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The PAIR Center is involved in several health services research projects related to the pandemic, and particularly its influence on older patients with or at high risk for chronic serious illness.

 

These projects include:

 

1.) Measuring how to improve health equity within crisis standards of care by comparing different prediction models and allocation systems. A grant to the Robert Wood Johnson Foundation to support these efforts is under development.

 

2.) Determining how older, underserved patients at risk for lung cancer may benefit from telehealth-delivered smoking cessation programs. An enhancement award to an ongoing Patient‑Centered Outcomes Research (PCORI) grant is currently under review to support these efforts.

 

3.) Submitting proposals to PCORI to fund two new grants: 

 

      i.) Mixed-methods research to understand how COVID-induced                adaptations in health care delivery have impacted patients                    with advanced lung disease. 

 

      ii.) A hybrid effectiveness-implementation trial of a telehealth-                  delivered coping skills intervention for patients with COPD and              depressive symptoms. 

 

4.) Working to understand new models of palliative care delivery for nursing home residents, particularly those with dementia, during the COVID era. This work is supported via a new focus within our existing Penn Roybal Center on Palliative Care in Dementia. We are also preparing a grant to the Donaghue Foundation to support additional studies.

 

Guidance for Decisions Regarding  Cardiopulmonary Resuscitation  during  the  COVID19  Pandemic

This guidance on offering cardiopulmonary resuscitation (CPR) during the COVID19 pandemic has been prepared by our Director, Scott Halpern MD, PhD, and colleagues at Penn as well as Dr. Doug White at the University of Pittsburgh, in an effort to promote a nationally standardized approach to these difficult decisions.

It has been approved by a team of lawyers, and has already been adopted or is being considered for adoption by hundreds of hospitals across the U.S. and internationally. Key virtues of the approach are that it preserves the norm and value of tailored decision-making for individual patients, and does not categorically exclude any class of patients from consideration. By adopting this approach, and contributing to national standardization regarding CPR during the present crisis, you can help promote public trust, patient equity, and clinician morale. And though you may consider tailoring it to local circumstances, the present version is all on one page.

 

Follow the link below to download guidelines:

 

Health System + Clinician Communiation  Toolkit for Families of COVID-19 Patients

 

Faculty Kate Courtright & Joanna Hart along with colleagues at Johns Hopkins University developed a toolkit of strategies for supporting family-centered inpatient care during physical distancing responsive to the current clinical climate.  Follow the links below to download materials:

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