to provide consumers with the latest information about the COVID-19 pandemic.
Supporting Vulnerable Populations
Monster, a leader in connecting people and jobs, has partnered with MIT-based COVID-19 Policy Alliance and Massachusetts Senior Care Association, a trade association that represents long-term care facilities, to recruit for long-term care positions.
Blue Cross Blue Shield of Michigan and Blue Care Network of Michigan will waive cost-sharing for Medicare Advantage members through December 31 for certain specific services that enable seniors to consult with their physicians and clinical professionals about their health needs, both in-person and virtually.
OnSeen, Inc. announced that it allow provider organizations serving individuals with developmental disabilities to receive the benefits of the LiveCare Solution while waiving the upfront implementation fee and heavily discounting ongoing SaaS fees.
Birch Family Services, an education and support services provider organization for people with autism and developmental disabilities in New York City, has launched a GoFundMe campaign to support the cost of protective equipment and increased staffing required to care for individuals with disabilities during the COVID-19 crisis.
As of 2020, there are approximately 2.7 million individuals—3.8% of the total Medicaid population and 28% of the Medicaid long-term services and supports population—enrolled in Medicaid managed care models for LTSS nationwide.
All New York nursing homes must communicate coronavirus disease 2019 test results and deaths to residents’ families, according to an executive order issued by New York Governor Andrew M. Cuomo.
As of April 22, 2020, calls to the Los Angeles County Child Protection Hotline decreased by 50%, compared to rates prior to the coronavirus disease 2019 public health emergency.
Resources For Public Health Efforts
On April 10, 2020, the Centers for Disease Control and Prevention published an updated report on how the coronavirus disease 2019 has impacted children.
On March 11, 2020, the World Health Organization categorized COVID-19 as a pandemic. From December 2019 to February 15, 2020, a total of 66,580 cases of COVID-19 were confirmed in China, resulting in a reported 1,524 deaths.
Early data from the United States indicates that 5.7% of children infected with coronavirus disease 2019 and 10.0% of adults were hospitalized for COVID-19 symptoms.
More than one-third to one-half of Americans are experiencing mental health declines due to the coronavirus disease 2019 outbreak, according to two recent polls.
Management Resources For Strategy & Leadership
We’ve put a lot on the metaphorical back burner over the past seven weeks. As a result of the pandemic, the focus of most managers has been on addressing the dramatic changes in how we live and how we work.
When Gary Russell, a manager at KidsPeace’s Bowdon, Georgia residential treatment center, saw the dedication and commitment of his colleagues, he wanted to make a statement.
As providers of services to people with a diagnosis of an autism spectrum disorder, we are experiencing an unprecedented situation given the impact of COVID-19 on nearly all service providers.
This presentation was delivered by Drew Digiovanni, Senior Associate, OPEN MINDS, at the 2020 New York Association of Psychiatric Rehabilitation Services Executive Institute. Mr. Digiovanni reviewed a conceptual framework to measure organizational culture; normal functions and dysfunctions of organizational culture; tensions often placed on culture, as well as various drivers of organizational culture.
As of mid-April 2020, about 43% of community-based addiction treatment provider organizations in North Carolina lacked sufficient cash on hand to remain in business for the next 30 days due to financial constraints created by the coronavirus disease 2019 outbreak and public health emergency.
If your organization is ready to apply for much-needed stimulus funds, this webinar provides a step-by-step guide on how to leverage CMS relief; additional relief options; and provisions for medium-sized companies.
Changes In State & Federal Regulations
The Centers for Medicare and Medicaid Services has released an interim final rule to remove spending associated with individuals with COVID-19 from performance calculations for the Medicare Shared Savings Program.
On April 30, 2020, the Centers for Medicare & Medicaid Services issued regulatory changes to further expand beneficiary access to telehealth services in their homes for the duration of the coronavirus disease 2019 public health emergency.
On April 14, 2020, the U.S. Food and Drug Administration issued guidance that temporarily expands availability of digital health devices intended to aid treatment for metal heath disorders.
On April 21, 2020, the Centers for Medicare & Medicaid Services approved a Washington State Medicaid 1115 waiver that will allow the state to pay higher rates to home- and community-based services provider organizations to maintain capacity during the coronavirus disease 2019 public health emergency.
The Centers for Medicare & Medicaid Services has added 85 more physician procedure codes to the list of Medicare fee-for-service encounters that can be delivered via telehealth during the coronavirus disease 2019 pandemic emergency.
For even more on leading through crisis, I invite you to join our entire team (virtually) for The 2020 OPEN MINDS Virtual Strategy & Innovation Institute, June 1–5, 2020. I’m so sad we won’t be in New Orleans but we have the same great sessions and the same fabulous faculty. And we have planned more than virtual presentations—there are 20+ live group discussions with faculty, opportunities for one-on-one web meetings with the OPEN MINDS team and with our many sponsors, and virtual yoga!
So mark your calendar:
The Strategy & Innovation Institute: June 1–3
The Value-Based Reimbursement Executive Seminar: June 4
The Children’s Services Executive Summit: Emerging Models For Children’s Health Homes: June 4
How To Develop A New Service Line Seminar: June 5
The I/DD Executive Summit: June 5
Remember, there is no cost for registration for Elite-level OPEN MINDS Circle members—and even if you can’t attend live, be sure to register to have access to all the recordings and the session briefing decks.