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Weitzman ECHO COVID-19: Designing a Framework for Reopening Your Health Center

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Weitzman ECHO COVID-19: Designing a Framework for Reopening Your Health Center

  1. 1. Designing a Framework for Reopening Your Health Center May 06, 2020
  2. 2. CME Credit • Bridgeport Hospital Yale New Haven Health is accredited by the Connecticut State Medical Society to sponsor continuing medical education for physicians. The Bridgeport Hospital Yale New Haven Health designates this live activity for a maximum of one (1) AMA PRA Category 1 CreditsTM. Physicians should claim only credits commensurate with the extent of their participation in the various activities. • This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Bridgeport Hospital Yale New Haven Health and the Weitzman Institute. Bridgeport Hospital Yale New Haven Health is accredited by the Connecticut State Medical Society to provide continuing medical education for physicians. • The content of this activity is not related to products or services of an ACCME- defined commercial interest; therefore, no one in control of content has a relevant financial relationship to disclose and there is no potential for conflicts of interest.
  3. 3. Weitzman ECHO on COVID-19 A Primary Care Perspective cont’d Stephen J Scholand, MD Infectious Disease Consultant 6 May, 2020
  4. 4. Objectives - Update on epidemiology (SARS-CoV-2, COVID-19) - Science behind epidemiology; social distancing - Review any good news? - Continue team efforts to fight the virus - Special appreciation of Nurses this week!
  5. 5. COVID-19 in the United States 1,203,673 cases 5/5/20 – up from 988,469 cases last week (4/28/20) - https://coronavirus.jhu.edu/map.html
  6. 6. Curve is flattened
  7. 7. Keep viral transmission low Inglesby TV. Public Health Measures and the Reproduction Number of SARS- CoV-2. JAMA. Published online May 01, 2020. doi:10.1001/jam a.2020.7878
  8. 8. Inglesby TV. Public Health Measures and the Reproduction Number of SARS-CoV- 2. JAMA. Published online May 01, 2020. doi:10.1001/jama.20 20.7878
  9. 9. Ready to re-open? https://covidactnow.org/
  10. 10. Ready to re-open? https://covidactnow.org/ Is COVID-19 in retreat? Are we testing enough? Are the hospitals ready?
  11. 11. Facemasks are an acceptable alternative if no N95
  12. 12. Any good news? • Remdesivir: – Emergency Use Authorization • Some areas, the numbers are improving – Connecticut:
  13. 13. Stay safe -- Stay up to date • https://www.cdc.gov/coronavirus/2019-ncov/index.html https://emergency.cdc.gov/coca/calls/2020/ • https://www.who.int/emergencies/diseases/novel- coronavirus-2019 • https://covidactnow.org/ • https://coronavirus.jhu.edu/map.html
  14. 14. Dr. Veena Channamsetty, MD, FAAFP Dr. Mary Blankson, DNP, APRN, FNP-C Designing a Framework for Reopening Your Health Center
  15. 15. Proactive Planning • Designate Workgroups • Define various scenarios • Consider varying time lines • Identify limitations and threats to success • Allocate resources based • Communication infrastructure
  16. 16. Workforce • Consider health center staff work expectations and requirements – Tele-workforce ; in person workforce ; hybrid • Recruitment practices – Licensed vs non-licensed – Continued redeployment – State boundaries • Continued leveraging of telework change momentum of newly built infrastructure – opportunity to build a better system
  17. 17. Human Resources • Reassess Practices and Procedures • Assess current state- staff survey • Develop Job Descriptions and align trainings • Review Time and Absences • Consider continued employee screening • Support remote work needs in policy • Align to support remote and site staff
  18. 18. Clinical Prioritizations • Identify population based priorities – Pediatric vaccinations – Procedures – In office screening and testing • Clinical Operations – Redesigning templates to support priorities – Scheduling • Redesign patient flow – Waiting room – Exam room time
  19. 19. Patient Care At Home • Tele team-based care • Patient digital literacy • Patient reported measures • Patient home monitoring options and devices – Technology – patient portal, apps – Support of self-management
  20. 20. Re-imagining Workspace • Consider: – Pod space and team redesign – Tele set point by role – Isolation and negative pressure rooms – Flexibility in seating – Flexibility in hours of operation – Service expansion possibilities – Timing of expansion
  21. 21. 21 Free COVID-19 eConsults • Web-based portal • Free to all Safety Net Primary Care Practices – FQHC, FQHC-look alike, Migrant Clinicians, Healthcare for the Homeless, Free Clinics • No Protected Health Information (PHI) • Consults Addressed by: – Infectious Disease Specialists – Public Health Nurses * This initiative is supported by
  22. 22. 22 * This initiative is supported by
  23. 23. Thank You! www.weitzmaninstitute.org/coronavirus

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