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Rapid response to COVID-19: health informatics support for outbreak management in an academic health system
OBJECTIVE: To describe the implementation of technological support important for optimizing clinical management of the COVID-19 pandemic. MATERIALS AND METHODS: Our health system has confirmed prior and current cases of COVID-19. An Incident Command Center was established early in the crisis and hel...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184393/ https://www.ncbi.nlm.nih.gov/pubmed/32208481 http://dx.doi.org/10.1093/jamia/ocaa037 |
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author | Reeves, J Jeffery Hollandsworth, Hannah M Torriani, Francesca J Taplitz, Randy Abeles, Shira Tai-Seale, Ming Millen, Marlene Clay, Brian J Longhurst, Christopher A |
author_facet | Reeves, J Jeffery Hollandsworth, Hannah M Torriani, Francesca J Taplitz, Randy Abeles, Shira Tai-Seale, Ming Millen, Marlene Clay, Brian J Longhurst, Christopher A |
author_sort | Reeves, J Jeffery |
collection | PubMed |
description | OBJECTIVE: To describe the implementation of technological support important for optimizing clinical management of the COVID-19 pandemic. MATERIALS AND METHODS: Our health system has confirmed prior and current cases of COVID-19. An Incident Command Center was established early in the crisis and helped identify electronic health record (EHR)-based tools to support clinical care. RESULTS: We outline the design and implementation of EHR-based rapid screening processes, laboratory testing, clinical decision support, reporting tools, and patient-facing technology related to COVID-19. DISCUSSION: The EHR is a useful tool to enable rapid deployment of standardized processes. UC San Diego Health built multiple COVID-19-specific tools to support outbreak management, including scripted triaging, electronic check-in, standard ordering and documentation, secure messaging, real-time data analytics, and telemedicine capabilities. Challenges included the need to frequently adjust build to meet rapidly evolving requirements, communication, and adoption, and to coordinate the needs of multiple stakeholders while maintaining high-quality, prepandemic medical care. CONCLUSION: The EHR is an essential tool in supporting the clinical needs of a health system managing the COVID-19 pandemic. |
format | Online Article Text |
id | pubmed-7184393 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-71843932020-04-29 Rapid response to COVID-19: health informatics support for outbreak management in an academic health system Reeves, J Jeffery Hollandsworth, Hannah M Torriani, Francesca J Taplitz, Randy Abeles, Shira Tai-Seale, Ming Millen, Marlene Clay, Brian J Longhurst, Christopher A J Am Med Inform Assoc Research and Applications OBJECTIVE: To describe the implementation of technological support important for optimizing clinical management of the COVID-19 pandemic. MATERIALS AND METHODS: Our health system has confirmed prior and current cases of COVID-19. An Incident Command Center was established early in the crisis and helped identify electronic health record (EHR)-based tools to support clinical care. RESULTS: We outline the design and implementation of EHR-based rapid screening processes, laboratory testing, clinical decision support, reporting tools, and patient-facing technology related to COVID-19. DISCUSSION: The EHR is a useful tool to enable rapid deployment of standardized processes. UC San Diego Health built multiple COVID-19-specific tools to support outbreak management, including scripted triaging, electronic check-in, standard ordering and documentation, secure messaging, real-time data analytics, and telemedicine capabilities. Challenges included the need to frequently adjust build to meet rapidly evolving requirements, communication, and adoption, and to coordinate the needs of multiple stakeholders while maintaining high-quality, prepandemic medical care. CONCLUSION: The EHR is an essential tool in supporting the clinical needs of a health system managing the COVID-19 pandemic. Oxford University Press 2020-04-27 /pmc/articles/PMC7184393/ /pubmed/32208481 http://dx.doi.org/10.1093/jamia/ocaa037 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) |
spellingShingle | Research and Applications Reeves, J Jeffery Hollandsworth, Hannah M Torriani, Francesca J Taplitz, Randy Abeles, Shira Tai-Seale, Ming Millen, Marlene Clay, Brian J Longhurst, Christopher A Rapid response to COVID-19: health informatics support for outbreak management in an academic health system |
title | Rapid response to COVID-19: health informatics support for outbreak management in an academic health system |
title_full | Rapid response to COVID-19: health informatics support for outbreak management in an academic health system |
title_fullStr | Rapid response to COVID-19: health informatics support for outbreak management in an academic health system |
title_full_unstemmed | Rapid response to COVID-19: health informatics support for outbreak management in an academic health system |
title_short | Rapid response to COVID-19: health informatics support for outbreak management in an academic health system |
title_sort | rapid response to covid-19: health informatics support for outbreak management in an academic health system |
topic | Research and Applications |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184393/ https://www.ncbi.nlm.nih.gov/pubmed/32208481 http://dx.doi.org/10.1093/jamia/ocaa037 |
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