Implementation of Baltimore City’s COVID-19 Isolation Hotel

Rosecrans, Amanda; Moen, Marik; Harris, Robert S.; Rice, Molly S; Augustin, Vanessa S; Stracker, Norberth; Burns, Kevin D.; Rives, Sarah; Tran, Katherine; Callahan, Charles W.; Dzirasa, Letitia K

doi:10.2105/ajph.2022.306778

Cited by 9 publications

(10 citation statements)

References 9 publications

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“…The participants were recruited from The Haven, set up in September 2020 as described above and elsewhere in the literature (Rosecrans et al., 2022a; Rosecrans et al., 2022b). From May 2020 to June 2022, approximately 170 residents were served in the Haven.…”

Section: Methodsmentioning

confidence: 99%

“…The COVID‐19 pandemic necessitated the creative reimagining of shelter services to protect people experiencing homelessness. The pandemic allowed exploring new service delivery models, such as providing integrated care of health needs within a temporary shelter (Jang et al., 2021; Oudshoorn et al., 2021; Rosecrans, et al., 2022a).…”

Section: Introductionmentioning

confidence: 99%

“…During the COVID-19 pandemic, Baltimore City implemented two services co-located at a downtown hotel, operationally known as the Lord Baltimore Triage, Respite, and Isolation Center (Rosecrans et al, 2022a;Rosecrans et al, 2022b). The center included a medically super-…”

Section: Introductionmentioning

confidence: 99%

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The effect of a non‐congregate, integrated care shelter on health: A qualitative study

Alexander

Nordeck

Rosecrans

et al. 2023

Public Health Nursing

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Objective: To describe the experiences of unstably housed, medically vulnerable residents living at the Haven, a novel, non-congregate integrated care shelter operating in a historic hotel during the COVID-19 pandemic. Design: A qualitative descriptive design. Sample/Measurement: Semi-structured qualitative interviews were conducted in February and March 2022 with a purposive sample of 20 residents living in the integrated care shelter. Data were analyzed in May and June 2022 using the thematic analysis methods described by Braun and Clarke. Results: Six women and 14 men, ages 23-71 (M = 50, SD = 14), were interviewed. Lengths of stay at the time of the interview ranged from 74 to 536 days (M = 311 days). Medical co-morbidities and substance use details were collected at baseline. Three themes were identified: (1) Autonomy, (2) supportive environments, and (3) stability and the need for permanent housing. Participants characterized the integrated care, non-congregate model as having multiple advantages over traditional shelter systems.Participants emphasized the role of nurses and case managers in providing a respectful, caring environment in the integrated shelter model. Conclusion:Participants described acute physical and mental health needs which were largely met by the innovative integrated shelter care model. The effect of homelessness and housing insecurity on health is well documented, but few solutions exist that promote autonomy. Participants in this qualitative study emphasized the benefits of living in a non-congregate integrated care shelter and the services which promoted their self-management of chronic diseases.Patient or Public Contribution: Patients were the participants in the study, but were not involved in the design, analysis of interpretation of the data, or preparation of the manuscript. Due to this project's small scope, we could not involve patients or the public after the study concluded data collection.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of a non‐congregate, integrated care shelter on health: A qualitative study

Alexander

Nordeck

Rosecrans

et al. 2023

Public Health Nursing

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“…8,10 Fangcang shelter hospitals have been proven to be an effective strategy for responding to the outbreak of COVID-19 in the community. 11,12 Under the condition of a shortage of medical resources, Fangcang shelter hospital of the Shanghai International Convention and Exhibition Center has adopted a new management model. Medical personnel are responsible for in-flight medical treatment, and a large amount of logistical support is handed over to third-party personnel.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Protective Effect of Infection Controllers Supervising Third-Party Personnel Entering and Leaving Shanghai Fangcang Shelter Hospital

Lei¹,

Li²,

Zhang³

et al. 2022

IDR

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To analyze the impact of the new supervision and management methods of infection controllers on the protection of thirdparty personnel entering and leaving Shanghai Fangcang shelter hospital, to provide a reference for the management of third-party personnel in Fangcang shelter hospitals. Methods: A total of 200 third-party personnel received with traditional supervision and management methods, and 156 received new supervision and management methods from the Fangcang shelter hospital of the Shanghai International Convention and Exhibition Center. The sociodemographic characteristics of third-party personnel, including gender, age, education level, work experience in fighting the epidemic with safety awareness, was analyzed. The effects of the two different management modes on the protection of third-party personnel were statistically analyzed by the Chi-square test or logistic regression analysis. Results: There were statistically significant differences in the incidence of infection among third-party personnel in terms of age, education level, work experience in fighting the epidemic in traditional supervision and management group, and whether they accepted the new supervision and management model had statistically significant differences (p <0.05). The main causes of incorrect put on and take off protective clothing, such as wrong way to detach the face screen, wrong way to remove goggles, wrong way to undress protective clothing, wrong way to take off the shoe cover, hand washing steps omitted, are that causes infection of third-party personnel (p <0.05). Conclusion:The new supervision and management model can reduce the infection rate of third-party personnel in Fangcang shelter hospitals through planned and purposeful training in terms of different age groups, education levels, work experience, and acceptance of protection knowledge.

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“…As of 30 July 2022, Beijing time, more than 575.95 million confirmed cases have been reported globally, and more than 6.39 million of those infected have died. The speed of transmission, scope of infection and difficulty of prevention and control in COVID-19 are far greater than those of AIDS, Ebola severe acute respiratory syndrome, Middle East respiratory syndrome, avian influenza and other new infectious diseases [ 1 ]. Presently, the isolation policy has been introduced as an effective measure to limit the spread of COVID-19, reducing the number of infected people.…”

Section: Introductionmentioning

confidence: 99%

Conceptual Design of the “Private Car” Self-Isolation Ecosystem for the 2019-nCoV Infection

Wang

et al. 2022

IJERPH

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Since the beginning of the COVID-19 outbreak, confirmed and suspected cases of the disease have been increasing rapidly. The isolation of cases is one of the most effective methods for the control and containment of COVID-19 and has been rapidly popularized. Problems with isolation have gradually emerged, such as the inadequate allocation of isolation resources and the failure to properly resettle many of the suspected cases of the 2019-nCoV infection. In this paper, a self-isolation ecosystem of a rapid-deploying negative-pressurized “private car” is proposed for housing patients with 2019-nCoV infection, which could be lightweight, moderately sized and transparent to enable group supervision and communication. This “private car” isolation method aims to achieve self-isolation of patients and essentially solves the problem of where and how to isolate suspected cases while saving isolation resources and preventing the large-scale transmission of COVID-19.

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Implementation of Baltimore City’s COVID-19 Isolation Hotel

Cited by 9 publications

References 9 publications

The effect of a non‐congregate, integrated care shelter on health: A qualitative study

The effect of a non‐congregate, integrated care shelter on health: A qualitative study

Analysis of the Protective Effect of Infection Controllers Supervising Third-Party Personnel Entering and Leaving Shanghai Fangcang Shelter Hospital

Conceptual Design of the “Private Car” Self-Isolation Ecosystem for the 2019-nCoV Infection

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