Source avec lien : Journal of Hospital Administration, 9(4), 8/25/2020. 10.5430/jha.v9n4p27
Contexte : Les épidémies incessantes de COVID-19 qui se produisent dans les maisons de soins infirmiers et de soins pour adultes constituent un grave problème de santé publique qui continue à créer d’importants défis en matière de gestion des crises sanitaires. Les établissements de soins pour adultes manquent souvent de capacités et de moyens internes pour traiter en toute sécurité leurs résidents malades, tandis que les hôpitaux sont mis à rude épreuve pour équilibrer l’afflux de patients, allouer les maigres ressources et protéger les travailleurs de la santé. Objectifs : Ce projet visait à mettre en œuvre un modèle d’intervention régional, engagé au niveau communautaire, pour aider les maisons de soins infirmiers et de soins pour adultes à réduire ou à prévenir les épidémies et les risques associés à COVID-19 dans les zones rurales de l’est de la Caroline du Nord (N.C.).
Background: Incessant, COVID-19 outbreaks occurring in nursing and adult care homes are a serious public health concern that continues to create significant healthcare crisis management challenges. Adult care facilities often lack in-house capacity and capability to safely treat its ill residents, while hospitals are strained to balance the influx of patients, allocate scarce resources and protect healthcare workers. Objectives: This project sought to implement a regional, community engaged, intervention model to assist nursing and adult care homes in reducing or preventing outbreaks and risks associated with COVID-19 in rural eastern North Carolina (N.C.). Methods: Design/Setting: Through collaborations between Vidant Health (VH), health departments and a network of community partners, a shared intervention plan was created and implemented to monitor nursing and adult care homes for COVID-19-related outbreaks across 29 counties in rural eastern N.C. A “Strike” team or “Swarm (SWARM) approach was developed as an operationalized concept for rapidly responding to nursing and adult care home outbreaks while providing an array of services and interventions to help prevent the spread of COVID-19. Comparative analysis was conducted between the mean number of COVID-19-related cases, deaths and length of outbreak time in VH service contracted, SWARM facilities (n = 12) and all other non-service contracted, or non-SWARM facilities (n = 155) in N.C. Results: Nursing and adult care homes under service contract using our SWARM approach experienced fewer average number of COVID-19-related resident ill cases (24.4 vs 29.0), and deaths (1.2 vs. 3.9). The length of outbreak recovery time was far less among SWARM facilities than non-participating, non-SWARM facilities (17.1 vs. 25.4; p < .034).Conclusions: By actively monitoring key indicators, engaging in daily communication with local partners and providing rapid response, VH’s SWARM approach provides a proactive method for preventing further spread of COVID-19 in adult care facilities and communities. Lisez l’article