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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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Peer Review Study
This study looks at a COVID-19 outbreak among a multi-residential home for adults with intellectual and developmental disabilities in Arizona to determine how COVID-19 was spread. Epidemiologic and genomic evidence show that spread likely occurred from asymptomatically infected staff. This study demonstrates the need for public health measures and rapid genomic analysis to shape policies that protect these vulnerable populations.
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 cross-sectional analysis uses national nursing home COVID-19 reports linked to other data to determine racial/ethnic disparities in weekly country of new COVID-19 cases and deaths among nursing home residents or staff. The study found that nursing homes caring for a disproportionately higher number of racial/ethnic minority residents reported more weekly new COVID-19 confirmed cases and/or deaths. Authors suggest immediate actions are needed to address these system-level disparities.
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
Using public information, the researchers in this study constructed and analyzed a database of incarceration episodes in the city jail system, focusing on what happened March 23-29, 2020, immediately following the mayor’s order to release individuals incarcerated in New York City jails who were at high risk of contracting the disease and at low risk of committing criminal re-offense. They found that being discharged during the focus week was associated with a lower probability of readmission as compared to being discharged during the same calendar week in previous years. Furthermore, comparing the individuals discharged during the focus week of 2020 to those discharged during the same calendar week in previous years, they found that the former group was, on average, slightly older than the latter group, although the difference was not large. Additionally, the individuals in the former group had spent substantially longer in jail than those in the latter group.
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 study examines the impact that COVID-19 has on incarcerated populations by analyzing systematic data on testing, test positivity, cases, and case fatality. Using data from the COVID Prison Project, the study presents data from 53 prison systems and compares these data with each state’s general population. Many states were not reporting full information on COVID-19 testing with some also not reporting on case fatality. Among those reporting data, there was wide variation between testing, test positivity, and case rates within prison systems and as compared to the general population. However, when more tests were deployed, more cases were identified, with the majority of state prisons having higher case rates than their general population.
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:
Peer Review Study
The authors investigated data sources to determine whether short-term jailing of individuals prior to release may drive COVID-19 spread.
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:
Peer Review Study
Using jail population data, county-level aggregate data, and policy intervention data, this study examines the association of jail decarceration and anticontagion policies with COVID-19 rates. This study adds a unique contribution to the discussion of incarceration and disease spreading, as it is the first to examine the effects of decarceration on population-level community health outcomes. The authors compare anticontagion policies within jails throughout the United States to other community policy interventions such as stay-at-home orders, nursing home visitation bans, school closures, and mask mandates. Additionally, the study analyzes four demographic subsets including income, population density, and median proportion of populations identifying as Black. The results showed that an 80% reduction in jail incarcerations would decrease disease spreading in both the prison system and the community, and was more effective than any other community policy intervention.