scholarly journals Universal Testing‐Based Response to COVID‐19 Outbreak by a Long‐Term Care and Post‐Acute Care Facility

2020 ◽  
Vol 68 (7) ◽  
Author(s):  
Innokentiy Bakaev ◽  
Tammy Retalic ◽  
Helen Chen
Keyword(s):  
Acute Care ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Acute Care Facility ◽  
Universal Testing ◽  
Post Acute Care

scholarly journals Long-Term Care Facilities: Important Participants of the Acute Care Facility Social Network?

PLoS ONE ◽  
2011 ◽  
Vol 6 (12) ◽  
pp. e29342 ◽  
Author(s):  
Bruce Y. Lee ◽  
Yeohan Song ◽  
Sarah M. Bartsch ◽  
Diane S. Kim ◽  
Ashima Singh ◽  
...  
Keyword(s):  
Social Network ◽  
Acute Care ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Acute Care Facility ◽  
Care Facilities

scholarly journals A Health System Response to COVID ‐19 in Long‐Term Care and Post‐Acute Care: A Three‐Phase Approach

2020 ◽  
Vol 68 (6) ◽  
pp. 1155-1161 ◽  
Author(s):  
Gina Kim ◽  
Mengru Wang ◽  
Hanh Pan ◽  
Giana H. Davidson ◽  
Alison C. Roxby ◽  
...  
Keyword(s):  
Health System ◽  
Acute Care ◽  
Long Term Care ◽  
System Response ◽  
Term Care ◽  
Phase Approach ◽  
Three Phase ◽  
Post Acute Care

Health Care Use Before and After Entering Long-Term Services and Supports

2016 ◽  
Vol 37 (1) ◽  
pp. 26-40 ◽  
Author(s):  
Robert Newcomer ◽  
Charlene Harrington ◽  
Denis Hulett ◽  
Taewoon Kang ◽  
Michelle Ko ◽  
...  
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Long Term Care ◽  
Health Care Use ◽  
Care Providers ◽  
Term Care ◽  
Before And After ◽  
Ed Visits ◽  
Post Acute Care

Objective: We examined the health care utilization patterns of Medicare and Medicaid enrollees (MMEs) before and after initiating long-term care in the community or after admission to a nursing facility (NF). Method: We used administrative data to compare hospitalizations, emergency department (ED) visits, and post-acute care use of MMEs receiving long-term care in California in 2006-2007. Results: MMEs admitted to a NF for long-term care had much greater use of hospitalizations, ED visits, and post-acute care before initiating long-term care than those entering long-term care in the community. Post-entry, community service users had less than half the average monthly hospital and ED use compared with the NF cohort. Conclusion: Hospital and ED use prior to and following NF and personal care program entry suggest a need for reassessing the monitoring of these high-risk populations and the communication between health and community care providers.

Clostridium difficileInfection in a Long-Term Care Facility: Hospital-Associated Illness Compared with Long-Term Care-Associated Illness

2011 ◽  
Vol 32 (7) ◽  
pp. 656-660 ◽  
Author(s):  
Jong Hun Kim ◽  
Diana Toy ◽  
Robert R. Muder
Keyword(s):  
Acute Care ◽  
Long Term Care ◽  
Acute Care Hospital ◽  
Care Facility ◽  
Optimal Strategies ◽  
Care Hospital ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

Background.Controversy exists over whetherClostridium difficileinfection (CDI) commonly occurs in long-term care facility residents who have not been recently transferred from an acute care hospital.Objective.To assess the incidence and outcome of CDI in a long-term care facility.Methods.Retrospective cohort study in a 262-bed long-term care Veterans Affairs facility in Pittsburgh, Pennsylvania, for the period January 2004 through June 2010. CDI was identified by positive stoolC. difficiletoxin assay and acute diarrhea. Patients were categorized as hospital-associated CDI (HACDI) or long-term care facility–associated CDI (LACDI) and followed for 6 months.Results.The annual rate of CDI varied between 0.11 and 0.23 per 1,000 resident-days for HACDI patients and between 0.04 and 0.28 per 1,000 resident-days for LACDI patients. We identified 162 patients, 96 patients (59.3%) with HACDI and 66 patients (40.7%) with LACDI. Median age was 74 and 77 years, respectively, for HACDI and LACDI (P= .055) patients. There were more patients with at least 1 relapse of CDI during 6 months of follow up in LACDI patients (32/66, 48.5%) than in HACDI patients (28/96, 29.2%;P= .009). Logistic regression showed that ages of at least 75 years (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.07–5.07;P= .033), more than 2 transfers to an acute care hospital (OR, 7.88; 95% CI, 1.88–32.95;P= .005), and LACDI (OR, 3.15; 95% CI, 1.41–7.05;P= .005) were associated with relapse of CDI.Conclusions.Forty percent of CDI cases were acquired within the long-term care facility, indicating a substantial degree of transmission. Optimal strategies to prevent CDI in the long-term care facility are needed.

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