As states struggle to contain cases and deaths from COVID-19, nursing homes and other senior care facilities remain epicenters of outbreaks and fatalities. Yet a rule proposed last year by the Trump Administration would allow facilities to cut back on infection prevention measures, according to recent reports in The New York Times and USA Today.
It seems counterintuitive, but CMS still supports this yet-to-be-finalized proposal. Currently, facilities must employ infection prevention specialists at least part time; they receive specialized training to ensure safety protocols are followed. The rule change would allow nursing homes to hire consultants, who are only required to “spend sufficient time” at the facility. CMS says this would reduce regulatory burden while still ensuring quality care. Continue reading
I’ve written already about the mental health toll the COVID-19 pandemic and associated management strategies, such as physical distancing, are having and will have on the population. Then I received a press release from the health information site Healthline that put some numbers to that toll, both from their internal data and from a nationwide survey from the public opinion company YouGov.
Healthline in May launched a special section on mental health during the pandemic that’s full of quick service pieces on managing anxiety, stress, depression, panic attacks and similar experiences during the pandemic. Some of these stories can provide ideas for similar pieces for your publication, or be jumping off places for deeper dives into the medical research on mental health during major crises. Continue reading
As businesses and communities across the country reopen, many Americans continue to have questions about how they can interact safely with one another.
Conflicting advice from President Trump, the World Health Organization and the Centers for Disease Control and Prevention about masks and asymptomatic transmission of SARS-CoV-2, the virus that causes COVID-19, has created confusion and made our work to get answers to questions about safety more challenging.
To get some clarity, AHCJ will hold a webcast at noon E.T. on Wednesday, June 17 featuring Erin Bromage, an associate professor of biology at the University of Massachusetts, Dartmouth, who will share his knowledge about SARS-CoV-2 spreads. Continue reading
Older adults are among the most vulnerable to the COVID-19 virus, as story after story of nursing home deaths and other mortality data show. That’s why an overwhelming majority of elders say they’re prepared to self-isolate for many more months if necessary, according to a new survey from NORC at the University of Chicago.
Isolation and loneliness among this population were already challenging issues before COVID-19 hit the U.S. How much worse will it become because of the pandemic? Continue reading
I’m pretty sure Jonathan Howard, M.D., is not psychic — but I’m not 100% sure. After all, almost nothing in science can be stated with 100% certainty. But I could be forgiven for suspecting he had some sort of premonition about the pandemic and the massive challenges it would present to clinicians, researchers, journalists and the public at large, because of the book he published less than two years ago: “Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine.” (Before you read any further, be aware that I have disclosures related to Howard that will become evident shortly.)
Howard, a psychiatrist at NYU Langone Health, spends a good deal of his free time fighting misinformation and pseudoscience online, especially on Twitter and Facebook. Continue reading
When Seema Verma, Centers for Medicare & Medicaid Services administrator, announced June 4 that she and the Centers for Disease Control and Prevention were unveiling COVID-19 data for all the nation’s nursing homes that get federal payment, I thought, “Wow!”
These days, how states are reporting their nursing home COVID cases is varied and random. So this new “unprecedented” federal dataset, “constitutes the backbone of a national COVID-19 virus surveillance system,” Verma said. Continue reading