{"id":619,"date":"2020-09-21T23:00:10","date_gmt":"2020-09-21T23:00:10","guid":{"rendered":"https:\/\/www.hospitalinnovate.org\/covid19\/?p=619"},"modified":"2020-10-08T22:40:52","modified_gmt":"2020-10-08T22:40:52","slug":"04-are-there-any-themes-to-which-adaptations-worked-and-which-didnt","status":"publish","type":"post","link":"https:\/\/www.hospitalinnovate.org\/covid19\/2020\/09\/21\/04-are-there-any-themes-to-which-adaptations-worked-and-which-didnt\/","title":{"rendered":"04. Are there any themes to which adaptations worked and which didn\u2019t?"},"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>This is a very interesting topic and one that we are planning to further investigate. Much of the adaptations utilized are still in current use. Some of the areas that were deployed but then discontinued were the reductions in non-essential services and redeployment of residents and APPs.[\/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>Previous literature has suggested that a higher census may result in longer lengths of stay.<sup><a href=\"#notes\">14,15<\/a><\/sup> We saw some diversity in approaches to managing either higher or lower census on COVID-19 teams. There are a variety of different approaches being utilized when caring for COVID-19 patients, such as reduced documentation and remote visits which may allow for a higher census on these teams.[\/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>We aim to understand the effectiveness of these approaches, however there isn\u2019t literature to date on these specific adaptations to care of patients with COVID-19. Because the hospital trajectory for elderly patients or patients with comorbidities may be different than those patients who have less complex stays additional evaluation will need to be conducted accounting for these nuances.[\/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_1602196656749{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=\"14\">\n<li style=\"list-style-type: none;\">\n<ol start=\"14\">\n<li>Elliott DJ, Young RS, Brice J, Aguiar R, Kolm P. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24686924\/\" target=\"_blank\" rel=\"noopener noreferrer\">Effect of hospitalist workload on the quality and efficiency of care<\/a>. <em> JAMA Intern Med. <\/em>2014;174(5):786-793.<\/li>\n<li>Zoucha J, Hull M, Keniston A, et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30496327\/\" target=\"_blank\" rel=\"noopener noreferrer\">Barriers to early hospital discharge: a cross-sectional study at five academic hospitals<\/a>. <em> J Hosp Med. <\/em>2018;13(12):816-822.<\/li>\n<\/ol>\n<\/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\/619"}],"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=619"}],"version-history":[{"count":4,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/619\/revisions"}],"predecessor-version":[{"id":842,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/619\/revisions\/842"}],"wp:attachment":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/media?parent=619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/categories?post=619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/tags?post=619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}