Reinstating Elective Surgeries in MedStar Health
Introduction:. Coronavirus disease 2019 (COVID-19) infections have strained hospital resources worldwide. As a result, many facilities have suspended elective operations and ambulatory procedures. As the incidence of new cases of COVID-19 decreases, hospitals will need policies and algorithms to fac...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health
2020-09-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000002 |
| _version_ | 1827856041824485376 |
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| author | David E. Stein, MD, MHCM Stanley H. Chia, MD Thomas H. Breakey, MHA David H. Song, MD, MBA Edward Y. Woo, MD Rollin J. Fairbanks, MD, MS David Jordan, MD Leigh Ann Curl, MD Henry R. Boucher, MD Lisa Boyle, MD Karol Edwards, RN, MHA, NE-BC Hanna Friedrich, BSN Robert J. Gilbert, MHA Jeffrey Matton, MHA Kathy Mucci, MBA, RN Bradley Chambers, MS Michael Sachtleben, MHA Thomas J. Watson, MD |
| author_facet | David E. Stein, MD, MHCM Stanley H. Chia, MD Thomas H. Breakey, MHA David H. Song, MD, MBA Edward Y. Woo, MD Rollin J. Fairbanks, MD, MS David Jordan, MD Leigh Ann Curl, MD Henry R. Boucher, MD Lisa Boyle, MD Karol Edwards, RN, MHA, NE-BC Hanna Friedrich, BSN Robert J. Gilbert, MHA Jeffrey Matton, MHA Kathy Mucci, MBA, RN Bradley Chambers, MS Michael Sachtleben, MHA Thomas J. Watson, MD |
| author_sort | David E. Stein, MD, MHCM |
| collection | DOAJ |
| description | Introduction:. Coronavirus disease 2019 (COVID-19) infections have strained hospital resources worldwide. As a result, many facilities have suspended elective operations and ambulatory procedures. As the incidence of new cases of COVID-19 decreases, hospitals will need policies and algorithms to facilitate safe and orderly return of normal activities. We describe the recommendations of a task force established in a multi-institutional healthcare system for resumption of elective operative and ambulatory procedures applicable to all hospitals and service lines.
Methods:. MedStar Health created a multidisciplinary task force to develop guidelines for resumption of elective surgeries/procedures. The primary focus areas included the establishment of a governance structure at each healthcare facility, prioritization of elective cases, preoperative severe acute respiratory syndrome coronavirus 2 testing, and an assessment of the needs and availability of staff, personal protective equipment, and other essential resources.
Results:. Each hospital president was tasked with establishing a local perioperative leadership team answering directly to them and granted the authority to prioritize elective surgery and ambulatory procedures. An elective surgery algorithm was established using a simplified Medically Necessary Time Sensitive score, with multiple steps requiring a “go/no-go” assessment based on local resources. In addition, mandatory preoperative COVID testing policies were developed and operationalized.
Conclusions:. Even when the COVID pandemic has passed, hospitals and surgical centers will require COVID screening and testing, case prioritization, and supply chain management to provide care essential to the surgical patient while protecting their safety and that of staff. Our guidelines consider these factors and are applicable to both tertiary academic medical centers and smaller community facilities. |
| first_indexed | 2024-03-12T12:20:01Z |
| format | Article |
| id | doaj.art-c9f2439c1c9540bdbe548b3e85663a49 |
| institution | Directory Open Access Journal |
| issn | 2691-3593 |
| language | English |
| last_indexed | 2024-03-12T12:20:01Z |
| publishDate | 2020-09-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj.art-c9f2439c1c9540bdbe548b3e85663a492023-08-30T06:07:51ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932020-09-0111e00210.1097/AS9.0000000000000002202009000-00001Reinstating Elective Surgeries in MedStar HealthDavid E. Stein, MD, MHCM0Stanley H. Chia, MD1Thomas H. Breakey, MHA2David H. Song, MD, MBA3Edward Y. Woo, MD4Rollin J. Fairbanks, MD, MS5David Jordan, MD6Leigh Ann Curl, MD7Henry R. Boucher, MD8Lisa Boyle, MD9Karol Edwards, RN, MHA, NE-BC10Hanna Friedrich, BSN11Robert J. Gilbert, MHA12Jeffrey Matton, MHA13Kathy Mucci, MBA, RN14Bradley Chambers, MS15Michael Sachtleben, MHA16Thomas J. Watson, MD17From the * Department of Surgery, MedStar Franklin Square Medical Center† Department of Otolaryngology, MedStar Washington Hospital Center‡ MedStar Medical Group Anesthesia, MedStar Health§ Department of Plastic Surgery, MedStar Georgetown University Hospital‖ Department of Vascular Surgery, MedStar Washington Hospital Center and MedStar Medical Group¶ Department of Quality and Safety, MedStar Health‡ MedStar Medical Group Anesthesia, MedStar Health# Department of Orthopedics, MedStar Harbor Hospital** Department of Orthopedics, MedStar Union Memorial Hospital†† Department of Surgery, MedStar Georgetown University Hospital‡‡ Administration, MedStar Ambulatory Services, MedStar Health‡ MedStar Medical Group Anesthesia, MedStar Health‡‡ Administration, MedStar Ambulatory Services, MedStar Health§§ Administration, MedStar Union Memorial Hospital‖‖ XXX§§ Administration, MedStar Union Memorial Hospital¶¶ Administration, MedStar Georgetown University Hospital.†† Department of Surgery, MedStar Georgetown University HospitalIntroduction:. Coronavirus disease 2019 (COVID-19) infections have strained hospital resources worldwide. As a result, many facilities have suspended elective operations and ambulatory procedures. As the incidence of new cases of COVID-19 decreases, hospitals will need policies and algorithms to facilitate safe and orderly return of normal activities. We describe the recommendations of a task force established in a multi-institutional healthcare system for resumption of elective operative and ambulatory procedures applicable to all hospitals and service lines. Methods:. MedStar Health created a multidisciplinary task force to develop guidelines for resumption of elective surgeries/procedures. The primary focus areas included the establishment of a governance structure at each healthcare facility, prioritization of elective cases, preoperative severe acute respiratory syndrome coronavirus 2 testing, and an assessment of the needs and availability of staff, personal protective equipment, and other essential resources. Results:. Each hospital president was tasked with establishing a local perioperative leadership team answering directly to them and granted the authority to prioritize elective surgery and ambulatory procedures. An elective surgery algorithm was established using a simplified Medically Necessary Time Sensitive score, with multiple steps requiring a “go/no-go” assessment based on local resources. In addition, mandatory preoperative COVID testing policies were developed and operationalized. Conclusions:. Even when the COVID pandemic has passed, hospitals and surgical centers will require COVID screening and testing, case prioritization, and supply chain management to provide care essential to the surgical patient while protecting their safety and that of staff. Our guidelines consider these factors and are applicable to both tertiary academic medical centers and smaller community facilities.http://journals.lww.com/10.1097/AS9.0000000000000002 |
| spellingShingle | David E. Stein, MD, MHCM Stanley H. Chia, MD Thomas H. Breakey, MHA David H. Song, MD, MBA Edward Y. Woo, MD Rollin J. Fairbanks, MD, MS David Jordan, MD Leigh Ann Curl, MD Henry R. Boucher, MD Lisa Boyle, MD Karol Edwards, RN, MHA, NE-BC Hanna Friedrich, BSN Robert J. Gilbert, MHA Jeffrey Matton, MHA Kathy Mucci, MBA, RN Bradley Chambers, MS Michael Sachtleben, MHA Thomas J. Watson, MD Reinstating Elective Surgeries in MedStar Health Annals of Surgery Open |
| title | Reinstating Elective Surgeries in MedStar Health |
| title_full | Reinstating Elective Surgeries in MedStar Health |
| title_fullStr | Reinstating Elective Surgeries in MedStar Health |
| title_full_unstemmed | Reinstating Elective Surgeries in MedStar Health |
| title_short | Reinstating Elective Surgeries in MedStar Health |
| title_sort | reinstating elective surgeries in medstar health |
| url | http://journals.lww.com/10.1097/AS9.0000000000000002 |
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