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Saint Louis University Journal of Health Law & Policy

Document Type

Article

Abstract

This paper reviews multiple ethical and clinical issues during the COVID era affecting long-term care. The authors are members of one of many long-term care COVID task forces[1] that emerged in multiple jurisdictions to address a pandemic emergency. This paper applies the pandemic ethics literature that informed healthcare providers during COVID and recommends adjusting health messaging and communication that may shift responsiveness in the next public health crisis.

[1]. Kentucky Cabinet for Health and Family Services Long-Term Care Advisory Task Force (in alphabetical order): Muhammad Babar, MD, MBA, MSc, CMD, SNF medical director; Belinda Beard, BS, RN, Division Director, Health Care Facilities, Office of the Inspector General, KY Cabinet for Health and Family Services; Allen Brenzel, MD, Medical Director, KY Dept for Behavioral Health, Developmental and Intellectual Disabilities and Associate Professor, Psychiatry, College of Medicine, University of Kentucky; Sherry Culp, CSW, KY Long-Term Care Ombudsman; Andrea Flinchum, MPH, BSN, RN, CIC, FAPIC, Manager, Healthcare-Associated Infection/Antibiotic Resistance Prevention Program, KY Dept for Public Health; Victoria Elridge, MS, OTRL, Commissioner, KY Dept for Aging and Independent Living; Eric Evans, Associate State Director, Advocacy and Outreach, AARP-KY; Christian Furman, MD, MSPH, AGSF, Health and Aging Policy Fellow (2022-2023), Medical Director, Trager Institute/Optimal Aging Clinic, and Professor, Geriatric and Palliative Medicine, School of Medicine, University of Louisville; Mary Haynes, MSN, MS, RN, LNHA, President, Nazareth Home, Inc.; Leslie Hoffmann, MEd, Deputy Commissioner, KY Dept for Medicaid Services; Keith Knapp, PhD, MHA, CNHA Associate Clinical Professor, Department of Health Management & Policy, University of KY College of Public Health and Senior Advisor, Adult Programs, Office of the Secretary, KY Cabinet for Health and Family Services; Laura Morton, MD, CMD, Associate Clinical Professor, Dept of Geriatric and Family Medicine, School of Medicine, University of Louisville and SNF medical director; Adam Mather, MHA, RN, LNHA, Inspector General, KY Cabinet for Health & Family Services; M. Sara Rosenthal, Professor and Founding Director, University of Kentucky Program for Bioethics, Departments of Internal Medicine, Behavioral Science and Pediatrics and Founding Director of the Markey Cancer Center Oncology Ethics Program; Kevin B. Spicer, MD, PhD, MPH, Medical Officer, Healthcare-Associated Infection/Antibiotic Resistance Prevention Program, KY Department for Public Health; Waqar Saleem, MD, CMD, FAAFP, Assistant Clinical Professor, Dept of Family and Geriatric Medicine, School of Medicine, University of Louisville and SNF medical director; Pam Smith, RN, Division Director, KY Dept for Medicaid Services; Mackenzie Wallace, JD, Director of Public Policy, Alzheimer’s Association of Kentuckiana; Kathleen Winter, PhD, MPH, Director, Division of Epidemiology and Health Planning and Assistant Professor, College of Public Health, University of KY [hereinafter KY LTC Task Force].

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