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Newsletter

22 June 2023

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Spotlight

The doors are always open at Sunnyside Fire Department.

Using COVID testing to engage with the community.

Mass testing for Covid-19 / SARS-CoV-2 infection concept: Several rapid antigen test kits. One kit in the middle showing a positive result

Trends

CLIA waivers for POC testing? Here’s what to know.

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Events

Key takeaways from the WFC workshop. Navigating the end of the emergency.

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Trends

COVID-19 in Washington. Recent trends in disease activity.

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The doors are always open at Sunnyside Fire Department.

Using COVID testing to engage with the community.

We sat down with Chief Cameron Haubrich and station receptionist Luis Valdez to learn more about how they’ve used COVID-19 testing to proactively engage with their community. Luis, a friendly face who greets guests at the station, is a key part of this strategy. 

“The biggest challenge was the one that we’ve just overcome – which was making us as a Fire Department readily available to our community. For so long, we’ve been forced to be reactive. But now we’ve increased our staffing – and not just administratively, but also with our line firefighters. We’ve finally had the opportunity to beef up that staffing and get to more appropriate levels. So now we’re cresting that threshold of starting to be able to be proactive rather than reactive. This partnership with Health Commons [and Department of Health] is one of the first steps in that proactivity.

 – Chief Cameron Haubrich, Sunnyside Fire Department

WA-COVID-19 extended through fall 2023!

Did you know?

WA COVID-19 doesn’t just offer tests and technical support. We also provide funding for staff time dedicated to your testing program. 

Need additional equipment to maximize your testing services? We can support that too with funding for tablets, tablet accessories, hot spots, and signage. 

Reach out to us today to learn more about supplementary funds for your testing program.

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CLIA waivers for point-of-care testing? Here’s what to know.

Key Points:

  • EMS agencies that perform point-of-care testing using human specimens (i.e. anterior nasal swabs for COVID-19 tests), must have an active CLIA waiver. 
  • The EMS section of the Washington State Department of Health maintains a single CLIA waiver that covers all licensed EMS agencies in the state.
  • COVID-19 tests are CLIA-waived under their emergency use authorizations (EUA).
  • All WA COVID-19 tests have active EUAs.

What is a CLIA waiver? 

CLIA refers to the Clinical Laboratory Improvement Amendments which establish standards for laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results. Any facility or site that tests human specimens for health assessment or to diagnose, prevent, or treat disease must have CLIA certification. The CDC works with CMS and FDA to support the CLIA program and clinical laboratory quality.

What are CLIA-waived tests?

Some tests are deemed so simple that there is very little risk of error when they are administered at point of care (POC). The FDA and CDC determine which tests meet this criteria and classify them as CLIA-waived tests. Facilities, sites, and EMS agencies that do not have a full CLIA certification can still perform CLIA-waived tests as long as they obtain a CLIA waiver.

Do we need to register for a CLIA waiver?

No. All licensed EMS agencies in Washington state are covered under a single CLIA waiver that is maintained by the EMS section of the Washington State Department of Health. This means that EMS agencies in Washington can provide POC tests using human specimens as long as the tests are CLIA-waived. All of the COVID-19 rapid antigen tests provided by WA COVID-19 are CLIA-waived under their emergency use authorizations (EUAs). EUAs for COVID-19 antigen tests can be found on the FDA website for In Vitro Diagnostics EUAs

 

Download a copy of the CLIA waiver held by DOH for your records.

Questions?

Reach out to us at [email protected].

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Key takeaways from the WFC workshop! Navigating the end of the emergency.

On May 23, 2023, the WA COVID-19 program led an interactive session at the Washington Fire Chief Association’s Annual Conference in Wenatchee, Washington. 

The interactive session, “From Emergency to Sustainability: How Fire & EMS Agencies are Navigating the end of the Public Health Emergency,” used public health data, Washington State policy, and quotes from Washington state fire chiefs to prompt discussion around COVID-19 testing access, the role Fire & EMS agencies can play in closing testing gaps, and the challenges communities may face with the end of the Federal Public Health Emergency on May 11, 2023. 

During the session, representatives from 6 agencies across the state of Washington rotated through 4 different stations and addressed key questions related to the COVID-19 pandemic. Key takeaways from the session are outlined below.

Key Takeaways

  • Most Fire & EMS Agencies Played a Role in Providing New COVID-19 Services  

Nearly all agencies in the session provided new COVID-19 services (e.g., testing, vaccination) during the Public Health Emergency. Additionally, some agencies supported local public health efforts by joining incident command or staffing a responder clinic in the community. One agency, who faced significant staffing shortages, did not provide COVID-19 services like testing or vaccination. 

  • COVID-19 Tests are a Helpful Tool in an EMT’s Toolbox 

Attendees noted that at-home COVID-19 tests can provide first responders with a ‘tool to help’ and that distributing at-home COVID-19 tests was ‘good for citizens.’ Additionally, participants highlighted that Fire Stations are trusted sites for resources, and that a COVID-19 test distribution program was similar to other programs – like car seat checks, helmet distribution, smoke detector installation – that agencies currently offer.

  • Simple is Critical

Stakeholders emphasized that the barriers for Fire & EMS agencies to provide new services must be low for agencies to support the added work. Complexities associated with reporting and licensing are deterrents and should be minimized to ensure services can be quickly implemented and effectively delivered.

  • Fire & EMS Agencies Expect Testing Access to Worsen for Key Populations 

All agencies identified key populations that would face significant barriers to access free testing supplies following the end of the Public Health Emergency. Those populations included: the unhoused, lower income, and homebound individuals including the non-ambulatory elderly. 

  • State Policy Opens Door for Future EMS-based Communicable Disease Response 

Now that the Federal Public Health Emergency has ended, state policy (SHB 1893) enables EMTs to provide testing and vaccination services for communicable diseases, outside of an emergency, in coordination with a public health agency. When asked how this policy might inform each agency’s future work, agencies reflected the importance of doing activities in close coordination with local Medical Program Directors (MPD), and ensuring that there is adequate support (i.e., communications, training, direction) to support Fire & EMS agencies’ new services. One agency, which serves a very rural community in Central Washington, was interested in seeing EMT’s scope of practice expanded further to help close rural healthcare gaps.

Summary: 

Fire & EMS agencies in Washington have and continue to play a significant role in responding to the COVID-19. Distributing at-home COVID-19 tests from the station, on EMS calls, or at community events, is a lightweight way for agencies to build rapport with and provide a helpful tool to their community members. While most noted that COVID-19 test distribution provides a mutual benefit for the agency and community, a successful test distribution service may require an agency to have adequate staffing and an open-door policy at their stations.

Mass testing for Covid-19 / SARS-CoV-2 infection concept: Several rapid antigen test kits. One kit in the middle showing a positive result

So what do you think?

Be honest. ?

We want this newsletter to be a quick, helpful go-to for you and your team. Let us know how we can do better. Send us your ideas and wish list here. 

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We provide resources and one-to-one technical assistance to help you educate community members on why testing matters and how they can test themselves for COVID-19. Knowing when to isolate, especially when other vulnerable individuals may be involved, is critical to protecting community health.

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The Washington State Department of Health and Heath Commons periodically reviews the contents of WACOVID19.org to keep information content of WACOVID19.org as up to date as possible during guidance changes and program expansion. The content of WACOVID19.org does not necessarily represent the official views of WA State Department of Health.

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