{"id":48562,"date":"2008-07-22T00:00:00","date_gmt":"2008-07-22T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2008\/07\/22\/unmc-faculty-member-finds-more-than-half-of-nursing-homes-dont-have-plans-for-pandemic-flu\/"},"modified":"2022-08-28T19:29:30","modified_gmt":"2022-08-29T00:29:30","slug":"unmc-faculty-member-finds-more-than-half-of-nursing-homes-dont-have-plans-for-pandemic-flu","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2008\/07\/22\/unmc-faculty-member-finds-more-than-half-of-nursing-homes-dont-have-plans-for-pandemic-flu\/","title":{"rendered":"UNMC faculty member finds more than half of nursing homes don\u2019t have plans for pandemic flu"},"content":{"rendered":"
Contacts:<\/div>\n
University of Nebraska Medical Center Vicky Cerino, vcerino@unmc.edu, 402-559-4353
\nUniversity of Michigan Health System Katie Vloet, kgazella@umich.edu, 734-764-2220\n<\/div>\n\n\n\n
\n

Sound bites<\/font><\/strong><\/p>\n

Audio: Philip Smith, M.D., professor, University of Nebraska Medical Center, lead author of the study, comments about initial assumptions made by public health planners, (9 seconds):\u201cNursing homes look appealing at first, but when you look more closely, there are some problems in capacity and other preparedness items.”<\/a><\/p>\n

Audio: Philip Smith, M.D., on the major finding of the study, (6 seconds): “The biggest finding is that nursing homes have started some preparedness work but they have a lot more to do.”<\/a><\/p>\n

Audio: Philip Smith, M.D., (7 seconds): \u201cThis is not an indictment of nursing homes at all. Nursing homes have really done a great job. They do not have a lot of money, do not have a lot of personnel.\u201d<\/a>.<\/p>\n

Audio: Philip Smith, M.D., comments about the good news the study found, (8 seconds): \u201cTo me, the good news is about half of them have a flu plan and most of them have a person in charge of flu planning.\u201d
\n<\/a>.<\/p>\n

Audio: Philip Smith, M.D., on comments about the good things being done in nursing homes to prepare for a pandemic flu, (8 seconds): \u201cPerhaps most importantly, a majority of them have designated a person to be in charge of pandemic flu preparations-that\u2019s their job. And that\u2019s great.\u201d
\n<\/a><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

If influenza pandemic hits the United States, acute care hospitals are likely to be overwhelmed. Nursing homes may then be expected to assist with the patient overflow, but a new study in the Journal of the American Medical Association<\/i> suggests that many are not prepared for such a task.<\/div>\n
<\/div>\n
Of the more than 400 nursing homes in the study, just 23 percent had a specific pandemic influenza plan. Another quarter of the nursing homes had a pandemic response incorporated into an overall disaster response plan. And more than half \u2013 52 percent \u2013 did not have any pandemic plan.<\/div>\n
<\/div>\n
\u201cIf nursing homes are called upon to serve as alternative care centers for patients who can\u2019t be treated in overcrowded hospitals, the impact on the nursing homes could be vast. Nursing homes serve a vulnerable population prone to dire consequences from an emergency,\u201d said lead author Philip Smith, M.D., professor, University of Nebraska Medical Center and chief of the section of infectious diseases. \u201cWhile most facilities felt that nursing homes were being counted on to take hospital overflow patients in a pandemic, in reality few homes would be able to do so. The biggest finding is that nursing homes have started some preparedness work but they have a lot more to do.\u201d<\/div>\n
<\/div>\n
\u201cNursing homes may not be equipped to handle an influx of influenza as well as non-influenza patients. They may also be unwilling to accept overflow patients, if it means displacing their current residents,\u201d added senior author Lona Mody, M.D., assistant professor of internal medicine at the University of Michigan Health System and research scientist, Geriatric Research, Education and Clinical Center at the Veterans Affairs Ann Arbor Healthcare System. \u201cNursing homes run a high occupancy rate, making it logistically difficult to accept a lot of patients if there is a time crunch.\u201d<\/div>\n
<\/div>\n
\u201cSpecific areas for improvement,\u201d Dr. Mody said, \u201cinclude communication with nearby health departments and hospitals during the planning stage and exercising formulated plans. Planning for staff shortages is also critical.\u201d<\/div>\n
<\/div>\n
Half of the nursing homes in the study had stockpiled some commonly used supplies such as gloves and hand hygiene products. Less than half had provided pandemic education to staff members. Just 6 percent had conducted pandemic influenza outbreak exercises.<\/div>\n
<\/div>\n
In more optimistic findings, more than three-quarters \u2013 77 percent \u2013 of all Michigan and Nebraska nursing homes had a person or staff position designated as being responsible for pandemic preparedness. Access to laboratory facilities for the detection of influenza was available at 84 percent of these nursing homes. Another 71 percent provide mental health and\/or faith-based services. <\/div>\n
<\/div>\n
Dr. Smith said study results are not an indictment of nursing homes. \u201cNursing homes have really done a great job,\u201d he said. \u201cThey do not have a lot of money or personnel. They have good laboratory backup for diagnosing flu, they have mental health support and resources. Many of them have started stockpiling, which is fairly pretty sophisticated measure and perhaps most importantly, a majority of them \u2013 three-quarters \u2013 have designated a person to be in charge of pandemic flu preparations. And that\u2019s great.\u201d<\/div>\n
<\/div>\n
He credited Connie Wagner of the Nebraska Health Care Association for the almost 75 percent response rate of nursing homes responding to the study survey.<\/div>\n
<\/div>\n
A pandemic is an outbreak of a disease on a global scale. Typically, a pandemic is lengthy and would create a strain on traditional health care institutions, infectious disease experts say. To relieve some of that burden, additional sites known as Acute Care Centers and Neighborhood Emergency Help Centers would be set up at places such as schools, armories, shopping malls and nursing homes.<\/div>\n
<\/div>\n
Methodology<\/b>: The researchers sent a questionnaire to all 656 state health department or Centers for Medicare and Medicaid-registered nursing homes in Nebraska and Michigan to assess their preparedness. The response rate was 69 percent. <\/div>\n
Authors<\/b>: In addition to Drs. Smith and Mody, authors of the paper are Valerie Shostrom and Al Smith of the UNMC College of Public Health and Michael Kaufmann, who was doing a research rotation at the University of Michigan. <\/div>\n
Funding<\/b>: National Institute on Aging, the Association of Specialty Professors\/American Geriatric Society T. Franklin Williams Research Scholarship, and Student Research Training in Aging for Medical Students.<\/div>\n
Reference<\/b>: Journal of the American Medical Association<\/i>, July 23, 2008, Vol. 300 No. 4.<\/div>\n
For more information: Federal government\u2019s information about pandemic influenza preparedness<\/b><\/div>\n
www.ready.gov\/america\/beinformed\/influenza.html<\/div>\n
State-by-state information about pandemic preparedness <\/b>www.pandemicflu.gov\/whereyoulive\/index.html<\/div>\n
<\/div>\n
UNMC is the only public health science center in the state. Its educational programs are responsible for training more health professionals practicing in Nebraska than any other institution. Through their commitment to education, research, patient care and outreach, UNMC and its hospital partner, The Nebraska Medical Center, have established themselves as one of the country’s leading centers in cancer, transplantation biology, bioterrorism preparedness, neurodegenerative diseases, cardiovascular diseases, genetics, biomedical technology and ophthalmology. UNMC\u2019s research funding from external sources now exceeds $80 million annually and has resulted in the creation of more than 2,400 highly skilled jobs in the state. UNMC’s physician practice group, UNMC Physicians, includes 513 physicians in 50 specialties and subspecialties who practice primarily in The Nebraska Medical Center. For more information, go to UNMC\u2019s Web site at www.unmc.edu.<\/div>\n
-30-<\/div>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

Contacts: University of Nebraska Medical Center Vicky Cerino, vcerino@unmc.edu, 402-559-4353 University of Michigan Health System Katie Vloet, kgazella@umich.edu, 734-764-2220 Sound bites Audio: Philip Smith, M.D., professor, University of Nebraska Medical Center, lead author of the study, comments about initial assumptions made by public health planners, (9 seconds):\u201cNursing homes look appealing at first, but when you 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