COVID-19 Preparedness in US Home Health Care Agencies

Journal of the American Medical Directors Association
Jingjing ShangPatricia W Stone

Abstract

In the United States, home health agencies (HHAs) provide essential services for patients recovering from post-acute care and older adults who are aging in place. During the COVID-19 pandemic, HHAs may face additional challenges caring for these vulnerable patients. Our objective was to explore COVID-19 preparedness of US HHAs and compare results by urban/rural location. Cross-sectional study. Using a stratified random sample of 978 HHAs, we conducted a 22-item online survey from April 10 to 17, 2020. Summary statistics were computed; open-ended narrative responses were synthesized using qualitative methods. Similar to national data, most responding HHAs (n = 121, 12% response rate) were for-profit and located in the South. Most HHAs had infectious disease outbreaks included in their emergency preparedness plan (76%), a staff member in charge of outbreak/disaster preparedness (84%), and had provided their staff with COVID-19 education and training (97%). More urban HHAs had cared for confirmed and recovered COVID-19 patients than rural HHAs, but urban HHAs had less capacity to test for COVID-19 than rural HHAs (9% vs 21%). Most (69%) experienced patient census declines and had a current and/or anticipated supply shortage. Rural...Continue Reading

References

Apr 16, 2020·Journal of the American Geriatrics Society·Karen M JonesLona Mody
Apr 29, 2020·Journal of the American Geriatrics Society·Denise D QuigleyPatricia W Stone

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Citations

Oct 29, 2020·Public Health Nursing·Jeannette KatesMonika Pogorzelska-Maziarz
Apr 4, 2021·International Journal of Environmental Research and Public Health·Jamie M SmithCharlotte Thomas-Hawkins
Nov 4, 2020·Journal of the American Medical Directors Association·Christine D Jones, Kathryn H Bowles
Dec 2, 2020·Journal of the American Medical Directors Association·Monika Pogorzelska-MaziarzJingjing Shang
Aug 8, 2021·International Journal of Environmental Research and Public Health·Óscar Brito FernandesNuno Marques
Aug 16, 2021·American Journal of Infection Control·Zainab Toteh OsakweAna Stefancic
Sep 21, 2021·Journal of the Air & Waste Management Association·Thais SilvaSimone Machado Santos

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