- Chidambaram P.
- Garfield R.
Current Infection Control Challenges
COVID 19 intensifies nursing home workforce challenges.
Updates to long-term care (LTC) emergency regulatory waivers issued in response to COVID-19.
Strategies for Improved Care and Stakeholder Responsibilities
Addressing nursing home safety during the COVID-19 pandemic and beyond.
|Infection control preventionist|
|• Required Centers for Disease Control and Prevention infection control preventionist training|
|• Dedicated job without additional administrative or resident care responsibilities|
|• Registered Nurse or Bachelor of Science in Nursing preferred|
|• Required training for all nursing and ancillary staff on the aging process and clinical presentation of infections|
|• Required training for all nursing and ancillary staff on basic infection control principles|
|Regulatory and reimbursement|
|• Minimum staffing ratios linked to comprehensive resident assessment data|
|• Enhanced surveyor training and oversight for consistency across all geographic regions|
|• Increased reimbursement with mandated infection control preventionist position and staff training allocations|
|• Up-to-date policies and procedures addressing infection control practices, infection preventionist role, geriatric education, and staffing ratios|
|• Regular assessment and professional development to maintain staff’s competencies related to infection control and geriatric care|
|• Investment in physical plant updates to enhance the environment for effective infection control practices|
|• Form partnerships with local nursing homes to assist in providing up-to-date training of nursing home staff|
- Shifting US patterns of COVID-19 mortality by race and ethnicity from June-December 2020.J Am Med Dir Assoc. 2021; 22: 966-970
- COVID-19 in nursing homes: calming the perfect storm.J Am Geriatr Soc. 2020; 68: 2153-2162
- COVID-19 long-term care deaths and cases are at an all-time low, though a rise in LTC cases in a few states may be cause for concern.https://www.kff.org/coronavirus-covid-19/issue-brief/covid-19-long-term-care-deaths-and-cases-are-at-an-all-time-low-though-a-rise-in-ltc-cases-in-a-few-states-may-be-cause-for-concern/Date accessed: July 7, 2021
- Infection control citations in nursing homes: Compliance and geographical variability.J Am Med Dir Assoc. 2021; 22: 1317-1321
- 42 Code of Federal Regulations. §483.80. Infection control.(42 CFR 483.80 - Infection control)
- COVID 19 intensifies nursing home workforce challenges.
- 42 Code of Federal Regulations. §483.150.https://www.govinfo.gov/content/pkg/CFR-2012-title42-vol5/pdf/CFR-2012-title42-vol5-sec483-150.pdfDate accessed: July 20, 2021
- Updates to long-term care (LTC) emergency regulatory waivers issued in response to COVID-19.https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updates-long-term-care-ltc-emergency-regulatory-waivers-issued-response-covid-19Date accessed: July 29, 2021
- Addressing nursing home safety during the COVID-19 pandemic and beyond.https://www.gapna.org/system/files/statements/addressing-nursing-homesafety-during-the-covid-19-pandemic-and-beyond12.20.pdfDate accessed: July 8, 2021
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The authors declare no conflicts of interest.