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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.
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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Peer Review Study
This research paper discusses various public health agency websites and official government websites in countries with more than 5,000 confirmed COVID cases. The researchers used various methods to determine the readability level of the websites. The researchers found that official COVID information put out by states often exceeded the recommended reading level, while federal information was found to be much more readable, most likely due to federal mandates for readability. Recommendations are to use plain-language COVID resources to be more accessible to all audiences.
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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Case Study
This article describes how one county’s health department partnered with emergency services to form a strike team focused on mitigating COVID-19 outbreaks in congregate living facilities. The team helped create more cohesive communication between these facilities and between facilities and the health department. This strike team identified these facilities through partnerships with community organizations. The strike team conducted wellness checks, provided PPE education, and helped facilities secure PPE. In facilities with potential outbreaks, the team provided early testing and quick isolation.
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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Summary Report/Recommendations
This report highlights COVID-19 responses that benefit dually eligible individuals, including effective communication, supporting community members/caregivers, residential care facilities, and care transitions.
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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Systematic Review/Meta-Analysis
This article summarizes considerations for COVID-19 prevention among migrant workers in meat processing plants. They review evidence on vaccinations, air filtration, masking, and other 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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Case Study
This process overview summarizes the approach taken by the Alberta Health Services Design Lab to respond to the outbreak of COVID-19 among meat plant employees, who are largely immigrants. They implemented a vaccine clinic at processing plants to support vaccination and provide culturally relevant health information.
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 cross-sectional study assessed vaccine uptake in staff and residents of long-term care facilities, including assisted living and other residential care through the Pharmacy Partnership for Long-Term Care Program. This program, a public-private partnership with 3 pharmacies (CVS, Managed Health Care Associates, and Walgreens), conducted on-site visits to enrolled LTCFs to provide end-to-end management of the COVID-19 vaccination process, including appropriate storage, handling, and transport of vaccines; vaccine administration; and fulfillment of reporting requirements. Findings include having on site clinics may increase vaccine uptake, particularly when transportation may be a barrier and recommendations include ensuring steady access to COVID-19 vaccine in LTCFs following the end of the Pharmacy Partnership to maintain high vaccination coverage among residents and staff.
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 case study is on the effectiveness of COVID-19 vaccine distribution via mobile vans to residents/staff of 47,907 long-term care facilities (LTCFs) across the United States that relied on algorithms to optimize vaccine distribution. The authors developed a modeling framework for vaccine distribution to high-risk populations in a supply-constrained environment. The framework decomposed this challenge as two separate problems: an assignment problem, where they optimally mapped each LTCF to select CVS stores responsible for vaccines; and a scheduling problem, where they developed an algorithm to assign available resources efficiently. The learning and this framework may be of use to other organizations, including communities where mobile clinics can be established to efficiently distribute vaccines and other healthcare resources in a variety of scenarios.
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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Peer Review Study
This survey study of health care workers in two academic hospitals, one adult and one child, presents findings on the differences in COVID-19 vaccine hesitancy by race/ethnicity among health care workers. Striking differences were found across race and ethnic groups regarding reported vaccine hesitancy with Whites, on average, having the lowest level of hesitancy. Hesitancy was defined as not planning on, being unsure, or planning to delay getting a COVID-19 vaccine. Black, Asian, Hispanic or Latino, and mixed-race participants were more hesitant than Whites. Reasons for hesitancy include concern regarding side effects, the newness of the vaccine, and lack of vaccine knowledge.
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
The case study outlines how Lake County Health Department (LCHD) in Illinois created a health equity team whose job included facilitating relationships with community and agency partners. The case study includes examples of how the team created tools to increase awareness within LCHD of the impact of social determinants on health. For the team, LCHD specifically prioritized candidates who had lived experience in historically vulnerable communities and those who were used to multicultural bridging.