TTAC

9. Behavioral Health

Mental health strain on providers and patients is a critical issue.[19] Easy, dependable access to appropriate behavioral health services for patients, staff, and the community is essential. In part, access to these critical services will address the needs and fears of staff as well as patients and caregivers. On-site or local behavioral health resources can be […]

10. Transportation

The COVID-19 pandemic demonstrated a significant impact on transportation. Closing of flights, shutdown of some shared car services and resistance to using mass transit drastically cut the ability to move people and goods. Slowdowns in logistics constrained supply deliveries on a global scale. It is critical to understand how these issues will affect the organization […]

11. Public Health

Weaknesses in our public health system have become apparent in the COVID-19 pandemic and must be addressed before the next pandemic[25]. Grant-based funding, and limited ongoing funding makes operating a long-term sustained public health infrastructure difficult. Lack of consistent national messaging and the lack of infrastructure, systems and inconsistent standards/methods for data collection/reporting limit effectiveness. […]

Conclusions

This pandemic imposed new demands and critical pressures on our healthcare system, staff, systems and facilities. It also revealed weaknesses in delivery of care including access, equity, continuity of care, connectivity/technology disparities and Public Health. It imposed increased business pressures drivin by dropping revenues and increased costs as well as increased pressures on staff and […]

Contributors and Disclaimer

Think Tank members listed in alphabetical order:  Doris T. Barta, MHA Doris T. Barta is the Director of the National Telehealth Technology Assessment Center (TTAC), one of two National Telehealth Resource Centers. TTAC provides in-depth objective assessments of telehealth technology and publishes the results of those assessments, as well as other pertinent information regarding telehealth […]

References

https://revcycleintelligence.com/news/aha-projects-323b-in-covid-19-hospital-financial-losses-in-2020 https://www.cms.gov/newsroom/press-releases/cms-releases-recommendations-adult-elective-surgeries-non-essential-medical-surgical-and-dental https://www.washingtonpost.com/graphics/2020/investigations/coronavirus-excess-deaths-heart/ https://www.phreesia.com/2020/03/05/infographic-the-high-cost-of-long-wait-times/ https://www.ama-assn.org/delivering-care/public-health/caring-our-caregivers-during-covid-19 https://www.beckershospitalreview.com/workforce/how-hospitals-can-boost-employee-morale-this-winter.html https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7673903/ https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html https://f.hubspotusercontent20.net/hubfs/2735326/VirtualWaitingRoom_eBook.pdf https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/containment-of-covid19-cases-among-healthcare-workers-the-role-of-surveillance-early-detection-and-outbreak-management/6DB0A70E0716648C1CDAF1D2B91AB688 https://www.epa.gov/coronavirus/ventilation-and-coronavirus-covid-19# https://www.cdc.gov/coronavirus/2019-ncov/hcp/alternative-care-sites.html https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html https://www.washingtonpost.com/graphics/2020/investigations/coronavirus-excess-deaths-heart/ https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html https://www.medscape.com/viewarticle/941767?src=ppc_google_rlsa-lapsed-traf_news-perspectives_md_us https://www.aamc.org/news-insights/interest-hospital-home-programs-explodes-during-covid-19 https://www.columbiapsychiatry.org/news/covid-19-and-need-action-mental-health https://psychiatry.uw.edu/clinical-care-consultation/covid-19-resources-for-mental-well-being/ https://info.healthspacesevent.com/blog/what-remote-work-means-for-the-future-of-healthcare-facilities https://www.cdc.gov/coronavirus/2019-ncov/community/tribal/non-ems-transportation.html https://mhealthintelligence.com/news/the-health-wagon-a-telehealth-resource-in-a-rural-wilderness https://www.angelflight.com/ https://www.institutmontaigne.org/en/blog/how-covid-19-unveiling-us-healthcare-weaknesses https://www.healthcaredive.com/news/medicare-seniors-telehealth-covid-coronavirus-cms-trump/578685/

1. Keeping Treatment Protocols Up-To-Date

A significant lesson learned from the current COVID-19 pandemic is that both complications of the disease and evolving treatments are being identified at a rapid pace and that these updated treatments have had a significant impact on outcomes, especially survivability.  We found that this information is flowing in from a number of both credible and […]

2. Keep the Hospital Open

The financial impact of COVID-19 and the restrictions that have resulted are severe. Average US hospital revenues dropped 40% during 2020.[1] This has impacted all hospitals and healthcare systems.  Especially critical are small rural hospitals who are now facing closure due to sharply reduced revenues. A key factor in cutting revenue was the directive to […]

3. Divert the Potentially Infected Before they Arrive

It is critical to protect staff, patients and the facility from infection exposure while still continuing operations and quality care delivery. The best way to do this is to divert potentially infected people before they arrive at the hospital or clinic. The CDC suggests that providers first evaluate patients with suspected cases of the virus […]

4. Replace/ Cover Infected Staff, Provide for Critical Care Staff Needs

Regardless of the procedures in place, some infection of staff must be expected and plans must be in place to mitigate the impact on staffing and care. There is a critical need to plan for shortages to occur as demand for specific specialties and for intensive care resources increase. Telemedicine offers advantages to reduce exposure […]