Comprehensive Compilation of Content Related to Coronavirus Disease 2019 (COVID-19) for the California Chapter of the American College of Cardiology

As we all work together on the front lines to best serve our patients and lead COVID-19 response planning for our institutions, the ACC is working to provide COVID-19 clinical guidance for the global cardiovascular care team.

ACC President Message: ACC Issues COVID-19 Clinical Guidance For the CV Care Team

Stanford Medicine is bringing together various experts to discuss the COVID-19 (coronavirus) pandemic. The Stanford CME office offers education for healthcare professionals on the frontlines, covering everything that is known about the coronavirus outbreak. Visit us online for latest information and developments on COVID-19 as presented virtually by our Stanford Medicine faculty.
View Stanford COVID-19 Accredited Education Available Online

"Perspectives" article by Marc R. Larochelle, M.D., M.P.H.
[Excerpt] "Apprehensively, I dialed Mr. M. for an update.
Weeks earlier, he and his wife had tested positive for SARS-CoV-2. A few days before this call, Mr. M. had been discharged from the hospital, since his cough and fever were improving. Unfortunately, Ms. M. had developed worsening breathing, needed more oxygen, and was at that point being transferred to the ICU. Mr. M. picked up the phone, quiet and tearful. “How are you?” I asked.

“Terrible, doctor,” he replied. “Maria died last night.” She had died, alone, in an ICU. Mr. M. was now mourning her loss, alone, at home."
View full NEJM Article [PDF]

The ACC has made available a "To whom it may concern" draft letter for health care workers to use when notifying employers of COVID-19 patients. Information on risk factors for more severe illness resulting from infection with SARS-CoV2 continues to evolve with progression of the pandemic and reporting from newly affected regions. As of mid-April 2020, little has been published on the U.S experience in peer-reviewed journals. In response to public statements from the Centers for Disease Control and Prevention (CDC) and other sources, some ACC members have reported patients asking for occupational guidance in this area. The following draft letter may be useful for some patients in circumstances in response to such requests. The draft letter may be modified as need to fit an individual patient’s clinical or occupational circumstances.
View Draft Letter [PDF]

"Re-Opening" CV Services Video Series from ACC

From the ACC COVID-19 Hub

Edward Fry, MD, FACC, from Indianapolis, IN; Abhinav Goyal, MD, MHS, FACC, from Atlanta, GA; Martha Gulati, MD, FACC, from Phoenix, AZ; Samuel Jones, MD, MPH, FACC, from Chattanooga, TN; and Athena Poppas, MD, FACC, from Providence, RI, discuss the challenges and approaches to safely resuming the full range of cardiovascular services. Watch the videos to hear how they are preparing for addressing the needs of patients and health care workers, delivering care in novel ways that incorporate social distancing and masking as well as good communication and shared decision-making, being resilient to adjust as circumstances change, and partnering with local public health officials.

All ACC COVID-19 Hub Videos

A little more than a month ago the ACC’s COVID-19 Hub was created to house the College’s first COVID-19 Clinical Bulletin, a widely-read Cardiology article talking about Influenza and COVID-19, and early Advocacy efforts around telehealth flexibility as the virus was beginning to spread through the U.S. In the weeks since, the Hub has grown exponentially with updated clinical guidance, front-line perspectives from around the world, ongoing advocacy and policy updates, practice and operational guidance, new research and more. In an effort to better organize the Hub and make it easier to navigate and find content, a team of staff and leaders have been hard at work revamping the Hub to accommodate all of the great content.

Under the new Hub, you’ll find a focused page containing all of our telehealth resources; clinical guidance organized by clinical topic; front-line perspectives organized by country or region; and quick links to JACC Journals, CardioSmart and Clinician Well-Being COVID-19 content. You’ll also find dedicated pages for ACC and MedAxiom webinars, videos and podcasts, and more. Additionally, important links to CDC, FDA, WHO and other agency and medical society resources are also available.

In addition to the new look, check out the following COVID-19 clinical guidance highlights posted this week:

Thrombosis and COVID-19: FAQs For Current Practice
Implications, Considerations For Thrombotic Disease Patients During COVID-19 Pandemic (JACC)
AMI Management During COVID-19: Consensus Statement of ACC, SCAI, and ACEP
Advocacy & Policy
On the Advocacy and policy front, the Department of Health and Humans Services has announced the allocation of the remaining provider relief funding, with funds being disbursed different general, targeted, rural, Indian Health Service, and uninsured funding streams. Additionally, the Centers for Medicare and Medicaid Services has issued guidance regarding essential non-COVID-19 care in areas with low incidences of COVID-19. The Advocacy team is also closely following the funding bill that passed the Senate earlier this week and is being voted on in the House today. Stay tuned to and @Cardiology on Twitter for more information.
More on Advocacy & Policy

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Visit Current Emergencies
View PDF Version of Webinar

The California Medical Group Management Association has modified their website to provide pertinent information of importance to medical practice executives. The site archives all COVID-19 related webinar recordings as well as useful links that will be updated as more information becomes available. Educational content will be provided for free to non-members of CA MGMA.

March 30, 2020: In efforts to combat the continued threat of COVID-19, this afternoon the Governor issued an executive order that, amongst multiple other provisions, allows for the flexing of scope of practice for healthcare providers to address healthcare workforce shortages during the COVID-19 crisis. The order only remains in effect until June 30th.
Read Executive Order
Read Legislative Report

Stanford University Medicine Grand Rounds: Focusing on COVID-19

Watch On Demand Grand Rounds recorded via ZOOM

From the Stanford University, The Division of Cardiovascular Medicine

Website with On Demand Video and upcoming ZOOM Grand Rounds

View forthcoming webinars
View n demand webinars

View More Codes [PDF]

COVID-19 and the CV Service Line: Practical Approaches for an Unprecedented Pandemic

Click to Play 2-hour Video

Visit ACC Clinical Guidance and Practice

Free access to Headspace Plus through 2020. Input npi number and location, then download app with full account and access.
Access to Headspace Plus

Free access to Ten Percent Happier with code HEALTHCARE.
Access to Ten Percent Happier

Message from im Madden, Legislative Analyst: "With the Legislature in recess until at least April 13th there have been some discussions this week amongst the Assembly Democrats on how to handle to loss of session time that would have normally been spent hearing bills. If the Legislature comes back on April 13th there will only be two weeks to hear all the bills that would have normally been heard over five weeks."
Read Full Legislative Report

Centers for Disease Control and Prevention
World Health Organization
California Medical Association
ACGME Shares American Board of Medical Specialties (ABMS) Statement regarding COVID-19

Purpose of our California Chapter

The purpose of the Chapter shall be to contribute to the prevention of cardiovascular diseases, to ensure optimal quality care for the individuals with such diseases and to foster the highest professional ethical standards. In carrying out these purposes the Chapter shall function in consultation with the leadership of the College and as an advisor to local and state governmental and professional organizations concerning issues related to cardiovascular disease.

The Chapter shall, in the interests of patients, physicians, and the public in general, maintain a high level of social consciousness and involvement with socioeconomic issues which may influence access to high quality cardiovascular health care for all individuals.

The Chapter has been formed as a 501(c)(6) not-for-profit corporation underthe federal and California state tax codes. The Chapter maintains an Executive Office with a full time Executive Director and support staff. The Chapter also maintains a full time lobbyist and staff in Sacramento.

CA ACC Twitter

"When health is absent, wisdom cannot reveal itself, art cannot manifest, strength cannot fight, wealth becomes useless, and intelligence cannot be applied."
- Herophilus