Rehab Policy/Planning Considerations for COVID-19

Updated: July 21, 2020
Rehabilitation after COVID-19: an evidence-based approach (July, 2020) Article discusses how the medical aspects of COVID-19 relate to rehabilitation, outlines rehabilitation interventions and considers how COVID-19 might precipitate change and improve UK rehabilitation services so that most COVID-19 patients could receive rehabilitation.
 Toronto Star feature story (July 19, 2020) Story describing the challenges of maintaining rehab services amid the current COVID restrictions
COVID-19 Rehabilitation Units are Twice as Expensive as Regular Rehabilitation Units (June 8, 2020) Two month study in Milan, Italy of the COVID-19 rehabilitation unit compared with the previous year’s activity of the cardiac rehabilitation and motor rehabilitation units.
The Stanford Hall consensus statement for post-COVID-19 rehabilitation (May 31, 2020) Consensus statement provides an overarching framework assimilating evidence and based on input from an expert panel. Outlines the sequelae of COVID-19 and symptom-specific recommendations for multidisciplinary rehabilitation post COVID-19 illness. The consensus statement is intended for those planning at a population level for delivery of rehabilitation.
Rapid assessment of service delivery for noncommunicable disease (NCD) during the COVID-19 pandemic (May 29, 2020) Results of a snapshot conducted by the WHO on May 18th 2020 across 155 countries to determine how the COVID-19 pandemic has impacted prevention, screening, diagnosis, treatment and rehabilitation for NCDs. Found that rehabilitation continues being wrongly perceived as a non-essential health service which results in compromised health outcomes, future increased need including longer inpatient stays, and preventable hospital admissions due to complications.
 COVID-19 Scientific Advisory Group Rapid Evidence Report (May 19, 2020) Alberta Health Services ‘rapid guidance summary’ of the need for rehabilitation post-COVID-19 after discharge from the acute care unit (ICU or non-ICU) in a hospital.
Rehabilitation Medicine Response to the COVID-19 Pandemic (May 18, 2020) Experiences from a New York City academic medical center and its regional health care system, outlining the issues confronted during peak of the pandemic and the plans for the post-peak recovery.
Urgent Measures for the Containment of the Coronavirus (Covid-19) Epidemic in the Neurorehabilitation/Rehabilitation Departments in the Phase of Maximum Expansion of the Epidemic (April 30, 2020) Commentary that provides suggested approaches for how to organize neurorehabilitation and rehabilitation care across the continuum within the context of the COVID-19 pandemic.
COVID-19: maintaining essential rehabilitation services across the care continuum (April 24, 2020) Commentary describes adjustments to rehabilitation services across 12 low-income, middle-income and high-income countries in the context of COVID-19 and provides recommendations for decision makers on the provision and payment of these essential services.
Rehabilitation during and after the Covid-19 pandemic (April 16, 2020) Policy statement by the Chartered Society of Physiotherapy in the United Kingdom. Outlines five rehab “asks” of system leaders and policymakers.
Medical rehabilitation in pandemics: Towards a new perspective (April 14, 2020) Commentary describes reported clinical sequelae of COVID-19 and proposes organizational and operational recommendations for rehabilitation approach.
Global approaches for global challenges: The possible support of rehabilitation in the management of COVIDÔÇÉ19 (April 3, 2020) Letter to the editor.
Post Acute Care Preparedness for COVID-19 Thinking Ahead (JAMA editorial, March 25, 2020) This editorial projects a major surge in post-acute care demand following the acute hospital surge.
 COVID-19 Response and Chronic Disease Management (March 23, 2020) Commentary in CMAJ supports continued focus on chronic disease management during this pandemic, given the potential impact of social distancing on vulnerable older adults (loneliness, depression, anxiety, accelerated functional and cognitive decline, and falls and fractures) and potential exacerbation of previously stable conditions.
 The Novel Coronavirus (COVID-19): Making a Connection between Infectious Disease Outbreaks and Rehabilitation. Guest Editorial (March 23, 2020) Authors indicate that early evidence supports a role for physiotherapy and rehabilitation to mediate the short-, middle-, and long-term consequences of infectious disease. Propose that practitioners must be willing to advocate both at the time of an outbreak such as the current COVID-19 but also in less media-attractive moments such as emergency preparedness planning.
Impact of COVID-19 outbreak on rehabilitation services and Physical and Rehabilitation Medicine (PRM) physicians' activities in Italy (March 16, 2020) Provides high level recommendations from Italian PRM Society for setting priorities for the provision of rehabilitation services across the continuum to continue to allow for access to services where possible.