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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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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.
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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Implementation Guide
This guidebook was designed to increase equity and access in COVID-19 testing and contact tracing in Virginia. The guidelines included a health equity framework, recommendations for working with communities, common barriers to COVID-19 testing faced by the most at-risk populations, and how to identify areas with unmet testing needs. Descriptions of how to determine appropriate interventions for testing, contact tracing, and building trusting community relationships are included.
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
A review of best practices for COVID-19 infection prevention and control in long-term care facilities. These included establishing surveillance measures, revising staffing and visitor policies, and clearly communicating health measures and case numbers. The authors highlight the need for additional support and resources for long-term care facilities to address the pandemic over time. The article also provides updated guidelines for rapid situation analyses.
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
The article outlines biomedical, behavioral, and social/structural interventions to improve HIV prevention and treatment in sexual and gender minority Latinx communities. The authors emphasize the need for a combination of these types of interventions in addressing health issues like HIV and COVID-19.
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.
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 the impact of COVID-19-specific adaptations at two sites delivering a federally funded substance use treatment program for people living with or at-risk of HIV in Massachusetts. The success of the adaptations varied based on the site. For example, the transition to telemedicine was successful at the STI clinic, but not the community-based organization. However, the article does identify some adaptations that were successful in each setting, and the authors report process outcomes for these adaptations. The practice strategy this article is focused on is continuity of care for people with substance use disorder who are living with or at-risk of HIV during the COVID-19 pandemic.
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 article is a review of legal issues impacting Tribal public health during the pandemic. Most notably the article highlights the failure of the federal government to adequately support American Indians and Alaska Natives, as well as the impacts and importance of Tribal authority/jurisdiction in creating culturally appropriate public health measures. The article includes recommendations for Tribal, federal, and local governments in how to best manage the pandemic.
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 the rapid scale-up of adolescent telehealth services at the Children’s Hospital of Philadelphia (CHOP) Division of Adolescent Medicine. While the scale-up was partially effective in reaching some underserved populations (e.g., people living with HIV, people with substance use disorder, people living with mental illness), racial disparities in visit completion rates are concerning and would need to be addressed by sites replicating this intervention to avoid exacerbating health disparities. The practice strategy this article is focused on is adolescent telehealth services.