COVID-19 surge readiness: use cases demonstrating how hospitals leveraged digital identity access management for infection control and pandemic response
Background Surging volumes of patients with COVID-19 and the high infectiousness of SARS-CoV-2 challenged hospital infection control/safety, staffing, care delivery and operations as few crises have. Imperatives to ensure security of patient information, defend against cybersecurity threats and accu...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-02-01
|
| Series: | BMJ Health & Care Informatics |
| Online Access: | https://informatics.bmj.com/content/29/1/e100680.full |
| _version_ | 1797784175354314752 |
|---|---|
| author | Claire Reilly George A Gellert Sean P Kelly Allen L Hsiao Brian Herrick Donna Weis Jeffrey Lutz Glynn Stanton Santos Bonilla Daniel Borgasano Matthew Erich Daniel Johnston |
| author_facet | Claire Reilly George A Gellert Sean P Kelly Allen L Hsiao Brian Herrick Donna Weis Jeffrey Lutz Glynn Stanton Santos Bonilla Daniel Borgasano Matthew Erich Daniel Johnston |
| author_sort | Claire Reilly |
| collection | DOAJ |
| description | Background Surging volumes of patients with COVID-19 and the high infectiousness of SARS-CoV-2 challenged hospital infection control/safety, staffing, care delivery and operations as few crises have. Imperatives to ensure security of patient information, defend against cybersecurity threats and accurately identify/authenticate patients and staff were undiminished, which fostered creative use cases where hospitals leveraged identity access and management (IAM) technologies to improve infection control and minimise disruption of clinical and administrative workflows.Methods Working with a leading IAM solution provider, implementation personnel in the USA and UK identified all hospitals/health systems where an innovative use of IAM technology improved facility infection control and pandemic response management. Interviews/communications with hospital clinical informatics leaders collected information describing the use case deployed.Results Eight innovative/valuable hospital use cases are described: symptom-free attestation by clinicians at shift start; detection of clinician exposure/contact tracing; reporting of clinician temperature checks; inpatient telehealth consults in isolation units; virtual visits between isolated patients and families; touchless single sign-on authentication; secure access enabled for rapid expansion of personnel working remotely; and monitoring of temporary worker attendance.Discussion No systematic, comprehensive survey of all implemented IAM client sites was conducted, and other use cases may be undetected. A standardised reporting/information sharing vehicle is needed whereby IAM use cases aiding facility pandemic response and infection control can be disseminated.Conclusions Clinical care, infection control and facility operations were improved using IAM solutions during COVID-19. Facility end-user innovation in how IAM solutions are deployed can improve infection control/patient safety, care delivery and clinical workflows during surges of epidemic infectious diseases. |
| first_indexed | 2024-03-13T00:37:12Z |
| format | Article |
| id | doaj.art-d4c25e224afe4a24acd28317e55ea58b |
| institution | Directory Open Access Journal |
| issn | 2632-1009 |
| language | English |
| last_indexed | 2024-03-13T00:37:12Z |
| publishDate | 2022-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Health & Care Informatics |
| spelling | doaj.art-d4c25e224afe4a24acd28317e55ea58b2023-07-10T03:00:07ZengBMJ Publishing GroupBMJ Health & Care Informatics2632-10092022-02-0129110.1136/bmjhci-2022-100680COVID-19 surge readiness: use cases demonstrating how hospitals leveraged digital identity access management for infection control and pandemic responseClaire Reilly0George A Gellert1Sean P Kelly2Allen L Hsiao3Brian Herrick4Donna Weis5Jeffrey Lutz6Glynn Stanton7Santos Bonilla8Daniel Borgasano9Matthew Erich10Daniel Johnston11Department of Clinical Operatons, Imprivata, Lexington, Massachusetts, USAMedical Advisor, Impact Demonstration, Imprivata, San Antonio, Texas, USADepartment of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USADepartment of Pediatric Emergency Medicine, Yale School of Medicine and Yale New Haven Health System, New Haven, Connecticut, USADepartment of Health Informatics, Tufts University School of Medicine, Boston, Massachusetts, USADepartment of Health Informatics, Nebraska Medicine, Omaha, Nebraska, USADepartment of Health Informatics, New York City Health and Hospitals, New York, New York, USADepartment of Health Informatics, Yale New Haven Health System, New Haven, Connecticut, USADepartment of Health Informatics, Yale New Haven Health System, New Haven, Connecticut, USADepartment of Clinical Operatons, Imprivata, Lexington, Massachusetts, USADepartment of Clinical Operatons, Imprivata, Lexington, Massachusetts, USADepartment of Clinical Operatons, Imprivata UK, Uxbridge, UKBackground Surging volumes of patients with COVID-19 and the high infectiousness of SARS-CoV-2 challenged hospital infection control/safety, staffing, care delivery and operations as few crises have. Imperatives to ensure security of patient information, defend against cybersecurity threats and accurately identify/authenticate patients and staff were undiminished, which fostered creative use cases where hospitals leveraged identity access and management (IAM) technologies to improve infection control and minimise disruption of clinical and administrative workflows.Methods Working with a leading IAM solution provider, implementation personnel in the USA and UK identified all hospitals/health systems where an innovative use of IAM technology improved facility infection control and pandemic response management. Interviews/communications with hospital clinical informatics leaders collected information describing the use case deployed.Results Eight innovative/valuable hospital use cases are described: symptom-free attestation by clinicians at shift start; detection of clinician exposure/contact tracing; reporting of clinician temperature checks; inpatient telehealth consults in isolation units; virtual visits between isolated patients and families; touchless single sign-on authentication; secure access enabled for rapid expansion of personnel working remotely; and monitoring of temporary worker attendance.Discussion No systematic, comprehensive survey of all implemented IAM client sites was conducted, and other use cases may be undetected. A standardised reporting/information sharing vehicle is needed whereby IAM use cases aiding facility pandemic response and infection control can be disseminated.Conclusions Clinical care, infection control and facility operations were improved using IAM solutions during COVID-19. Facility end-user innovation in how IAM solutions are deployed can improve infection control/patient safety, care delivery and clinical workflows during surges of epidemic infectious diseases.https://informatics.bmj.com/content/29/1/e100680.full |
| spellingShingle | Claire Reilly George A Gellert Sean P Kelly Allen L Hsiao Brian Herrick Donna Weis Jeffrey Lutz Glynn Stanton Santos Bonilla Daniel Borgasano Matthew Erich Daniel Johnston COVID-19 surge readiness: use cases demonstrating how hospitals leveraged digital identity access management for infection control and pandemic response BMJ Health & Care Informatics |
| title | COVID-19 surge readiness: use cases demonstrating how hospitals leveraged digital identity access management for infection control and pandemic response |
| title_full | COVID-19 surge readiness: use cases demonstrating how hospitals leveraged digital identity access management for infection control and pandemic response |
| title_fullStr | COVID-19 surge readiness: use cases demonstrating how hospitals leveraged digital identity access management for infection control and pandemic response |
| title_full_unstemmed | COVID-19 surge readiness: use cases demonstrating how hospitals leveraged digital identity access management for infection control and pandemic response |
| title_short | COVID-19 surge readiness: use cases demonstrating how hospitals leveraged digital identity access management for infection control and pandemic response |
| title_sort | covid 19 surge readiness use cases demonstrating how hospitals leveraged digital identity access management for infection control and pandemic response |
| url | https://informatics.bmj.com/content/29/1/e100680.full |
| work_keys_str_mv | AT clairereilly covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT georgeagellert covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT seanpkelly covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT allenlhsiao covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT brianherrick covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT donnaweis covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT jeffreylutz covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT glynnstanton covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT santosbonilla covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT danielborgasano covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT matthewerich covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse AT danieljohnston covid19surgereadinessusecasesdemonstratinghowhospitalsleverageddigitalidentityaccessmanagementforinfectioncontrolandpandemicresponse |