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The Assisted Living Playbook Josh Allen RN C-AL Dan Haimowitz MD FACP CMD Hawaii ECHO LTSS COVID Preparedness May 27 2020
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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.

The Assisted Living Playbook

Josh Allen RN C-ALDan Haimowitz MD FACP CMD

Hawaii ECHO LTSS COVID PreparednessMay 27 2020

Page 2: 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.

Disclosures

• Josh: No disclosures for this presentation

• Dan: No disclosures for this presentation

Page 3: 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.

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

Page 4: 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.

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

Page 5: 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.

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

Page 6: 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.

The Leadership Team/Sending Residents Home

• Differences in leadership

• “Interim” Medical Director

• Taking residents home/bringing back

Page 7: 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.

Staff/Staff Education

• True disaster planning

• Typical educational issues

Page 8: 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.

Housekeeping/Testing

• High on the list

• Testing policies

Page 9: 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.

Cohorting/Medical Resources

• Difficulties in AL

• Medical Care in AL

• Establishing priorities with limited resources

Page 10: 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.

Training/Reporting

• Typical issues, but…

• Potentially less-trained staff

• Pearls

• Share reporting burden if possible

Page 11: 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.

Staff lodging/Healthcare Provider Notification

• Ways to help staff

• Different ways to alert HCPs

Page 12: 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.

Advance Care Discussions/Hospice

• Crucial

• More time consuming

• Hospice discussions

Page 13: 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.

Family Communications/Don’t Play the Blame Game

• Liability

• The media

• Best practices

Page 14: 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.

Resources/(PPE)

• Information overload

• Benefits of collaboration

• Identify 1-2 sources?

Page 15: 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.

Taking Care of Staff/Taking Care of the Leadership Team

• Typical issues

• Similarities to “burnout”

• Pride/martyrdom

Page 16: 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.

Things to Think About

• Unusual presentations

• Relationships with local/state/federal

• Standardization

• Get LTC “on the bus”

• Hot topic--Reopening

Page 17: 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.

THANK YOU!!

Josh Allen RN C-AL

[email protected]

Dan Haimowitz MD FACP CMD

[email protected]


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