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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.
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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Peer Review Study
This study assessed differences in COVID-19 cases and mortality rates in traditional nursing homes and Green Houses. Green Houses are smaller, more intimate residential living environments that promote personalized care and more tight-knit communities of residents and care givers. Using CMS data, researchers found that, adjusting for age, gender, and disability status, small and large nursing homes had higher COVID-19 cases and mortality rates compared to Green Houses.
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
The U.S. Department of Health and Human Services (HHS) has taken significant steps to address the long-term effects of COVID-19, known as “Long COVID.” These actions include establishing advisory committees, forming offices dedicated to Long COVID research and practice, and providing technical guidance for evaluating disabilities related to Long COVID. HHS has also delivered comprehensive reports to the President outlining support services and research strategies. These efforts, in collaboration with various federal agencies, aim to assist individuals in living independently and participating in their communities while dealing with the ongoing impacts of COVID-19. Numerous resources, such as guides, civil rights protections, and workplace accommodations, have been made available to support those affected by Long COVID.
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
Focusing on the COVID-19 pandemic resulted in the diversion of resources, attention, and efforts away from other critical public health issues. This diversion has led to missed opportunities and negative consequences for various public health domains, such as chronic disease prevention, mental health services, substance abuse treatment, and environmental health. This article suggests the need for a comprehensive approach that balances the response to COVID-19 with the maintenance and resumption of other essential public health activities. It calls for increased investment in public health infrastructure, workforce capacity, and policy frameworks to mitigate the opportunity costs and ensure a more resilient and equitable public health system in the future.
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 article discusses what is needed to establish and improve evidence-based decision making competencies in local public health departments. It identifies five domains of “administrative evidence-based practices” to help local health departments: leadership, workforce development, organizational culture and climate, partnerships, and financial transparency. It offers guidance on implementing evidence-based decision making practices.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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White Paper/Brief
This proposed policy statement identifies a rethinking the public health workforce structure as a means to promote health equity. Guidance includes the use of community-based advisory boards, salary assessments to better understand challenges related to compensation, the elevation of lived experience, accreditation evaluation using equity metrics, and leadership training in community-centered and community-responsive public health approaches.
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
This analysis summarizes responses from the 2021 Public Health Workforce Interests and Needs Survey to gain insight into governmental public health workers’ needs and experiences. Public health workers continue to be on the frontline of the COVID-19 pandemic and recruiting and retaining workers is an important element of an effective emergency response. Pride in public health and teamwork were identified as positive aspects of the job, while burnout and unappreciation were cited as negative aspects.
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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Systematic Review/Meta-Analysis
This review of state data collection and reporting practices during the COVID-19 pandemic found inconsistencies and gaps in data collected by race and ethnicity. Improved standardization across the U.S.–which may come in the form of a federally-operated centralized database–would address some of the concerns in data representation of all Americans.
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.
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.
RELEASE DATE:
Peer Review Study
Mask mandates in states beginning in 2020 had a significant impact on COVID-19-related hospitalizations. This study recommends revisiting mask mandates as new variants of COVID-19 spread and pressures return to the healthcare system.