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COVID-19 Long Term Care Resources
Topic Collection
April 1, 2020

Topic Collection: COVID-19 Long Term Care Resources

This Topic Collection focuses on plans, tools, templates, and other immediately implementable resources to help with COVID-19 preparedness, response, recovery, and mitigation efforts, focusing on long term care.

Please refer to CDC’s Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID19 outbreak management.

If you have COVID-19 best or promising practices, plans, tools, or templates to share with your peers, please visit the ASPR TRACIE Information Exchange COVID-19 Information Sharing Page (registration required) and place your resources under the relevant topic area. Resources specific to long term care can be placed under the COVID-19 Long Term Care Resources Topic.

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California Association of Health Facilities. (n.d.). Surge Strategies for SNFs (Space/Staff/Stuff). (Accessed 3/26/2020.)
This three-page color-coded table provides an overview of surge strategies that skilled nursing facilities may implement to address limitations in space, staffing, and supplies and equipment.
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California Department of Public Health. (2020). COVID-19: Guidance for Skilled Nursing Facilities.
These slides from a March 13, 2020 webinar provide information on prevention and detection of the introduction of COVID-19 in skilled nursing facilities, preparing to receive and care for residents with suspected or confirmed COVID-19, preventing transmission of COVID-19 within facilities, infection prevention strategies, and donning and doffing personal protective equipment.
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California Department of Public Health (CDPH) and the California Association of Health Facilities (CAHF). (2017). NHICS: Nursing Home Incident Command System. American Health Care Association.
This webpage includes information on the nursing home incident command system (NHICS), which can be used by facilities regardless of size or resident care capabilities, and is intended to assist with their emergency planning and response efforts for all hazards. Links to the NHICS guidebook, forms, response guides, Job Action Sheets (JAS), and training are included.
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Centers for Medicare & Medicaid Services. (2020). Long-Term Care Nursing Homes Telehealth and Telemedicine Tool Kit.
This toolkit assists Medicare providers in understanding regulatory flexibilities associated with provision of telehealth visits, virtual check-ins, and e-visits during the COVID-19 pandemic. It provides information that may be helpful in establishing a telemedicine program, including policy guidance, implementation guidance, links to state statutes, telehealth setup basics, technical assistance sources, vendor selection information, and resources for nursing homes, patients, and the community.
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County of Santa Clara Public Health Department. (2020). Long-Term Care Facilities COVID-19 Toolkit.
This toolkit is a resource to assist long term care facilities in responding to COVID-19. It includes recommended steps to immediately implement, frequently asked questions, sample signage, a fact sheet, and links to additional resources.
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Florida Health Care Association, Florida Hospital Association, and Leading Edge Florida. (2020). Hospital to Post-Acute Care Facility Transfer - COVID-19 Assessment.
This form guides hospitals through the assessment of patients prior to transfer to a post-acute care facility.
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Florida Health Care Association, Florida Hospital Association, and Leading Edge Florida. (2020). Post-Acute Care and Behavioral Health to Hospital Transfer - COVID-19 Assessment and Communication.
This form guides assessment of post-acute care and behavioral health patients prior to transfer to a hospital.
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Florida Hospital Association. (2020). Clarification of COVID-19 Guidance Pertaining to Testing and Disposition of Hospitalized Patients.
This document provides criteria on which hospitalized patients should be evaluated and tested prior to release to a post-acute care facility, when hospitals can discontinue transmission-based precautions for infected patients, when patients can safely be transferred to post-acute care facilities, and if infected patients whose condition has improved can be discharged to their homes.
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Los Angeles County Department of Public Health. (2020). Interfacility Transfer and Home Discharge Rules.
This document summarizes rules for: 1) interfacility transfer for patients with laboratory confirmed COVID-19 to a long-term acute care, skilled nursing, or group living facility, 2) interfacility transfer for patients with suspected COVID-19 to a long-term acute care, skilled nursing, or group living facility, and 3) discharge of patients with laboratory confirmed COVID-19 to their home or a non-congregate, non-healthcare setting.
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Los Angeles County Department of Public Health. (2020). Return-to-Facility and Home Discharge Rules for Patients in the Emergency Department Who Are Suspected to Have COVID-19.
This one-pager summarizes discharge rules for emergency room patients suspected to have COVID-19, but who do not require hospital admission. The document includes information for residents of long-term acute care, skilled nursing, and group living facilities.
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New Jersey Hospital Association (2010). Planning Today for a Pandemic Tomorrow: A Tool for Nursing Facilities.
This tool is intended to assist nursing facilities in developing their pandemic preparedness and response plans. It consists of several modules, which are to be used as a guide to facilitate discussion and to ensure that key points related to a specific topic, such as human resources, are identified and addressed in the planning process. It also includes sample policies and procedures and a module on ethics/values.
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New York State Department of Health. (2020). Recommendations to Protect Nursing Home Residents.
This advisory provides recommendations to support the physical health of nursing home residents through social distancing, infection prevention, and information sharing activities. It also provides links to virtual resources that may support the mental and emotional health of residents.
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San Francisco Department of Public Health. (2020). Preliminary Guidance: Prevention and Management of COVID-19 in Long-Term Care Facilities.
This document provides guidance to long term care facilities on measures to implement immediately and additional steps to be taken if COVID-19 infection is confirmed in a facility.
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Spokane Regional Health District. (2020). Long-Term Care – Social Distancing Checklist for COVID-19.
This planning checklist may be used by long term care facilities to guide their implementation of social distancing measures. It includes general planning assumptions and steps to take: 1) before COVID-19 transmission is confirmed in the community, 2) once locally acquired cases are present in the community, 3) when outbreaks are reported in other facilities or institutions in the community, and 4) when there is a possible outbreak in your facility.
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Washington State Department of Health. (2020). Recommendations for Long Term Care Facilities During COVID-19 Outbreak.
This resource page includes an example visitor announcement, planning guidance for long term care facilities, guidance on admitting residents with COVID-19 from a hospital, and links to additional resources.
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Agencies and Organizations

American Health Care Association. How You Can Help Prevent the Spread of Coronavirus (COVID-19) in Long Term Care Facilities.
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The Society for Post-Acute and Long-Term Care Medicine. AMDA Update on COVID-19.
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