Healthcare system and the hospital setting 

The Challenge:

  • To understand the role of the healthcare system's role within the COVID-19 Ecosystem

  • Best Practice

  • Maintaining staff safety 

  • Maintain operations 

 

 

The role of healthcare systems and hospitals in the  COVID 19

CDC Current Interim Guidance (Accessed 3/29/20)

Resources for Hospitals and Healthcare

Professionals Preparing for Patients with Suspected or Confirmed COVID-19

To aid healthcare professionals and hospitals, CDC has developed two checklists that identify key actions that can be taken now to enhance preparedness for potential or confirmed patients with coronavirus disease 2019 (COVID-19).

Clipboard list check icon

Healthcare Providers Preparedness Checklist

Healthcare Personnel Preparedness Checklist for COVID-19 pdf icon[PDF] 

A checklist to aid healthcare providers in identifying key actions to enhance preparedness for patients potentially infected with SARS-CoV-2.

clipboard list check icon

Hospital Preparedness Checklist

A checklist to help hospitals assess and improve their preparedness for responding to a community-wide outbreak of COVID-19.

Intensive Care 

Brigham and Women’s Hospital

COVID-19 Critical Care Clinical Guidelines

Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)

ccmjournal.org. 

8 steps Kaiser Permanente is taking to suppress COVID-19

As states reopen, the need to prevent successive waves of infection remains. Learn how Kaiser Permanente is tackling the newest phase: disease suppression. Read more from the AMA.

A comprehensive, coordinated, evidence based approach to the care of individuals with COVID-19  associated issues in the hospital  and healthcare* system (Including outpatient services).

 

Vision:


All individuals receiving medical care in the medical system are provided frictionless, evidence based, optimal care for their condition.  

All hospital staff remain free from COVID 19 infection


Goals and outcomes:

 

Patients receive the care they need

Staff remain able to provide safe care

Hospital long term situation remains operationally uninterrupted 

Best Practice

Resources

Projected Need
Current Supply

Potential Ramp up

Given the safety practices in the hospital, she is seeing a greater likelihood of staff picking up infections at home than at work.

 

Deborah Yokoe, the medical director of hospital epidemiology and infection prevention at U.C.S.F. Medical Center to Atul Gawande, MD. 

 

The Case Presentation: a vehicle for citizens to collaborate, identify, analyze, develop, implement, and monitor a solution based “treatment plan” for medical problems. 

Timeline: a crowdsources timeline reflecting the unfolding and efforts to address COVID-19 by various stakeholders

Ecosystem:a way to clearly illustrate the complex ecosystem of the COVID-19 pandemic and to highlight the various stakeholders, their roles, and dynamics.

Citizen Briefs:a stand alone document addressing a particular societal challenge and its components

Checklist: a form that facilitates taking action and improves interaction  with various stakeholders ad improves your activity.

Data: agree upon, important, easy to use and accessible data that is and relevant.

Tracers: a way to visualize analyze the development over time  and response to aspects of the COVID-19 

Blogsa place for information sharing of discussion 

 

Forum: a space for dialogue and deliberation about COVID-19 related issues

Crowdsourcing:a shared information base framed as a foundation for exploration of possible solutions to challenges is crucially important in collaborative problem solving.

The Medical Ecosystem

Stakeholder 

 

Starting   April 2021

Help us explore the role of the Medical Ecosystem 

 

The Healthcare System and the Hospital

Personal Protective Equipment: PPE

All emergency department and hospital staff who care for patients infected or potentially infected with COVID-19 should have adequate personal protective equipment including N95 masks or PAPR, gloves, face and eye masks, and gowns.

    • Gloves

    • Goans 

    • Masks

 

Hospital Resources:

Keeping the Coronavirus from Infecting Health-Care Workers

What Singapore’s and Hong Kong’s success is teaching us about the pandemic.

 

    • Staff: Full-body protective gear, including goggles, complete head coverings, N95 particle-filtering masks, and hazmat-style suits.

      • Clinicians

      • Nurses

      • Respiratory 

 

Ventilators: Help patients breathe and can be the difference between life and death for those facing the most dire respiratory effects of the coronavirus.

Mechanical ventilators, which help patients breathe or breathe for them, are considered critical to the nation’s effort to contain the worst effects of the pandemic and avoid a crisis like the one Italy is facing.

“hospitals are holding back from ordering more medical ventilators because of the high cost for what may be only a short-term spike in demand from the coronavirus epidemic, supply chain experts and health researchers say, intensifying an anticipated shortage of lifesaving equipment for patients who become critically ill.”

“amid growing fears that the United States could face a shortage of ventilators for coronavirus patients, state officials and hospitals are quietly preparing to make excruciating decisions about how they would ration lifesaving care.” 

Tracers are designed to “trace” the care experiences that a patient had while at an organization. We use tracers as a way to analyze the organization’s system of providing care for individuals suffering with pain and or substance use disorders. 

 

Pre COVID 19 pandemic 

 

 

How the hospital and healthcare system respond to the COVID 19 Pandemic

A Time Line 

 

Hospital Services

Respiratory Care Management

Palliative Care

Behavioral Health

Checklists

Hospital System

Hospital

Respiratory Care 

Community 

Providers

 
 

The COVID 19 Pandemic Project is  an initiative of Citizens4Health, a group of committed citizens motivated by the belief that citizen participation will contribute to solutions to the big problems that confront our nation.

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