Long-Term Care – Archive

(09/18/20) Long-Term Care Facilities Must Prioritize Immigrant Workers’ Needs to Contain COVID-19
Immigrants make up a critical component of the health care industry, especially in long-term care facilities, which have many immigrants working in direct-care staff roles. As immigrant health and well-being is essential for the success of many long-term care facilities in the face of the COVID-19 pandemic, some recommendations are provided for comprehensive protection, improvements to working standards, and organizing for the rights of immigrants.

(09/10/20) Mortality Rates From COVID-19 Are Lower in Unionized Nursing Homes
A new research article published in the Health Affairs journal which found that nursing homes in New York State with health care worker unions present had significantly reduced mortality from COVID-19 compared to those without union presence. Union presence was also related to increased access to personal protective equipment, which may be connected to the decrease in mortality.

(09/08/20) COVID-19 Management: An Executive’s Firsthand Experience
An expert opinion piece coming from a post-acute care executive, detailing some strategies to manage COVID-19 in long-term care facilities. Some strategies suggested include developing and deploying a COVID-19 rapid response team, working with the local and regional community, and maintaining strong communication throughout the organization.

(08/17/20) With 40% of Nursing Homes Close to Shutting Down, the ‘Shift to Home’ Is Likely to Accelerate
An article discussing a potential shift to home-based health care following a report from the American Health Care Association and the National Center for Assisted Living, both of which represent more than 14,000 nursing homes across the United States. Their report found that nearly 40% of nursing homes are at risk of shutting down with difficulties affording personal protective equipment and recruiting staff to meet demands.

(08/07/20) The Pandemic Proves It: We Have to Reimagine Nursing Home Care From the Ground Up
An opinion article that argues that as the death toll continues to rise in nursing homes during the pandemic, that urgent action and fundamental reforms must be enacted to protect long-term patients and staff.

(08/03/20) Key Questions About Nursing Home Regulation and Oversight in the Wake of COVID-19
An issue brief from the Kaiser Family Foundation investigating the impact of regulation and oversight of nursing homes in response to the COVID-19 pandemic. As reports are becoming available it is evident that the majority of nursing homes met the needs of infection control, however nursing home quality of care has been raised as a significant issue.

(07/31/20) Building the Long-term Care System of the Future: Will the COVID-19 Nursing Home Tragedies Lead to Real Reform?
A blog post featured on Health Affairs discussing the toll COVID-19 has inflicted upon long-term care facilities in the United States. The authors recommend better integration of state and local communities and multiple providers as well as better funding models to improve long-term care treatment.

(07/27/20) Rapid Testing Aid Coming to Florida Nursing Homes, but Concerns Remain
A report on the implementation of rapid testing aid to nursing homes in Florida. The United States Department of Health and Human Services has announced plans to send testing machines to every skilled nursing facility in the country.

(07/27/20) Data Driven Solutions for COVID-19 in Skilled Nursing Facilities: MDS ‘Section Y’
A blog post published in Health Affairs discussing proposals for specific tracking of COVID-19 infection in skilled nursing facilities to help fill a data gap emerging in relation to long-term care. This proposal could allow better information for health policymakers and become a model for data-driven approaches to future health emergencies.

(07/15/20) COVID-19 Testing Falls Short in Long-term Care Facilities
While residents of nursing homes and other long-term care facilities make up 45% of deaths to COVID-19 thus far, only seven states have mandated testing for staff and patients. This patchwork approach as well as delays in getting test results back are contributing to more staff and patient illness, and less safe long-term care environments.

(07/15/20) After Care Home Refuses Free Tests, COVID-19 Sweeps Facility
An article covering how some long-term care facilities in Montana refused government help in testing their staff and patients, only to experience large outbreaks in the aftermath. Professional organizations like the Society for Post-Acute and Long-Term Care Medicine are calling for all staff and patients to be tested for COVID-19.

(07/10/20) As COVID-19 Batters the Sunbelt, Have We Learned Anything About Protecting Long-term Care Residents?
An article covering some of the difficulties with providing adequate and safe care in long-term care facilities amidst the COVID-19 pandemic. Some strategies provided to protect staff and patients include increasing pay for the long-term care workforce and improving access to personal protective equipment.

(07/08/20) LTC Residents and Workers Should Get Top Priority for COVID-19 Vaccine: AHCA
The American Health Care Association/National Center for Assisted Living wrote a letter to the Secretary of the United States Department of Health and Human Services, Alex Azar, requesting that those working in long-term care facilities and their patients be given first priority to any COVID-19 vaccine, as they treat the most vulnerable populations to the disease.

(07/05/20) Tale of Two Home Health Providers: ‘Value-Based Care Gap’ Growing Wider
As the United States Centers for Medicare and Medicaid Services are promoting further commitment to value-based care, some fear the emphasis is increasingly on large, national organizations and leaves regional chains and smaller home health providers out of the conversation.

(07/02/20) 25M Long-Term Care Plan Expanding Home-Based Options Introduced by Raimondo, in Light of COVID-19
Rhode Island Governor Gina Raimondo has released a plan to spend $25 million on expansion of home health care options for those in Rhode Island. This funding will help nursing facilities with infection control, as well as targeted investments in home-based workforce programs.

(06/29/20) Caregivers on the Front Lines in Nursing Homes Risk Health, Safety During Pandemic
An article covering the difficulties many long-term care facilities are experiencing protecting their workers and patients amidst the COVID-19 crisis. High turnover, low pay, little or no paid sick leave or health insurance, and lack of adequate personal protective equipment have put many workers in long-term care facilities at risk.

(06/25/20) Senior Living Gets Reprieve as Healthcare Workers Treating Coronavirus Patients Are Exempted From Federal Freeze on Immigration Visas
An article explaining the exemption from the federal freeze on immigration visas in the assisted living and long-term care industry. Immigrant workers have been crucial in dealing with the COVID-19 pandemic within the long-term care industry, where recruitment is difficult with long hours and low pay.

(06/22/20) Market Forecast: COVID-19’s Long-Term Impact on Home Care
An article covering some of the predictions for changes coming to home health care following the COVID-19 pandemic. The article discusses many of the changes currently in effect for home health workers and how these may change or remain.

(06/18/20) COVID-19 Collaboration Reducing Infections in Long-Term Care Facilities
An article discussing how the University of Virginia Health System has been working with long-term care facilities to effectively address the COVID-19 pandemic, seeing lower mortality rates from outbreaks of infection compared to other parts of the United States.

(06/16/20) People With Disabilities Find the Coronavirus has Cut Them Off From Their Caregivers
This article examines how COVID-19 has exposed vulnerabilities in Wisconsin’s health care system, especially those designed to serve older people and disabled residents.

(06/16/20) Under the Radar: States Vary in Regulating and Reporting COVID-19 in Assisted Living Facilities
This article examines how states are regulating assisted living facilities in response to Covid 19. There are significant variations in reporting for assisted living facilities between states related to visitors, staff screening, and staff use of PPE.

(06/11/20) Nursing Homes Run Short of COVID-19 Protective Gear as Federal Response Falters
An article from NPR covering the difficulties nursing homes, skilled nursing facilities, and long-term care industry is experiencing acquiring personal protective equipment for their health workforce. While help was promised, deliveries were delayed and inadequate to protect the workforce.

(06/10/2020) A New Way To Fight COVID in Long Term Care
An article discussing how a “strike team” of medical professionals was formed in Henderson County to help prevent the spread of COVID-19 amongst long-term care facilities. This article outlines when and how the team worked to protect the residents.

(06/09/2020) How To Redesign Long-Term Care for Older Adults After COVID-19 
An article covering how COVID-19 has exposed long-standing issues in the long-term care industry, as well as offering some suggestions for improving the industry following the COVID-19 pandemic. These suggestions include more funding, more home health care, and better coordinated care.

(06/08/2020) COVID-19 Has Highlighted the Risks Home Health Workers Face — Here’s What Can Be Done To Help
An article covering many of the risks home health workers face during the COVID-19 pandemic, most of which stem from even before the pandemic. Low pay and insufficient hours or seasonal employment both increase risk of infection for the workers and their patients and lead to issues maintaining a home health workforce.

(06/04/20) Hundreds of Nursing Homes Ran Short on Staff, Protective Gear As More Than 30,000 Residents Died During Pandemic
An article covering the inability of many nursing homes to deal with the surge of COVID-19 cases within their long-term care facilities. Issues acquiring personal protective equipment and maintaining staffing levels exacerbated issues among an already at-risk population.

(05/29/20) ‘It’s Getting Worse.’ Nursing Home Workers Confront Risks in Facilities Devastated by Coronavirus
An article covering the more personal lives and perspectives of the nursing home, home health, and long-term care workforce amidst the COVID-19 pandemic. Low pay and lack of protective equipment continue to be issues for workers throughout the long-term care industry.

(05/26/20) CVS Head of Specialty Pharmacy Sees Future of Healthcare at Home After COVID-19
In this interview Prem Shah, head of CVS Health’s specialty pharmacy strategy, discusses the adaptations the pharmaceutical industry has had to make to adjust to increases in encounter volumes while attempting to maintain safety for patients and staff during the COVID-19 pandemic, as well as the potential long-term impacts of these changes.

(05/22/20) To Test Our Way Out of the COVID-19 Nightmare, Focus on Nursing Homes
An article outlining the risk of COVID-19 infection to both patients and workers in long-term care facilities, and a call for increased funding to focus testing on these populations

(05/19/20) 9 Ways COVID-19 May Forever Upend the U.S. Health Care Industry
An article describing some ways in which the health care industry has changed as a result of COVID-19. These include increased adoption and advancement of telehealth technologies, shifts in the long-term care industry to home health care, and changes to scope of practice for non-physician clinicians.

(05/18/20) How Coronavirus Could Forever Change Home Health Care, Leaving Vulnerable Older Adults Without Care and Overburdening Caregivers
An article by Maghuri Reddy, instructor of medicine at the Harvard Medical School, and researchers at the University of Toronto describing the impact of COVID-19 on the home health care industry, including the risks to home health workforce and the restriction of available funding for home health care services.

(05/11/20) Former Senate Majority Leader Tom Daschle: Home Health Workforce is Essential to Addressing COVID-19
An article discussing comments from former United States Senate Majority Leader Tom Daschle and other experts regarding the importance of home health care in reducing the burden of COVID-19 on hospital systems and improving treatment options for patients.

(05/08/20) Health-Care Industry Loses 1.4 Million Jobs in Pandemic
An article describing how the COVID-19 pandemic impacted the health care industry, where nearly one in twelve jobs were lost in April. Settings impacted the most include hospitals, nursing and residential care facilities, diagnostic labs and home health.

(04/28/20) AGS COVID-19 Policy Brief Offers Roadmap To Government Action In Oft-Overlooked Sphere: Assisted Living Facilities
This policy brief from the American Geriatrics Society discusses strategies for responding to COVID-19 in assisted living facilities. It is a follow up to their policy brief on nursing homes released April 8, 2020. Strategies discussed range from federal to local levels of response.

(04/23/20) COVID-19 And Workers At Risk: Examining The Long-Term Care Workforce
This brief from the Kaiser Family Foundation details the risk of COVID-19 to the long-term care workforce, which includes the workforce of skilled nursing facilities, assisted living facilities, and home health providers. Findings suggest that demographics and wage differences may exacerbate issues with infection.

(04/14/20) Home Health Care Workers at Tipping Point Amid Coronavirus Outbreak
An article discussing the issues facing home health workers including lack of personal protective equipment (PPE) and increased demand for home health services as individuals are avoiding hospital and nursing home treatment during the COVID-19 outbreak. The article also discusses increased use of telehealth from the home and calls for industrial reform to the home care industry.

(03/27/20) Epidemiology of COVID-19 in a Long-Term Care Facility in King County, Washington
A research article describing the epidemiology of COVID-19 in a long-term care facility in Washington State. This article describes how the virus spread throughout the facility and what steps can be taken to keep the long-term care workforce, patients, and facilities safe.