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Coronavirus (COVID-19) Resource Center

Tennessee CRNAs: A Critical Care Solution to Meet Facilities' Needs


The Tennessee Association of Nurse Anesthetists (TANA) recognizes that as the COVID-19 outbreak continues to put strain on hospitals and healthcare facilities around the country and in our state, all healthcare providers play a critical role in managing the delivery of care. It is essential for every Tennessee facility to optimize its healthcare workforce and utilize Certified Registered Nurse Anesthetists (CRNAs) in the capacity in which they are trained as advanced practice registered nurses (APRNs). The following resource is a CRNA critical care solution to meet facilities' needs.

AANA Advocacy: New COVID-19 Resources

The AANA Advocacy team has compiled an FAQ Document on Supervision Removal with the latest information and answers to your questions about how the CMS waiver will affect your practice. Of note: The CMS supervision waiver does not apply to state supervision laws.

The COVID-19 State Government Resources page lists enacted state actions taken in response to the COVID-19 crisis. These resources will be updated as new information becomes available.

CMS Temporarily Suspends Physician Supervision Requirements For CRNAs

Dear Patty,

Breaking news! The Centers for Medicare & Medicaid Services (CMS) has temporarily suspended physician supervision requirements for CRNAs!

Only moments ago, CMS announced an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the pandemic and enabling YOU to practice at full scope. View the AANA news release.

As you know, the AANA has been working tirelessly on your behalf to remove these burdensome restrictions. Earlier this month, AANA CEO Dr. Randall Moore, DNP, CRNA, MBA, met with President Trump, Vice President Pence, CMS Administrator Verma, and other key senior administration officials. During that conversation, Dr. Moore strongly advocated for this very action.

This suspension of burdensome and unnecessary physician supervision requirements means that CRNAs can contribute their skills and expertise when and where they are needed the most.

On behalf of the AANA Board of Directors and staff, thank you for everything you do. The AANA will continue to be your voice during this crisis, advocating for you, your patients, and the communities you serve.

Sincerely,
Kate Jansky, MHS, CRNA, APRN, USA LTC (ret)
President

Governor Bill Lee Issues Statewide “Safer-at-Home” Order and Closes Non-Essential Businesses

Attached are the two most recent Executive Orders. Please let us know if you have any questions.

Executive Order 21

Executive Order 22

MNA Government Relations, LLC
414 Union Street, Suite 1007
Nashville, TN 37219 https://www.tncrna.com/wp-content/uploads/2020/03/exec-orders-lee22.pdf
(o) 615.647.7777


ASTC & Hospital Letter on Elective Procedures from TN DoH

On March 26, 2020, Vincent Davis, Director of Office of Health Care Facilities, issued a memorandum to hospital and ASTCs regarding Executive Order 18, which directs hospitals and outpatient surgical facilities to postpone non-essential procedures in light of COVID-19.  The memo emphasizes the purpose of the EO is to protect medical providers, staff and community from transmission of COVID-19 and protect against the unnecessary use of PPE which is in short supply.  The memo concludes noting that failure to comply is a Class A misdemeanor.

Read EO 18 Memo to Surgical Providers

On March 26, 2020, Governor Lee issued Executive Order 20 which amends several provisions in Executive Order 15 related to Title 63 and 68.  Of note in this Executive Order:

Item 7.1 which suspends regulatory fees as they relate to initial licensure applications. test EO has a provision
Item 7.3 which gives the Department of Health the authority to issue a license or certificate to a retired healthcare professional.
Item 38.1 allows telemedicine/telehealth to be provided by any provider licensed under Title 63 regardless of provider's authority to diagnose.

Read the full Executive Order 20.

On March 23, Governor Bill Lee issued Executive Order 18 that addresses concerns related to elective and non-emergent procedures. Dental service providers to not perform any non-emergency dental or oral procedures.  In addition, all hospitals and outpatient facilities shall not perform non-essential procedures.  At a minimum, this includes: joint replacement, bariatric surgery and cosmetic surgery, except for emergency or trauma-related surgery where postponement would significantly impact health.  The Order goes into effect at 12:01am on March 24, 2020 and continues until April 13, 2020. Read the full Executive Order for more information.

TANA is actively monitoring developments from state, national, and international health agencies related to the novel coronavirus (COVID-19) pandemic.  For the health, safety, and wellbeing of our members and the communities we serve across the state of Tennessee, this page will be frequently updated to provide links to the latest information & recommendations related to COVID-19.  Because this is a rapidly evolving situation, members are encouraged to check these resources frequently for updates.

Additional Helpful Links


American Academy of Opthamology

American Medical Association

CDC

Anesthesiology News and ASA Town Hall-Recommending no elective procedures

Ambulatory Surgery Center Association

Tennessee Hospital Association

American Academy of Orthopedic Surgeons

CMS

American College of Surgeons

American Association of Nurse Anesthetists - COVID-19 clinical practice resources.

The AANA Professional Practice Division can be reached at practice@aana.com or 847-655-8870.

Tennessee Department of Health - Information & statistics related to COVID-19 in Tennessee.

Tennessee Coronavirus Public Information Line - 877-857-2945 (available daily from 10 a.m. to 10 p.m. CST).

Centers for Disease Control and Prevention - Information related to COVID-19 for healthcare providers.

World Health Organization (WHO) - International resources related to COVID-19 for healthcare providers and patients.

For questions and concerns, please contact TANA at info@tncrna.com or 615-329-3450.