{"id":602,"date":"2020-09-21T22:45:26","date_gmt":"2020-09-21T22:45:26","guid":{"rendered":"https:\/\/www.hospitalinnovate.org\/covid19\/?p=602"},"modified":"2020-10-08T23:07:55","modified_gmt":"2020-10-08T23:07:55","slug":"02-how-did-hospital-medicine-groups-and-hospitals-adapt-staffing-models","status":"publish","type":"post","link":"https:\/\/www.hospitalinnovate.org\/covid19\/2020\/09\/21\/02-how-did-hospital-medicine-groups-and-hospitals-adapt-staffing-models\/","title":{"rendered":"02. How did hospital medicine groups and hospitals adapt staffing models (team and individual level adaptations)?"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221; css=&#8221;.vc_custom_1600728508417{margin-top: 0px !important;border-bottom-width: 4px !important;padding-top: 0px !important;padding-right: 20px !important;padding-bottom: 0px !important;padding-left: 20px !important;background-color: #f2f2f2 !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;}&#8221;][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1599247143020{padding-right: 20px !important;padding-left: 10px !important;}&#8221;][vc_custom_heading text=&#8221;Workforce Planning Key Clinical Questions&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23f7941d&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1600706756851{margin-top: 0px !important;padding-top: 40px !important;}&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/\">Home<\/a> \/ <a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/workforce-planning\/\">Workforce Planning Overview<\/a> \/ <a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/workforce-planning\/key-clinical-questions\/\">Key Clinical Questions<\/a><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; gap=&#8221;20&#8243;][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1599596059091{padding: 20px !important;}&#8221;][vc_custom_heading source=&#8221;post_title&#8221; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<h3><strong>a. HOMERuN institutions<\/strong><\/h3>\n<p>At the team level, sites saw redeployment of residents, fellows, and advanced practice providers as well as non-hospitalists being deployed into general inpatient settings. Hospitalists were frequently deployed (or planned to) deploy to intensive care unit settings. Hospitalists were slated to help supervise other attending physicians however at most institutions this wasn\u2019t deployed (<a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/workforce-planning\/tables-endnotes\/\" target=\"_blank\" rel=\"noopener noreferrer\">Tables 1 and 2<\/a>).[\/vc_column_text][vc_row_inner gap=&#8221;30&#8243; css=&#8221;.vc_custom_1599596074851{padding: 20px !important;}&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h3><strong>b. What is Known<\/strong><\/h3>\n<p>Based on institutional specific reports in the literature, physicians, APPs, residents, and fellows were frequently deployed to new areas to serve the surge need, with hospitalists frequently moving to ICU settings and others moving into inpatient floor settings.<sup><a href=\"#notes\">4,5<\/a><\/sup>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h3><strong>c. What is Not Known<\/strong><\/h3>\n<p>While there are institutional reports of redeployment, it is unclear what the outcomes are when providers are moved into less familiar care settings.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1600127223223{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 4px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;border-left-color: #2c5d73 !important;border-left-style: solid !important;border-right-color: #2c5d73 !important;border-right-style: solid !important;border-top-color: #2c5d73 !important;border-top-style: solid !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;border-radius: 4px !important;}&#8221;][vc_raw_html]JTVCdWx0aW1hdGVfcG9zdF9saXN0JTIwaWQlM0QlMjI1NDUlMjIlNUQ=[\/vc_raw_html][vc_wp_custommenu nav_menu=&#8221;10&#8243; el_class=&#8221;subNavButton&#8221; title=&#8221;Workforce Planning&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221;][vc_column][cesis_line_divider width=&#8221;&#8221;][vc_column_text font_size=&#8221;10px&#8221; css=&#8221;.vc_custom_1602198442518{padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #f9f9f9 !important;}&#8221;]<a name=\"notes\"><\/a><\/p>\n<ol start=\"4\">\n<li>Bowden K, Burnham EL, Keniston A, et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32661930\/\" target=\"_blank\" rel=\"noopener noreferrer\">Harnessing the power of hospitalists in operational disaster planning: COVID-19<\/a>. <em>J Gen Intern Med. <\/em>2020.<\/li>\n<li>Auerbach A, O&#8217;Leary KJ, Greysen SR, et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32804610\/\" target=\"_blank\" rel=\"noopener noreferrer\">Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers<\/a>. <em>J Hosp Med. <\/em>2020;15(8):483-488.<\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nineteen percent of protocols recommended standard pharmacologic VTE prophylaxis dosing for all COVID-19 patients regardless of estimated VTE risk. Ten percent recommended&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"_links":{"self":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/602"}],"collection":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/comments?post=602"}],"version-history":[{"count":6,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/602\/revisions"}],"predecessor-version":[{"id":847,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/602\/revisions\/847"}],"wp:attachment":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/media?parent=602"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/categories?post=602"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/tags?post=602"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}