A pilot model of a public–private partnership for implementation of a coronavirus disease 2019 (COVID-19) diagnostic testing program to facilitate a safe school reopening
Abstract Objective: We developed an implementation plan to integrate diagnostic testing for coronavirus disease 2019 (COVID-19) into a public school system. Implementation barriers were identified and strategies were mapped to overcome them. Design: A COVID-19 diagnostic testing program leveragi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-01-01
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| Series: | Antimicrobial Stewardship & Healthcare Epidemiology |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2732494X21002497/type/journal_article |
| _version_ | 1811157150604460032 |
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| author | Westyn Branch-Elliman Polly van den Berg Sara W. Dong Andrew K. Kapoor Elisabeth A. Merchant Elissa M. Schechter-Perkins |
| author_facet | Westyn Branch-Elliman Polly van den Berg Sara W. Dong Andrew K. Kapoor Elisabeth A. Merchant Elissa M. Schechter-Perkins |
| author_sort | Westyn Branch-Elliman |
| collection | DOAJ |
| description |
Abstract
Objective:
We developed an implementation plan to integrate diagnostic testing for coronavirus disease 2019 (COVID-19) into a public school system. Implementation barriers were identified and strategies were mapped to overcome them.
Design:
A COVID-19 diagnostic testing program leveraging a public–private partnership was developed for a public school system.
Setting:
A suburban school district and a local hospital during the 2020–2021 academic year.
Methods:
Using Consolidated Framework for Implementation Research (CFIR) constructs and evidenced-based implementation strategies, the program was designed as a “closed system” and was adapted based on stakeholder feedback. Implementation barriers and facilitators were identified and mapped to CFIR constructs to provide insights into factors influencing program adoption.
Results:
Preimplementation stages of engagement, feasibility, and readiness planning were completed. The program did not progress to implementation due to multiple factors, including changes in school leadership (inner setting and process-level constructs), improved access to outside testing, and lack of an existing paradigm for in-school testing (external constructs). Limited support from key stakeholders and opinion leaders was also a barrier (process-level construct).
Conclusions:
Although this locally initiated program did not progress beyond the preimplementation stage, the processes developed and barriers identified may be useful to inform planning efforts in other testing programs within public school systems. Future programs may consider incorporating multiplex diagnostic testing for influenza in addition to COVID-19. With relaxation of infection control measures, the prevalence of other respiratory viruses will increase. Actionable results will be needed to inform decisions about closures and quarantines.
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| first_indexed | 2024-04-10T05:02:10Z |
| format | Article |
| id | doaj.art-29043c3bb4a445359ca492fd1570699a |
| institution | Directory Open Access Journal |
| issn | 2732-494X |
| language | English |
| last_indexed | 2024-04-10T05:02:10Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Antimicrobial Stewardship & Healthcare Epidemiology |
| spelling | doaj.art-29043c3bb4a445359ca492fd1570699a2023-03-09T12:28:16ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2022-01-01210.1017/ash.2021.249A pilot model of a public–private partnership for implementation of a coronavirus disease 2019 (COVID-19) diagnostic testing program to facilitate a safe school reopeningWestyn Branch-Elliman0https://orcid.org/0000-0002-9658-5124Polly van den Berg1https://orcid.org/0000-0002-2918-3045Sara W. Dong2https://orcid.org/0000-0002-6927-9404Andrew K. Kapoor3Elisabeth A. Merchant4Elissa M. Schechter-Perkins5https://orcid.org/0000-0003-1798-9663Veterans’ Affairs (VA) Boston Center for Healthcare Organization and Implementation Research (CHOIR), Boston, Massachusetts Section of Infectious Diseases, Department of Medicine, VA Boston Healthcare System, Boston, Massachusetts Department of Medicine, Harvard Medical School, Boston, MassachusettsSection of Infectious Diseases, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MassachusettsSection of Infectious Diseases, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MassachusettsSection of Infectious Diseases, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MassachusettsSection of Infectious Diseases, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MassachusettsDepartment of Emergency Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts Abstract Objective: We developed an implementation plan to integrate diagnostic testing for coronavirus disease 2019 (COVID-19) into a public school system. Implementation barriers were identified and strategies were mapped to overcome them. Design: A COVID-19 diagnostic testing program leveraging a public–private partnership was developed for a public school system. Setting: A suburban school district and a local hospital during the 2020–2021 academic year. Methods: Using Consolidated Framework for Implementation Research (CFIR) constructs and evidenced-based implementation strategies, the program was designed as a “closed system” and was adapted based on stakeholder feedback. Implementation barriers and facilitators were identified and mapped to CFIR constructs to provide insights into factors influencing program adoption. Results: Preimplementation stages of engagement, feasibility, and readiness planning were completed. The program did not progress to implementation due to multiple factors, including changes in school leadership (inner setting and process-level constructs), improved access to outside testing, and lack of an existing paradigm for in-school testing (external constructs). Limited support from key stakeholders and opinion leaders was also a barrier (process-level construct). Conclusions: Although this locally initiated program did not progress beyond the preimplementation stage, the processes developed and barriers identified may be useful to inform planning efforts in other testing programs within public school systems. Future programs may consider incorporating multiplex diagnostic testing for influenza in addition to COVID-19. With relaxation of infection control measures, the prevalence of other respiratory viruses will increase. Actionable results will be needed to inform decisions about closures and quarantines. https://www.cambridge.org/core/product/identifier/S2732494X21002497/type/journal_article |
| spellingShingle | Westyn Branch-Elliman Polly van den Berg Sara W. Dong Andrew K. Kapoor Elisabeth A. Merchant Elissa M. Schechter-Perkins A pilot model of a public–private partnership for implementation of a coronavirus disease 2019 (COVID-19) diagnostic testing program to facilitate a safe school reopening Antimicrobial Stewardship & Healthcare Epidemiology |
| title | A pilot model of a public–private partnership for implementation of a coronavirus disease 2019 (COVID-19) diagnostic testing program to facilitate a safe school reopening |
| title_full | A pilot model of a public–private partnership for implementation of a coronavirus disease 2019 (COVID-19) diagnostic testing program to facilitate a safe school reopening |
| title_fullStr | A pilot model of a public–private partnership for implementation of a coronavirus disease 2019 (COVID-19) diagnostic testing program to facilitate a safe school reopening |
| title_full_unstemmed | A pilot model of a public–private partnership for implementation of a coronavirus disease 2019 (COVID-19) diagnostic testing program to facilitate a safe school reopening |
| title_short | A pilot model of a public–private partnership for implementation of a coronavirus disease 2019 (COVID-19) diagnostic testing program to facilitate a safe school reopening |
| title_sort | pilot model of a public private partnership for implementation of a coronavirus disease 2019 covid 19 diagnostic testing program to facilitate a safe school reopening |
| url | https://www.cambridge.org/core/product/identifier/S2732494X21002497/type/journal_article |
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