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A Multisite Investigation of Areas for Improvement in COVID-19 Surge Capacity Management

The congressionally authorized National Disaster Medical System Pilot Program was created in December 2019 to strengthen the medical surge capability, capacity, and interoperability of affiliated healthcare facilities in 5 regions across the United States. The COVID-19 pandemic provided an unprecede...

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Autores principales: Post, Emily R., Sethi, Reena, Adeniji, Adeteju A., Lee, Clark J., Shea, Sophia, Metcalf, Rebecca, Gaynes, Jamie, Tripp, Kila, Kirsch, Thomas D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10541923/
https://www.ncbi.nlm.nih.gov/pubmed/37552816
http://dx.doi.org/10.1089/hs.2023.0019
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author Post, Emily R.
Sethi, Reena
Adeniji, Adeteju A.
Lee, Clark J.
Shea, Sophia
Metcalf, Rebecca
Gaynes, Jamie
Tripp, Kila
Kirsch, Thomas D.
author_facet Post, Emily R.
Sethi, Reena
Adeniji, Adeteju A.
Lee, Clark J.
Shea, Sophia
Metcalf, Rebecca
Gaynes, Jamie
Tripp, Kila
Kirsch, Thomas D.
author_sort Post, Emily R.
collection PubMed
description The congressionally authorized National Disaster Medical System Pilot Program was created in December 2019 to strengthen the medical surge capability, capacity, and interoperability of affiliated healthcare facilities in 5 regions across the United States. The COVID-19 pandemic provided an unprecedented opportunity to learn how participating healthcare facilities handled medical surge events during an active public health emergency. We applied a modified version of the Barbisch and Koenig 4-S framework (staff, stuff, space, systems) to analyze COVID-19 surge management practices implemented by healthcare stakeholders at 5 pilot sites. In total, 32 notable practices were identified to increase surge capacity during the COVID-19 pandemic that have potential applications for other healthcare facilities. We found that systems was the most prevalent domain of surge capacity among the identified practices. Systems and staff were discussed across all 5 pilot sites and were the 2 domains co-occurring most often within each surge management practice. These results can inform strategies for scaling up and optimizing medical surge capability, capacity, and interoperability of healthcare facilities nationwide. This study also specifies areas of surge capacity worthy of strategic focus in the pilot's planning and implementation efforts while more broadly informing the US healthcare system's response to future large-scale, medical surge events.
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spelling pubmed-105419232023-10-02 A Multisite Investigation of Areas for Improvement in COVID-19 Surge Capacity Management Post, Emily R. Sethi, Reena Adeniji, Adeteju A. Lee, Clark J. Shea, Sophia Metcalf, Rebecca Gaynes, Jamie Tripp, Kila Kirsch, Thomas D. Health Secur Special Feature: Reimagining Preparedness Through Systems Approaches The congressionally authorized National Disaster Medical System Pilot Program was created in December 2019 to strengthen the medical surge capability, capacity, and interoperability of affiliated healthcare facilities in 5 regions across the United States. The COVID-19 pandemic provided an unprecedented opportunity to learn how participating healthcare facilities handled medical surge events during an active public health emergency. We applied a modified version of the Barbisch and Koenig 4-S framework (staff, stuff, space, systems) to analyze COVID-19 surge management practices implemented by healthcare stakeholders at 5 pilot sites. In total, 32 notable practices were identified to increase surge capacity during the COVID-19 pandemic that have potential applications for other healthcare facilities. We found that systems was the most prevalent domain of surge capacity among the identified practices. Systems and staff were discussed across all 5 pilot sites and were the 2 domains co-occurring most often within each surge management practice. These results can inform strategies for scaling up and optimizing medical surge capability, capacity, and interoperability of healthcare facilities nationwide. This study also specifies areas of surge capacity worthy of strategic focus in the pilot's planning and implementation efforts while more broadly informing the US healthcare system's response to future large-scale, medical surge events. Mary Ann Liebert, Inc., publishers 2023-10-01 2023-09-26 /pmc/articles/PMC10541923/ /pubmed/37552816 http://dx.doi.org/10.1089/hs.2023.0019 Text en © Emily R. Post et al., 2023; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Special Feature: Reimagining Preparedness Through Systems Approaches
Post, Emily R.
Sethi, Reena
Adeniji, Adeteju A.
Lee, Clark J.
Shea, Sophia
Metcalf, Rebecca
Gaynes, Jamie
Tripp, Kila
Kirsch, Thomas D.
A Multisite Investigation of Areas for Improvement in COVID-19 Surge Capacity Management
title A Multisite Investigation of Areas for Improvement in COVID-19 Surge Capacity Management
title_full A Multisite Investigation of Areas for Improvement in COVID-19 Surge Capacity Management
title_fullStr A Multisite Investigation of Areas for Improvement in COVID-19 Surge Capacity Management
title_full_unstemmed A Multisite Investigation of Areas for Improvement in COVID-19 Surge Capacity Management
title_short A Multisite Investigation of Areas for Improvement in COVID-19 Surge Capacity Management
title_sort multisite investigation of areas for improvement in covid-19 surge capacity management
topic Special Feature: Reimagining Preparedness Through Systems Approaches
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10541923/
https://www.ncbi.nlm.nih.gov/pubmed/37552816
http://dx.doi.org/10.1089/hs.2023.0019
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