State Policy Responses to COVID-19 in Nursing Homes
<p><strong>Context:</strong> COVID-19 has a high case fatality rate in high-risk populations and can cause severe morbidity and high healthcare resource use. Nursing home residents are a high-risk population; they live in congregate settings, often with shared rooms, and require ha...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
LSE Press
2021-09-01
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| Series: | Journal of Long-Term Care |
| Subjects: | |
| Online Access: | https://journal.ilpnetwork.org/articles/81 |
| _version_ | 1797961733541724160 |
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| author | Courtney Van Houtven Katherine Miller Rebecca Gorges Hilary Campbell Walter Dawson John McHugh Brian McGarry Ryan Gilmartin Nathan Boucher Brystana Kaufman Latarsha Chisholm Susanny Beltran Shekinah Fashaw Xiaochuan Wang Olivia Reneau Alice Chun Josephine Jacobs Kathleen Abrahamson Kathleen Unroe Christine Bishop Gregory Arling Sheila Kelly Rachel M. Werner R. Tamara Konetzka Edward C. Norton |
| author_facet | Courtney Van Houtven Katherine Miller Rebecca Gorges Hilary Campbell Walter Dawson John McHugh Brian McGarry Ryan Gilmartin Nathan Boucher Brystana Kaufman Latarsha Chisholm Susanny Beltran Shekinah Fashaw Xiaochuan Wang Olivia Reneau Alice Chun Josephine Jacobs Kathleen Abrahamson Kathleen Unroe Christine Bishop Gregory Arling Sheila Kelly Rachel M. Werner R. Tamara Konetzka Edward C. Norton |
| author_sort | Courtney Van Houtven |
| collection | DOAJ |
| description | <p><strong>Context:</strong> COVID-19 has a high case fatality rate in high-risk populations and can cause severe morbidity and high healthcare resource use. Nursing home residents are a high-risk population; they live in congregate settings, often with shared rooms, and require hands-on care.</p><p><strong>Objectives:</strong> To assess state responses to the coronavirus pandemic related to nursing homes in the first half of 2020.</p><p><strong>Methods:</strong> An in-depth examination of 12 states’ responses to the COVID-19 pandemic in nursing homes through June 2020, using publicly reported information such as government decrees, health department guidance, and news reports.</p><p><strong>Findings:</strong> No state emerged as a model of care. All states faced difficulty with limited availability of testing and Personal Protective Equipment (PPE). State-level efforts to increase pay and benefits as a strategy to enable infected staff to quickly physically separate from residents were minimal, and other separation strategies depended on the ability to obtain test results rapidly and on state rules regarding accepting discharged COVID-19 patients into nursing homes. Visitor restrictions to reduce risk were ubiquitous, though based on a slim evidence-base.</p><p><strong>Limitations:</strong> The information used was limited to that which was publicly available.</p><p><strong>Implications:</strong> Overall, the results suggest that the states that handle the ongoing pandemic in nursing homes best will be those that find ways to make sure nursing homes have the resources to follow best practices for testing, PPE, separation, and staffing. Evidence is needed on visitor restrictions and transmission, as states and their citizens would benefit from finding safe ways to relax visitor restrictions.</p> |
| first_indexed | 2024-04-11T01:03:28Z |
| format | Article |
| id | doaj.art-b81704bbf07d43de88f4a1099f83cc06 |
| institution | Directory Open Access Journal |
| issn | 2516-9122 |
| language | English |
| last_indexed | 2024-04-11T01:03:28Z |
| publishDate | 2021-09-01 |
| publisher | LSE Press |
| record_format | Article |
| series | Journal of Long-Term Care |
| spelling | doaj.art-b81704bbf07d43de88f4a1099f83cc062023-01-04T15:00:30ZengLSE PressJournal of Long-Term Care2516-91222021-09-010202110.31389/jltc.8165State Policy Responses to COVID-19 in Nursing HomesCourtney Van Houtven0Katherine Miller1Rebecca Gorges2Hilary Campbell3Walter Dawson4John McHugh5Brian McGarry6Ryan Gilmartin7Nathan Boucher8Brystana Kaufman9Latarsha Chisholm10Susanny Beltran11Shekinah Fashaw12Xiaochuan Wang13Olivia Reneau14Alice Chun15Josephine Jacobs16Kathleen Abrahamson17Kathleen Unroe18Christine Bishop19Gregory Arling20Sheila Kelly21Rachel M. Werner22R. Tamara Konetzka23Edward C. Norton24Duke University School of Medicine; Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care SystemCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System; University of North Carolina School of Public HealthUniversity of ChicagoDuke UniversityOregon Health & Science University School of MedicineColumbia UniversityHarvard Medical SchoolUniversity of Rochester School of MedicineCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System; Duke University Sanford School of Public PolicyDuke University School of MedicineUniversity of Central FloridaUniversity of Central FloridaBrown UniversityUniversity of Central FloridaDuke UniversityDuke University Margolis Center for Health PolicyU.S. Department of Veterans AffairsPurdue University School of NursingIndiana University School of MedicineBrandeis University, Heller School for Social Policy and ManagementPurdue University School of NursingPenn MedicineLeonard Davis Institute of Health Economics, University of PennsylvaniaUniversity of ChicagoUniversity of Michigan School of Public Health<p><strong>Context:</strong> COVID-19 has a high case fatality rate in high-risk populations and can cause severe morbidity and high healthcare resource use. Nursing home residents are a high-risk population; they live in congregate settings, often with shared rooms, and require hands-on care.</p><p><strong>Objectives:</strong> To assess state responses to the coronavirus pandemic related to nursing homes in the first half of 2020.</p><p><strong>Methods:</strong> An in-depth examination of 12 states’ responses to the COVID-19 pandemic in nursing homes through June 2020, using publicly reported information such as government decrees, health department guidance, and news reports.</p><p><strong>Findings:</strong> No state emerged as a model of care. All states faced difficulty with limited availability of testing and Personal Protective Equipment (PPE). State-level efforts to increase pay and benefits as a strategy to enable infected staff to quickly physically separate from residents were minimal, and other separation strategies depended on the ability to obtain test results rapidly and on state rules regarding accepting discharged COVID-19 patients into nursing homes. Visitor restrictions to reduce risk were ubiquitous, though based on a slim evidence-base.</p><p><strong>Limitations:</strong> The information used was limited to that which was publicly available.</p><p><strong>Implications:</strong> Overall, the results suggest that the states that handle the ongoing pandemic in nursing homes best will be those that find ways to make sure nursing homes have the resources to follow best practices for testing, PPE, separation, and staffing. Evidence is needed on visitor restrictions and transmission, as states and their citizens would benefit from finding safe ways to relax visitor restrictions.</p>https://journal.ilpnetwork.org/articles/81nursing homeslong term carecovid-19personal protective equipmentcoronavirus |
| spellingShingle | Courtney Van Houtven Katherine Miller Rebecca Gorges Hilary Campbell Walter Dawson John McHugh Brian McGarry Ryan Gilmartin Nathan Boucher Brystana Kaufman Latarsha Chisholm Susanny Beltran Shekinah Fashaw Xiaochuan Wang Olivia Reneau Alice Chun Josephine Jacobs Kathleen Abrahamson Kathleen Unroe Christine Bishop Gregory Arling Sheila Kelly Rachel M. Werner R. Tamara Konetzka Edward C. Norton State Policy Responses to COVID-19 in Nursing Homes Journal of Long-Term Care nursing homes long term care covid-19 personal protective equipment coronavirus |
| title | State Policy Responses to COVID-19 in Nursing Homes |
| title_full | State Policy Responses to COVID-19 in Nursing Homes |
| title_fullStr | State Policy Responses to COVID-19 in Nursing Homes |
| title_full_unstemmed | State Policy Responses to COVID-19 in Nursing Homes |
| title_short | State Policy Responses to COVID-19 in Nursing Homes |
| title_sort | state policy responses to covid 19 in nursing homes |
| topic | nursing homes long term care covid-19 personal protective equipment coronavirus |
| url | https://journal.ilpnetwork.org/articles/81 |
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