The Assisted Living Playbook - Geriatric Medicine€¦ · The Assisted Living Playbook Josh Allen...
Transcript of The Assisted Living Playbook - Geriatric Medicine€¦ · The Assisted Living Playbook Josh Allen...
![Page 1: The Assisted Living Playbook - Geriatric Medicine€¦ · The Assisted Living Playbook Josh Allen RN C-AL Dan Haimowitz MD FACP CMD Hawaii ECHO LTSS COVID Preparedness May 27 2020.](https://reader034.fdocuments.us/reader034/viewer/2022042413/5f2d872d09b1d0069e0d4c0d/html5/thumbnails/1.jpg)
The Assisted Living Playbook
Josh Allen RN C-ALDan Haimowitz MD FACP CMD
Hawaii ECHO LTSS COVID PreparednessMay 27 2020
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Disclosures
• Josh: No disclosures for this presentation
• Dan: No disclosures for this presentation
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Today’s Session
• Present our personal experiences with COVID in AL
• Discuss framework for ongoing discussions
• “Everything you wanted to know about COVID in AL but didn’t know exactly where to ask”
• Distinguish differences between AL and nursing facilities regarding COVID response
• Format
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Our Experiences with COVID in AL
Josh
• 25 years experience in assisted living
• Registered Nurse
• Certified in AL by the American Assisted Living Nurses Association
• Clinical support to 350+ assisted living communities in over 35 states
Dan
• Free standing Memory-Loss AL : 90% COVID + 40% death rate Corporate not local leadership
• 2 CCRCs under corporate umbrella: outbreak at 1 AL, none at other, extensive local leadership involvement
• Free standing AL w/SNF and IL next door: local leadership initiated by Medical Director
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The Playbook
• The Leadership Team• Sending residents home• Staffing• Staff education• Housekeeping• Testing• Cohorting• Medical Resources• Training• Reporting
• Staff lodging• Healthcare provider
notification• Medication management• Advance directive discussions• Hospice• Family communication• Don’t play the Blame Game• Resources (“PPE”)• Taking care of Staff• Taking care of the Leadership
Team
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The Leadership Team/Sending Residents Home
• Differences in leadership
• “Interim” Medical Director
• Taking residents home/bringing back
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Staff/Staff Education
• True disaster planning
• Typical educational issues
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Housekeeping/Testing
• High on the list
• Testing policies
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Cohorting/Medical Resources
• Difficulties in AL
• Medical Care in AL
• Establishing priorities with limited resources
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Training/Reporting
• Typical issues, but…
• Potentially less-trained staff
• Pearls
• Share reporting burden if possible
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Staff lodging/Healthcare Provider Notification
• Ways to help staff
• Different ways to alert HCPs
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Advance Care Discussions/Hospice
• Crucial
• More time consuming
• Hospice discussions
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Family Communications/Don’t Play the Blame Game
• Liability
• The media
• Best practices
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Resources/(PPE)
• Information overload
• Benefits of collaboration
• Identify 1-2 sources?
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Taking Care of Staff/Taking Care of the Leadership Team
• Typical issues
• Similarities to “burnout”
• Pride/martyrdom
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Things to Think About
• Unusual presentations
• Relationships with local/state/federal
• Standardization
• Get LTC “on the bus”
• Hot topic--Reopening