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4 . 2020

The technologies of health care management during COVID-19

Abstract

The COVID-19 pandemic has created multiple challenges for whole healthcare industry, including non-COVID-19 diseases care. For example, in USA new procedure of prioritization of surgical operations based on associated risk and urgency of care was implemented. In some hospitals in USA were introduced virtual processes of hospitalization and "hospital waiting rooms". In United Kingdom, patients with COVID-19 were managed by healthcare workers at home by "virtual wards": monitoring and treatment through phone calls and mobile applications. Regulatory documents regarding anti-epidemic measures in hospitals are listed. The role of IT-technology and distant care in healthcare during COVID-19 pandemic is described. New important challenges for management of healthcare institutions are raised by COVID-19. Positive, clear and constant communication of all healthcare managers with staff and communities in especially demanded in the era of COVID-19.

Keywords:non-COVID-19 medical care, prioritization of surgical operations, virtual healthcare, healthcare institution management

Funding. The article was published without financial support.

Conflict of interests. The authors declare no conflict of interests.

For citation: Ulumbekova G.E., Khudova I.Yu. The technologies of Health Care Management During COVID-19. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2020; 6 (4): 4-22. DOI: 10.24411/2411-8621-2020-14001 (in Russian)

References

1. Shock to the system: COVID-19's long-term impact on the NHS [Electronic resource]. URL: https://www.health.org.uk/news-and-comment/blogs/shock-to-the-system-covid-19s-long-term-impact-on-the-nhs

2. What will be the impact of the COVID-19 pandemic on healthcare systems? Deloitte [Electronic resource]. URL: https://www2.deloitte.com/lu/en/pages/life-sciences-and-healthcare/articles/impact-covid19-healthcare-systems.html

3. How has COVID-19 impacted on cardiovascular services and patients [Electronic resource]. URL: https://www.nuffieldtrust.org.uk/news-item/how-has-covid-19-impacted-on-cardiovascular-services-and-patients

4. KFF health tracking poll - June 2020 [Electronic resource]. URL: https://www.kff.org/report-section/kff-health-tracking-poll-june-2020-social-distancing-delayed-health-care-and-a-look-ahead-to-the-2020-election/

5. How have healthcare utilization and spending changed so far during the coronavirus pandemic? [Electronic resource]. URL: https://www.healthsystemtracker.org/chart-collection/how-have-healthcare-utilization-and-spending-changed-so-far-during-the-coronavirus-pandemic/

6. Whaley C.M., Pera M.F., Cantor J., et al. Changes in health services use among commercially insured US populations during the COVID-19 pandemic. JAMA Netw Open. 2020; 3 (11). URL: https://www.researchgate.net/publication/

7. Where next for healthcare? June 2020 How the healthcare industry can help reboot Australia. PWC [Electronic resource]. URL: https://www.pwc.com.au/health/where-next-for-healthcare-report.pdf

8. Methodological Recommendations МР 3.1 / 2.1.0186-20 «Recommendations for the implementation of preventive measures in order to prevent the spread of a new coronavirus infection (COVID-19) during the restoration of the profile activities of medical organizations» (approved by the Federal Service for Supervision of Consumer Rights Protection and Human Well-being 05/25/2020) [Electronic resource]. URL: https://www.garant.ru/products/ipo/prime/doc/74110050/ (in Russian)

9. Framework for healthcare systems providing non-COVID-19 clinical care duringthe COVID-19 pandemic [Electronic resource]. URL: https://www.cdc.gov/coronavirus/2019-ncov/hcp/framework-non-COVID-care.html

10. Decree of the Government of the Russian Federation of 02.07.2020 No. 973 “On the specifics of organizing the provision of medical care in the event of a threat of the spread of diseases that pose a danger to others” [Electronic resource]. URL: http://publication.pravo.gov.ru/Document/View/0001202007080007 (in Russian)

11. Interim guidelines for the prevention, diagnosis and treatment of new coronavirus infection (COVID-19). Version 9 (10/26/2020) [Electronic resource]. URL: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/052/550/original/%D0%9C%D0%A0_COVID-19_%28v9%29.pdf?1603788097

12. Tittle S., Braxton C., Schwartz R. A guide for surgical and procedural recovery after the first surge of COVID-19. Catalyst NEJM. 2020; Jul. [Electronic resource]. DOI: https://doi.org/10.1056/CAT.20.0287

13. Wu K., Smith C.R., Lembcke B.T., et al. Elective surgery during the COVID-19 pandemic. N Engl J Med 2020; 383: 1787-90. DOI: https://doi.org/10.1056/NEJMclde2028735

14. Aziz S., Arabi Y.M., Alhazzani W., et al. Managing ICU surge during the COVID-19 crisis: rapid guidelines. Intensive Care Med. 2020; 46: 1303-25.

15. Centers for Medicare & Medicaid Services (CMS) recommendations re-opening facilities to provide non-emergent non-COVID-19 healthcare [Electronic resource]. URL: https://www.cms.gov/files/document/covid-recommendations-reopening-facilities-provide-non-emergent-care.pdf

16. American Medical Association. A physician practice guide to reopening [Electronic resource]. URL: https://www.ama-assn.org/press-center/press-releases/ama-launches-physician-guide-reopening-medical-practices

17. Healthcare Providers: preparing for the next normal after COVID-19. MacKinsey Survey. 2020; May 8 [Electronic resource]. URL: https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/healthcare-providers-preparing-for-the-next-normal-after-covid-19

18. Excellence leads the way. A playbook for navigating the clinical and operational challenges of a global health crisis [Electronic resource]. URL: https://www.rush.edu/sites/default/files/RushCOVIDResponsePlaybook.pdf

19. First-Time Telehealth Tips. These tips and best practices will help you make the most of your telehealth visit [Electronic resource]. URL: https://www.rush.edu/news/first-time-telehealth-tips

20. Thornton J. The «virtual wards» supporting patients with Covid-19 in the community. BMJ. 2020; 369: m2119 [Electronic resource]. DOI: https://doi.org/10.1136/bmj.m2119

21. Virtual wards: caring for COVID-19 patients at home could save lives [Electronic resource]. URL: https://theconversation.com/virtual-wards-caring-for-covid-19-patients-at-home-could-save-lives-149292

22. Vice-Mayor Rakova spoke about equipping temporary hospitals [Electronic resource]. URL: https://rg.ru/2020/10/07/reg-cfo/vice-mer-rakova-rasskazala-ob-osnashchenii-vremennyh-gospitalej.html

23. After COVID-19 - thinking differently about running the health care system [Electronic resource]. URL: https://cdn.jamanetwork.com/channels/health-forum/fullarticle/2765238

24. Decree of the Government of the Russian Federation of 02.07.2020 No. 973 «On the peculiarities of organizing the provision of medical care in the event of the threat of the spread of diseases that pose a danger to others» [Electronic resource]. URL: http://publication.pravo.gov.ru/Document/View/0001202007080007 (in Russian)

25. Order of the Ministry of Health of the Russian Federation of March 19, 2020 No. 198n (as amended on October 23, 2020). “On the temporary procedure for organizing the work of medical organizations in order to implement measures to prevent and reduce the risks of the spread of a new coronavirus infection COVID-19 (as amended on October 23, 2020)” [Electronic resource]. URL: URL: http://docs.cntd.ru/document/564482310 (in Russian)

26. How to triage patients in a COVID-19 pandemic. [Electronic resource]. URL: URL: https://www.provrach.ru/article/11654-qcvdq-20-m05-24-meditsinskaya-sortirovka-patsientov-v-usloviyah-pandemii-covid-19 (in Russian)

27. Organization of medical and diagnostic work. How to cope with the influx of planned patients after a pandemic [Electronic resource]. URL: https://e.zamglvracha.ru/829431 (in Russian)

28. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff [Electronic resource]. URL: https://pubmed.ncbi.nlm.nih.gov/32412096/

29. The doctor who declared the absence of PPE sued the hospital administration [Electronic resource]. URL: https://medvestnik.ru/content/news/Zayavivshaya-ob-otsutstvii-SIZ-vrach-podala-v-sud-na-nachalstvo-svoei-bolnicy.html

30. Hospitals improvise to address COVID-19 PPE shortage [Electronic resource]. URL: https://www.cidrap.umn.edu/news-perspective/2020/06/hospitals-improvise-address-covid-19-ppe-shortage

31. Meisenhelder C., et al. Effect of dry heat and autoclave decontamination cycles on N95 FFRs. [Electronic resource]. URL: https://www.researchgate.net/publication/341840005_Effect_of_Dry_Heat_and_Auto-clave_Decontamination_Cycles_on_N95_FFRs/citation/download

32. Resolution of the Chief State Sanitary Doctor of the Russian Federation of 05/22/2020 No. 15 “On the approval of the sanitary and epidemiological rules of SP 3.1.3597-20” Prevention of new coronavirus infection (COVID-19)“. (in Russian)

33. Methodical recommendations MP 3.1.0169-20 “Laboratory diagnostics of COVID-19” (approved by the Federal Service for Supervision of Consumer Rights Protection and Human Well-being dated 03/30/2020) [Electronic resource]. URL: https://www.rospotrebnadzor.ru/upload/iblock/884/metod_recomed_3.1.0169_20_v_1.pdf (in Russian)

34. Interim guidance on testing healthcare personnel for SARS-CoV-2. Center of Disease Control [Electronic resource]. URL: https://www.cdc.gov/coronavirus/2019-ncov/hcp/testing-healthcare-personnel.html

35. Health system changes spurred by COVID may be here to stay [Electronic resource]. URL: https://www.medscape.com/viewarticle/931989

36. Telehealth: health care from the safety of our homes [Electronic resource]. URL: https://telehealth.hhs.gov

37. Telehealth implementation playbook [Electronic resource]. URL: https://www.ama-assn.org/system/files/2020-04/ama-telehealth-playbook.pdf

38. Using telehealth to boost treatment for substance-use disorder [Electronic resource]. URL: https://www.ama-assn.org/practice-management/digital/using-telehealth-boost-treatment-substance-use-disorder

39. Mytonomy [Electronic resource]. URL: https://www.mytonomy.com/microlearning-patient-education-videos.html

40. COVID-19: telehealth communication [Electronic resource]. URL: https://www.achonline.org/COVID-19/Tele-medicine

41. Frieden J. COVID-19 is making the physician shortage worse, groups say. Medpage today [Electronic resource]. URL: https://www.medpagetoday.com/infectious-disease/covid19/85661

42. COVID-19 healthcare delivery impacts [Electronic resource]. URL: https://files.asprtracie.hhs.gov/documents/covid-19-healthcare-delivery-impacts.pdf

43. COVID-19: Are there enough health workers? [Electronic resource]. URL: https://ilostat.ilo.org/covid-19-are-there-enough-health-workers/

44. 9 ways COVID-19 may forever upend the U.S. health care industry [Electronic resource]. URL: https://www.stat-news.com/2020/05/19/9-ways-covid-19-forever-upend-health-care/

45. Horn D., Haas J. COVID-19 and the mandate to redefine preventive care. N Engl J Med. [Electronic resource]. URL: https://www.nejm.org/doi/pdf/10.1056/NEJMp2018749?articleTools=true

46. A primer for clinician deployment to the medicine floors from an epicenter of COVID-19 [Electronic resource]. URL: https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0180

47. Communication: external and internal. AHA [Electronic resource]. URL: https://www.aha.org/2020-04-03-covid-19-communications-resources

48. Safe and ready to serve you [Electronic resource]. URL: https://www.beaumont.org/safe

49. Butler C.R., Wong S.P.Y., Wightman A.G., et al. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. JAMA Netw Open. 2020; 3 (11): e2027315. DOI: https://doi.org/10.1001/jamanetworkopen.2020.27315

50. Lobdell K., Hariharan S. Improving health care leadership in the COVID-19 era. Catalyst NEJM. 2020 [Electronic resource]. DOI: https://doi.org/10.1056/CAT.20-0225

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CHIEF EDITOR
CHIEF EDITOR
Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)

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