Infection Prevention Success Stories

CDC is learning from the experiences of long-term care facilities, nursing home partners and public health departments as they successfully respond to COVID-19.

Lessons learned from their experiences provide practical approaches and solutions that can be used to protect residents, staff, and communities. Stories are organized by key prevention strategies.

Many long-term care facilities across the country are taking actions to implement CDC guidance and keep residents and staff safe during the COVID-19 pandemic. These stories highlight a small selection of the ongoing work of those facilities.

Building trust with residents and families is essential.

Broad Reach Health

When visitor and access limitations were implemented at Liberty Commons skilled nursing facility in Massachusetts, leadership knew that the fear of the unknown could be more paralyzing than any realities. Broad Reach decided right away to communicate regularly, across the board, with families, residents, and staff alike. The response, they say, has been “nothing short of overwhelmingly positive.”

To communicate with families and residents, the team at Liberty Commons opted for automated voice messages, which had long been part of its emergency preparedness plan. The messages are also posted on the facility’s website every day and shared on social media. The website shows ongoing aggregate COVID-19 testing results for both residents and staff; information about PPE procurement and recoveries from COVID-19; and “human interest” updates, especially as they relate to visitor restrictions and isolation precautions. A key communication success has been the implementation of a dedicated “info” email address and voicemail for families to leave questions, promising response within a business day.

Broad Reach says there has been no backlash or perception of information being withheld, and frontline staff has not had to field as many calls about what’s happening. When two residents tested positive for COVID-19, the response remained positive about preparedness, operational response, and communication.

Learn more at Broad Reach Healthcare: COVID-19 Information and Resourcesexternal icon.

Supporting staff improves morale.

American Health Care Association/National Center for Assisted Living (AHCA/NCAL)

With most media coverage of COVID-19 in long-term care facilities (LTCFs) about outbreaks and deaths, AHCA/NCAL has started an initiative to highlight positive stories during the pandemic. It calls attention to the healthcare heroes in LTC who are keeping residents safe, and to the many residents who have recovered from the virus.

The organization launched “Faces of Careexternal icon,” a new page on CareNotCOVIDexternal icon, a site where people can share videos of support for seniors in LTC. The page features a photo gallery of residents who have recovered from COVID-19, as well as staff who have stepped up during the pandemic. Visitors can submit their own stories if they work in LTC or know a resident who survived COVID-19.

People have remarked that they enjoy and look forward to these uplifting stories, which have also helped boost the morale of LTCF staff and residents. Telling these stories has encouraged others to share their own accounts, and news outlets have covered the feel-good stories, broadening the scope of this narrative even more.

Identifying infections and acting early protects residents.

Vetter Health Services

In mid-March, the team at Vetter Health Services learned to “trust your gut and insist on testing” when dealing with the first case of COVID-19 at Papillion Manor, a long-term care facility in Nebraska. The team prevented the spread of COVID-19 in the facility by quickly identifying symptoms and implementing appropriate Transmission-Based Precautions for the resident with suspected infection.

When a resident presented with fever, the resident was placed in Precautions and a COVID-19 test was requested within an hour and a half. Additional measures included designating staff to care for the resident and logging contacts between residents and staff. As the resident’s symptoms worsened, the team continued to advocate for testing and obtained approval. The results confirmed their suspected diagnosis of COVID-19.

The eight team members who cared for the resident were placed on voluntary “sick leave” for 14 days following their last exposure to the infected resident, and all residents, families, and team members were notified of the facility’s positive case via phone or in person.

In addition to acting promptly, even before test results, the team learned that it takes a lot of personal protective equipment to care for a patient with COVID-19. They did not initially have eye protection and feel fortunate that they implemented strategies to limit the number of staff exposed while caring for the resident. They feel their greatest success was that no other residents or team members tested positive for COVID-19.

Learn more at Vetter Senior Livingexternal icon.

 

Cantata Adult Life Services

When COVID-19 cases began occurring in other healthcare facilities in their community, the administrative leadership at Cantata Adult Life Services recognized early that they needed a multilevel action plan to prevent COVID-19 from entering their facility in Brookfield, IL. Through quick action in early March, Cantata implemented strategies to keep COVID-19 out and identify potential cases early.

Cantata’s action plan included:

  • establishing connections with key healthcare and public health partners in the community
  • placing signs on campus encouraging handwashing and advising ill visitors to not enter buildings
  • screening employees and essential visitors for symptoms of COVID-19
  • canceling all in-person activities
  • creating a 14-day quarantine unit for all admissions in health services
  • keeping open lines of communication with families and between administration and clinical team
  • contact tracing for employees who did not pass screening or self-reported COVID-19 exposure
  • supporting staff members and listening to their concerns

One of the keys to Cantata’s success has been the understanding that change will occur quickly and frequently as we learn more about this virus. Throughout the pandemic, Cantata has constantly reviewed and revised their action plan based on new guidance from CDC and CMS. They have remained vigilant despite rapid change, working with their frontline staff to identify potential breaks in mitigation plans and correct them immediately. If not for their open communication, support to staff, and engagement of their leaders, they say, their COVID-19 experience might have been very different.

Learn more at Cantata: Daily Life on Campusexternal icon.