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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.
RELEASE DATE:
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.
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 article describes testing efforts in Georgia’s long-term care facilities and the impact that preventative routine screening had on COVID-19 cases among residents/staff. Facilities that had regular preventative testing rather than testing only after learning of a confirmed case had a lower initial prevalence of COVID-19 and fewer subsequent cases.
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 practice describes a Three-Phase Approach to mitigating COVID-19 in long-term and post-acute care nursing facilities in the Seattle, WA area. The authors outline a structure for addressing the pandemic based on disease surveillance measures, with different focus areas within each phase. Measures include:
(1) Initial: Communication, tracking, PPE preparation
(2) Delayed: Education, testing, isolation
(3) Surge: Activation of a “drop team”” of health care professionals during an outbreak
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 is a rapid review of peer-reviewed and grey literature summarizing guidance for the prevention and control of COVID-19 in custodial settings in the first six months of 2020. The review summarizes global recommendations across 19 domains including: preparedness; physical environments; case identification, screening, and management; communication; external access and visitation; psychological and emotional support; recreation, legal, and health service adaptation; decarceration; release and community reintegration; workforce logistics; surveillance and information sharing; independent monitoring; compensatory measures; lifting control measures; evaluation; and key populations/ settings. The authors also identify a few conflicting recommendations.
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:
Systematic Review/Meta-Analysis
This article summarizes the factors that place incarcerated people at high risk for COVID-19 infection and the effective strategies to reduce transmission and complications due to COVID-19, informed by other infectious disease outbreaks. The authors highlight the role of interagency collaboration, health communication, screening for contagious diseases, restriction, isolation and quarantine, contact tracing, immunisation programmes, epidemiological surveillance, and prison-specific guidelines in managing any outbreaks.
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
This study compares the effectiveness of 3 interventions implemented in a correctional facility to determine best practices for limiting the spread of COVID-19 to a vulnerable population. The 3 interventions include depopulation, increased single celling, and widespread testing of asymptomatic incarcerated individuals. Results were compared against a computer model designed to predict cases based on CDC guidelines only. Results indicated a possible 83% reduction in predicted symptomatic cases, hospitalizations, and deaths.
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.
RELEASE DATE:
Summary Report/Recommendations
The onset of the pandemic created the need for multiple adaptations to the criminal justice system, including how to provide treatment for substance use disorder while in quarantine, how to continue opioid treatment for early release of individuals to the community, and how to limit the spread of COVID-19 in carceral facilities. Activities outlined in this general article include implementation of telehealth, restructuring group activities to limit exposure, medical quarantine, and connecting released individuals to community resources.
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.
RELEASE DATE:
Summary Report/Recommendations
This article describes the benefits and foundation of telemental health, and describes how it can be scaled in correctional facilities to benefit incarcerated individuals and their families. The article describes some of the factors influencing families and the incarcerated individual, and emphasizes how additional mental health support could potentially reduce negative impacts seen during COVID-19 such as increased isolation, stress, anxiety, and depression.