The COVID-19 pandemic is devastating post-acute and long-term care (PA/LTC). As geriatricians practicing in PA/LTC and a regional academic medical center, we created this program for collaboration between academic medical centers and regional PA/LTC facilities. The mission of the Geriatric Engagement and Resource Integration in Post-Acute and Long-Term Care Facilities (GERI-PaL) program is to support optimal care of residents in PA/LTC facilities during the COVID-19 pandemic. There are 5 main components of our program: (1) Project ECHO; (2) nursing liaisons; (3) infection advisory consultation; (4) telemedicine consultation; and (5) resident social contact remote connections. Implementation of this program has had positive response from our local PA/LTC facilities. A key component of our program is our interprofessional team, which includes physicians and nursing, emergency response, and public health experts. With diverse professional backgrounds, our team members have created a new model for academic medical centers to collaborate with local PA/LTC facilities.
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| http://dx.doi.org/10.1016/j.jamda.2020.05.044 | DOI Listing |
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Post-acute long-term care COVID-19 medication optimization survey: Informing medication management initiatives.
Geriatr Nurs
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University of Maryland School of Pharmacy, 20 N Pine St, Baltimore, MD 21201, Untied States; Peter Lamy Center on Drug Therapy and Aging, 220 Arch Street, 12th Floor, Baltimore, MD 21201, Untied States.
The Medication Management Guide (MMG) provides guidance on strategies to optimize medication management in PA-LTC and simplify administration to reduce the transmission risk of COVID-19. The objectives of this study were to evaluate the utility of the MMG, determine the barriers and facilitators of the MMG implementation in PALTC sites to help inform future research and initiatives. Individuals who accessed MMG during the pandemic (April 2020-March 2021) were contacted to elicit feedback on this tool via an online survey.
View Article and Find Full Text PDFWound Care Consultation in Postacute/Long-term Care: Characteristics and Practice Implications.
Adv Skin Wound Care
August 2021
Jeffrey M. Levine, MD, AGSF, CMD, CWS-P, is Associate Clinical Professor, Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, New York; and Consultant, Advantage Surgical & Wound Care. Gary Brandeis, MD, CMD, is Chief, Geriatrics, Mt Sinai Services, Elmhurst Hospital Center, New York; and Clinical Professor, Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai. At The New Jewish Home in New York, Santhini Namagiri, MD, is Physician; and Ruth Spinner, MD, CMD, is Medical Director. Acknowledgments: The authors thank Orah Burack, Senior Research Associate at The New Jewish Home, who assisted with study design and institutional review board submission; and Shark Bird, MD, Chief Medical Officer of Vohra Wound Physicians, who provided insights into models of wound care. A subset of 27 residents from this database was analyzed and previously published as Levine JM, Menezes R, Namagiri S. Wounds related to malignancy in postacute/LTC: a case series. Adv Skin Wound Care 2020;33:99-102. Parts of this article were presented as an abstract at the AMDA/PALTC Annual Meeting in Atlanta, 2019. The authors have disclosed no financial relationships related to this article. Submitted September 2, 2020; accepted in revised form October 28, 2020.
Objective: To study the characteristics of residents in postacute (PA)/long-term care (LTC) facilities with wounds and prevalence of wound types other than pressure injuries (PIs).
Methods: The authors conducted a retrospective review of all wound care consultations over 1 year at The New Jewish Home, a 514-bed academically affiliated facility in an urban setting. Investigators analyzed residents by age, sex, type of wound, presence of infection, and whether the resident was PA or LTC.
Post-Acute and Long-Term Care Patients Account for a Disproportionately High Number of Adverse Events in the Emergency Department.
J Am Med Dir Assoc
April 2021
Department of Emergency Medicine, Washington University School of Medicine, St. Louis, MO, USA; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Objectives: High rates of adverse events (AEs) are reported for post-acute and long-term care settings (PA/LTC: skilled nursing facilities, inpatient rehabilitation centers, long-term acute care facilities, and home health). However, emergency department (ED)-based studies in this area are lacking. We describe all-cause harm among patients from PA/LTC settings seen in the ED.
View Article and Find Full Text PDFRapid Telehealth-Centered Response to COVID-19 Outbreaks in Postacute and Long-Term Care Facilities.
Telemed J E Health
January 2021
Division of General, Geriatric, Hospital and Palliative Medicine, University of Virginia, Charlottesville, Virginia, USA.
The vulnerability of postacute and long-term care (PA/LTC) facility residents to COVID-19 has manifested across the world with increasing facility outbreaks associated with high hospitalization and mortality rates. Systematic protocols to guide telehealth-centered interventions in response to COVID-19 outbreaks have yet to be delineated. This article is intended to inform PA/LTC facilities and neighboring health care partners how to collaboratively utilize telehealth-centered strategies to improve outcomes in facility outbreaks.
View Article and Find Full Text PDFCOVID-19 Collaborative Model for an Academic Hospital and Long-Term Care Facilities.
J Am Med Dir Assoc
July 2020
Department of Medicine, Division of General, Geriatric, Hospital & Palliative Medicine, University of Virginia, Charlottesville, VA, USA.
The COVID-19 pandemic is devastating post-acute and long-term care (PA/LTC). As geriatricians practicing in PA/LTC and a regional academic medical center, we created this program for collaboration between academic medical centers and regional PA/LTC facilities. The mission of the Geriatric Engagement and Resource Integration in Post-Acute and Long-Term Care Facilities (GERI-PaL) program is to support optimal care of residents in PA/LTC facilities during the COVID-19 pandemic.
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