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Characteristics and Quality of US Nursing Homes Reporting Cases of Coronavirus Disease 2019 (COVID-19)

Educational Objective
To understand the characteristics and quality of US nursing homes reporting cases of COVID-19
1 Credit CME

Coronavirus disease 2019 (COVID-19) has taken an enormous toll on US nursing homes, claiming the lives of at least 7000 residents and staff across 4100 facilities and accounting for nearly 20% of COVID-19 deaths in the United States.1 On April 19, 2020, the Centers for Medicare & Medicaid Services began requiring nursing homes to report COVID-19 cases in their facilities.2 Our objective was to describe the characteristics and quality of nursing homes with COVID-19 cases in states where public health departments have begun to publicly report their statuses.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: July 4, 2020.

Published: July 29, 2020. doi:10.1001/jamanetworkopen.2020.16930

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2020 Chatterjee P et al. JAMA Network Open.

Corresponding Author: Paula Chatterjee, MD, MPH, Division of General Internal Medicine, Department of Medicine, Perelman School of Medicine, 423 Guardian Dr, Room 1318, Philadelphia, PA 19104 (pchat@pennmedicine.upenn.edu).

Author Contributions: Dr Chatterjee had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Chatterjee, Werner.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Chatterjee, Kelly.

Critical revision of the manuscript for important intellectual content: Chatterjee, Qi, Werner.

Statistical analysis: Chatterjee, Qi.

Obtained funding: Werner.

Administrative, technical, or material support: Kelly, Werner.

Supervision: Werner.

Conflict of Interest Disclosures: Dr Werner reported receiving personal fees from CarePort Health outside the submitted work. No other disclosures were reported.

Funding/Support: Dr Werner was supported in part by grant K24-AG047908 from the National Institute on Aging.

Role of the Funder/Sponsor: The funder 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.
Stockman  F , Richtel  M , Ivory  D , Smith  M . ‘They’re death pits’: virus claims at least 7,000 lives in U.S. nursing homes. The New York Times. Published April 17, 2020. Accessed July 6, 2020. https://www.nytimes.com/2020/04/17/us/coronavirus-nursing-homes.html
2.
Centers for Medicare & Medicaid Services. Trump administration announces new nursing homes COVID-19 transparency effort. Published April 19, 2020. Accessed May 3, 2020. https://www.cms.gov/newsroom/press-releases/trump-administration-announces-new-nursing-homes-covid-19-transparency-effort
3.
Data.Medicare.Gov. Nursing Home Compare data sets. Updated June 24, 2020. Accessed July 6, 2020. https://data.medicare.gov/data/nursing-home-compare
4.
The New York Times. COVID-19 data. Updated June 26, 2020. Accessed July 6, 2020. https://github.com/nytimes/covid-19-data
5.
Rutledge  C , Wocken  M , Wilson  S . 34th SNF cost comparison and industry trends report. Accessed July 6, 2020. https://www.claconnect.com/resources/white-papers/2019/-/media/files/white-papers/2019-snf-cost-comparison-and-industry-trends-report-cla.pdf
6.
Gupta  A , Howell  ST , Yannelis  C , Gupta  A . Does private equity investment in healthcare benefit patients? evidence from nursing homes. Published March 9, 2020. Accessed July 6, 2020. https://ssrn.com/abstract=3537612
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