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COVID-19 Resources: Care of Older Adults

​Older adults and individuals with underlying, serious medical conditions are at higher risk of morbidity and mortality related to COVID-19. In particular, residents of long-term care nursing facilities (NFs), skilled nursing and rehabilitation settings (SNFs), and assisted living residences (ALRs) may be at higher risk. IHI has compiled a list of national resources that provide updated information on COVID-19 and older adults.

Resources to Support Age-Friendly Health Systems

Asking and Acting on What Matters to Older Adults

The COVID-19 pandemic has heightened awareness of the importance of advance care planning, as well as the need to ask and act on What Matters to each older adult. This is particularly important for individuals living in nursing homes, skilled nursing and rehabilitation facilities, or assisted living residences — settings that increase the risk of person-to-person COVID-19 transmission among residents and staff, and of serious illness related to COVID-19 infection.

Since residents may become ill over hours or days, it is vital to have their wishes documented prior to them becoming unable to express their own goals and preferences. These conversations can be stressful and challenging under any circumstances. Advance care planning may be especially difficult if it must be done over the telephone, by computer, or when the health professional is wearing full personal protective equipment (PPE) including a mask.

IHI recognizes that many health systems have requested guidance on how to facilitate these discussions. Below are some resources that may be helpful in guiding health care professionals through conversations with residents, family members, care partners, teams, and communities.


Policy and Updates


Resources for Physicians, Nurses, and Other Health Care Professionals

For a cultivated list of resources for hospital and health system leaders and health care providers, visit the main COVID-19 Guidance and Resources web page.


Resources for Post-Acute and Long-Term Care/Health System Administrators and Leaders


Guidance for Hospital to Post-Acute or Long-Term Care Transfer During the COVID-19 Pandemic

Post-acute and long-term care settings have expressed concern about admitting or readmitting people who have been in the hospital and potentially exposed to COVID-19 or have become COVID-19 positive. In some cases, post-acute and long-term care settings may not believe that they have adequate PPE or environmental safeguards to provide safe care and protect health care and other workers. In other cases, they may be concerned about staff shortages or inadequate staff training.

Several states have published new guidance around hospital to post-acute or long-term care transfers. Please consult your state's department of public health website for the most current state-specific information since this information changes frequently.


Resources on Telehealth


Visit the main COVID-19 Guidance and Resources page >>