A Western Massachusetts hospital system’s response to the COVID-19 pandemic
Keywords:COVID-19, critical care surge, disaster medicine, pandemic
Objective: The objective of this paper was to outline a novel model created for the management of the critical care surge due to coronavirus disease 2019 (COVID-19) in a Western Massachusetts hospital.
Setting: This model was created and implemented at a Western Massachusetts Level 1 Trauma and tertiary referral center.
Conclusions: This article outlines a model devised by an interdisciplinary team for rapid expansion of critical care services by increasing allocated space, staffing, and supplies via modifications of existing systems of care to accommodate a predicted large critical care patient surge due to the COVID-19 pandemic. We predict that this model can be utilized and adapted for future critical care surges in times of similar pandemic situations.
American Hospital Directory: Information about hospitals from public and private data sources including MedPAR, OPPS, hospital cost reports, and other CMS files. Homepage on the Internet. Available at www.ahd.com/. Accessed May 20, 2020.
COBTH: Conference of Boston teaching hospitals. Homepage on the Internet. Available at www.cobth.org/. Accessed May 14, 2020.
Finlaw S: Governor Baker declares state of emergency to support commonwealth's response to coronavirus. Mass.gov. 2020. Available at www.mass.gov/news/governorbaker-declares-state-of-emergency-tosupport-commonwealths-response-to-coronavirus. Accessed May 14,
Baker C, Sudders M, Polito KE, et al.: Elective procedure order. The commonwealth of Massachusetts: Order of the commissioner of public health. 2020. Available at https://www.mass.gov/doc/march-15-2020-elective-procedures-order/download. Accessed May 24, 2020.
Halpern NA, Kay ST: United States resource availability for COVID-19. Society of critical care medicine. 2020. Available at www.sccm.org/getattachment/Blog/March2020/United-States-Resource-Availability-for-COVID-19/United-States-ResourceAvailability-for-COVID-19.pdf. Accessed May 18, 2020.
Ross SW, Lauer CW, Miles WS, et al.: Maximizing the calm before the storm: A tiered surgical response plan for COVID-19. J Am Coll Surg. doi:10.1016/j.jamcollsurg.2020.03.019.
Frogner BK: How many health care workers are at risk of being sacrificed to COVID-19 in the US?. Center for Health Workforce Studies, University of Washington. Internet Blog. 2020. Available at http://depts.washington.edu/fammed/chws/howmany-healthcare-workers-are-at-risk-of-being-sacrificed-to-covid-19-in-the-us/. Accessed June 9, 2020.
Skiest D: Clinical guidelines for management of COVID-19: Baystate Health. Baystate Health System. 2020. Available at https://thehub.bhs.org/Departments/COVID19/Documents/Resourcesfor MedicalProviders/clinical-guideline-summary.pdf. Accessed May 24, 2020.
Mayo Clinic: Expanded access to convalescent plasma for the treatment of patients with COVID-19. 2020. Available at https://clinicaltrials.gov/ct2/show/NCT04338360. Accessed June 1, 2020.
Massachusetts General Hospital: Outcomes related to COVID- 19 treated with hydroxychloroquine among in-patients with symptomatic disease (ORCHID). 2020. Available at https://clinicaltrials.gov/ct2/show/NCT04332991. Accessed June 1, 2020.
Roche H-L: A study to evaluate the safety and efficacy of tocilizumab in patients with severe COVID-19 pneumonia (COVACTA). 2020. Available at https://clinicaltrials.gov/ct2/show/NCT04320615. Accessed June 1, 2020.
Baker C, Sudders M, Polito KE, et al.: Crisis standards of care planning guidance for the COVID-19 pandemic. The Commonwealth of Massachusetts Executive Office of Health and Human Services, Department of Public Health. 2020. Available at http://d279m997dpfwgl.cloudfront.net/wp/2020/04/CSC_April-7_2020.pdf. Accessed June 1, 2020.
NECN: A little surreal: Mass. doctor's quest to acquire PPE for hospital caught attention of FBI. 2020. Available at www.necn.com/news/coronavirus/a-little-surreal-massdoctors-quest-to-acquire-ppefor-hospital-caught-attention-of-fbi/2262572/. Accessed May 1, 2020.
Maza C: MassMutual Center could become field hospital during COVID-19 surge. Reminder Publications. 2020. Available at www.thereminder.com/localnews/greaterspringfield/massmutual-centercould-becomefield-hospital-duri/. Accessed May 23, 2020.
Goonan P: Federal errors overpaid hospital system by $63 million in coronavirus relief. [online] masslive. 2020. Available at www.masslive.com/coronavirus/2020/06/errors-overpaid-baystate-healthby-63-million-in-coronavirus-relief-feds-wont-say-how-widespreadproblem-is.html. Accessed October 4, 2020.
ACR: First distribution summary by state [ebook]. 2020. Available at www.acr.org/-/media/ACR/Files/State-Issues/First-Distribution-Summary-by-State.pdf. Accessed October 4, 2020.
Wu Z, McGoogan J: Characteristics of an important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China. JAMA. 2020; 323(13): 1239-1242. doi:10.1001/jama.2020.2648.
Gavin K: Flattening the curve for COVID-19: Expert Howard Markel weighs in. Institute for Healthcare Policy & Innovation. 2020. Available at http://ihpi.umich.edu/news/flattening-curvecovid-19-expert-howard-markel-weighs. Accessed May 2, 2020.
COVID-19 updates and information. Mass.gov. Available at www.mass.gov/info-details/covid-19-updates-and-information. Accessed October 8, 2020.
Bharel M: Infectious disease emergency response plan. Massachusetts Department of Public Health. 2020. Available at https://www.mass.gov/doc/mdph-infectious-disease-emergencyresponse-ider-plan/download. Accessed October 8, 2020.
Copyright 2007-2023, Weston Medical Publishing, LLC
All Rights Reserved