{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T06:26:10Z","timestamp":1781677570379,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:00:00Z","timestamp":1659484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>During the deadly 2020 SARS\u2010CoV\u20102 surge in nursing homes (NHs), Massachusetts (MA) initiated a multicomponent infection control intervention to mitigate its spread.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We aimed to assess the intervention's impact by comparing the weekly risk of PCR\u2010confirmed infections among MA NH residents to those in neighboring New England states, all managed similarly by a single NH provider. We studied 2085 residents in 20 MA NHs and 4493 residents in 45 comparator facilities. The intervention included: (1) A 28\u2010item infection control checklist of best practices, (2) incentive payments to NHs contingent on scoring \u226524 on the checklist, meeting 6 core competencies, testing residents and staff for SARS\u2010COV\u20102 RNA, uploading data, and enabling virtual visits; (3) on\u2010site and virtual infection control consultations for deficient facilities; (4) 6 weekly webinars; (5) continuous communication with the MA Department of Public Health; and (6) access to personal protective equipment, temporary staff, and SARS\u2010CoV\u20102 testing. Weekly rates of infection were adjusted for county COVID\u201019 prevalence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The adjusted risk of infection started higher in MA, but declined more rapidly in its NHs compared to similarly managed facilities in other states. The decline in infection risk during the early intervention period was 53% greater in MA than in Comparator States (state\u2010by\u2010time interaction HR\u00a0=\u00a00.47; 95% CI 0.37\u20130.59). By the late intervention period, the risk of infection continued to decline in both groups, and the change from baseline in MA was marginally greater than that in the Comparator States (interaction HR 0.80; 95% CI 0.64\u20131.00).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The MA NH intervention was associated with a more rapid reduction in the rate of SARS\u2010CoV\u20102 infections compared to similarly managed NHs in neighboring states. Although several unmeasured factors may have confounded our results, implementation of the MA model may help rapidly reduce high rates of infection and prevent future COVID\u201019 surges in NHs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17984","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T14:39:05Z","timestamp":1659537545000},"page":"3273-3280","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Evaluation of a state\u2010wide effort to improve\n                    <scp>COVID<\/scp>\n                    \u201019 infection control in Massachusetts nursing homes"],"prefix":"10.1111","volume":"70","author":[{"given":"Lewis A.","family":"Lipsitz","sequence":"first","affiliation":[{"name":"Hinda and Arthur Marcus Institute for Aging Research Hebrew SeniorLife  Boston Massachusetts USA"},{"name":"Department of Medicine and Division of Gerontology Beth Israel Deaconess Medical Center and Harvard Medical School  Brookline MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyrus","family":"Kosar","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy &amp; Practice, School of Public Health Brown University  Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa B.","family":"Dufour","sequence":"additional","affiliation":[{"name":"Hinda and Arthur Marcus Institute for Aging Research Hebrew SeniorLife  Boston Massachusetts USA"},{"name":"Department of Medicine and Division of Gerontology Beth Israel Deaconess Medical Center and Harvard Medical School  Brookline MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas G.","family":"Travison","sequence":"additional","affiliation":[{"name":"Hinda and Arthur Marcus Institute for Aging Research Hebrew SeniorLife  Boston Massachusetts USA"},{"name":"Department of Medicine and Division of Gerontology Beth Israel Deaconess Medical Center and Harvard Medical School  Brookline MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Mor","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy &amp; Practice, School of Public Health Brown University  Providence RI USA"},{"name":"Providence Veterans Administration Medical Center Research Service  Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,3]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"AARP Nursing home COVID\u201019 dashboard.2021. Accessed December 16 2021.https:\/\/www.aarp.org\/ppi\/issues\/caregiving\/info-2020\/nursing-home-covid-dashboard.html"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16832"},{"key":"e_1_2_10_4_1","volume-title":"Minimum Data Set Version 3.0 (MDS 3.0)","year":"2010"},{"key":"e_1_2_10_5_1","unstructured":"Care Compare.Centers for Medicare and Medicaid Services. 2021. Accessed February 1 2021.https:\/\/www.cms.gov\/nursing-homes"},{"key":"e_1_2_10_6_1","unstructured":"Coronavirus COVID\u201019 global cases. John Hopkins University Coronavirus Resource Center. Accessed February 1 2021.https:\/\/coronavirus.jhu.edu\/map.html"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/54.11.M546"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.02191"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17434"},{"key":"e_1_2_10_10_1","unstructured":"Rural\u2010Urban Continuum Codes. US Department of Agriculture. 2021. Accessed February 1 2021.https:\/\/www.ers.usda.gov\/data-products\/rural-urban-continuum-codes\/"},{"key":"e_1_2_10_11_1","unstructured":"Toolkit on State Actions to Mitigate COVID\u201019 Prevalence in Nursing Homes. 2021. Accessed October 28 2021.https:\/\/www.cms.gov\/files\/document\/covid-toolkit-states-mitigate-covid-19-nursing-homes.pdf"},{"key":"e_1_2_10_12_1","unstructured":"COVID\u201019; Nursing Homes and Long\u2010term Care Facilities. 2021. Accessed October 28 2021.https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/nursing-home-long-term-care.html"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.31389\/jltc.81"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2021.07.027"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.17984","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.17984","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.17984","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T16:54:37Z","timestamp":1762188877000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.17984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,3]]},"references-count":13,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1111\/jgs.17984"],"URL":"https:\/\/doi.org\/10.1111\/jgs.17984","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,3]]},"assertion":[{"value":"2022-01-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}