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Established Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by previous studies that are consistent with the objectives of the activities.
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Summary Report/Recommendations
Researchers conducted a series of interviews with administrators from 40 different nursing homes across the US between July 2020 and December 2021 to better understand their experiences amidst the COVID-19 pandemic. Interviewees described the adverse effects of the pandemic on the physical and mental health of the residents in their facilities as restrictions around visitation, socializing, and communal dining created isolating, inactive conditions. Administrators also expressed concerns for the longevity of the nursing home industry in the wake of the pandemic and resulting reductions in revenue and pervasive negative perceptions of nursing homes in the media.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Case Study
A large school district in Cincinnati partnered with their local health department and children’s hospital to develop mitigation procedures as children returned to school. These mitigation procedures successfully limited school-based spread of COVID-19 by combining best practices in rapid testing, contact tracing, and early isolation. Procedures were regularly revisited and updated in an iterative process to respond to new information and circumstances.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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White Paper/Brief
The Centers for Medicare & Medicaid Services is encouraging higher vaccination rates at nursing homes. Vaccinations are required to be offered at nursing homes, yet the overall vaccination rate is below 50%. The article provides recommendations for ways nursing homes can increase vaccinations by education, communication with residents and their families, and creating action plans for individual residents. It stresses the importance of keeping treatment medications at nursing facilities.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
Challenges related to workforce capacity have existed throughout the COVID-19 pandemic. These shortages are especially acute and problematic for settings with high disease burdens such as nursing facilities. Strategies for expanding public health capacity within nursing homes and more broadly include increased training and retention of experienced staff.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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White Paper/Brief
This brief lists interventions to support state public health efforts to address rural disparities and racial discrimination. It emphasizes the importance of localized data on social determinants of health and improving systemic and structural underpinnings of racial disparities. Suggested interventions address data collection and workforce issues, including representativeness and paid family leave.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Summary Report/Recommendations
This article describes the implementation of telemental health services within the Veterans Health Administration before and during the COVID-19 pandemic. The article identifies strategies the VHA has used to reach hard to reach populations, including unhoused veterans and veterans living in rural communities, and outlines future goals to improve and expand access to telemental health services.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This article describes an approach to virtual recruitment to engage rural residents with atrial fibrillation in a clinical trial during the COVID-19 pandemic. The authors mainly report process outcomes related to successful recruitment and retention of trial participants, and qualitative data on participants experiences.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Case Study, Peer Review Study
This article describes the rapid statewide COVID-19 vaccination strategy implemented by the North Carolina Department of Health and Human Services. The strategy focused on equitable distribution and reaching hard to reach populations, including racial and ethnic minority groups and rural communities.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Summary Report/Recommendations, White Paper/Brief
Document presents practical strategies for caring for persons living with dementia during emergencies such as the Covid-19 pandemic. This includes (but is not limited to) giving reminders around habits to prevent illness, ensuring person-centered care, and continuing connections with family and friends.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Evaluation Report, Peer Review Study
The article evaluates the connection between health care workers’ unions and Covid-19 mortality rates in nursing homes. Using regression analysis, the presence of a union were associated with lower Covid-19 mortality rates (30% lower) and infection rates (42% lower) among nursing home residents. Nursing homes with unions saw increased access to N95 respirators and eye shields as well. These results ultimately show that health care worker unionization may better ensure access to appropriate PPE and infection control policies that will protect nursing home residents.