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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.
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, Peer Review Study
This article describes the rapid statewide COVID-19 vaccination strategy implemented by the North Carolina Department of Health and Human Services. The strategy focused on equitable distribution and reaching hard to reach populations, including racial and ethnic minority groups and rural communities.
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.
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 article describes how the Northwest Portland Area Indian Health Board (NPAIHB) telehealth program, known as Extensions for Community Healthcare Outcomes (ECHO), or teleECHO, adapted to COVID-19 in providing community clinicians/public health workers access to experts. Descriptions of how healthcare providers and staff adapted practices to be culturally responsive to tribal communities is presented.
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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Case Study
This article summarizes COVID-19 mitigation within the Blackfeet Tribal Reservation and changes in incidence depending on the enforcement of masking, stay-at-home orders, and contact tracing. The combination of these efforts was associated with a 33-fold reduction in COVID-19 incidence from October 5 to November 7 in 2020.
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.
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:
Case Study
This article describes the multi-pronged approach taken by the Klamath tribes to address COVID-19 across multiple tribal communities. An Emergency Preparedness Incident Management Team (IMT) managed the response by implementing outreach, wrap-around services (groceries, residential, medicine, etc.), tribal policies, and testing protocols. Between March to September 2020, no deaths were reported (unlike the county overall) and 12% of tribal members were tested.
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.
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.