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Rebooting the ambulatory enterprise in a community medical group in Kentucky following the initial surge of COVID-19
The novel coronavirus disease 2019 (COVID-19) pandemic has intensified globally since its origin in Wuhan, China in December 2019. Many medical groups across the United States have experienced extraordinary clinical and financial pressures due to COVID-19 as a result of a decline in elective inpatie...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519238/ https://www.ncbi.nlm.nih.gov/pubmed/34731112 http://dx.doi.org/10.1097/MD.0000000000027399 |
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author | Shields, Lisa B.E. Hester, Steven T. Johnson, Craig Hamilton, Randy Honaker, Joshua T. |
author_facet | Shields, Lisa B.E. Hester, Steven T. Johnson, Craig Hamilton, Randy Honaker, Joshua T. |
author_sort | Shields, Lisa B.E. |
collection | PubMed |
description | The novel coronavirus disease 2019 (COVID-19) pandemic has intensified globally since its origin in Wuhan, China in December 2019. Many medical groups across the United States have experienced extraordinary clinical and financial pressures due to COVID-19 as a result of a decline in elective inpatient and outpatient surgical procedures and most nonurgent elective physician visits. The current study reports how our medical group in a metropolitan community in Kentucky rebooted our ambulatory and inpatient services following the guidance of our state's phased reopening. Particular attention focused on the transition between the initial COVID-19 surge and post-COVID-19 surge and how our medical group responded to meet community needs. Ten strategies were incorporated in our medical group, including heightened communication; ambulatory telehealth; safe and clean outpatient environment; marketing; physician, other medical provider, and staff compensation; high quality patient experience; schedule optimization; rescheduling tactics; data management; and primary care versus specialty approaches. These methods are applicable to both the current rebooting stage as well as to a potential resurgence of COVID-19 in the future. |
format | Online Article Text |
id | pubmed-8519238 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-85192382021-10-18 Rebooting the ambulatory enterprise in a community medical group in Kentucky following the initial surge of COVID-19 Shields, Lisa B.E. Hester, Steven T. Johnson, Craig Hamilton, Randy Honaker, Joshua T. Medicine (Baltimore) 4900 The novel coronavirus disease 2019 (COVID-19) pandemic has intensified globally since its origin in Wuhan, China in December 2019. Many medical groups across the United States have experienced extraordinary clinical and financial pressures due to COVID-19 as a result of a decline in elective inpatient and outpatient surgical procedures and most nonurgent elective physician visits. The current study reports how our medical group in a metropolitan community in Kentucky rebooted our ambulatory and inpatient services following the guidance of our state's phased reopening. Particular attention focused on the transition between the initial COVID-19 surge and post-COVID-19 surge and how our medical group responded to meet community needs. Ten strategies were incorporated in our medical group, including heightened communication; ambulatory telehealth; safe and clean outpatient environment; marketing; physician, other medical provider, and staff compensation; high quality patient experience; schedule optimization; rescheduling tactics; data management; and primary care versus specialty approaches. These methods are applicable to both the current rebooting stage as well as to a potential resurgence of COVID-19 in the future. Lippincott Williams & Wilkins 2021-10-15 /pmc/articles/PMC8519238/ /pubmed/34731112 http://dx.doi.org/10.1097/MD.0000000000027399 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/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 | 4900 Shields, Lisa B.E. Hester, Steven T. Johnson, Craig Hamilton, Randy Honaker, Joshua T. Rebooting the ambulatory enterprise in a community medical group in Kentucky following the initial surge of COVID-19 |
title | Rebooting the ambulatory enterprise in a community medical group in Kentucky following the initial surge of COVID-19 |
title_full | Rebooting the ambulatory enterprise in a community medical group in Kentucky following the initial surge of COVID-19 |
title_fullStr | Rebooting the ambulatory enterprise in a community medical group in Kentucky following the initial surge of COVID-19 |
title_full_unstemmed | Rebooting the ambulatory enterprise in a community medical group in Kentucky following the initial surge of COVID-19 |
title_short | Rebooting the ambulatory enterprise in a community medical group in Kentucky following the initial surge of COVID-19 |
title_sort | rebooting the ambulatory enterprise in a community medical group in kentucky following the initial surge of covid-19 |
topic | 4900 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519238/ https://www.ncbi.nlm.nih.gov/pubmed/34731112 http://dx.doi.org/10.1097/MD.0000000000027399 |
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