Optimizing Kidney Replacement Therapy During the COVID-19 Pandemic Across a Complex Healthcare System

The unprecedented surge of nephrology inpatients needing kidney replacement therapy placed hospital systems under extreme stress during the COVID-19 pandemic. In this article, we describe the formation of a cross campus “New-York Presbyterian COVID-19 Kidney Replacement Therapy Task Force” with inte...

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Main Authors: Jane Akomeah, Aljenica Apostol, Esteen Barnes, Chaim Charytan, Uvannie Enriquez, Madhavi Katikaneni, Frank Liu, Albert Messina, Kotresha Neelakantappa, Jai Radhakrishnan, Ritesh Raichoudhury, Ramya Ramakrishnan, Sadia Saboor, Alina Sapozhnikova, Jeffrey Silberzweig, Jacob S. Stevens, Susan Tanzi-Pfeifer, Jennifer Tutone, Vesh Srivatana
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-12-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2020.604182/full
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author Jane Akomeah
Aljenica Apostol
Esteen Barnes
Chaim Charytan
Uvannie Enriquez
Madhavi Katikaneni
Frank Liu
Albert Messina
Kotresha Neelakantappa
Jai Radhakrishnan
Ritesh Raichoudhury
Ramya Ramakrishnan
Sadia Saboor
Alina Sapozhnikova
Jeffrey Silberzweig
Jacob S. Stevens
Susan Tanzi-Pfeifer
Jennifer Tutone
Vesh Srivatana
author_facet Jane Akomeah
Aljenica Apostol
Esteen Barnes
Chaim Charytan
Uvannie Enriquez
Madhavi Katikaneni
Frank Liu
Albert Messina
Kotresha Neelakantappa
Jai Radhakrishnan
Ritesh Raichoudhury
Ramya Ramakrishnan
Sadia Saboor
Alina Sapozhnikova
Jeffrey Silberzweig
Jacob S. Stevens
Susan Tanzi-Pfeifer
Jennifer Tutone
Vesh Srivatana
author_sort Jane Akomeah
collection DOAJ
description The unprecedented surge of nephrology inpatients needing kidney replacement therapy placed hospital systems under extreme stress during the COVID-19 pandemic. In this article, we describe the formation of a cross campus “New-York Presbyterian COVID-19 Kidney Replacement Therapy Task Force” with intercampus physician, nursing, and supply chain representation. We describe several strategies including the development of novel dashboards to track supply/demand of resources, urgent start peritoneal dialysis, in-house preparation of kidney replacement fluid, the use of unconventional personnel resources to ensure the safe and continued provision of kidney replacement therapy in the face of the unanticipated surge. These approaches facilitated equitable sharing of resources across a complex healthcare-system and allowed for the rapid implementation of standardized protocols at each hospital.
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spelling doaj.art-4c4a4da6e71f4ab9a63148b1b5a1d8a92022-12-21T22:21:21ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2020-12-01710.3389/fmed.2020.604182604182Optimizing Kidney Replacement Therapy During the COVID-19 Pandemic Across a Complex Healthcare SystemJane Akomeah0Aljenica Apostol1Esteen Barnes2Chaim Charytan3Uvannie Enriquez4Madhavi Katikaneni5Frank Liu6Albert Messina7Kotresha Neelakantappa8Jai Radhakrishnan9Ritesh Raichoudhury10Ramya Ramakrishnan11Sadia Saboor12Alina Sapozhnikova13Jeffrey Silberzweig14Jacob S. Stevens15Susan Tanzi-Pfeifer16Jennifer Tutone17Vesh Srivatana18NewYork-Presbyterian/Columbia University Medical Center, New York, NY, United StatesNewYork-Presbyterian Lower Manhattan Hospital, New York, NY, United StatesNewYork-Presbyterian Lower Manhattan Hospital, New York, NY, United StatesNewYork-Presbyterian Queens, New York, NY, United StatesNewYork-Presbyterian/Weill Cornell Medical Center, New York, NY, United StatesNewYork-Presbyterian Hudson Valley Hospital, Cold Spring, NY, United StatesNewYork-Presbyterian/Weill Cornell Medical Center, New York, NY, United StatesNewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, United StatesNewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, United StatesNewYork-Presbyterian/Columbia University Medical Center, New York, NY, United StatesNewYork-Presbyterian Queens, New York, NY, United StatesNewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, United StatesNewYork-Presbyterian Lawrence Hospital, Bronxville, NY, United StatesStrategic Sourcing at New York Presbyterian Hospital, New York, NY, United StatesNewYork-Presbyterian/Weill Cornell Medical Center, New York, NY, United StatesNewYork-Presbyterian/Columbia University Medical Center, New York, NY, United StatesNewYork-Presbyterian/Columbia University Medical Center, New York, NY, United StatesNewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, United StatesNewYork-Presbyterian/Weill Cornell Medical Center, New York, NY, United StatesThe unprecedented surge of nephrology inpatients needing kidney replacement therapy placed hospital systems under extreme stress during the COVID-19 pandemic. In this article, we describe the formation of a cross campus “New-York Presbyterian COVID-19 Kidney Replacement Therapy Task Force” with intercampus physician, nursing, and supply chain representation. We describe several strategies including the development of novel dashboards to track supply/demand of resources, urgent start peritoneal dialysis, in-house preparation of kidney replacement fluid, the use of unconventional personnel resources to ensure the safe and continued provision of kidney replacement therapy in the face of the unanticipated surge. These approaches facilitated equitable sharing of resources across a complex healthcare-system and allowed for the rapid implementation of standardized protocols at each hospital.https://www.frontiersin.org/articles/10.3389/fmed.2020.604182/fulldashboardcensus trackingCRRTHDCOVID-19disaster planning
spellingShingle Jane Akomeah
Aljenica Apostol
Esteen Barnes
Chaim Charytan
Uvannie Enriquez
Madhavi Katikaneni
Frank Liu
Albert Messina
Kotresha Neelakantappa
Jai Radhakrishnan
Ritesh Raichoudhury
Ramya Ramakrishnan
Sadia Saboor
Alina Sapozhnikova
Jeffrey Silberzweig
Jacob S. Stevens
Susan Tanzi-Pfeifer
Jennifer Tutone
Vesh Srivatana
Optimizing Kidney Replacement Therapy During the COVID-19 Pandemic Across a Complex Healthcare System
Frontiers in Medicine
dashboard
census tracking
CRRT
HD
COVID-19
disaster planning
title Optimizing Kidney Replacement Therapy During the COVID-19 Pandemic Across a Complex Healthcare System
title_full Optimizing Kidney Replacement Therapy During the COVID-19 Pandemic Across a Complex Healthcare System
title_fullStr Optimizing Kidney Replacement Therapy During the COVID-19 Pandemic Across a Complex Healthcare System
title_full_unstemmed Optimizing Kidney Replacement Therapy During the COVID-19 Pandemic Across a Complex Healthcare System
title_short Optimizing Kidney Replacement Therapy During the COVID-19 Pandemic Across a Complex Healthcare System
title_sort optimizing kidney replacement therapy during the covid 19 pandemic across a complex healthcare system
topic dashboard
census tracking
CRRT
HD
COVID-19
disaster planning
url https://www.frontiersin.org/articles/10.3389/fmed.2020.604182/full
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