Multisectoral collaboration for pandemic response and operational support of critical care and emergency departments [article]

Rebecca C Christofferson, Hollis R O'Neal, Tonya Jagneaux, Catherine S O'Neal, Christine S Walsh, E. Handly Mayton, Luan V Dinh, Abigail I Fish, Anh Phan, Thaya E Stoufflet, Jonathan R Schroeder, Morgan K Walker (+7 others)
2020 medRxiv   pre-print
In March 2020, an influx of admissions in COVID-19 positive patients threatened to overwhelm healthcare facilities in East Baton Rouge Parish, Louisiana. Exacerbating this problem was a shortage of diagnostic testing capability, resulting in a delay in time-to-result return. An improvement in diagnostic testing availability and timeliness was necessary to improve the allocation of resources and ultimate throughput of patients. The management of a COVID-19 positive patient or patient under
more » ... patient under investigation requires infection control measures that can quickly consume personal protective equipment (PPE) stores and personnel available to treat these patients. Critical shortages of both PPE and personnel also negatively impact care in patients admitted with non-COVID-19 illnesses. Methods: A multisectoral partnership of healthcare providers, facilities and academicians created a molecular diagnostic lab within an academic research facility dedicated to testing inpatients and healthcare personnel for SARS-CoV-2. The purpose of the laboratory was to provide a temporary solution to the East Baton Rouge Parish healthcare community until individual facilities were self-sustaining in testing capabilities. We describe the partnership and the impacts of this endeavor by developing a model derived from a combination of data sources, including electronic health records, hospital operations, and state and local resources. Findings: Our model demonstrates two important principles: the impact of reduced turnaround times (TAT) on potential differences in inpatient population numbers for COVID-19 and savings in PPE attributed to the more rapid TAT. Interpretation: Overall, we provide rationale for and demonstration of the utility of multisectoral partnerships when responding to public health emergencies.
doi:10.1101/2020.07.17.20156158 fatcat:jhyzo4dfqnanregmm5j5inje6y