Abstract

Coronavirus disease 2019 (COVID-19) remains a serious threat for long-term care facilities, and frequent screening of employees and residents places a substantial burden on those facilities. We report our successful multimodal prevention measures without frequent testing, which resulted in no cases within 20 nursing home units over the first 6 months of the pandemic.

Highlights

  • IntroductionThe Veterans’ Health Administration (VHA) operates 134 community living centers (CLCs) nationwide, which provide services equivalent to private long-term care facilities (LTCFs), within regional operational structures known as Veterans’ Integrated Service Networks (VISNs)

  • The VA Midwest Health Care Network (VISN-23), 1 of 18 Veterans’ Integrated Service Networks (VISNs), has implemented multimodal measures without routine universal testing, which successfully resulted in no cases of COVID-19 among residents in community living centers (CLCs) over the first 6 months of pandemic

  • VISN-23 implemented multimodal strategies, including prioritizing new admissions from patients being discharged from inpatient wards with no COVID-19 patients or from patients living at home in a community without recognized COVID-19

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Summary

Introduction

The Veterans’ Health Administration (VHA) operates 134 community living centers (CLCs) nationwide, which provide services equivalent to private LTCFs, within regional operational structures known as Veterans’ Integrated Service Networks (VISNs). The VA Midwest Health Care Network (VISN-23), 1 of 18 VISNs, has implemented multimodal measures without routine universal testing, which successfully resulted in no cases of COVID-19 among residents in CLCs over the first 6 months of pandemic. We describe our comprehensive prevention strategies without indiscriminative testing and reported outcomes

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