exploring the special needs and potential role of nursing homes in surge capacity lucy a. savitz,...
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Exploring the Special Needs Exploring the Special Needs and Potential Role of Nursing and Potential Role of Nursing
Homes in Surge CapacityHomes in Surge Capacity
Lucy A. Savitz, Ph.D., M.B.A.Lucy A. Savitz, Ph.D., M.B.A.Senior Health Research AnalystSenior Health Research AnalystQuality, Outcomes and Safety Research ProgramQuality, Outcomes and Safety Research ProgramResearch Triangle Institute Research Triangle Institute Research Triangle Park, NC Research Triangle Park, NC E-mail E-mail [email protected]@rti.org
Why Consider Nursing Homes?Why Consider Nursing Homes?
Previous focus has been on hospital Previous focus has been on hospital and first responder preparednessand first responder preparedness
Elderly population is particularly Elderly population is particularly vulnerable in times of disaster vulnerable in times of disaster
Inclusion of nursing homes in Inclusion of nursing homes in preparedness planning is unknownpreparedness planning is unknown
Key Issues to Study Key Issues to Study in Nursing Homesin Nursing Homes
Disaster plan preparation and trainingDisaster plan preparation and training
Special needsSpecial needs
Patient flowsPatient flows
Rural areasRural areas
State regulationsState regulations
How Can We Explore These Issues?How Can We Explore These Issues?Two-stage, Exploratory StudyTwo-stage, Exploratory Study
I. Qualitative CaseI. Qualitative Case Studies in 6 StatesStudies in 6 States– Focus groupsFocus groups– Comments on Comments on
survey toolsurvey tool– In-depth In-depth
discussionsdiscussions– Review of Review of
documentsdocuments
II. AtlasII. Atlas Comparative facility Comparative facility and rural-urban and rural-urban continuum data for 50 continuum data for 50 StatesStatesDrill down for 6 States, Drill down for 6 States, comparing data for comparing data for relevant planning relevant planning areasareas
Case Study States Case Study States with RTI IDSRN Partnerswith RTI IDSRN Partners
Utah:Utah: Intermountain Health Care (IHC) Intermountain Health Care (IHC)
California, Oregon, Washington:California, Oregon, Washington: Providence Health SystemProvidence Health System
North Carolina:North Carolina: UNC Health Care UNC Health Care
Pennsylvania:Pennsylvania: UPMC Health System UPMC Health System
Preliminary FindingsPreliminary Findings
Nursing Homes have:Nursing Homes have:
Natural disaster plans in placeNatural disaster plans in place
Not been included in preparedness Not been included in preparedness planningplanning
Special needs Special needs
Potential to offer surge capacity Potential to offer surge capacity extensionsextensions
ATLASATLAS
Opportunities Opportunities to Enhance Preparednessto Enhance Preparedness
Planning and resource decisionsPlanning and resource decisions
Nursing home administratorsNursing home administrators
Special needs and contributionsSpecial needs and contributions
Update disaster plansUpdate disaster plans
Targeted training for staffTargeted training for staff