Implementation and Evaluation of an IPAC SWAT Team Mobilized to Long-Term Care and Retirement Homes During the COVID-19 Pandemic: A Pragmatic Health System Innovation |
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Authors: | Michael J Lamb Anthony La Delfa Monakshi Sawhney Diana Adams Karoleen Abdel-Shahied Tamara Belfer James Schembri Kevin Katz |
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Institution: | North York General Hospital, Toronto, Ontario, Canada |
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Abstract: | Long-term care facilities (LTCFs), retirement homes (RHs), and other congregate care settings in Canada and worldwide have experienced significant COVID-19 outbreaks. As a health system response, our acute care hospital in Toronto, Ontario, Canada, developed and mobilized an onsite Infection Prevention and Control (IPAC) SWAT team (IPAC-SWAT) to regional settings on outbreak and implemented a strategy of support through education, training, and engagement.Between April 28, 2020, and June 30, 2020, IPAC-SWAT assessed 7 LTCFs and 10 RHs for IPAC preparedness and actively managed 10 of 13 COVID-19 outbreaks (LTCF n=5; RH n=5). IPAC-SWAT strategies were multi-interventional and intended to mitigate further viral transmission or prevent outbreaks. Dedicated training of local “IPAC champions” was facilitated at 7 sites (LTCF = 5; RH = 2) using a “train-the-trainer” approach to promote local knowledge, autonomy, and site-led audits and feedback. |
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Keywords: | IPAC COVID-19 coronavirus long-term care outbreak champion |
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