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

Autor: Post ER; Emily R. Post, PhD, is a Research Associate, at The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, supporting The National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, MD., Sethi R; Reena Sethi, DrPH, MHS, is a Senior Public Health Lead Researcher, at The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, supporting The National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, MD., Adeniji AA; Adeteju A. Adeniji, MPH, is a Research Project Administrator, at The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, supporting The National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, MD., Lee CJ; Clark J. Lee, JD, MPH, is a Research Associate, at The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, supporting The National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, MD., Shea S; Sophia Shea, MPH, is a Project Manager, Global Center for Health Security, University of Nebraska Medical Center, Omaha, NE., Metcalf R; Rebecca Metcalf, MPP, is a Senior Manager, Deloitte Consulting LPP, Arlington, VA., Gaynes J; Jamie Gaynes, MPH, is a Manager, Deloitte Consulting LPP, Boston, MA., Tripp K; Kila Tripp is a Consultant, Deloitte Consulting LPP, Arlington, VA., Kirsch TD; Thomas D. Kirsch, MD, MPH, FACEP, was Director (Retired), at The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, supporting The National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, MD.
Jazyk: angličtina
Zdroj: Health security [Health Secur] 2023 Sep-Oct; Vol. 21 (5), pp. 333-340. Date of Electronic Publication: 2023 Aug 07.
DOI: 10.1089/hs.2023.0019
Abstrakt: 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.
Databáze: MEDLINE