Access to Care: End-to-End Digital Response for COVID-19 Care Delivery

Melinda Cooling, Colleen J Klein, Lisa M Pierce, Nicole Delinski, Abby Lotz, John A Vozenilek, Melinda Cooling, Colleen J Klein, Lisa M Pierce, Nicole Delinski, Abby Lotz, John A Vozenilek

Abstract

The coronavirus disease 2019 pandemic disrupted health care, requiring organizational leaders to act quickly to manage the health-related concerns of individuals and communities. The ability to offer a variety of digitally enabled telehealth services with 24/7 access to nurse practitioners and physician assistants allowed us to care for patients in their homes. It reduced the spread of the virus, protected our employees from further disease spread, and provided early interventions to those in need. The roles of nurse practitioner leaders, the enacted strategies, and patient outcomes demonstrate the impact of an innovative digital care delivery model on care across the continuum.

Keywords: coronavirus disease 2019; digital health; nurse practitioner; physician assistant; telemedicine.

© 2021 Elsevier Inc. All rights reserved.

References

    1. Kim C., Kritek P., Lynch J., et al. All hands on deck: how UW medicine is helping its staff weather a pandemic. NEJM Catal. 2020;1:1–7.
    1. John J., Council L., Zallman L., et al. Developing an intensive community Covid-19 management strategy: helping our patients access patient-centered care across a continuum of Covid-19 disease needs. NEJM Catal. Published online May 27, 2020.
    1. Sounderjah V., Patel V., Varatharajan L., et al. Are disruptive innovations recognised in the healthcare literature? A systematic review. BMJ Innov. 2021;7:208–216. doi: 10.1136/bmjinnov-2020-000424.
    1. Overage J., Glaser J. The “rebar” disruptors: a wake-up call for traditional healthcare systems. NEJM Catal. Published online February 19, 2020.
    1. Khullar D., Bond A.M., Schpero W.L. COVID-19 and the financial health of US hospitals. JAMA. 2020;323(21):2127–2128. doi: 10.1001/jama.2020.6269.
    1. Kuy S., Gupta R., Correa R., et al. Best practices for a Covid-19 preparedness plan for health systems. NEJM Catal. Published online April 30, 2020.
    1. Kangovi S., Mitra N., Norton L., et al. Effect of community health worker support on clinical outcomes of low-income patients across primary care facilities: a randomized clinical trial. JAMA Intern Med. 2018;178:1635–1643. doi: 10.1001/jamainternmed.2018.4630.
    1. Kim K., Choi J.S., Choi E., et al. Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: a systematic review. Am J Public Health. 2016;106(4):e3–e28. doi: 10.2105/AJPH.2015.302987.
    1. World Health Organization Responding to community spread of COVID-19: interim guidance.
    1. Frey M.B., Chiu S.H. Considerations when using telemedicine as the advanced practice registered nurse. J Nurse Pract. 2021;17(3):289–292. doi: 10.1016/j.nurpra.2020.11.011.
    1. Bulletin: HIPAA privacy and novel coronavirus. Washington, DC: Office for Civil Rights, US Department of Health and Human Services. February 2020.
    1. GetWell Loop. Accessed March 2, 2020.
    1. Centers for Medicare and Medicaid Services Additional background: Sweeping regulatory changes to U.S. Healthcare systems address Covid-19 patient surge. March 30, 2020. Accessed June 25, 2021.
    1. Murali N., Messina T. No place like home: bringing inpatient care to the patient. NEJM Catal. 2019;5:1–13. doi: 10.1007/s11846-019-00339-2.
    1. Rhaiem K., Amara N. Learning from innovation failures: a systematic review of the literature and research agenda. Rev Manag Sci. 2019;13:1–46.
    1. Centers for Medicare and Medicaid Services CMS announces comprehensive strategy to enhance hospital capacity amid COVID-19 surge. November 20, 2020. Accessed June 25, 2021.
    1. Ryu J., Russell K., Shrank W. A flower blooms in the bitter soil of the Covid-19 crisis. NEJM Catal. Published online June 24, 2020.
    1. Rosa W., Fitzgerald M., Davis S., et al. Leveraging nurse practitioner capacities to achieve global health for all: COVID-19 and beyond. Int Nurs Rev. 2020;67(4):554–559. doi: 10.1111/inr.12632.
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Source: PubMed

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