CDC Resources

  • Laboratory-identified MDRO or CDI Event for LTCF
    This is an NHSN form
  • Algorithm for Fall Risk Screening, Assessment, and Intervention
    The CDC’s STEADI initiative offers a coordinated approach to implementing the American and British Geriatrics Societies’ clinical practice guideline for fall prevention. STEADI consists of three core elements: Screen, Assess, and Intervene to reduce fall risk.
  • RSV-NET Interactive Dashboard
    The rates presented on the RSV-NET interactive dashboard can be used to follow trends and comparisons of RSV-associated hospitalizations in different demographic groups and across seasons. However, the rates are unadjusted and do not account for undertesting, differing provider or facility testing practices, and diagnostic test sensitivity. The true -burden of RSV-associated hospitalizations in the United States may not be represented by these numbers.
  • Weekly HCP & Resident COVID-19 Vaccination
    Long-term care facilities can track weekly COVID-19 vaccination data for residents and healthcare personnel (HCP) through NHSN.
  • State Veterans Homes COVID-19 Tool
    The State Veterans Homes COVID-19 Tool is designed to help long-term care facilities (LTCFs) track and monitor residents and staff who test-positive for COVID-19 (SARS-CoV-2).
  • NHSN LTCF COVID-19 Module
    Facilities eligible to report data to NHSN’s LTCF COVID-19 Module include nursing homes/skilled nursing, Intermediate Care Facilities for individuals with Intellectual disability (ICF/ID), and assisted living facilities. CDC’s NHSN provides healthcare facilities, such as long-term care facilities (LTCFs), with a secure reporting platform for reporting outcomes and process measures in a systematic way. Reported data are immediately available for use in strengthening local and national surveillance, monitoring trends in infection rates, assisting in identifying resource insecurities, and informing progress toward infection prevention goals.
  • Moving Needles
    Moving Needles is a 5 year cooperative agreement between AMDA – The Society for Post-Acute and Long-Term Care Medicine and CDC.
  • Recommendations for the Novavax COVID-19 Vaccine Primary Series in Adults Ages 18 Years and Older
    During this COCA Call, presenters will discuss CDC’s new guidance on the Novavax COVID-19 vaccine for adults ages 18 years and older, including adults who are moderately or severely immunocompromised.
  • Recommendations for Bivalent COVID-19 Booster Doses in People Ages 12 Years and Older
    During this COCA Call, presenters will discuss CDC’s new guidance on bivalent COVID-19 booster doses for people ages 12 years and older, including those who are moderately or severely immunocompromised.
  • Implementation of Personal Protective Equipment (PPE) Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs)
    Residents in nursing homes are at increased risk of becoming colonized and developing infection with MDROs. This resource provides various precautions for residents and staff.

HHS Resources

  • Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records

    AHRQ conducted a study to address the operational gap between CFIs and EFIs. This project focused on validating an established CFI using linked claims-EHR databases of multiple large health systems. The project provides a systematic approach that health systems can use to examine the quality of the EHR data and prepare it for the application of EFI measures.

  • COVID-19 Vaccination Quick Links

    ASPR TRACIE created this list to assist clinicians in quickly finding the most relevant and current information about COVID-19 vaccines available in the United States, their intended populations, recommendations for their use, effectiveness and safety issues, potential adverse events to be aware of, the effects of SARS-CoV-2 variants, and resources to help communicate with patients. Additional resources are also listed to access more detailed information. 

  • Topic Collection: Healthcare Facility Evacuation/Sheltering

    The resources in this Collection include plans, guidelines, lessons learned from recent events, and promising practices that can help healthcare facility staff develop evacuation and sheltering plans, and facilitate their training and exercise development.

  • ASPR TRACIE Evaluation of Hazard Vulnerability Assessment Tools

    The Administration for Strategic Preparedness and Response (ASPR) Technical Resources, Assistance Center, Information Exchange (TRACIE) Evaluation of Hazard Vulnerability Assessment (HVA) Tools provides the following chart that illustrates the similarities and differences among several sample hazard vulnerability tools used by public health and healthcare organizations, and the Federal Emergency Management Agency’s (FEMA) Threat and Hazard Identification Risk Assessment (THIRA).

  • Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators

    This issue brief describes pragmatic approaches for nurse educators and leaders to convey the urgent need to improve diagnosis among their nurses and care teams and to guide nurses to embrace their leadership roles in the diagnostic process. Informed by the literature and professional experience, we offer action-oriented steps and learning strategies, including patient cases that facilitate discussion and promote problem solving, to recognize and encourage nurses as important contributors to reducing diagnostic errors and improving diagnostic safety.

  • HHS Roadmap for Behavioral Health Integration

    The purpose of this brief is to summarize key elements of the HHS Roadmap. For each pillar of the President’s Strategy, we highlight policy approaches that the Department is pursuing to address barriers to fully integrated behavioral health care, and in doing so, to advance the President’s vision. 

  • Topic Collection: Natural Disasters
    Articles in this Topic Collection address specific natural disasters and hazards and elements of their planning, but do not address all-hazard planning or specifics of clinical care which may be found in other topic collections.
  • Make a Plan for Cold and Flu Season
    This infographic lays out precautions for staying safe and healthy during cold and flu season.
  • Antibiotic Stewardship Toolkits
    These toolkits were developed based on the experiences of frontline clinical teams in hospitals, long-term care facilities, and ambulatory practices that successfully applied the Four Moments of Antibiotic Decision Making to improve antibiotic use.
  • Healthcare Provider Shortages: Resources and Strategies for Meeting Demand
    ASPR TRACIE worked with healthcare workforce subject matter experts to identify resources and strategies that decision-makers can use to optimize healthcare workforce assets, assess ongoing staffing needs, and identify resources to meet these needs. Practical considerations and resources are categorized into four actions critical to healthcare workforce planning: 1. Quantify Healthcare Workforce Needs 2. Implement Strategies to Maximize the Workforce 3. Supplement the Healthcare Workforce 4. Support the Healthcare Workforce

CMS Resources

  • Improving COVID-19 Outcomes in Nursing Homes Across America

    This is an audio series that gives you a closer look at the projects and the people who are improving health care quality and outcomes. These brief conversations include detailed show notes for even more insights into the process behind health care quality improvement – and how you might adapt these to your own organization.

  • SNF Quality Reporting Program FAQs

    This document contains the answers to frequently asked questions about The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP

  • Medicare Parts C and D Oversight and Enforcement Group - Division of Audit Operations
    This document outlines the program audit process for 2022. CMS will send engagement letters to initiate routine audits beginning February 2022 through July 2022. Engagement letters for ad hoc audits may be sent at any time throughout the year. The program areas for the 2022 audits include: CDAG-Part D Coverage Determinations, Appeals, and Grievances; CPE: Medicare Part C and Part D Compliance Program Effectiveness; FA--Part D Formulary and Benefit Administration; MMP-SARAG--Medicare-Medicaid Plan Service Authorization Requests, Appeals, and Grievances; MMPCC--Medicare-Medicaid Plan Care Coordination; ODAG--Part C Organization Determinations, Appeals, and Grievances; SNP-CC--Special Needs Plans – Care Coordination
  • Quality in Focus—Resources for Addressing LTC Medication Error Citations – For Providers (LTC-QIF-4) - CMS
    This QIF provides resources that may aid LTC providers in recognizing potential medication error deficiency citations and developing a Plan of Correction.
  • Quality in Focus Resources for Addressing LTC Treatment and Prevention of Pressure Ulcer Citations Training for Providers (LTC-QIF-3) - CMS
    This QIF provides resources that may aid LTC providers in recognizing potential prevention of pressure ulcer deficiency citations and developing a Plan of Correction.
  • Quality in Focus Resources for Addressing LTC Free of Accident Citations Training for Providers (LTC-QIF-2) - CMS
    This QIF provides resources that may aid LTC providers in recognizing potential free of accident deficiency citations and developing a Plan of Correction.
  • Medicare Parts A & B Appeals Process - CMS
    This booklet informs health care providers about Medicare’s 5 appeal levels in Fee-for-Service (FFS) (Original Medicare) Parts A and B and includes resources on related topics. It also describes how providers, physicians, and suppliers apply the appeals process to their services. It doesn’t cover Medicare Parts C or D appeals
  • Introduction to Language Access Plans – Training Course
    This 1-hour training is about language access plans and how they can affect health care services for those with limited English proficiency.
  • CMS LTCF RoP Policies & Procedures Detailed Checklist
    This Tool provides a list of required Policies and Procedures and a checklist of required information in the P&P.
  • Survey Resources with Staff Vaccine Documents 5-9-2022
    The Centers for Medicare & Medicaid Services (CMS) released an updated Long-Term Care Survey Process (LTCSP) documents folder. The folder contains additional regulatory references for surveyors, as well as the updated F-tag waiver guide to reflect the recently terminated COVID-19 Public Health Emergency (PHE) blanket waivers.

NIH Resources

  • Coronavirus Disease 2019 (COVID-19) Treatment Guidelines
    The Coronavirus Disease 2019 (COVID-19) Treatment Guidelines is published in an electronic format that can be updated in step with the rapid pace and growing volume of information regarding the treatment of COVID-19. The COVID-19 Treatment Guidelines Panel (the Panel) is committed to updating this document to ensure that health care providers, patients, and policy experts have the most recent information regarding the optimal management of COVID-19 (see the Panel Roster for a list of Panel members). New Guidelines sections and recommendations and updates to existing Guidelines sections are developed by working groups of Panel members. All recommendations included in the Guidelines are endorsed by a majority of Panel members (see the Introduction for additional details on the Guidelines development process). Major revisions to the Guidelines within the past month are as follows:
  • NIH - Testing for SARS-CoV-2 Infection
    Everyone who has symptoms that are consistent with COVID-19 and people with known high-risk exposures to SARS-CoV-2 should be tested for SARS-CoV-2 infection. Such testing should employ either a nucleic acid amplification test (NAAT) or an antigen test to detect SARS-CoV-2. Testing may also be used for screening, determining the length of a patient’s isolation period, and other nondiagnostic purposes.
  • COVID-19 Treatment Guidelines – What’s New in the Guidelines
    The Coronavirus Disease 2019 (COVID-19) Treatment Guidelines is published in an electronic format that can be updated in step with the rapid pace and growing volume of information regarding the treatment of COVID-19. The COVID-19 Treatment Guidelines Panel (the Panel) is committed to updating this document to ensure that health care providers, patients, and policy experts have the most recent information regarding the optimal management of COVID-19 (see the Panel Roster for a list of Panel members). New Guidelines sections and recommendations and updates to existing Guidelines sections are developed by working groups of Panel members. All recommendations included in the Guidelines are endorsed by a majority of Panel members (see the Introduction for additional details on the Guidelines development process). Major revisions to the Guidelines within the past month are as follows:
  • Pain Assessment in Hospitalized Older Adults with Dementia and Delirium
    Pain can have negative effects leading to prolonged hospital stays. Determining the presence of uncontrolled and untreated pain in patients with cognitive impairments such as delirium, dementia, and delirium superimposed on dementia (DSD) is challenging. One tool commonly suggested for use in assessment of pain in older adults with cognitive impairment is the Pain Assessment In Advanced Dementia (PAINAD) scale. Proper use of the PAINAD scale as part of a comprehensive pain management plan can help reduce the likelihood of a patient experiencing unrecognized and untreated pain. Using an individual example, this article illustrates best practices in pain assessment and management for a woman experiencing DSD during an acute hospitalization.

Other Outside Resources

  • Inspiring Next Practices - Innovative Research on Aging Awards 2022

    The Innovative Research on Aging Awards recognize recent applied research that offers important implications for the senior living and aging services industries. Created to inspire next practices, the annual award honors groups and individuals for their research that can make a difference in the lives of older adults.

  • A Living WHO Guideline on Drugs for COVID-19

    This living guideline from the World Health Organization (WHO) incorporates new evidence to dynamically update recommendations for covid-19 therapeutics. This guideline was developed according to standards and methods for trustworthy guidelines, making use of an innovative process to achieve efficiency in dynamic updating of recommendations.

  • EMI Home FEMA - Emergency Management Institute (EMI)

    The Emergency Management Institute (EMI) is part of the Department of Homeland Security’s Federal Emergency Management Agency (FEMA). The EMI provides national leadership in developing and delivering training to ensure that individuals and groups having key emergency management responsibilities, including FEMA employees, possess the requisite skills to effectively perform their jobs.

  • COVID-19 in Nursing Homes, CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control (GAO)

    GAO analysis of CMS data reported by nursing homes shows that seven of the eight key indicators of nursing home resident mental and physical health

    worsened at least slightly the first year of the pandemic (2020), compared to the years prior to the pandemic. 

  • This study found that healthy older adults show greater mental well-being relative to younger adults, yet have relatively poorer cognitive performance.

  • Assessing Dark Skin Tone Resources

    Advancing Excellence Collaborative for Long Term Care (AELTCC) has compiled a set of resources to assist nursing and direct care staff with strategies for identifying potential alteration in skin integrity specifically for individuals with dark skin tone.

  • The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff National Academies of Sciences, Engineering, and Medicine. 2022. The National Imperative to Improve Nursing Home Quality: Honoring Our Commi

    The committee has delivered the blueprint to build a system of care that honors those who call the nursing home their home and the dedicated staff who care for them. Improving care in nursing homes is possible. 

  • Proposed Memory Care Certification Requirements for Assisted Living
    This document reviews proposed requirements for Memory Care Certification.
  • The 5 Essential Elements for Promoting Person-Centered Care
    If you work in a care profession, you likely use person-centered approaches every day. This guide will help you discover even more ways to help every person in your care thrive.
  • Active Adult Rental Properties - Defining the Emerging Property Type
    This paper defines the active adult rental property segment, offering background and insights leading toward a better, and more common, understanding of this emerging property type.