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      A Hospital Partnership with a Nursing Home Experiencing a COVID‐19 Outbreak: Description of a Multi‐Phase Emergency Response in Toronto, Canada

      brief-report

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          Abstract

          Nursing homes have become “ground zero” for the coronavirus disease 2019 (COVID‐19) epidemic in North America, with homes experiencing widespread outbreaks resulting in severe morbidity and mortality among its residents. This manuscript describes a 371‐bed acute care hospital's emergency response to a 126‐bed nursing home experiencing a COVID‐19 outbreak in Toronto, Canada. Like other health care system responses to COVID‐19 outbreaks in nursing homes, this hospital‐nursing home partnership can be characterized in several phases: 1) engagement, relationship and trust‐building; 2) environmental scan, team‐building and immediate response; 3) early phase response; and 4) stabilization and transition period.

          This article is protected by copyright. All rights reserved.

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          Author and article information

          Contributors
          nathan.stall@sinaihealth.ca
          Journal
          J Am Geriatr Soc
          J Am Geriatr Soc
          10.1111/(ISSN)1532-5415
          JGS
          Journal of the American Geriatrics Society
          John Wiley & Sons, Inc. (Hoboken, USA )
          0002-8614
          1532-5415
          22 May 2020
          : 10.1111/jgs.16625
          Affiliations
          [ 1 ] Division of General Internal Medicine and Geriatrics Sinai Health System and the University Health Network Toronto Canada
          [ 2 ] Women's College Research Institute Women's College Hospital Toronto Canada
          [ 3 ] Division of Geriatric Medicine, Department of Medicine University of Toronto Toronto Canada
          [ 4 ] Institute of Health Policy, Management and Evaluation University of Toronto Toronto Canada
          [ 5 ] Director of Patient Flow, Sinai Health System University of Toronto Toronto Canada
          [ 6 ] Department of Pharmacy Services Mount Sinai Hospital, Sinai Health System Toronto Canada
          [ 7 ] Leslie Dan Faculty of Pharmacy University of Toronto Toronto Canada
          [ 8 ] Department of Psychiatry Mount Sinai Hospital, Sinai Health System Toronto Canada
          [ 9 ] Department of Psychiatry University of Toronto Toronto Canada
          [ 10 ] Division of Infectious Diseases, Department of Medicine University of Toronto Toronto Canada
          [ 11 ] Infection Prevention and Control Sinai Health System Toronto Canada
          [ 12 ] Public Health Ontario Toronto Canada
          [ 13 ] Dalla Lana School of Public Health University of Toronto Toronto Canada
          [ 14 ] Department of Laboratory Medicine and Pathobiology University of Toronto Canada
          [ 15 ] The Temmy Latner Centre for Palliative Care Sinai Health System Toronto Canada
          [ 16 ] Division of Palliative Care, Department of Family & Community University of Toronto Toronto Canada
          Author notes
          [*] [* ]Address correspondence to Nathan M. Stall MD, FRCPC, Division of General Internal Medicine and Geriatrics, Mount Sinai Hospital, Suite 475 ‐ 600 University Avenue, Toronto ON M5G 2C4, Phone: (416) 586‐4800 ext. 7856, Fax: (416) 586‐5113. E‐mail: nathan.stall@ 123456sinaihealth.ca
          Author information
          https://orcid.org/0000-0003-1239-1937
          Article
          JGS16625 JAGS-1024-FTC-May-20.R1
          10.1111/jgs.16625
          7280605
          32441770
          6879aa74-a795-44f3-b415-6f8ffa13bf64
          This article is protected by copyright. All rights reserved.

          This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

          History
          : 12 May 2020
          : 14 May 2020
          : 15 May 2020
          Page count
          Figures: 0, Tables: 3, Pages: 1, Words: 400
          Categories
          Brief Report
          Brief Reports
          Custom metadata
          2.0
          accepted-manuscript
          Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.4 mode:remove_FC converted:09.06.2020

          Geriatric medicine
          Geriatric medicine

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