Updates on Systems of Care
Title: COVID-19: Healthcare System Operations Strategies and Experiences
Publisher: HHS ASPR TRACIE
Publication Date: May 11, 2020
Key Takeaway: HHS ASPR’s Technical Resources, Assistance Center, and Information Exchange (TRACIE), in collaboration with the HHS/FEMA Healthcare Resilience Task Force, hosted a webinar on May 11, 2020 on COVID-19: Healthcare System Operations Strategies and Experiences. Presenters from a few of the hardest hit hospitals in New York, Louisiana, and Arizona shared their hospital operations experiences and logistics (space, staff, and stuff) strategies with the current COVID-19 response.
Title: Can N95 Respirators be Reused after Disinfection? How Many Times?
Publication: ACS Nano
Publication Date: 05 May 2020
Key Takeaways: Heating to 185 deg F at 30% humidity was found to be the most promising, nondestructive methods for various N95 masks, including respirators and those made from “meltblown” fabric. UV was determined to be the next best option. Steam, alcohol, bleach, and were also assessed and found to be more destructive to the masks. UV was shown in a separate article, however, to potentially miss spots of both viruses and bacteria on masks intentionally contaminated in the laboratory setting and subsequently decontaminated.
Title: Facial Protection for Healthcare Workers During Pandemics: a Scoping Review
Publication Date: 23 April 2020
Key Takeaways: This review of over 5000 articles determined that compared with surgical masks, N95 respirators perform better in laboratory testing, may provide superior protection in inpatient settings and are equivalent in outpatient settings; conservation strategies result in inferior protection but include extended use, reuse, decontamination of medical-grade masks or the use of improvised cloth masks, both of which may be combined with a face shield. There is not much evidence on conservation strategies that could help conserve personal protective equipment during emergency shortages
Title: Critical Care Surge Capacity in U.S. Hospitals
Publication: RAND Corporation
Publication Date: May 2020
Key Takeaways: RAND researchers established a list of strategies to help the U.S. create ICU surge capacity. For hospitals and communities to effectively respond to the anticipated surge in the critical care needs for COVID-19 patients, the balance between space, staff, and stuff (i.e., resources) needs to be maximized and bottlenecks and shortages identified and mitigated. The article includes recommendations and suggested assessment and planning tools for hospital administrators as well as government planning officials.
Title: National Action Plan for Expanding and Adapting the Healthcare System for the Duration of the COVID Pandemic
Publisher: Johns Hopkins Bloomberg School of Public Health: Center for Health Security
Publication Date: 5 May 2020
Key Takeaways: This report offers recommendations related to several key current challenges being faced at healthcare facilities, such as: PPE supply chain, telehealth and resuming traditional healthcare in the future, managing surge staffing, challenges in prehospital care (EMS), ensuring readiness for the next chapters in the COVID story and further emerging infectious disease outbreaks.
Title: Ten Ways Healthcare Systems Can Operate Effectively during the COVID-19 Pandemic
Publication Date: May 1, 2020
Key Takeaways: This new document from CDC shares practical approaches that healthcare administrators can use based on the developing best practices from the healthcare community.
Title: CDC COVID-19 Surge Calculator
Publisher: US Centers for Disease Control and Prevention
Publication: April 21, 2020
Title: COVID-19 Hospital Resource Package
Publisher: US DHHS ASPR TRACIE
Publication: April 24, 2020 (continuously updated)
Surge, Crisis Standards of Care, Staffing Surge and Resilience, Workforce Protection,
HHS and CMS Regulatory Relief, Equipment Supply Surge, and Telemedicine. Though these resources may be individually listed in prior Intelligence Reports, this brings those together.
Title: N95 MASK RE-USE STRATEGIES
Publisher: Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
Publication: April 17, 2020
Title: American Association of Medical Colleges – Covid-19 Clinical Guidance Repository
Web address: www.aamc.org/covid19guidance
Key Takeaway: The AAMC COVID-19 Clinical Guidance Repository includes COVID-19 treatment and management guidance from academic medical centers (AMCs) to serve as a resource for hospitals and clinicians.
Health System Capacity Calculator
PPE Burn Rate Calculator
Society of Clinical Care Medicine: Surviving Sepsis Recommendations
Clinical Decision Support Tool: Covid-19 Patient Severity Scoring Tool