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Maine DHHS invests $1M in COVID-19 prevention for congregate settings

Maine DHHS says the federal coronavirus relief funding will support free expert consultation for congregate care settings.

AUGUSTA, Maine — The Maine Department of Health and Human Services (DHHS) is investing $1 million from the federal coronavirus relief fund to support COVID-19 prevention efforts in congregate care settings.

Maine DHHS says the federal funding will support free expert consultation for congregate care settings, including but not limited to group homes, assisted living facilities, adult family care homes, memory care homes, and private nonmedical institutions.

It does not include nursing facilities, which are subject to separate state and federal infection prevention and control requirements, and have received additional payments through MaineCare to support their pandemic preparedness and response efforts.

Maine DHHS is contracting with home health organizations that will dispatch a cadre of nurses and other health care professionals to congregate care settings across the state to help them tailor infection prevention and control plans for COVID-19 and other communicable diseases that meet the specific needs of their setting. 

“Congregate care settings, including the many Maine people who call them home, are particularly vulnerable to the spread of COVID-19,” Gov. Janet Mills said in a release. “This investment will enable us to support these homes so that that staff can have the training and resources they need to keep their residents healthy amid this ongoing pandemic.”

According to Maine DHHS, more than 10,000 Mainers, including older adults and adults with disabilities, live in non-nursing home congregate settings. Many of these individuals have underlying conditions, which put them at a higher risk for COVID-19.

Through September 30, 63 percent of the 105 COVID-19 outbreaks closed in Maine were in non-nursing home congregate settings. From the start of the pandemic, DHHS has conducted outreach to more than 600 congregate settings about their infection control policies. It found a wide range of knowledge, practices and resources. Many settings lack a nurse or other clinical professional trained in infection control. Few have plans since federal and state rules currently do not require them.

The free clinical consultation announced Thursday will help address this need, Maine DHHS says. The consultation includes onsite reviews of policies, procedures and practices, interviews with staff and residents, clinical recommendations, development of an infection prevention and control plan, and follow up support.  This will help facilities prepare for new infection control regulations that DHHS intends to adopt by early 2021 to help reduce outbreaks in congregate care settings over the long-term.

“In Maine and across the country, COVID-19 has struck residents and staff at congregate care settings particularly hard,” Maine DHHS Commissioner Jeanne Lambrew said. “This tailored clinical consultation will reduce the risk of infections among Maine people who are highly susceptible to the virus and improve consistency in infection prevention and control in these settings.”

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