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Mitigating the effects of a pandemic: Facilitating improved NH care delivery through technology
Linda S. Edelman;
Eleanor S. McConnell;
Susan M. Kennerly;
Jenny Alderden;
Susan D, Horn;
Tracey L. Yap
ABSTRACT
The COVID-19 pandemic has been particularly challenging for nursing home (NH) staff and residents. Centers for Medicare and Medicaid Services (CMS) regulation waivers are burdening staff and impacting how care is delivered. Residents are experiencing social isolation that can result in physical and behavioral health issues, particularly for those with dementia. These challenges can be addressed in part through technology adaptations. Full integration of electronic health record systems can improve workflow and care quality. Telehealth can improve access to outside providers, provide remote monitoring, and improve social connectedness. Electronic and audiovisual programs can be used for end-of-life planning and information sharing between nursing home staff and families. Online learning systems and other online resources provide flexible staff education and training options. Investing in and adapting technology can help mitigate workforce stress and improve quality of nursing home care during and after the COVID-19 crisis.