The Importance of Long-term Care Populations in Models of COVID-19 | Geriatrics | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

The Importance of Long-term Care Populations in Models of COVID-19

Educational Objective
To understand that long-term care populations need their own models when measuring COVID-19 infection rates
1 Credit CME

In February 2020, the US outbreak of novel coronavirus disease 2019 (COVID-19) began with a cluster of cases at a long-term care (LTC) facility in Washington State. Since then, 34 of the 40 states with available data report that at least 40% of COVID-19-related deaths in those states have occurred in LTC facilities,1 which provide ideal conditions for rapid spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Although the populations in these facilities bear a significant burden of the pandemic, mathematical models that contribute to US national or state policy do not account for residents of LTC facilities separately from surrounding populations in their calculations.2 This Viewpoint explores why it is important to separate projections for residents of LTC facilities and the general population.

Sign in to take quiz and track your certificates

Buy This Activity

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 CME Credit™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

Article Information

Corresponding Author: Karl Pillemer, PhD, Weill Cornell Medicine, Division of Geriatrics and Palliative Medicine, Cornell University, 1300 York Ave, New York, NY 10065 (kap6@cornell.edu).

Published Online: June 5, 2020. doi:10.1001/jama.2020.9540

Conflict of Interest Disclosures: Dr Pillemer reports receipt of grants from the National Institutes of Health and personal fees (speaking honoraria) and grants from the American Seniors Housing Association outside the submitted work. Dr Hupert reports providing unpaid consultation services (related to novel coronavirus 2019 modeling) to the Greater New York Hospital Association outside the submitted work. Dr Subramanian reports being a consultant for the World Bank and being the cofounder of Entrupy Inc, Gaius Networks Inc, and Velai LLC. No other disclosures were reported.

Additional Contributions: We acknowledge the contributions of Srikanth Jagabathula, PhD, Mark S. Lachs, MD, MPH, Beth Simone Noveck, PhD, Anthony E. Rosen, MD, MPH, and Monika M. Safford, MD, to this article. None of these individuals received compensation for their contributions to this article.

References
1.
Kaiser Family Foundation. State reports of long-term care facility cases and deaths related to COVID-19 (as of May 28, 2020). Accessed June 3, 2020. https://www.kff.org/health-costs/issue-brief/state-data-and-policy-actions-to-address-coronavirus/
2.
Institute for Health Metrics and Evaluation (IHME). COVID-19: What’s new for May 29, 2020. Accessed June 3, 2020. http://www.healthdata.org/covid/updates
3.
Ferguson  NM , Laydon  D , Nedjati-Gilani  G ,  et al, Imperial College COVID-19 Response Team. Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand. Published March 16, 2020. Accessed May 20, 2020. https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-NPI-modelling-16-03-2020.pdf
4.
Institute for Health Metrics and Evaluation (IHME). COVID-19 Projections. Updated May 29, 2020. Accessed June 3, 2020. https://covid19.healthdata.org/projections
5.
Shen  M , Xiao  Y , Rong  L .  Modeling the effect of comprehensive interventions on Ebola virus transmission.   Sci Rep. 2015;5:15818. doi:10.1038/srep15818PubMedGoogle ScholarCrossref
6.
CDC COVID-19 Response Team.  Severe outcomes among patients with coronavirus disease 2019 (COVID-19)—United States, February 12-March 16, 2020.   MMWR Morb Mortal Wkly Rep. 2020;69(12):343-346. doi:10.15585/mmwr.mm6912e2PubMedGoogle ScholarCrossref
7.
State of New Jersey. What is the state doing to protect residents and staff at nursing homes or long-term care facilities? Updated May 21, 2020. Accessed May 20, 2020. https://covid19.nj.gov/faqs/nj-information/general-public/what-is-the-state-doing-to-protect-residents-and-staff-at-nursing-homes-or-long-term-care-facilities
8.
State of New Jersey. How is the state using data to make decisions and slow the spread of COVID-19? Updated April 28, 2020. Accessed May 20, 2020. https://covid19.nj.gov/faqs/nj-information/the-latest-data/how-is-the-state-using-data-to-make-decisions-and-slow-the-spread-of-covid-19
9.
Barnett  ML , Grabowski  DC . Nursing homes are ground zero for COVID-19 pandemic. JAMA Health Forum. Published March 24, 2020. Accessed May 20, 2020. https://jamanetwork.com/channels/health-forum/fullarticle/2763666
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close