Nursing homes are facing extreme challenges in the midst of the COVID-19 pandemic. Two Regenstrief Institute and Indiana University -- including IUPUI -- faculty members lay out their case that meaningful partnerships between acute care hospitals and nursing facilities can support better quality of care for people who live in the facilities.
Regenstrief research scientist and Indiana University School of Medicine Associate Professor of Medicine, Kathleen T. Unroe, M.D., MHA, and Regenstrief research scientist and Professor at IU Richard M. Fairbanks School of Public Health at IUPUI, Joshua Vest, PhD, MPH, wrote an editorial published in the Journal of the American Geriatrics Society. In it, they stated the benefits of collaboration between health systems and nursing facilities.
The authors highlighted how health systems can support nursing home staffing, which is critical to delivering quality care and a constant challenge, even in normal situations. COVID-19 has exacerbated the challenges of maintaining staffing and, in some instances, created an additional need.
They also discussed how collaboration can facilitate the necessary virus testing within nursing homes and highlighted policy and economic drivers for better cooperation.
Closer relationships can help reduce hospital readmissions and improve safety of transitions of care, which can have a detrimental impact on people living in long-term care facilities. Health systems who have invested resources in developing relationships with nursing facilities are better able to ramp up and provide critical support during a crisis."
Kathleen T. Unroe, M.D., MHA, Regenstrief Research Scientist and Indiana University School of Medicine Associate Professor of Medicine
Dr. Unroe led a Centers for Medicare and Medicaid demonstration project that successfully lowered the rate of avoidable hospitalizations in Indiana nursing homes.
"The pandemic is an opportunity to build on existing relationships between health systems and nursing facilities, as well as forge new ones," said Dr. Vest. "Access to testing, data sharing and leveraging of resources are all important to improve care during the COVID-19 crisis, and closer partnerships will provide facilitation and ultimately improve care for a population that is especially vulnerable during this time." Dr. Vest leads the Fairbanks School of Public Health's Center for Health policy, which conducts research and evaluates health system performance. His research focuses on technologies that enable the sharing of data between organizations.
The editorial, "Time to Leverage Health System Collaborations: Supporting Nursing Facilities Through the COVID-19 Pandemic," was written in response to a paper published by a research team from the University of Washington. Drs. Unroe and Vest praise the work, which leveraged an existing university health system infrastructure to provide solutions and support to nursing homes during the outbreak. They believe the University of Washington's model demonstrates what is possible when investments are made in partnerships.
Unroe, K.T & Vest, J (2020) Time to Leverage Health System Collaborations: Supporting Nursing Facilities Through the COVID ‐19 Pandemic. Journal of the American Geriatrics Society. doi.org/10.1111/jgs.16540.