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Volume X, Number 193

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ODH Permits All Ohio Surgeries to Resume

On June 2, 2020, Ohio Department of Health (ODH) Director Amy Acton, M.D., MPH, issued a new comprehensive order permitting all surgeries to resume, effective immediately ( Surgery Resumption Order). The Surgery Resumption Order is available here.

We have previously written about the March 17, 2020 ODH order that cancelled all non-essential or elective surgeries and procedures that use personal protective equipment (PPE). More recently, we wrote about the April 30, 2020, “Stay Safe Ohio” Order that permitted the resumption of non-essential surgeries and procedures that did not require inpatient or overnight stays. As of June 2, 2020, the new Surgery Resumption Order permits all non-essential surgeries to resume, even if the surgery would result in an inpatient or overnight stay. All medical providers, including dentists, may now resume all surgeries and procedures that were delayed by prior ODH orders.

The resumption of these non-essential surgeries and procedures under the new Surgery Resumption Order incorporates the same conditions as the previous “Stay Safe Ohio” Order. As a result, all medical providers are to continue to adhere to the following when performing non-essential surgeries:

1.    Compliance with infection control and environmental practices from the ODH and CDC;

2.    Maintenance of adequate inventories of PPE, supplies, equipment, and medicine for each patient and all phases of patient care;

3.    Creation of conservation and monitoring plans to preserve PPE, supplies, equipment, and medicine, that may include decontamination and reuse protocols, in preparation for an influx of patients;

4.    Evaluation of a reliable supply chain to support continued operations for non-COVID-19 patients and to respond to an unexpected surge of COVID-19 patients;

5.    Frequent PPE inventory counts, which, for hospitals, will continue to be subject to daily reporting to Ohio’s COVID-19 resource management system;

6.    Establishment of a process for timely COVID-19 testing of patients and staff per ODH guidelines;

7.    Continued use of telehealth modalities whenever possible; and

8.    Development of an actionable plan for communication, outreach, and equitable delivery of services that recognizes the disproportionate impact of COVID-19 on minority populations and engages patients in discussions concerning risk of contracting COVID-19 and in shared decision-making as to the timing and need for services.

The Surgery Resumption Order also continues to highlight considerations for hospitals and other providers to review in preparation for the resumption of non-essential surgeries and procedures, which include pre-start considerations, prioritizing patient outreach and scheduling, patient communication, patient screening for COVID-19, facility considerations, workforce/staffing, sanitation procedures, PPE, supplies, patient and staff testing, and consultation of additional resources.

Within the Surgery Resumption Order, ODH recommends that providers should continue to use telehealth modalities, whenever possible, and create or use existing internal strategies to prioritize cases based on the medical staff's governance and resolution structure. Additionally, providers should follow the Responsible Restart Ohio Guide for Health Care distributed by ODH. ODH has posted the following guidance available for health care providers to navigate the current reopening climate during the COVID-19 pandemic:

© 2020 Dinsmore & Shohl LLP. All rights reserved.National Law Review, Volume X, Number 156

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About this Author

Eric J. Plinke, Dinsmore Law, Health Care Lawyer, Corporate Attorney
Partner

Eric Plinke is a Partner in the Corporate Department and Health Law Practice Group, and he routinely advises corporate and individual clients regarding a wide-range of health care industry legal issues. He has counseled clients in practice formation and acquisition, hospital and joint venture transactions, hospital and medical practice affiliations, contract review and preparation, compliance programs, HIPAA regulations, scope of practice issues, telemedicine and Stark law and Anti-kickback statutes, as well as significant experience counseling in ambulatory surgery centers and other joint...

614-227-4213
Timothy Cahill Health Care Attorney Dinsmore Law Firm
Partner Of Counsel

Tim is an attorney with more than two decades of experience in health care-related fields. He has worked as in-house counsel and external counsel for non-profit and commercial health care organizations, health systems, hospitals, physicians and physician groups, joint ventures, and other corporate clients. Most recently, Tim served in the role of general counsel of a regional health system, working closely with the executive team and board to further the organization’s strategic mission and significantly improve operating revenues.

In his practice, Tim has addressed a wide range issues related to health care regulatory compliance, fair market value, internal investigations, risk management, medical staff and licensure issues, research, conflicts of interest, managed care contracting, corporate governance, mergers and acquisitions, joint ventures, and other corporate transactions that have led to significant growth for his corporate clients.  He has negotiated deals with global pharma, medical device, and health care corporations, as well as numerous regional and national health care nonprofits. Given his previous in-house roles, he has an intimate knowledge of hospital and physician practice operations, finance, and reimbursement issues.

614-227-4274
Jared Bruce, Dinsmore Law Firm, Cincinnati, Corporate and Health Care Law Attorney
Associate

Jared focuses his practice on various health care law matters, including regulatory compliance, transactional matters and cybersecurity.  His prior experience includes serving as in-house counsel for a large non-profit managed care plan.

He drafts and negotiates complex health care-related contracts involving information technology (software licenses and professional service agreements), provider agreements, data sharing agreements and Business Associate Agreements. Jared’s practice includes advising payers, hospitals and providers on compliance...

513-832-5454