{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T02:26:00Z","timestamp":1773887160724,"version":"3.50.1"},"reference-count":41,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jamda.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Medical Directors Association"],"published-print":{"date-parts":[[2021,6]]},"DOI":"10.1016\/j.jamda.2021.03.029","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T17:02:40Z","timestamp":1617901360000},"page":"1128-1132","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Proceedings from an International Virtual Townhall: Reflecting on the COVID-19 Pandemic: Themes from Long-Term Care"],"prefix":"10.1016","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3847-3287","authenticated-orcid":false,"given":"George A.","family":"Heckman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Kay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Morrison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Grabowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Hirdes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vince","family":"Mor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Shaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophiya","family":"Benjamin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronique M.","family":"Boscart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew P.","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Declercq","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leon","family":"Geffen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terry Yat","family":"Sang Lum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Moser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graziano","family":"Onder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hein","family":"van Hout","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jamda.2021.03.029_bib2","author":"Declercq"},{"key":"10.1016\/j.jamda.2021.03.029_bib3","author":"Hirdes"},{"key":"10.1016\/j.jamda.2021.03.029_bib4","doi-asserted-by":"crossref","first-page":"1572","DOI":"10.1016\/j.jamda.2020.08.039","article-title":"A\u00a0comparison of COVID-19 mortality rates among long-term care residents in 12 OECD countries","volume":"21","author":"Sepulveda","year":"2020","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2021.03.029_bib6","doi-asserted-by":"crossref","first-page":"E946","DOI":"10.1503\/cmaj.201197","article-title":"For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths","volume":"192","author":"Stall","year":"2020","journal-title":"CMAJ"},{"key":"10.1016\/j.jamda.2021.03.029_bib7","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1001\/jamainternmed.2020.6466","article-title":"Association between nursing home crowding and COVID-19 infection and mortality in Ontario, Canada","volume":"181","author":"Brown","year":"2021","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.jamda.2021.03.029_bib8","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1001\/jamainternmed.2020.5664","article-title":"Asymptomatic and presymptomatic severe acute respiratory syndrome coronavirus 2 infection rates in a multistate sample of skilled nursing facilities","volume":"180","author":"White","year":"2020","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.jamda.2021.03.029_bib9","doi-asserted-by":"crossref","first-page":"2167","DOI":"10.1111\/jgs.16752","article-title":"Variation in SARS-CoV-2 prevalence in U.S. skilled nursing facilities","volume":"68","author":"White","year":"2020","journal-title":"J\u00a0Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2021.03.029_bib10","doi-asserted-by":"crossref","first-page":"2174","DOI":"10.1111\/jgs.16642","article-title":"An illustration of SARS-CoV-2 dissemination within a skilled nursing facility using heat maps","volume":"68","author":"Blackman","year":"2020","journal-title":"J\u00a0Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2021.03.029_bib11","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.1111\/jgs.16661","article-title":"Characteristics of U.S. nursing homes with COVID-19 cases","volume":"68","author":"Abrams","year":"2020","journal-title":"J\u00a0Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2021.03.029_bib12","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1016\/j.jamda.2020.08.027","article-title":"Risk factors, presentation, and course of coronavirus disease 2019 in a large, academic long-term care facility","volume":"21","author":"Shi","year":"2020","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2021.03.029_bib13","doi-asserted-by":"crossref","first-page":"2462","DOI":"10.1111\/jgs.16787","article-title":"Staffing levels and COVID-19 cases and outbreaks in U.S. nursing homes","volume":"68","author":"Gorges","year":"2020","journal-title":"J\u00a0Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2021.03.029_bib14","doi-asserted-by":"crossref","first-page":"2716","DOI":"10.1111\/jgs.16876","article-title":"Temperature screening for SARS-CoV-2 in nursing homes: Evidence from two national cohorts","volume":"68","author":"McConeghy","year":"2020","journal-title":"J\u00a0Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2021.03.029_bib15","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.jamda.2021.01.069","article-title":"Nontraditional small house nursing homes have fewer COVID-19 cases and deaths","volume":"22","author":"Zimmerman","year":"2021","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2021.03.029_bib16","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1111\/1475-6773.12418","article-title":"The Green House model of nursing home care in design and implementation","volume":"51","author":"Cohen","year":"2016","journal-title":"Health Serv Res"},{"key":"10.1016\/j.jamda.2021.03.029_bib17","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1111\/1475-6773.12438","article-title":"The impact of Green House adoption on Medicare spending and utilization","volume":"51","author":"Grabowski","year":"2016","journal-title":"Health Serv Res"},{"key":"10.1016\/j.jamda.2021.03.029_bib18","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1111\/1475-6773.12436","article-title":"Green House adoption and nursing home quality","volume":"51","author":"Afendulis","year":"2016","journal-title":"Health Serv Res"},{"key":"10.1016\/j.jamda.2021.03.029_bib19","first-page":"373","article-title":"COVID-19 and long-term care policy for older people in Hong Kong","volume":"32","author":"Lum","year":"2020","journal-title":"J\u00a0Aging Soc Policy"},{"key":"10.1016\/j.jamda.2021.03.029_bib20","doi-asserted-by":"crossref","first-page":"e279","DOI":"10.1016\/S2468-2667(20)30090-6","article-title":"Impact assessment of non-pharmaceutical interventions against coronavirus disease 2019 and influenza in Hong Kong: An observational study","volume":"5","author":"Cowling","year":"2020","journal-title":"Lancet Public Health"},{"key":"10.1016\/j.jamda.2021.03.029_bib21","doi-asserted-by":"crossref","first-page":"1796","DOI":"10.1093\/gerona\/glaa146","article-title":"Clinical characteristics of hospitalized individuals dying with COVID-19 by age group in Italy","volume":"75","author":"Palmieri","year":"2020","journal-title":"J\u00a0Gerontol A Biol Sci Med Sci"},{"key":"10.1016\/j.jamda.2021.03.029_bib22","first-page":"1775","article-title":"Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy","volume":"323","author":"Onder","year":"2020","journal-title":"JAMA"},{"key":"10.1016\/j.jamda.2021.03.029_bib23","first-page":"3459","article-title":"The role of COVID-19 in the death of SARS-CoV-2-positive patients: A study based on death certificates","volume":"9","author":"Grippo","year":"2020","journal-title":"J\u00a0Clin Med"},{"key":"10.1016\/j.jamda.2021.03.029_bib24","doi-asserted-by":"crossref","first-page":"578465","DOI":"10.3389\/fpsyt.2020.578465","article-title":"Adverse events in Italian nursing homes during the COVID-19 epidemic: A national survey","volume":"11","author":"Lombardo","year":"2020","journal-title":"Front Psychiatry"},{"key":"10.1016\/j.jamda.2021.03.029_bib25","author":"Ancidoni"},{"key":"10.1016\/j.jamda.2021.03.029_bib26","author":"Armstrong"},{"key":"10.1016\/j.jamda.2021.03.029_bib27","author":"Collins"},{"key":"10.1016\/j.jamda.2021.03.029_bib28","doi-asserted-by":"crossref","first-page":"1750","DOI":"10.1111\/jgs.12441","article-title":"Association between proportion of provider clinical effort in nursing homes and potentially avoidable hospitalizations and medical costs of nursing home residents","volume":"61","author":"Kuo","year":"2013","journal-title":"J\u00a0Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2021.03.029_bib29","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1016\/j.jamda.2012.04.009","article-title":"Nursing home medical staff organization and 30-day rehospitalizations","volume":"13","author":"Lima","year":"2012","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2021.03.029_bib30","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/j.jamda.2010.06.004","article-title":"Nursing home medical staff organization: Correlates with quality indicators","volume":"12","author":"Katz","year":"2011","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2021.03.029_bib33","series-title":"Regulating Long-Term Care Quality: An International Comparison. Health Economics, Policy and Management","first-page":"149","article-title":"Regulating long-term care quality in Australia","author":"Gray","year":"2014"},{"key":"10.1016\/j.jamda.2021.03.029_bib34","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1016\/S1474-4422(20)30370-7","article-title":"Antipsychotic prescribing to people with dementia during COVID-19","volume":"19","author":"Howard","year":"2020","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.jamda.2021.03.029_bib35","first-page":"e210224","article-title":"Assessment of psychotropic drug prescribing among nursing home residents in Ontario, Canada, during the COVID-19 pandemic","author":"Stall","year":"2021","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.jamda.2021.03.029_bib36","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.1377\/hlthaff.2020.01269","article-title":"Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic","volume":"39","author":"McGarry","year":"2020","journal-title":"Health Aff (Millwood)"},{"key":"10.1016\/j.jamda.2021.03.029_bib39","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.jamda.2020.10.028","article-title":"Evaluating the effect of COVID-19 pandemic lockdown on long-term care residents' mental health: A data-driven approach in New Brunswick","volume":"22","author":"McArthur","year":"2021","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2021.03.029_bib40","unstructured":"Long-Term Care COVID-19 Commission Meeting Canadian Institute for Health Information on Wednesday, March 3, 2021. Hearing before the Long-Term Care COVID-19 Commission (2021), Toronto, Ontario, Canada."},{"key":"10.1016\/j.jamda.2021.03.029_bib41","doi-asserted-by":"crossref","first-page":"528","DOI":"10.7861\/clinmedicine.9-6-528","article-title":"Geriatricians and care homes: perspectives from geriatric medicine departments and primary care trusts","volume":"9","author":"Steves","year":"2009","journal-title":"Clin Med (Lond)"},{"key":"10.1016\/j.jamda.2021.03.029_bib42","doi-asserted-by":"crossref","first-page":"24","DOI":"10.3389\/fpubh.2013.00024","article-title":"Geriatric workforce capacity: A pending crisis for nursing home residents","volume":"1","author":"Lee","year":"2013","journal-title":"Front Public Health"},{"key":"10.1016\/j.jamda.2021.03.029_bib43","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1080\/02701960.2013.831348","article-title":"Meeting the geriatric workforce shortage for long-term care: opinions from the field","volume":"34","author":"Lee","year":"2013","journal-title":"Gerontol Geriatr Educ"},{"key":"10.1016\/j.jamda.2021.03.029_bib44","doi-asserted-by":"crossref","first-page":"E724","DOI":"10.1503\/cmaj.101498","article-title":"Effects of multidisciplinary integrated care on quality of care in residential care facilities for elderly people: A cluster randomized trial","volume":"183","author":"Boorsma","year":"2011","journal-title":"CMAJ"},{"key":"10.1016\/j.jamda.2021.03.029_bib45","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/jgs.12039","article-title":"Is geriatric care associated with less emergency department use?","volume":"61","author":"D'Arcy","year":"2013","journal-title":"J\u00a0Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2021.03.029_bib46","doi-asserted-by":"crossref","first-page":"1931","DOI":"10.1016\/j.jamda.2020.07.024","article-title":"The Seniors Quality Leap Initiative (SQLI): An international collaborative to improve quality in long-term care","volume":"21","author":"Hirdes","year":"2020","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2021.03.029_bib47","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/j.jamda.2020.04.004","article-title":"A\u00a0Canadian Cohort Study to evaluate the outcomes associated with a multicenter initiative to reduce antipsychotic use in long-term care homes","volume":"21","author":"Hirdes","year":"2020","journal-title":"J\u00a0Am Med Dir Assoc"}],"container-title":["Journal of the American Medical Directors Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861021003388?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861021003388?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T19:24:32Z","timestamp":1761506672000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1525861021003388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":41,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["S1525861021003388"],"URL":"https:\/\/doi.org\/10.1016\/j.jamda.2021.03.029","relation":{},"ISSN":["1525-8610"],"issn-type":[{"value":"1525-8610","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Proceedings from an International Virtual Townhall: Reflecting on the COVID-19 Pandemic: Themes from Long-Term Care","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Medical Directors Association","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jamda.2021.03.029","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 The Authors. Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.","name":"copyright","label":"Copyright"}]}}