Mortality, Admissions, and Patient Census at Urban US SNFs During the COVID-19 Pandemic | Geriatrics | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

Mortality, Admissions, and Patient Census at SNFs in 3 US Cities During the COVID-19 Pandemic

Educational Objective
To understand how COVID-19 is affecting skilled nursing facilities
1 Credit CME

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

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: 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 (mbarnett@hsph.harvard.edu).

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.

References
1.
Henry J. Kaiser Family Foundation. State data and policy actions to address coronavirus. Published June 18, 2020. Accessed June 18, 2020. https://www.kff.org/health-costs/issue-brief/state-data-and-policy-actions-to-address-coronavirus/
2.
Baum  A , Schwartz  MD .  Admissions to Veterans Affairs hospitals for emergency conditions during the COVID-19 pandemic.   JAMA. Published online June 5, 2020. doi:10.1001/jama.2020.9972PubMedGoogle Scholar
3.
McMichael  TM , Currie  DW , Clark  S ,  et al; Public Health–Seattle and King County, EvergreenHealth, and CDC COVID-19 Investigation Team.  Epidemiology of COVID-19 in a long-term care facility in King County, Washington.   N Engl J Med. 2020;382(21):2005-2011. doi:10.1056/NEJMoa2005412PubMedGoogle ScholarCrossref
4.
New York Times. COVID-19 data. Accessed June 2, 2020. https://github.com/nytimes/covid-19-data
5.
Brown University School of Public Health. LTCfocus—long-term care: facts on care in the US. Accessed June 2, 2020. http://ltcfocus.org/2/faq
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