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Mortality from coronavirus disease 2019 (COVID-19) is disproportionately concentrated in skilled nursing facilities (SNFs). As of June 18, 2020, 50 185 residents died of COVID-19 in the 41 states reporting deaths at SNFs, accounting for 45% of their total COVID-19 deaths statewide.1 In addition to long-term care, SNFs provide short-term care after elective surgeries and hospitalizations. With the decreases in hospital volume for elective surgeries and other services during the pandemic, SNF admissions may also be declining.2
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Corresponding Author: Michael L. Barnett, MD, MS, Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, 677 Huntington Ave, Kresge 411, Boston, MA 02115 (email@example.com).
Accepted for Publication: June 15, 2020.
Published Online: June 24, 2020. doi:10.1001/jama.2020.11642
Author Contributions: Dr Barnett and Mr Martin had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: All authors.
Acquisition, analysis, or interpretation of data: Barnett, Hu, Martin.
Drafting of the manuscript: Barnett.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Barnett, Martin.
Obtained funding: Barnett.
Administrative, technical, or material support: Hu.
Supervision: Barnett, Hu, Grabowski.
Conflict of Interest Disclosures: Dr Hu reported being the CEO and Mr Martin reported being the director of postacute analytics at CarePort Health. No other disclosures were reported.
Funding/Support: This research was supported by grant K23 AG058806-01 from the National Institute on Aging, National Institutes of Health.
Role of the Funder/Sponsor: The National Institute on Aging had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
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