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Home-Based Primary Care Led-Outbreak Mitigation in Assisted Living Facilities in the First One Hundred Days of COVID-19

JAMDA
June 11, 2020

Residents of congregate care settings have been severely impacted by the current COVID-19 pandemic. In this report, we describe the methods our home-based primary care (HBPC) practice has developed to mitigate the spread of COVID-19 in assisted living facilities (ALFs) and we present an initial evaluation of this innovation. Shortly after the first COVID-19 case was reported in the U.S., our organization assembled an outbreak committee, designed to support the 1,794 ALF residents and the 101 communities in which they reside.

Efficacy of a Test-Retest Strategy in Residents and Health Care Personnel of a Nursing Home facing a COVID-19 Outbreak

JAMDA
June 11, 2020

A wide testing strategy is effective in detecting asymptomatic COVID-19 residents and HCP in a NH facing COVID-19 outbreak. Symptomatic residents and HCP as well as asymptomatic HCP with negative testing may also play a role in the virus spread within the NH.

Uncovering the Devaluation of Nursing Home Staff During COVID-19: Are We Fuelling the Next Health Care Crisis?

JAMDA
June 11, 2020

Dodd Award Winner Reflects on Life-Changing Relationship with AMDA

Spotlight
June 11, 2020

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Like many recipients of the William Dodd Founder’s Award for Distinguished Service, Keith Rapp, MD, CMD, didn’t know the AMDA’s organizer well; but he recalls his larger than life presence. “I remember [Dr. Dodd] coming to an AMDA board meeting once and talking about...

Society Urges Congress to Ensure Liability Protections for Physicians

AMDA On-The-Hill
Practitioners
June 11, 2020

The Society joined the American Medical Association and other state and national medical associations in urging congressional leadership to include liability protections for physicians in the next COVID-19 relief package, in particular the protections that are included in the bipartisan bill (H.R. 7059, the Coronavirus Provider Protection Act) introduced recently  by Reps. Phil Roe, MD (R-TN) and Lou Correa (D-CA). 

The letter states, “The liability protections we call on Congress to pass are not universal; they are intended to provide targeted and limited protections...

CMS Releases Guide to Reopening of Health Care Facilities

COVID-19, Skilled Nursing Care, Centers for Medicare and Medicaid (CMS), Practitioners
June 11, 2020

On June 9, the Centers for Medicare & Medicaid Services (CMS) released a guide for patients and beneficiaries as they consider their in-person care options. During the height of the pandemic, many health care systems and patients postponed non-emergency, in-person care in order to keep patients and providers safe and to ensure capacity to care for COVID-19 patients. As states and regions across the United States see a decline in cases of COVID-19, CMS is providing these...

Hydroxychloroquine Sulfate Prescribing Trends and Pharmacist-Led Outbreak Preparedness in Long Term Care Pharmacy During COVID-19

JAMDA
June 10, 2020

To address the threat posed by COVID-19 in long term care facilities, our pharmacy implemented an outbreak suppression strategy, and tracked prescriptions of anti-infectives and hydroxychloroquine sulfate in over 2,000 LTC facilities.

Policy to Reduce Antipsychotic Use and Hospitalization of Nursing Home Residents With Dementia

JAMDA
June 9, 2020

Following the 2012 launch of the National Partnership to Improve Dementia Care in Nursing Homes (the National Partnership), the use of antipsychotics has declined. However, little is known about the impact of this effort on quality of care and outcomes for nursing home (NH) residents with Alzheimer's disease and related dementia (ADRD). The objective of this study is to examine changes in hospitalizations for NH long-stay residents with ADRD after the launch of the National Partnership.

Frailty and mortality in hospitalized older adults with COVID-19: retrospective observational study

JAMDA
June 8, 2020

Outcomes of frail older adults hospitalized for COVID-19, particularly long-term care residents, remain unclear. In this retrospective cohort, frailty predicted mortality independently of age or established biomarkers.

Temperature in Nursing Home Residents Systematically Tested for SARS-CoV-2

JAMDA
June 8, 2020

Older nursing home residents with SARS-CoV-2 increase temperature beginning 1 week prior to testing. The increase in temperature does not meet fever threshold of 38.0°C.