The First Statewide Implementation of a Regional Disaster Teleconsultation System to Expand Critical Care Surge Capacity: A Case Study in Vermont.

Autor: Boyle TP; Department of Pediatrics, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA.; Region 1 Disaster Health Response System, Boston, Massachusetts, USA., Mehra A; National Emergency Tele-Critical Care Network, Ft Detrick, Maryland, USA.; University of Cambridge, Institute of Criminology, Cambridge, United Kingdom., Smith NJ; Department of Pediatrics, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA., Subramanian S; National Emergency Tele-Critical Care Network, Ft Detrick, Maryland, USA., Leeber J; Region 1 Disaster Health Response System, Boston, Massachusetts, USA.; Center for Disaster Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA., McMahon M; Region 1 Disaster Health Response System, Boston, Massachusetts, USA., Green D; Vermont Association of Hospitals and Health Systems, Montpelier, Vermont, USA., Perry S; Vermont Department of Health, Burlington, Vermont, USA., Passman D; National Emergency Tele-Critical Care Network, Ft Detrick, Maryland, USA.; U.S. Department of Health and Human Services, Administration for Strategic Planning and Response, Washington, District of Columbia, USA., Biddinger PD; Region 1 Disaster Health Response System, Boston, Massachusetts, USA.; Center for Disaster Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA., Scott B; National Emergency Tele-Critical Care Network, Ft Detrick, Maryland, USA.; Department of Anesthesiology, Anschutz Health Sciences Campus, University of Colorado School of Medicine, Aurora, Colorado, USA.
Jazyk: angličtina
Zdroj: Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2024 May; Vol. 30 (5), pp. 1495-1498. Date of Electronic Publication: 2023 Dec 01.
DOI: 10.1089/tmj.2023.0339
Abstrakt: Background: In December 2021, the Region 1 Disaster Health Response System, the state of Vermont, and the National Emergency Tele-Critical Care Network partnered to provide statewide access to disaster teleconsultations during COVID-19 surge conditions. In this case report, we describe how a disaster teleconsultation system was implemented in Vermont to provide access to temporary tele-critical care consultations during the Omicron COVID-19 surge. Methods: We measured the time from request of service to implementation and calculated descriptive statistics. Results: Seven of Vermont's 14 hospitals requested the service. Despite a technology solution capable of providing services within hours, mean time to service implementation was 27 days (interquartile range 20-41 days). Conclusions: Integration of disaster teleconsultation systems into state and local emergency management plans are needed to bring administrative start-up times in line with technical readiness.
Databáze: MEDLINE