1135 Waiver Information:

• Health and Human Services Section 1135 Waiver Authorization Information (6 Nov 2009)
  
  
• AHA Q&A on H1N1 (pdf) (29 Oct 2009)
  
  
  
• Presidential Declaration (pdf)
  
  
  
• Dir HHS - 1135 Waiver H1N1 (pdf)
  
  
  
• Requesting 1135 Waiver Guidelines (pdf)
  
  
• Alternative Care Site Fact Sheet During H1N1 Emergency (pdf)
  
  
• EMTALA Requirements and ED Surge Fact Sheet (pdf)
  
  
• Medicare FFS-Emergency Q&As Without Waiver 1135 (pdf)
  
  
• Medicare FFS-Emergency Q&As - With 1135 Waiver (pdf)
  

DHEC Updates, Alerts and Advisories:

• [02-26-10] -- DHEC Health Update 8:30 am - Increades Norovirus/Gastroenteritis Outbreaks in Institutional Settings: Prevention & Control Guidelines
  

• [02-03-10] -- CDC and DHEC Health Update 11:45 am - Sanofi Pasteur Monovalent 2009 (H1N1) Influenza Vaccine in Pre-Filled Syringes -- Shortened Shelf Life of Certain Lots (50 lots) AND Sanofi Pasteur Monovalent 2009 (H1N1) Vaccine in Prefilled Syringes Voluntary Recall - Follow-up Vaccine Return Information (6 lots)
  

• [02-01-10] -- CDC Health Update 11 am - Non-Safety-Related RECALL of Unused Doses from Certain Lots of Sanofi Pasteur H1N1 Vaccine in Pre-Filled Syringes
  
  

• [01-20-10] -- DHEC Health Advisory 5 pm - Increased Norovirus/Gastroenteritis Outbreaks in Institutional Settings: Prevention and Control Guidelines
  

• [01-14-10] -- DHEC Health Update 11:30 am - 2009 H1N1 Update for Providers: Vaccinations, Specimen Submission and Testing Criteria
  
  
• [01-11-10] -- DHEC Health Update 2:30 pm - MedImmune Monovalent 2009 (H1N1) Influenza Nasal Spray Vaccine — Change in Expiration Date for Certain Lots
  
  
• [12-23-09] -- DHEC Health Update 2:30 pm - MedImmune Monovalent 2009 (H1N1) Influenza Nasal Spray Vaccine — Voluntary, Non-Safety Related Recall of Certain Lots
  
  
• [12-18-09] -- DHEC Health Advisory 1 pm - Expansion of use of Novel H1N1 vaccine beyond target groups
  
  
• [12-02-09] -- DHEC Health Advisory 4 pm - H1N1 Live, Attenuated Vaccine (LAIV): Target Population Expanded
  
  

Vaccinations

• Updated Interim Recommendations for the Use of Antiviral Medications - from CDC (12-09-09)
  
  
• H1N1 Vaccine Safety & Efficacy: The Facts (ppt) - from SC DHEC (12-01-09)
  
  
  
• CDC Frequent Questions about LAIV (Nasal-Spray Flu Vaccine) - Many providers need guidance about who can be vaccinated and how effective the nasal vaccine can be.
  
  
• Vaccine Information Statement (VIS) for Live, Intranasal 2009 H1N1 Influenza Vaccine (pdf) - from the CDC
  
  
• H1N1 Clinician Questions and Answers - from the CDC
  
  
• FDA Approval of 2009 Novel H1N1 Vaccine: Summary (pdf)
  
  
• H1N1 Vaccination Resources - from the CDC
  
  
  
• H1N1 Vaccine Key Facts - from the CDC
  
  
• What You Need To Know: 2009 H1N1 Vaccine - from the CDC

Workforce Continuity and Protection

• Enforcement Procedures for Occupational Exposure Risk to 2009 H1N1 Influenza - from OSHA (01-15-10)
  
  
• Updated Guidance on Pandemic Preparedness in the Workplace - from the U.S. Equal Employment Opportunity Commission
  
  
• SHEA Position Statement June 2009 on Hospital Infection Control Precautions (pdf)
  
  
• Reuse of Respiratory Protection in Prevention and Control of Epidemic- and Pandemic-prone Acute  Respiratory Diseases (ARD) in Healthcare - APIC position
  
  
• H1N1 Resources for Businesses and Employers - from the CDC
  
  
• Guidance for Businesses and Employers To Plan and Respond to the 2009–2010 Influenza Season - from the CDC
  
  
• Pandemic Preparedness in the Workplace and the Americans with Disabilities Act - from the EEOC

Treatment, Evaluation and Prophylaxis Guidance

• Flu Information for People with Diabetes and Caregivers of People with Diabetes - from Flu.gov (Jan 11, 2010) - If you have diabetes, you are more likely to get flu-related complications like pneumonia and even be hospitalized or die from the flu than other people. Influenza may also interfere with blood glucose management.
  
  
• Resources for Pediatric and Child Health Care Providers - from CDC (Nov 18, 2009)
  
  
  
• CDC H1N1 Flu Information for Health Care Providers - (Nov 6 2009)
  
  
• Key Issues for Clinicians Concerning Antiviral Treatments for 2009 H1N1 - from CDC
  
  
• Antiviral Treatment Options, including Intravenous Peramivir, for Treatment of Influenza in Hospitalized Patients for the 2009-2010 Season - from CDC
  
  
• CDC Updated Recommendations for the Use of Antiviral Medications - These recommendations have been updated to provide additional guidance for clinicians in prescribing antiviral medications for treatment and prevention of influenza during the 2009-2010 season.
  
  
• Updated: H1N1 Clinicians Questions and Answers - from the CDC
  
  
• 2009-2010 Influenza Season Triage Algorithm for Adults - from the CDC

Communications and Media Relations

• Flu Public Service Announcement Videos - from flu.gov (12-11-09)
  
  
• Flu Signage (8.27 mb .zip) - Examples of signs used by other hospitals along with fully editable Adobe Illustrator (.ai) format files for your own hospital's use. Now including English and Spanish versions. Right-click to download file.
  
  
• Seasonal and H1N1 Flu Guide for Parents (pdf) - from the CDC
  
  
• 2009 H1N1 and Seasonal Flu: What You Should Know About Flu Antiviral Drugs - from the CDC
  
  
• Translated H1N1 Information - available in Arabic, Bosnian, Chinese (simple), Farsi, Russian, Serbian, Spanish and Vietnamese from the Missouri Hospital Association and the CDC
  

Facility Decompression, Alternate Site Services, and Triage

• Pandemic Influenza Planning Tool (pdf) - from SCHA with assistance from DHEC (12-18-09)
  
  
• South Carolina Prepares for Pandemic Influenza: An Ethical Perspective - from DHEC (September 2009)
  
  
• MUSC Flu Symptom Evaluator - MUSC’s Dr. Larry Blumenthal is the creator of the flu symptom evaluator, which asks a series of questions online about your condition and helps determine if you may have the influenza virus.
  
  
• 2009-2010 Influenza Season Triage Algorithm for Adults - from the CDC
  
  
• Disaster Alternate Care Facility Selection Tool - from AHRQ

Reference Articles

• CDC Info for Pharmacists - Information includes the current situation's likely impact on the nation's pharmacies, supply and availability of antiviral medications, other materials that may need a prescription to be filled, alternatives to TamiFlu oral suspension syringe, and more.
  
  
• Critical Care Services and 2009 H1N1 Influenza in Australia and New Zealand - from the New England Journal of Medicine
  
  
• Hospitalized Patients with 2009 H1N1 Influenza in the United States, April–June 2009 - from the New England Journal of Medicine
  
  
• Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute Respiratory Distress Syndrome (pdf) - from JAMA
  
  
• Preparing for the Sickest Patients With 2009 Influenza A(H1N1) (pdf) - from JAMA
  
  
• Critically Ill Patients With 2009 Influenza A(H1N1) in Mexico (pdf) - from JAMA
  
  
• Critically Ill Patients With 2009 Influenza A(H1N1) Infection in Canada (pdf) - from JAMA