From McKinsey & Company (June 11, 2020)
For the past 10 to 15 years, virtual health has been heralded as the next disrupter in the delivery of care, but there has been minimal uptick in adoption. The COVID-19 pandemic is pushing against structural barriers that had previously slowed health system investment in integrated virtual health applications.
From the Wall Street Journal (June 8, 2020):
“We have to operate a hospital within a hospital, taking care of the needs for patients who have had strokes or a newborn delivery or need surgery while dealing with an otherwise healthy 35-year-old who picked up Covid-19 at a social event,” says James Linder, chief executive of Nebraska Medicine…
For instance, more hospitals are remotely triaging and registering patients before they even arrive. Clinicians can consult with patients from their home via telemedicine to help determine how sick they are and if they need to come to the ER at all. From there, admissions are made with as little contact with staff or other patients as possible.
Hospitals are rethinking how they operate in light of the Covid-19 pandemic—and preparing for a future where such crises may become a grim fact of life.
With the potential for resurgences of the coronavirus, and some scientists warning about outbreaks of other infectious diseases, hospitals don’t want to be caught flat-footed again. So, more of them are turning to new protocols and new technology to overhaul standard operating procedure, from the time patients show up at an emergency room through admission, treatment and discharge.
We caught up with Dr. Comilla Sasson, the American Heart Association’s VP for science and innovation. She’s an emergency physician who teaches at the University of Colorado. She’d traveled to New York City to “help with the response,” and she talked with us from a field hospital that had been set up on a tennis court in Central Park.
She had lots to say about what’s driving patients away from emergency departments these days and what’s likely to happen in medicine (hello, telemedicine!) once the pandemic abates.
Running time: 15 minutes
The inside story of how the first confirmed COVID-19 patient in the U.S. was identified and treated in Washington State.
When a man returning from Wuhan, China in January 2020 exhibited symptoms of the novel coronavirus, public health officials in the Seattle area were already on alert.
“We had a game plan in place already,” says Dr. George Diaz, who treated patient one when he was admitted to Providence Regional Medical Center in Everett. Yet in spite of the state’s preparedness, it would soon become clear that the virus’s spread was already ahead of efforts to contain it.
“Patient One: Saving America’s First Known Coronavirus Patient” was drawn from FRONTLINE’s reporting for “Coronavirus Pandemic” – veteran science reporter Miles O’Brien and his team’s investigation of the U.S. response to COVID-19.
“Coronavirus Pandemic” premieres Tues., April 21. Stream it on the PBS Video App starting at 7/6c, or watch it on PBS or YouTube at 9/8c. Check local PBS listings.
More here: https://to.pbs.org/2ypGUOw
Exercise physiologists are healthcare professionals that work with patients who are deconditioned or have a variety of different health complications. They work with pulmonary and cardiac patients, as well as competitive athletes with a wide range of fitness issues.
Penn Medicine’s Christopher J. Kusmiesz, MS describes his role as “assessing a patient’s fitness level and providing recommendations and guidance so they can improve and reach their health and fitness goals.”
Exercise physiologists at Penn uses patient test results, recommendations from their cardiologist and the patient’s own goals to create an exercise program that is unique to each patient.
When he was interviewed, the count of Covid-19 cases stood at 412, less than 12 hours later, the new number was 505. He’s expecting the wave to hit hard there. Broward is home to Fort Lauderdale (think spring break) and Pompano Beach (think aging retirees). Couple those demographics with a lack of easy testing for the virus, and you’ve got a worrisome situation.
Mar.03 — World Health Organization spokesman Tarik Jasarevic speaks from Geneva about the latest advice for avoiding the coronavirus. He also comments on efforts to develop a vaccine and advice for public health workers. He speaks on “Bloomberg Markets: European Open.”
From a The BMJ Views and Reviews article by David Oliver (February 5, 2020):
Last year the Lancet published a paper on the impact of wearing gowns, surveying 928 adult patients and carrying out structured interviews with 10 patients. Over half (58%) reported wearing the gown despite feeling uncertain that it was a medical necessity. Gown design was considered inadequate, with 61% reporting that they struggled to put it on or required assistance and 67% reporting that it didn’t fit. Most worryingly, 72% felt exposed, 60% felt self-conscious, and 57% felt uncomfortable wearing the gown.
I’ve often wondered why on earth we routinely put so many patients into hospital gowns within minutes of their arrival at hospital.
Sometimes referred to as “dignity gowns,” such dignity as they afford is only in comparison to being stark naked. They don’t come in a wide range of sizes or lengths, and they’re open along the back. You tend to get what you’re given and make do. The effect is to leave patients with lots of exposed flesh, with underwear or buttocks intermittently displayed and a feeling of extreme vulnerability, not to mention being cold if they have no other layers to wear.