A health system response to COVID‐19 in long‐term care and postacute care: A three‐phase approach
Journal of the American Geriatrics Society Jul 01, 2020
Kim G, Wang M, Pan H, et al. - The initial emergence of coronavirus disease 2019 (COVID‐19) in the Seattle, WA, in a skilled nursing facility (SNF) indicated the vulnerability of its patients and residents as well as suggested the limited clinical support. Furthermore, a necessity for improved collaboration among healthcare organizations and local and state public health was highlighted by the coronavirus pandemic. A three‐phase approach was developed by the University of Washington Medicine's (UWM's) Post‐Acute Care (PAC) Network and was implemented within its preexisting network of SNFs. The following phases were involved for supporting the local area SNFs: Initial Phase: This phase involved (1) optimization of communication, (2) review of infection control practices, and (3) creation of a centralized process to track and test the target population. Delayed Phase: This phase aimed to slow the spread of the disease once it is present in the SNF by giving consistent education and implementing infection prevention and control practices to all staff. Surge Phase: This phase involved preparation of facilities in response to an outbreak by deploying a "Drop Team" within 24 hours to the facility to efficiently test cases and exposed employees, prioritize symptomatic patients, and coordinate care and supplies with local public health authorities. Per findings, the COVID‐19 Three‐Phase Response Plan represents a standardized model of care. Its implementation in other health systems and SNFs, in addition, may help them to prepare and respond to COVID‐19.
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