educing the transfer of residents of long-term care (LTC) facilities to acute care hospitals has been a focus of quality improvement efforts for many years. 1 Coronavirus disease 2019 (COVID-19) has only sharpened this focus. COVID-19 affects older adults, especially those with chronic medical conditions, 2 more severely than younger people, making LTC facilities an especially vulnerable setting for widespread transmission. Early examples of COVID-19 outbreaks in LTC facilities resulted from within-facility spread among residents and health care staff, with high fatality rates among residents. 3 Nosocomial spread of COVID-19 from hospitals to LTC facilities could have dire consequences. 3 A rapidly deployable strategy to reduce safely the frequency of transfers from LTC facilities to

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