AMDA Leaders Detail Keys to Solving COVID-19 Crisis in Post-Acute and Long-Term Care

July 15, 2020

In a special article in the July issue of JAMDA, leaders of AMDA – The Society for Post-Acute and Long-Term Care Medicine presented five keys to solving the COVID-19 crisis that relate to policy, collaboration, individualization, leadership, and reorganization.

In Solving the COVID-19 Crisis in Post-Acute and Long-Term Care (PALTC), the authors observed that there is now more COVID-related knowledge and clinical evidence than existed four months ago. They said, “We have…learned more about how to respond to outbreaks, and the dire consequences when our responses have been ineffective, or worse, ignored or blocked by health and/or governmental authorities.”

The authors referred to the rapid-fire pace of action, including “national and state policy changes, some well-informed and helpful, others disastrously off the mark.” They also stressed that the pandemic has exposed “how fundamentally broken our approach to providing care and support to our nation’s older adults has become.”

The five keys to solving the crisis are:

  1. PALTC expertise must be included when relevant policy is being developed
  2. Collaboration across health care sectors must become the norm
  3. Do not look for one-size-fits-all solutions
  4. Federal policy leadership must be proactive, not reactive, and supportive, not punitive
  5. The nursing home industry and the regulatory process need massive restructuring

The authors concluded, “The time for change must be now, while we are still in the terrible grip of this crisis, and before we sink back into the complacency of habits of our pre-COVID-19 lives.” However, they also noted that while the pandemic has caused “immeasurable heartbreak and misery,” it also has called forth “some of the most heroic and inspiring acts we have seem among our colleagues and stakeholders.”

This article was prepared by leaders at AMDA – The Society for Post-Acute and Long-Term Care Medicine, Columbia, MD; Division of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA; Signature HealthCARE, Louisville, KY; and Division of Family Medicine and Geriatrics, University of Louisville, Louisville, KY. 

Click here for more information on the findings above and more details about the study. To contact the researchers or JAMDA editor for an interview, please email



JAMDA is the official journal of AMDA – The Society for Post-Acute and Long-Term Care Medicine. JAMDA publishes peer-reviewed articles including original studies, reviews, clinical experience articles, case reports, and more, on all topics more important to post-acute and long-term care medicine. Visit for more information.

About AMDA – The Society for Post-Acute and Long-Term Care Medicine
AMDA – The Society for Post-Acute and Long-Term Care Medicine is the only medical specialty society representing the community of over 50,000 medical directors, physicians, nurse practitioners, physician assistants, and other practitioners working in the various post-acute and long-term care (PALTC) settings. Dedicated to defining and improving quality, we advance our mission through timely professional development, evidence-based clinical guidance, and tireless advocacy on behalf of members, patients, families, and staff. Visit for more information.