scholarly journals Surveillance of COVID-19 vaccination in US nursing homes, December 2020-April 2021

2021 ◽  
Author(s):  
Andrew I Geller ◽  
Daniel S Budnitz ◽  
Heather Dubendris ◽  
Radhika Gharpure ◽  
Minn Minn Soe ◽  
...  
Keyword(s):  
Vaccination Coverage ◽  
Long Term Care ◽  
Pearson Correlation ◽  
Vaccine Dose ◽  
Correlation Coefficients ◽  
Care Program ◽  
High Coverage ◽  
Term Care ◽  
National Healthcare Safety Network

Monitoring COVID-19 vaccination coverage among nursing home (NH) residents and staff is important to ensure high coverage and guide patient-safety policies. With the termination of the federal Pharmacy Partnership for Long-Term Care Program, another source of facility-based vaccination data is needed. We compared numbers of COVID-19 vaccinations administered to NH residents and staff reported by pharmacies participating in the temporary federal Pharmacy Partnership for Long-Term Care Program with those reported by NHs participating in new COVID-19 vaccination modules of CDC's National Healthcare Safety Network (NHSN). Pearson correlation coefficients comparing the number vaccinated between the two approaches were 0.89, 0.96, and 0.97 for residents and 0.74, 0.90, and 0.90 for staff, in the weeks ending January 3, 10, and 17, respectively. Based on subsequent NHSN reporting, vaccination coverage with ≥1 vaccine dose reached 77% for residents and 50% for staff the week ending January 31 and plateaued through April 2021.

scholarly journals New COVID-19 Transmission after the First Vaccine Dose at Skilled Nursing Facilities in Nebraska

2021 ◽  
Vol 1 (S1) ◽  
pp. s20-s20
Author(s):  
Ishrat Kamal-Ahmed ◽  
FNU Kanishka ◽  
Derry Stover ◽  
Matthew Donahue ◽  
Yi Du ◽  
...  
Keyword(s):  
Long Term Care ◽  
Vaccine Coverage ◽  
Vaccine Dose ◽  
Care Program ◽  
Skilled Nursing Facilities ◽  
Percentage Increase ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing

Group Name: DHHS EpiBackground: The inoculation with SARS-CoV-2 vaccine at long-term care facilities (LTCFs) in Nebraska began on December 28, 2020, as part of the Centers for Disease Control and Prevention (CDC) Pharmacy Partnership for Long-Term Care Program.1 As of February 5, 2021, 159 skilled nursing facilities (SNFs) had completed their first vaccine clinic, and 7,271 residents and 6,768 staff had received the first dose of the 2-dose series. Surveillance data before vaccination (December 21–27, 2020) and after the first vaccination dose (January 25–31, 2021) indicate that the weekly SARS-CoV-2 positivity rate at SNFs decreased from 1.18% to 0.42% for residents and 0.54% to 0.11% for staff.2,3,4 In this study, we examined the perceived decrease in new transmission initiated by the first dose of vaccine at SNFs. Methods: We analyzed the data with separate logistic regressions for residents and staff. We included 145 SNFs that completed their first vaccine clinic, and we used the Federal and Pharmacy Partnership database for the number of residents and staff that received the first dose of vaccine at the first vaccine clinic. We followed the SNFs for 21 days after the first vaccine clinic from December 28, 2020, through February 5, 2021, for any first-time SARS-CoV-2–positive cases. The National Healthcare Safety Network (NHSN) database was used to collect the information on the number of residents present at the facility on the day of the first vaccine clinic, if available, or days before in the same week as the first vaccine clinic. The staff count for each facility was extracted from Nebraska Licensure for LTCFs. We collected new case information from the state surveillance, the NHSN, and the Test-Nebraska platform. Results: The mean resident vaccine coverage was 80% and the median staff vaccine coverage was 43%. We found a reverse association between staff vaccine coverage and new positive staff cases. For each percentage increase in staff vaccine coverage, the odds of having a new staff positive case 7 days and 14 days after the first vaccine clinic decrease by 26% and 48%, respectively. No association between coverage and new resident transmission was detected. Possible confounding exists when infected residents might have tested positive 7–14 days after the first vaccine clinic who were not affected by the vaccine. Conclusions: Although we observed the association between lower case count with increased facility-level vaccine coverage, we would need to wait for the administration of the second dose of vaccine before assessing the level of association between coverage and new transmission. Further initiatives are warranted to increase the suboptimal vaccine coverage for staff.Funding: NoDisclosures: None

Scrapped Long-Term Care Program Gets Scrutiny

2011 ◽  
Vol 41 (19) ◽  
pp. 49
Author(s):  
FRANCES CORREA
Keyword(s):  
Long Term Care ◽  
Care Program ◽  
Term Care

scholarly journals High coverage COVID-19 mRNA vaccination rapidly controls SARS-CoV-2 transmission in long-term care facilities

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Pablo M. De Salazar ◽  
Nicholas B. Link ◽  
Karuna Lamarca ◽  
Mauricio Santillana
Keyword(s):  
Long Term Care ◽  
Mitigation Strategies ◽  
Key Factors ◽  
Modeling Framework ◽  
High Coverage ◽  
Term Care ◽  
Early Effect ◽  
Care Facilities ◽  
The Relationship

Abstract Background Residents of Long-Term Care Facilities (LTCFs) represent a major share of COVID-19 deaths worldwide. Measuring the vaccine effectiveness among the most vulnerable in these settings is essential to monitor and improve mitigation strategies. Methods We evaluate the early effect of the administration of BNT162b2-mRNA vaccine to individuals older than 64 years residing in LTCFs in Catalonia, Spain. We monitor all the SARS-CoV-2 documented infections and deaths among LTCFs residents once more than 70% of them were fully vaccinated (February–March 2021). We develop a modeling framework based on the relationship between community and LTCFs transmission during the pre-vaccination period (July–December 2020). We compute the total reduction in SARS-CoV-2 documented infections and deaths among residents of LTCFs over time, as well as the reduction in the detected transmission for all the LTCFs. We compare the true observations with the counterfactual predictions. Results We estimate that once more than 70% of the LTCFs population are fully vaccinated, 74% (58–81%, 90% CI) of COVID-19 deaths and 75% (36–86%, 90% CI) of all expected documented infections among LTCFs residents are prevented. Further, detectable transmission among LTCFs residents is reduced up to 90% (76–93%, 90% CI) relative to that expected given transmission in the community. Conclusions Our findings provide evidence that high-coverage vaccination is the most effective intervention to prevent SARS-CoV-2 transmission and death among LTCFs residents. Widespread vaccination could be a feasible avenue to control the COVID-19 pandemic conditional on key factors such as vaccine escape, roll out and coverage.

scholarly journals First-Dose Coronavirus 2019 Vaccination Coverage among the Residents of Long-Term Care Facilities in France

Gerontology ◽  
2021 ◽  
pp. 1-5
Author(s):  
Joël Belmin ◽  
Pierre Lutzler ◽  
Patrick Hidoux ◽  
Olivier Drunat ◽  
Carmelo Lafuente-Lafuente ◽  
...  
Keyword(s):  
End Of Life ◽  
Vaccination Coverage ◽  
Long Term Care ◽  
Vaccination Campaign ◽  
Coverage Rate ◽  
Life Situation ◽  
Term Care ◽  
Care Facilities ◽  
History Of

<b><i>Background:</i></b> Long-term care facilities (LTCFs) experienced severe burden from the Coronavirus 2019 (COVID-19), and vaccination against SARS-CoV-2 is a major issue for their residents. <b><i>Objective:</i></b> The objective of this study was to estimate the vaccination coverage rate among the residents of French LTCFs. <b><i>Method:</i></b> Participants and settings: 53 medical coordinators surveyed 73 LTCFs during the first-dose vaccination campaign using the BNT162b2 vaccine, conducted by health authorities in January and early February 2021. Measurements: in all the residents being in the LTCF at the beginning of the campaign, investigators recorded age, sex, history of clinical or asymptomatic COVID-19, serology for SARS-CoV-2 or severe allergy, current end-of-life situation, infectious or acute disease, refusal of vaccination by the resident or by the representative person of vaccine, and the final status, vaccinated or not. <b><i>Results:</i></b> Among the 4,808 residents, the average coverage rate for COVID-19 vaccination was 69%, and 46% of the LTCFs had a coverage rate &#x3c;70%. Among unvaccinated residents, we observed more frequently a history of COVID-19 or a positive serology for SARS-CoV-2 (44.6 vs. 11.2% among vaccinated residents, <i>p</i> &#x3c; 0.001), a history of severe allergy (3.7 vs. 0.1%, <i>p</i> &#x3c; 0.001), end-of-life situation (4.9 vs. 0.3%, <i>p</i> &#x3c; 0.001), current infectious or acute illness (19.6 vs. 0.3%, <i>p</i> &#x3c; 0.001), and refusal of vaccination by residents or representative persons (38.9 vs. 0.4%, <i>p</i> &#x3c; 0.001). <b><i>Conclusions:</i></b> About 3 out of 10 residents remained unvaccinated, and half of the LTCFs had a coverage rate &#x3c;70%. This suggests that COVID-19 will remain a threat to many LTCFs after the vaccination campaigns.

Functional Assessment of Elderly Clients of a Rural Community-Based Long-Term Care Program: A 10-Year Cohort Study

2002 ◽  
Vol 21 (3) ◽  
pp. 455-463 ◽  
Author(s):  
Frank J. Elgar ◽  
Graham Worrall ◽  
John C. Knight
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Care Program ◽  
The Elderly ◽  
Home Care Services ◽  
Community Based ◽  
Term Care ◽  
Risk Of Death ◽  
Affective Functioning

ABSTRACTAs the demand for home care services increases, health care agencies should be able to predict the intake capacity of community-based long-term care (CBLTC) programs. Two hundred and thirty-seven clients entering a CBLTC program were assessed for activities of daily living (ADL) and cognitive and affective functioning and were then followed to monitor attrition and reasons why clients left the program. Compromised ADL functioning at baseline increased likelihood of death and institutionalization by 2 per cent each year. Over a 10-year period, reduced cognitive functioning at baseline increased the risk of death by 9 per cent and decreased the likelihood of leaving the program due to improvement by 18 per cent. Reduced affective functioning at baseline increased the risk of institutionalization during the course of the study by 3 per cent. Routine functional assessments with the elderly may help in the management of similar home care programs.

Long-Term Care Spending Relevant to U.S. Medicaid Expansion

2018 ◽  
pp. 46-70
Author(s):  
Mary Schmeida ◽  
Ramona Sue McNeal
Keyword(s):  
Financial Incentives ◽  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
The U.S

The U.S. population is living longer, placing a demand on long-term care services. In the U.S., Medicaid is the primary player in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from facilities toward community care. Facing other funding obligations and recent recessions, not all states expanded their Medicaid long-term care program using the financial incentives. Some states continue to spend more dollars on traditional nursing facility care despite legislation. This chapter explores why some states spend more revenue on nursing facility long-term care despite enhanced federal funding to reform, while others are spending more on home and community-based services. Regression analysis and 50 state-level data is used.

Medicaid Expansion

2018 ◽  
Vol 2 (2) ◽  
pp. 42-53
Author(s):  
Mary Schmeida ◽  
Ramona McNeal
Keyword(s):  
Long Term Care ◽  
Financial Incentive ◽  
State Level ◽  
Care Program ◽  
Nursing Facility ◽  
Term Care ◽  
Care Services ◽  
Patient Protection ◽  
Level Data

U.S. longevity is placing a demand on long-term care services for the impaired and elderly. Medicaid is the primary insurance program in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from costly facilities toward home and community-based care. Not all states choose to expand their Medicaid long-term care program despite the financial incentive, but instead they continue spending on nursing facility care despite the less costly option of community care. This article explores why some states have been reluctant to expand long-term care into the community. Regression analysis and 50 state-level data is used.

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