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In the US, approximately 27% of deaths due to coronavirus disease 2019 (COVID-19) have occurred among residents of nursing homes (NHs).1 However, why some facilities have been more successful at limiting the spread of infection than others is unclear. For example, those with greater staffing or higher performance on quality measures may be better at containing the spread of COVID-19 among staff and residents.
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Corresponding Author: Jose F. Figueroa, MD, MPH, Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, 677 Huntington Ave, Kresge Room 413, Boston, MA 02115 (email@example.com).
Accepted for Publication: July 22, 2020.
Published Online: August 10, 2020. doi:10.1001/jama.2020.14709
Author Contributions: Drs Figueroa and Zheng 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: Figueroa, Wadhera, Papanicolas, Jha.
Acquisition, analysis, or interpretation of data: Figueroa, Wadhera, Riley, Zheng, Orav.
Drafting of the manuscript: Figueroa, Riley.
Critical revision of the manuscript for important intellectual content: Figueroa, Wadhera, Papanicolas, Zheng, Orav, Jha.
Statistical analysis: Papanicolas, Zheng, Orav.
Obtained funding: Figueroa.
Administrative, technical, or material support: Figueroa, Riley, Jha.
Supervision: Figueroa, Jha.
Conflict of Interest Disclosures: Dr Figueroa reported receiving research support for other work not related to this topic by the Commonwealth Fund, the Robert Wood Johnson Foundation, and the Harvard Center for AIDS Research. Dr Wadhera reported receiving research grant K23HL148525-1 from the National Heart, Lung, and Blood Institute and previously serving as a consultant for Regeneron. Dr Jha reported receiving funding from the Commonwealth Fund, the Robert Wood Johnson Foundation, and the Bill and Melinda Gates Foundation for other work. No other disclosures were reported.
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