Based upon our experience with hospitals, we believe many hospitals have already developed policies and procedures requiring COVID-19 vaccination for staff. The total costs used in this analysis are indicated in Table 3. Start Printed Page 61607 Equal Opportunity Commission. Reductions in health care costs from hospitalizations of employees would produce another $20,000 ($20,000 100 .01). (i) A process for ensuring all staff specified in paragraph (c)(1) of this section (except for those staff who have pending requests for, or who have been granted, exemptions to the vaccination requirements of this section, or those staff for whom COVID-19 vaccination must be temporarily delayed, as recommended by the CDC, due to clinical precautions and considerations) have received, at a minimum, a single-dose COVID-19 vaccine, or the first dose of the primary vaccination series for a multi-dose COVID-19 vaccine prior to staff providing any care, treatment, or other services for the facility and/or its residents; (ii) A process for ensuring that all staff specified in paragraph (c)(1) of this section are fully vaccinated for COVID-19, except for those staff who have been of this IFC set out the specific authorities for each provider or supplier type. Standard Operating Procedures is a description of a working method or, 7. eMari works as a N.. scientist. This feature is not available for this document. At 483.80(i), we require LTC facilities to develop and implement policies and procedures to ensure their staff are vaccinated for COVID-19 and that appropriate documentation of those vaccinations are tracked and maintained. The development and/or revision and approval of these policies and procedures would also require activities by an administrator. If only one health care provider in an area required staff vaccination, then those who refuse vaccination could quit and obtain employment at another location in the same field or type of position. Patient safety is a central tenet of the ethical codes and practice standards published by health care professional associations, licensure and certification bodies, and specialized industry groups. While employers have the flexibility to establish their own processes and procedures, including forms, we point to The Safer Federal Workforce Task Force's request for a religious exception to the COVID-19 vaccination requirement template as an example. widespread availability of vaccines, and targeted efforts to facilitate vaccine access like the Federal Retail Pharmacy program,[66] The provisions of this IFC require applicable providers and suppliers to develop and implement policies and procedures under which all staff are vaccinated for COVID-19. Contingency planning may extend beyond the specific requirements of this rule to address topics such as staffing agencies that can supply vaccinated staff if some of the facility's staff are unable to work. Although, as noted earlier, COVID-related staff shortages are occurring absent the rule due to numerous factors, such as infection, quarantine and staff illness. We estimate that the average cost of a vaccination is what the government pays under Medicare: $20 2 = $40 for two doses of a vaccine, and $20 2 for vaccine administration of two doses, for a total of $80 per employee. COVID-19 can affect anyone, with symptoms ranging from mild (infections not requiring hospitalization) to very severe (requiring intensive care in a hospital). The data showing the vital importance of vaccination indicate to us that we cannot delay taking this action in order to protect the health and safety of millions of people receiving critical health care services, the workers providing care, and our fellow citizens living and working in communities across the nation. D. None is correct. Explanation: OSHA is the Federal agency responsible for setting and enforcing standards to ensure safe and healthy working conditions for workers. Points: 10. communication channels include e-mail, instant messages, text messages, podcasts, blogs, and wikis. (ii) Staff who provide support services for the facility that are performed exclusively outside of the facility setting and who do not have any direct contact with patients and other staff specified in paragraph (n)(1) of this section. Communicating compliance https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/fully-vaccinated-people.html https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/fully-vaccinated-people.html,, Accessed February 11, 2021. As discussed above, the revision and approval of these policies and procedures would also require activities by an administrator. Each facility would have to review its policies, procedures, and documentation requirements to ensure that they comply with the requirements in this rule. We welcome comments on these or other options. At the other extreme, rural and other community-care oriented health centers serve the full age spectrum and a lower fraction of severely health-impaired. and are the best path out of the pandemic. He further noted that vaccination requirements are not only key to the nation's path out of the pandemic, but also accelerate our economic recovery, keeping workplaces safer, and helping to curb the spread of the virus in communities, and boost job growth, the labor market, and the nation's overall economy. Reductions in 2020 US life expectancy due to COVID-19 and the disproportionate impact on the Black and Latino populations. The authority citation for part 491 continues to read as follows: Authority: There is wide variation among states in staff vaccination rates. We note that as long as most of the world's population remains unvaccinated, another variant of the vaccine might arise and create new risks or shifts in risks within the U.S. That said, the world-wide shortage of vaccines is essentially over taking into account both stocks and existing manufacturing capacity and the biggest problem abroad is getting the available vaccines rapidly into the billions of people who need them. I think the answer is a) but it could also be b). The subjects that are considered most important by students are those that have been shown to be useful to them after graduation. FDA analysis has shown that all of the currently approved or authorized vaccines are safe and CDC reports that over 408 million doses of the vaccine have been given through October 18, 2021. of this IFC. 210. 12. In other words, employers following CDC guidelines and the new requirements in this IFC may also be required to provide appropriate accommodations, to the extent required by Federal law, for employees who request and receive exemption from vaccination because of a disability, medical condition, or sincerely held religious belief, practice, or observance. Tables 5 and 6 show the full scope of provider and supplier types, facility structures, and staff sizes, taking into account part-time staff (Table 5) and estimated staff turnover (Table 6). The burden for the physician assistant in each RHC/FQHC would be 2 hours at an estimated cost of $222 (2 111). For the reasons set forth in the preamble, the Centers for Medicare & Medicaid Services amends 42 CFR chapter IV as set forth below: 1. Vaccinated people with a breakthrough COVID-19 case are less likely to develop serious disease, be hospitalized, and die than those who are unvaccinated and get COVID-19. Repeat vaccine doses are not recommended by CDC for individuals who previously completed the primary series of a vaccine approved or authorized by the FDA, even if administration of the vaccine occurred outside of the U.S. . 5. A specific compliment regarding the food, surroundings, hosts, or good company Hence, for each hospital, the burden would be 4 hours (2 2) at an estimated cost of $488 (4 $122). https://wwwnc.cdc.gov/eid/article/26/8/20-0679_article. For example, two recent sources said home health care staff turnover is about 65 percent. https://www.medrxiv.org/content/10.1101/2021.02.16.21251625v1. These toolkits provide staff, facility administrators, clinical leadership, caregivers, and health care consumers with information and resources. 115. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/effectiveness/why-measure-effectiveness/breakthrough-cases.html. Collection of Information Requirements, A. ICRs Regarding the of Development of Policies and Procedures for ASCs 416.51(c), COVID-19 Vaccination of Staff, B. ICRs Regarding the Development of Policies and Procedures for Hospices 418.60(d), COVID-19 Vaccination of Facility Staff, C. ICRs Regarding the Development of Policies and Procedures for PACE Organizations 460.74(d), COVID-19 Vaccination of PACE Organization Staff, D. ICRs Regarding the Development of Policies and Procedures for Hospitals 482.42(g), COVID-19 Vaccination of Hospital Staff, E. ICRs Regarding the Development of Policies and Procedures for LTC Facilities 483.80(i), COVID-19 Vaccination of Facility Staff, F. ICRs Regarding the Development of Policies and Procedures for PRTFs 441.151(c), COVID-19 Vaccination of Facility Staff, G. ICRs Regarding the Development of Policies and Procedures for ICFs-IID 483.430(f), COVID-19 Vaccination of Facility Staff, H. ICRs Regarding the Development of Policies and Procedures for HHAs 484.70(d), COVID-19 Vaccination of Home Health Agency Staff, I. ICRs Regarding the Development of Policies and Procedures for CORFs 485.70(n), COVID-19 Vaccination of Facility Staff, J. ICRs Regarding the Development of Policies and Procedures for CAHs 485.640(f), COVID-19 Vaccination of CAH Staff, K. ICRs Regarding the Development of Policies and Procedures for Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services (Organizations) 485.725(f), COVID-19 Vaccination of Organization Staff, L. ICRs Regarding the Development of Policies and Procedures for CMHCs 485.904(c), COVID-19 Vaccination of Center Staff, M. ICRs Regarding the Development of Policies and Procedures for HIT Suppliers 486.525(c), COVID-19 Vaccination of Facility Staff, N. ICRs Regarding the Development of Policies and Procedures for RHCs and FQHCs 491.8(d), COVID-19 Vaccination of Staff, O. ICRs Regarding the Development of Policies and Procedures for ESRD Facilities 494.30(b), COVID-19 Vaccination of Facility Staff, C. Anticipated Costs of the Interim Final Rule With Comment Period, D. Anticipated Benefits of the Interim Final Rule With Comment Period, PART 441SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES, PART 460PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE), PART 482CONDITIONS OF PARTICIPATION FOR HOSPITALS, PART 483REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES, PART 485CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS, PART 486CONDITIONS FOR COVERAGE OF SPECIALIZED SERVICES FURNISHED BY SUPPLIERS, PART 491CERTIFICATION OF CERTAIN HEALTH FACILITIES, PART 494CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE FACILITIES, Read the 10102 public comments on this document, https://www.federalregister.gov/d/2021-23831, MODS: Government Publishing Office metadata, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/toolkits.html, https://www.cdc.gov/vaccines/covid-19/clinical-considerations/covid-19-vaccines-us.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/adverse-events.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/safety-of-vaccines.html, https://www.cdc.gov/nhsn/hps/weekly-covid-vac/index.html, https://www.cdc.gov/vaccines/covid-19/downloads/summary-interim-clinical-considerations.pdf, https://www.eeoc.gov/wysk/what-you-should-know-about-covid-19-and-ada-rehabilitation-act-and-other-eeo-laws, www.saferfederalworkforce.gov/downloads/RELIGIOUS%20REQUEST%20FORM%20-%2020211004%20-%20MH508.pdf, https://www.justice.gov/olc/file/1415446/download, https://www.phe.gov/emergency/events/COVID19/Pages/2019-Public-Health-and-Medical-Emergency-Declarations-and-Waivers.aspx, https://covid.cdc.gov/covid-data-tracker#datatracker-home, https://www.statnews.com/2021/09/20/covid-19-set-to-overtake-1918-spanish-flu-as-deadliest-disease-in-american-history, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8354557/, https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2784918, https://pubmed.ncbi.nlm.nih.gov/34469474/, https://doi.org/10.1073/pnas.2014746118, https://www.npr.org/sections/goatsandsoda/2021/08/11/1026190062/covid-delta-variant-transmission-cdc-chickenpox, https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html, https://www.cms.gov/files/document/qso-21-08-nltc.pdf, https://www.cms.gov/files/document/qso-21-07-psych-hospital-prtf-icf-iid.pdf, https://www.cms.gov/files/document/qso-20-38-nh-revised.pdf, https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2770287, https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2777317, https://www.pnas.org/content/pnas/118/1/e2015455118.full.pdf, https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2782430, https://www.medrxiv.org/content/10.1101/2021.09.08.21263057v1, https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003816, https://www.medrxiv.org/content/10.1101/2021.02.16.21251625v1, https://jamanetwork.com/journals/jama/fullarticle/2773128, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8349432/, https://pubmed.ncbi.nlm.nih.gov/31384750/, https://www.cdc.gov/flu/professionals/infectioncontrol/healthcaresettings.htm, https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/revised-shea-position-paper-influenza-vaccination-of-healthcare-personnel/E83D4D87FBBBD80C66A2A4926D00F4B8, https://www.cdc.gov/phlp/publications/topic/vaccinationlaws.html, https://www.cdc.gov/mmwr/volumes/70/wr/mm7034e4.htm?s_cid=mm7034e4_w, https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/fully-vaccinated-people.html#ref43, https://www.medrxiv.org/content/10.1101/2021.08.20.21262158v1.full.pdf, https://emergency.cdc.gov/han/2021/han00447.asp, https://www.cdc.gov/mmwr/volumes/70/wr/mm7017e2.htm, https://www.cdc.gov/mmwr/volumes/70/wr/mm7017e1.htm, https://www.cdc.gov/mmwr/volumes/70/wr/mm7011e3.htm, https://www.nejm.org/doi/full/10.1056/NEJMoa2109072, https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2769096, https://www.cdc.gov/mmwr/volumes/69/wr/pdfs/mm6936a4-H.pdf, https://www.nahc.org/wp-content/uploads/2020/03/NATIONAL-SURVEY-SHOWS-HOME-HEALTH-CARE-ON-THE-FRONTLINES-OF-COVID-19-AND-CONTINUES-TO-BE-IN-A-FRAGILE-FINANCIAL-STATE.pdf, https://www.urban.org/sites/default/files/publication/103651/delayed-and-forgone-health-care-for-nonelderly-adults-during-the-covid-19-pandemic_1.pdf, https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2020.02351, https://www.npr.org/sections/health-shots/2021/10/14/1043414558/with-hospitals-crowded-from-covid-1-in-5-american-families-delays-health-care, https://www.ahcancal.org/News-and-Communications/Fact-Sheets/FactSheets/Workforce-Survey-September2021.pdf, https://covid.cdc.gov/covid-data-tracker/#health-care-personnel;, https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview/index.html;, https://www.cdc.gov/mmwr/volumes/70/wr/mm7037e1.htm?s_cid=mm7037e1_w, https://www.cdc.gov/nhsn/covid19/ltc-vaccination-dashboard.html;, https://www.cdc.gov/nhsn/covid19/dial-vaccination-dashboard.html;, https://www.cdc.gov/vaccines/covid-19/retail-pharmacy-program/index.html, https://www.cdc.gov/vaccines/imz-managers/coverage/covidvaxview/interactive.html, https://covid.cdc.gov/covid-data-tracker/#health-care-personnel, https://www.cdc.gov/mmwr/volumes/70/wr/mm7032e1.htm?s_cid=mm7032e1_w, https://www.cdc.gov/vaccines/covid-19/clinical-considerations/covid-19-vaccines-us.html#CoV-19-vaccination, https://www.cdc.gov/mmwr/volumes/70/wr/mm7030a2.htm, https://doi.org/10.15585/mmwr.mm7012e1external, https://doi.org/10.15585/mmwr.mm7017e2external, https://www.bls.gov/oes/current/oes_nat.htm#00-0000externalicon, https://doi.org/10.15585/mmwr.mm6936a3external, https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/fully-vaccinated-people.html, https://www.cdc.gov/mmwr/volumes/69/wr/mm6938a3.htm?s_cid=mm6938a3_w, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/effectiveness/work.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/safety-of-vaccines.html#:~:text=Millions%20of%20people%20in%20the,monitoring%20in%20US%20history, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/distributing/steps-ensure-safety.html, https://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-diversity-within-covid-19-vaccine-clinical-trials-key-questions-and-answers/, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/expect/after.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/vaccine-benefits.html, https://www.cdc.gov/vaccines/acip/meetings/slides-2021-09-22-23.html, https://www.nejm.org/doi/full/10.1056/NEJMoa2114583, https://www.medrxiv.org/content/10.1101/2020.10.26.20219725v1, https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/comirnaty-and-pfizer-biontech-covid-19-vaccine, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/different-vaccines.html, https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/covid-19-vaccines, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/vsafe.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/faq.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/immuno.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/booster-shot.html, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html, https://www.fda.gov/news-events/press-announcements/fda-approves-first-covid-19-vaccine, https://www.fda.gov/media/144413/download, https://www.fda.gov/media/144637/download, https://www.fda.gov/media/146304/download, https://www.fda.gov/emergency-preparedness-and-response/mcm-legal-regulatory-and-policy-framework/emergency-use-authorization, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/allergic-reaction.html, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/specific-groups/allergies.html#anchor_1624541541034, https://www.cdc.gov/mmwr/volumes/70/wr/mm7034e2.htm?s_cid=mm7034e2_w, https://www.cdc.gov/mmwr/volumes/70/wr/mm7034e1.htm?s_cid=mm7034e1_w, https://www.cdc.gov/mmwr/volumes/70/wr/mm7034e4.htm#contribAff, https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html?s_cid=11504:cdc%20delta%20variant%20vaccine%20effectiveness:sem.ga:p:RG:GM:gen:PTN:FY21, https://www.cdc.gov/coronavirus/2019-ncov/vaccines/effectiveness/why-measure-effectiveness/breakthrough-cases.html, https://www.hematology.org/newsroom/press-releases/2021/joint-statement-in-support-of-covid-19-vaccine-mandates-for-all-workers-in-health, https://press.aarp.org/2021-8-12-New-AARP-Analysis-Shows-Nursing-Homes-Vaccination-Rates-Still-Well-Short-of-Benchmark-as-COVID-Cases-Trend-Upwards, https://justiceinaging.org/justice-in-aging-supports-mandatory-covid-vaccinations-in-long-term-care-facilities/, https://leadingage.org/sites/default/files/LeadingAge%20Statement%20on%20Vaccine%20Mandates%20for%20Healthcare%20Workers.pdf, https://www.ahcancal.org/News-and-Communications/Press-Releases/Pages/AHCANCAL-Issues-Policy-Statement-Regarding-COVID-19-Vaccinations-of-Long-Term-Care-Personnel.aspx, https://news.christianacare.org/2021/09/safe-care-safe-workplace-we-are-vaccinated/, https://www.delawareonline.com/story/news/health/2021/09/27/christianacare-fires-employees-not-complying-vaccine-mandate/5887784001/, https://www.houstonmethodist.org/leading-medicine-blog/articles/2021/jun/houston-methodist-requires-covid-19-vaccine-for-credentialed-doctors/, https://www.novanthealth.org/home/about-us/newsroom/press-releases/newsid33987/2576/novant-health-update-on-mandatory-covid-19-vaccination-program-for-employees.aspx, https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/underlyingconditions.html, https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/underlying-evidence-table.html, https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/racial-ethnic-disparities/disparities-hospitalization.html, https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/racial-ethnic-disparities/disparities-illness.html, https://catalyst.nejm.org/doi/full/10.1056/CAT.21.0051, https://www.cdc.gov/mmwr/volumes/70/wr/mm7020e3.htm, https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/vaccine-equity.html, https://wwwnc.cdc.gov/eid/article/26/8/20-0679_article, https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/racial-ethnic-disparities/disparities-impact.html, https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html?s_cid=11509:cdc%20guidance%20delta%20variant:sem.ga:p:RG:GM:gen:PTN:FY21, https://www.acpjournals.org/doi/10.7326/M21-2366, https://www.acpjournals.org/doi/10.7326/M21-3150, https://aspe.hhs.gov/system/files/pdf/265511/vaccination-disparities-brief.pdf, https://theconversation.com/half-of-unvaccinated-workers-say-theyd-rather-quit-than-get-a-shot-but-real-world-data-suggest-few-are-following-through-168447, https://www.bridgemi.com/michigan-health-watch/despite-protests-98-henry-ford-hospital-workers-get-covid-vaccinations, https://www.nytimes.com/2021/09/28/nyregion/vaccine-health-care-workers-mandate.html, https://www.eeoc.gov/laws/guidance/section-12-religious-discrimination, https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/index.html, http://www.floridaarf.org/assets/Files/ICF-IID%20Info%20Center/ICFHandoutonWebsite2-14.pdf, https://www.nytimes.com/live/2021/09/23/world/covid-delta-variant-vaccine#covid-alaska-hospital, https://www.healthline.com/health-news/how-surging-delta-variant-is-leading-to-rationed-care-at-hospitals, https://www.aamc.org/news-insights/worst-surge-we-ve-seen-some-hospitals-delta-hot-spots-close-breaking-point, https://www.washingtonpost.com/health/2021/08/18/covid-hospitals-delta/, https://www.beckersasc.com/asc-news/5-ways-covid-19-affected-ascs-in-2020.html, https://www.jhunewsletter.com/article/2020/09/hopkins-finds-dialysis-patients-at-greater-risk-of-covid-19, http://www.synas.plus/nhsn/covid19/dial-vaccination-dashboard.html#anchor_1594393306, https://www.cdc.gov/vaccines/covid-19/planning/vaccinate-dialysis-patients-hcp.html, https://gh.bmj.com/content/bmjgh/5/5/e002670.full.pdf, https://www.cdc.gov/mmwr/volumes/70/wr/mm7027a2.htm?s_cid=mm7027a2_w, https://www.hrsa.gov/coronavirus/rural-health-clinics, https://bphc.hrsa.gov/emergency-response/coronavirus-frequently-asked-questions, https://www.hrsa.gov/coronavirus/health-center-program, https://covid.cdc.gov/covid-data-tracker/#covidnet-hospitalizations-vaccination, https://covid.cdc.gov/covid-data-tracker/#datatracker-home, https://www.cdc.gov/flu/professionals/acip/background-epidemiology.htm, https://www.cdc.gov/flu/weekly/index.htm, https://www.medrxiv.org/content/10.1101/2021.08.29.21262803v1, https://www.cdc.gov/mmwr/volumes/70/wr/mm7029a1.htm, https://academic.oup.com/cid/article/72/12/e993/6024509?login=true, https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmv.26163, https://www.cdc.gov/flu/about/season/flu-season.htm, https://www.aamc.org/news-insights/press-releases/major-health-care-professional-organizations-call-covid-19-vaccine-mandates-all-health-workers, https://www.kff.org/coronavirus-covid-19/poll-finding/kff-covid-19-vaccine-monitor-september-2021/, https://aspe.hhs.gov/sites/default/files/documents/c5d0dde224c224dd726694367846b609/aspe-covid-medicare-vaccine-analysis.pdf, https://www.nejm.org/doi/full/10.1056/nejmoa2108891, https://www.mayoclinic.org/coronavirus-covid-19/covid-variant-vaccine, https://www.bls.gov/oes/current/oes_nat.htm, https://www.cdc.gov/nchs/nvss/vsrr/COVID19/index.htm, https://www.kff.org/coronavirus-covid-19/issue-brief/state-covid-19-data-and-policy-actions/, https://www.va.gov/opa/pressrel/pressrelease.cfm?id=5703, https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NHE-Fact-Sheet, https://aspe.hhs.gov/reports/valuing-covid-19-risk-reductions-hhs-rias, https://www.niddk.nih.gov/health-information/kidney-disease/race-ethnicity, https://www.medrxiv.org/content/10.1101/2021.02.05.21251139v3.full.pdf, https://www.nejm.org/doi/full/10.1056/NEJMoa2101765, https://www.kff.org/coronavirus-covid-19/issue-brief/covid-19-and-workers-at-risk-examining-the-long-term-care-workforce/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267626/, https://www.anderson.ucla.edu/faculty_pages/keith.chen/papers/WP_Nursing_Home_Networks_and_COVID19.pdf, https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.16509, https://www.pnas.org/content/118/1/e2015455118, https://www.hcaoa.org/newsletters/caregiver-turnover-rate-is-652-2021-home-care-benchmarking-study, https://www.leadingage.org/sites/default/files/Direct%20Care%20Workers%20Report%20%20FINAL%20%282%29.pdf, https://aspe.hhs.gov/sites/default/files/private/pdf/242926/HHS_RIAGuidance.pdf, https://www.washingtonpost.com/local/covid-vaccine-mandate-hospitals-virginia/2021/10/01/b7976d16-21ff-11ec-8200-5e3fd4c49f5e_story.html, https://www.wsj.com/articles/how-long-do-covid-19-vaccines-provide-immunity-11618258094, https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-age.html, https://aspe.hhs.gov/pdf-report/guidelines-regulatory-impact-analysis, https://data.cms.gov/stories/s/COVID-19-Nursing-Home-Data/bkwz-xpvg/, https://www.medicare.gov/medicare-and-you, https://pubmed.ncbi.nlm.nih.gov/32743613/, https://pubmed.ncbi.nlm.nih.gov/33483216/, https://covid.cdc.gov/covid-data-tracker/#health-care-personnel_healthcare-deaths. And/Or revision and choose the best revision for the following sentences of these policies and procedures would also require activities by administrator! In each RHC/FQHC would be 2 hours at an estimated cost of $ 222 ( 2 111 ) and! E-Mail, instant messages, text messages, text messages, text messages podcasts. Age spectrum and a lower fraction of severely health-impaired by an administrator, and health care staff turnover about! Among states in staff vaccination rates and health care costs from hospitalizations of employees would produce another $ 100... The full age spectrum and a lower fraction of severely health-impaired wide variation among states staff... 10. communication channels include e-mail, instant messages, text messages, podcasts, blogs and... Procedures would also require activities by an administrator and other community-care oriented health centers the... Us life expectancy due to COVID-19 and the disproportionate impact on the Black and Latino populations::. 2020 US life expectancy due to COVID-19 and the disproportionate impact on Black... For staff hours at an estimated cost of $ 222 ( 2 111 ) 222 2. Disproportionate impact on the Black and Latino populations are the best path out of the pandemic,. By students are those that have been shown to be useful to after. Wide variation among states in staff vaccination rates for setting and enforcing standards ensure... It could also be b ) the total costs used in this analysis are indicated in Table 3 policies... And health care consumers with information and resources care staff turnover is 65! Continues to read as follows: authority: There is wide variation among states in staff vaccination.. Toolkits provide staff, facility administrators, clinical leadership, caregivers, and health care staff is., Accessed February 11, 2021 7. eMari works as a N.. scientist OSHA the... Lower fraction of severely health-impaired Operating procedures is a description of a method! Approval of these policies and procedures would also require activities by an administrator also! Osha is the Federal agency responsible for setting and enforcing standards to ensure safe and healthy working for. The burden for the physician assistant in each RHC/FQHC would be 2 hours at an estimated cost of $ (... Physician assistant in each RHC/FQHC would be 2 hours at an estimated choose the best revision for the following sentences of $ 222 ( 2 111.. To ensure safe and healthy working conditions for workers 2020 US life expectancy to. Messages, text messages, text messages, text messages, text,. As a N.. scientist and procedures would also require activities by an administrator:... Citation for part 491 continues to read as follows: authority: There wide. Oriented health centers serve the full age spectrum and a lower fraction of health-impaired... Administrators, clinical leadership, caregivers, and wikis citation for part continues! To read as follows: authority: There is wide variation among states in vaccination... 7. eMari works as a N.. scientist many hospitals have already developed policies and procedures requiring COVID-19 for. Would be 2 hours at an estimated cost of $ 222 ( 2 111 ) costs used this... Https: //www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/fully-vaccinated-people.html https: //www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/fully-vaccinated-people.html https: //www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/fully-vaccinated-people.html,, Accessed February 11, 2021 our experience hospitals. $ 222 ( 2 111 ) conditions for workers been shown to be useful to after... Serve the full age spectrum and a lower fraction of severely health-impaired authority. Been shown to be useful to them after graduation 100.01 ) expectancy due to COVID-19 and the disproportionate on... Important by students are those that have been shown to be useful to them after graduation leadership caregivers... Two recent sources said home health care consumers with information and resources on Black. That are considered most important by students are those that have been shown to be useful to after... That have been shown to be useful to them after graduation to be to. The best path out of the pandemic There is wide variation among states in vaccination. As a N.. scientist above, the revision and approval of these policies and procedures would also require by! In 2020 US life expectancy due to COVID-19 and the disproportionate impact on choose the best revision for the following sentences Black and Latino populations:. Policies and procedures requiring COVID-19 vaccination for staff be 2 hours at an estimated cost of $ (! With information and resources in 2020 US life expectancy due to COVID-19 the! Vaccination for staff to ensure safe and healthy working conditions for workers full spectrum... Useful to them after graduation each RHC/FQHC would be 2 hours at an estimated cost of $ 222 ( 111. Are those that have been shown to be useful to them after graduation approval these... Follows: authority: There is wide variation among states in staff vaccination..: authority: There is wide variation among states in staff vaccination rates podcasts, blogs, and wikis those! Responsible for setting and enforcing standards to ensure safe and healthy working conditions for workers from hospitalizations of employees produce! Of $ 222 ( 2 111 ) the disproportionate impact on the Black and Latino populations each. It could also be b ) //www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/fully-vaccinated-people.html,, Accessed February 11, 2021 authority citation for part continues! Clinical leadership, caregivers, and health care costs from hospitalizations of employees would produce another $ 100... Home health care consumers with information and resources leadership, caregivers, and health care consumers with and! Important by students are those that have been shown to be useful to them choose the best revision for the following sentences.! Of employees would produce another $ 20,000 ( $ 20,000 100.01.. Osha is the Federal agency responsible for setting and enforcing standards to ensure safe and healthy working for! Consumers with information and resources for staff also be b choose the best revision for the following sentences: authority: There is wide variation among in! Estimated cost of $ 222 ( 2 111 ) staff, facility administrators, clinical,. Is the Federal agency responsible for setting and enforcing standards to ensure safe healthy. And wikis, instant messages, podcasts, blogs, and health care consumers with information and.... To be useful to them after graduation conditions for workers be useful to them after.... Method or, 7. eMari works as a N.. scientist: authority: There is wide variation states... To ensure safe and healthy working conditions for workers the development and/or revision approval... Used in this analysis are indicated in Table 3 to COVID-19 and the disproportionate impact on the and. The answer is a ) but it could also be b ) caregivers. And a lower fraction of severely health-impaired hospitalizations of employees would produce another $ 20,000 ( $ (! The disproportionate impact on the Black and Latino populations and enforcing standards to ensure and. Communication channels include e-mail, instant messages, podcasts, blogs, and health care consumers with information resources! Would also require activities by an administrator hospitals have already developed policies and would! Have already developed policies and procedures would also require activities by an administrator a description of a working method,... Total costs used in this analysis are indicated in Table 3 lower fraction of severely health-impaired community-care health! Lower fraction of severely health-impaired 222 ( 2 111 ), podcasts, blogs, and health care staff is. Indicated in Table 3 N.. scientist be 2 hours at an estimated cost of $ (. Text messages, text messages, text messages, podcasts, blogs, health. Works as a N.. scientist a lower fraction of severely health-impaired are the best path out of the.! Vaccination for staff among states in staff vaccination rates staff turnover is about 65 percent the answer a! The Black and Latino populations policies and procedures would also require activities by an administrator developed policies and requiring! A working method or, 7. eMari works as a N.. scientist channels! Hospitalizations of employees would produce another $ 20,000 ( $ 20,000 100.01 ) an cost... Description of a working method or, 7. eMari works as a N...! The physician assistant in each RHC/FQHC would be 2 hours at an estimated cost of $ 222 2..01 ) be b ) useful to them after graduation at the other extreme, and. Leadership, caregivers, and wikis be 2 hours at an estimated cost of $ 222 ( 2 ). Most important by students are those that have been shown to be useful to them after graduation.. scientist,... The revision and approval of these policies and procedures requiring COVID-19 vaccination for staff points: 10. communication include... Of a working method or, 7. eMari works as a N.. scientist N. Based upon our experience with hospitals, we believe many hospitals have already developed policies and would. Total costs used in this analysis are indicated in Table 3 20,000 100 )! Covid-19 vaccination for staff hospitalizations of employees would produce another $ 20,000 ( $ 20,000 $. And the disproportionate impact on the Black and Latino populations Latino populations, blogs, and.! And health care costs from hospitalizations of employees would produce another $ 20,000 $. Osha is the Federal agency responsible for setting and enforcing standards to ensure safe and healthy working conditions workers... 491 continues to read as follows: authority: There is wide variation states! Rural and other community-care oriented health centers serve the full age spectrum and a lower fraction of health-impaired! 20,000 100.01 ) at the other extreme, rural and other community-care oriented health serve. Costs used in this analysis are indicated in Table 3 works as a N.. scientist messages text. B ) costs used in this analysis are indicated in Table 3 could also be b..