COVID-19 in nursing homes : impact, transmission and prevention / Fred C. Wallace, editor.

Format:

Book

Contributor:

Wallace, Fred C., editor.

Series:

Government procedures and operations.

Government Procedures and Operations Series

Language:

English

Subjects (All):

COVID-19 (Disease).

Nursing homes.

Physical Description:

1 online resource (218 pages)

Edition:

1st ed.

Place of Publication:

New York : Nova Science Publishers, Inc., [2023]

Summary:

Few places have felt the devastating effects of the Coronavirus more deeply than America's nursing homes. More than 200,000 Americans living in nursing homes and other long-term care facilities have died from the Coronavirus representing 20 percent of all coronavirus deaths in our Nation. The ferocity with which the Coronavirus swept through our Nation's nursing homes in 2020 exposed vulnerabilities that had been building for years, for too many nursing homes had inadequate staffing and poor infection control viruses well before the pandemic. These long-standing problems helped to drive outrage that exacerbated the risks for Americans who need long-term care.

Contents:

Intro

Contents

Preface

Chapter 1

Examining Long-Term Care in America: The Impact of the Coronavirus in Nursing Homes0F(

Statement of Dr. Alice Bonner, Senior Advisor for Aging, Chair, Institute for Healthcare Improvement, Moving Forward Nursing Home Quality Coalition

Statement of Dr. David Grabowski, Professor of Health Care Policy, Department of Health Care Policy, Harvard Medical School

Statement of Adelina Ramos, Certified Nursing Assistant, Greenville, Rhode Island

Statement of Daniel Arbeeny, Son of Nursing Home Resident

Statement of Jasmine Travers, Rn, Assistant Professor of Nursing, New York University, Rory Meyers College of Nursing

Chapter 2

COVID-19 in Nursing Homes: Most Homes Had Multiple Outbreaks and Weeks of Sustained Transmission from May 2020 through January 20211F(

Abbreviations

Why GAO Did This Study

What GAO Found

Letter

Background

Most Nursing Homes Had Multiple COVID-19 Outbreaks and 5 or More Weeks of Sustained Transmission

List of Addressees

Appendix I: State

Chapter 3

COVID-19 in Nursing Homes: Outbreak Duration Averaged 4 Weeks and Was Strongly Associated with Community Spread25F(

Nursing Home COVID-19 Outbreaks Lasted 4 Weeks on Average and Selected Nursing Homes Described a Range of Outbreak Experiences

Nursing Homes Experienced Many COVID-19 Outbreaks from June 2020 through December 2021 with the Average Outbreak Lasting 4 Weeks

Nursing Homes Described a Range of Outbreak Experiences, Noting Challenges and Successes

Transmission of COVID-19 in the Surrounding Community Had the Strongest Association with Outbreak Duration in Nursing Homes

Community Spread

Nursing Home Size

Staff Shortages

Ownership

List of Addressees.

Appendix I: Literature Review-Methodology Description and Results

Methodology

Results

Appendix II: Detailed Description of Methodology for Multivariate Statistical Models

CDC COVID-19 Nursing Home Data

COVID-19 Outbreaks in Nursing Homes

Other Data Sources

Nursing Home Characteristics

Nursing Home History of Infection Prevention and Control Deficiencies

Nursing Home Staffing

Reported Nursing Home Staff Shortages during the COVID-19 Pandemic

Resident Demographics

Community Conditions during the COVID-19 Pandemic

Analyzing the Data

Exclusions

Factors Not Included in Analysis

Multivariate Regression Model

Data and Model Limitations

Appendix III: Nursing Home Officials' Descriptions of COVID-19 Outbreaks, including Challenges and Successes

Chapter 4

COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control93F(

What GAO Recommends

Infections in Nursing Homes

Federal Oversight of Nursing Homes

Prior GAO Work

Some Indicators of Resident Mental and Physical Health Worsened during the COVID-19 Pandemic

Infection Prevention and Control Deficiencies Persisted in Nursing Homes during the COVID-19 Pandemic

The Percentage of Nursing Homes Cited for Infection Prevention and Control Deficiencies During the Pandemic Was Generally Consistent with Prior Years

Selected State Officials Attributed Persistent Infection Prevention and Control Challenges to Staffing Shortages and High Turnover

Despite Challenges, Nursing Home Officials from Selected States Reported Gaining Knowledge About Infection Prevention and Control Practices During the Pandemic

CMS and CDC Took Actions to Strengthen Infection Prevention and Control but Should Do More.

CMS and CDC Took Numerous Actions on Infection Prevention and Control

Stakeholders Reported Advantages and Disadvantages of CMS and CDC Infection Prevention and Control Actions

CMS Has Opportunities to Strengthen Infection Prevention and Control Oversight Strengthen Oversight of the Infection Preventionist Role

Strengthen Infection Prevention and Control Guidance

Conclusion

Recommendations for Executive Action

Agency Comments and Our Evaluation

Appendix II: Examples of Infection Prevention and Control Deficiencies Cited in Nursing Homes during the Pandemic

Appendix III: Types of Surveys and Investigations to Assess Whether Nursing Homes Are Meeting Federal Standards

Appendix IV: Number and Percentage of Surveyed Nursing Homes with Infection Prevention and Control (IPC) Deficiencies

Appendix V: Federal Nursing Home Infection Prevention and Control (IPC) Actions

Appendix VI: Comments from the Department of Health and Human Services

Index

Blank Page

Blank Page.

Notes:

Includes index.

Description based on print version record.

Other Format:

Print version: Wallace, Fred C. COVID-19 in Nursing Homes: Impact, Transmission and Prevention

ISBN:

9798886976830

OCLC:

1376195777