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The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic

BACKGROUND: Planning for extreme surges in demand for hospital care of patients requiring urgent life-saving treatment for coronavirus disease 2019 (COVID-19), while retaining capacity for other emergency conditions, is one of the most challenging tasks faced by health care providers and policymaker...

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Autores principales: Christen, Paula, D’Aeth, Josh C., Løchen, Alessandra, McCabe, Ruth, Rizmie, Dheeya, Schmit, Nora, Nayagam, Shevanthi, Miraldo, Marisa, Aylin, Paul, Bottle, Alex, Perez-Guzman, Pablo N., Donnelly, Christl A., Ghani, Azra C., Ferguson, Neil M., White, Peter J., Hauck, Katharina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7610624/
https://www.ncbi.nlm.nih.gov/pubmed/33480661
http://dx.doi.org/10.1097/MLR.0000000000001502
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author Christen, Paula
D’Aeth, Josh C.
Løchen, Alessandra
McCabe, Ruth
Rizmie, Dheeya
Schmit, Nora
Nayagam, Shevanthi
Miraldo, Marisa
Aylin, Paul
Bottle, Alex
Perez-Guzman, Pablo N.
Donnelly, Christl A.
Ghani, Azra C.
Ferguson, Neil M.
White, Peter J.
Hauck, Katharina
author_facet Christen, Paula
D’Aeth, Josh C.
Løchen, Alessandra
McCabe, Ruth
Rizmie, Dheeya
Schmit, Nora
Nayagam, Shevanthi
Miraldo, Marisa
Aylin, Paul
Bottle, Alex
Perez-Guzman, Pablo N.
Donnelly, Christl A.
Ghani, Azra C.
Ferguson, Neil M.
White, Peter J.
Hauck, Katharina
author_sort Christen, Paula
collection PubMed
description BACKGROUND: Planning for extreme surges in demand for hospital care of patients requiring urgent life-saving treatment for coronavirus disease 2019 (COVID-19), while retaining capacity for other emergency conditions, is one of the most challenging tasks faced by health care providers and policymakers during the pandemic. Health systems must be well-prepared to cope with large and sudden changes in demand by implementing interventions to ensure adequate access to care. We developed the first planning tool for the COVID-19 pandemic to account for how hospital provision interventions (such as cancelling elective surgery, setting up field hospitals, or hiring retired staff) will affect the capacity of hospitals to provide life-saving care. METHODS: We conducted a review of interventions implemented or considered in 12 European countries in March to April 2020, an evaluation of their impact on capacity, and a review of key parameters in the care of COVID-19 patients. This information was used to develop a planner capable of estimating the impact of specific interventions on doctors, nurses, beds, and respiratory support equipment. We applied this to a scenario-based case study of 1 intervention, the set-up of field hospitals in England, under varying levels of COVID-19 patients. RESULTS: The Abdul Latif Jameel Institute for Disease and Emergency Analytics pandemic planner is a hospital planning tool that allows hospital administrators, policymakers, and other decision-makers to calculate the amount of capacity in terms of beds, staff, and crucial medical equipment obtained by implementing the interventions. Flexible assumptions on baseline capacity, the number of hospitalizations, staff-to-beds ratios, and staff absences due to COVID-19 make the planner adaptable to multiple settings. The results of the case study show that while field hospitals alleviate the burden on the number of beds available, this intervention is futile unless the deficit of critical care nurses is addressed first. DISCUSSION: The tool supports decision-makers in delivering a fast and effective response to the pandemic. The unique contribution of the planner is that it allows users to compare the impact of interventions that change some or all inputs.
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spelling pubmed-76106242021-05-01 The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic Christen, Paula D’Aeth, Josh C. Løchen, Alessandra McCabe, Ruth Rizmie, Dheeya Schmit, Nora Nayagam, Shevanthi Miraldo, Marisa Aylin, Paul Bottle, Alex Perez-Guzman, Pablo N. Donnelly, Christl A. Ghani, Azra C. Ferguson, Neil M. White, Peter J. Hauck, Katharina Med Care Original Articles BACKGROUND: Planning for extreme surges in demand for hospital care of patients requiring urgent life-saving treatment for coronavirus disease 2019 (COVID-19), while retaining capacity for other emergency conditions, is one of the most challenging tasks faced by health care providers and policymakers during the pandemic. Health systems must be well-prepared to cope with large and sudden changes in demand by implementing interventions to ensure adequate access to care. We developed the first planning tool for the COVID-19 pandemic to account for how hospital provision interventions (such as cancelling elective surgery, setting up field hospitals, or hiring retired staff) will affect the capacity of hospitals to provide life-saving care. METHODS: We conducted a review of interventions implemented or considered in 12 European countries in March to April 2020, an evaluation of their impact on capacity, and a review of key parameters in the care of COVID-19 patients. This information was used to develop a planner capable of estimating the impact of specific interventions on doctors, nurses, beds, and respiratory support equipment. We applied this to a scenario-based case study of 1 intervention, the set-up of field hospitals in England, under varying levels of COVID-19 patients. RESULTS: The Abdul Latif Jameel Institute for Disease and Emergency Analytics pandemic planner is a hospital planning tool that allows hospital administrators, policymakers, and other decision-makers to calculate the amount of capacity in terms of beds, staff, and crucial medical equipment obtained by implementing the interventions. Flexible assumptions on baseline capacity, the number of hospitalizations, staff-to-beds ratios, and staff absences due to COVID-19 make the planner adaptable to multiple settings. The results of the case study show that while field hospitals alleviate the burden on the number of beds available, this intervention is futile unless the deficit of critical care nurses is addressed first. DISCUSSION: The tool supports decision-makers in delivering a fast and effective response to the pandemic. The unique contribution of the planner is that it allows users to compare the impact of interventions that change some or all inputs. Lippincott Williams & Wilkins 2021-05 2021-01-21 /pmc/articles/PMC7610624/ /pubmed/33480661 http://dx.doi.org/10.1097/MLR.0000000000001502 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (https://creativecommons.org/licenses/by/4.0/) (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.
spellingShingle Original Articles
Christen, Paula
D’Aeth, Josh C.
Løchen, Alessandra
McCabe, Ruth
Rizmie, Dheeya
Schmit, Nora
Nayagam, Shevanthi
Miraldo, Marisa
Aylin, Paul
Bottle, Alex
Perez-Guzman, Pablo N.
Donnelly, Christl A.
Ghani, Azra C.
Ferguson, Neil M.
White, Peter J.
Hauck, Katharina
The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic
title The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic
title_full The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic
title_fullStr The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic
title_full_unstemmed The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic
title_short The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic
title_sort j-idea pandemic planner: a framework for implementing hospital provision interventions during the covid-19 pandemic
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7610624/
https://www.ncbi.nlm.nih.gov/pubmed/33480661
http://dx.doi.org/10.1097/MLR.0000000000001502
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