TY - JOUR
T1 - Clinical redeployment of an academic family medicine department in an early, severe covid-19 pandemic in the bronx, ny
AU - Flattau, Anna
AU - Cristallo, Jessica
AU - Duggan, Mary
AU - Gbur, Maria
AU - Daguilh, Marie Louise Fabienne
AU - Selwyn, Peter
N1 - Publisher Copyright:
© 2021 American Board of Family Medicine. All rights reserved.
PY - 2021/5
Y1 - 2021/5
N2 - Introduction: A severe surge of the COVID-19 pandemic in spring 2020 infected 33% of the population and caused more than 7000 deaths in the Bronx, NY. The Department of Family and Social Medicine at Montefiore Medical Center rapidly and strategically reconfigured clinical services to meet the needs of patients, communities, and the health system. Clinical Reconfiguration: Family medicine hospitalist services tripled in size within 2 weeks to cover 71 beds and cared for 447 patients between March 24 and June 10, 2020, of whom 279 (62.4%) had COVID-19. Community health centers reorganized to maintain primary care services, shifting abruptly to telemedicine while maintaining 95% of the previous year s visit volume, and address intensified patient needs related to viral infection and mental health impacts. Core principles for redeployment included role flexibility, communication, responsiveness, and safety and wellness. Discussion: During a pandemic surge, academic family medicine departments have an important role in expanding hospitalist services and redesigning primary care services. The ability to reconfigure work to meet unprecedented demands on health care was facilitated by family medicine s broad scope of practice including training in hospital medicine, interpersonal communication, behavioral health, care across settings, collaborative partnerships with specialists, and adaptability to communities needs. ( J Am Board Fam Med 2021;34:466 473.).
AB - Introduction: A severe surge of the COVID-19 pandemic in spring 2020 infected 33% of the population and caused more than 7000 deaths in the Bronx, NY. The Department of Family and Social Medicine at Montefiore Medical Center rapidly and strategically reconfigured clinical services to meet the needs of patients, communities, and the health system. Clinical Reconfiguration: Family medicine hospitalist services tripled in size within 2 weeks to cover 71 beds and cared for 447 patients between March 24 and June 10, 2020, of whom 279 (62.4%) had COVID-19. Community health centers reorganized to maintain primary care services, shifting abruptly to telemedicine while maintaining 95% of the previous year s visit volume, and address intensified patient needs related to viral infection and mental health impacts. Core principles for redeployment included role flexibility, communication, responsiveness, and safety and wellness. Discussion: During a pandemic surge, academic family medicine departments have an important role in expanding hospitalist services and redesigning primary care services. The ability to reconfigure work to meet unprecedented demands on health care was facilitated by family medicine s broad scope of practice including training in hospital medicine, interpersonal communication, behavioral health, care across settings, collaborative partnerships with specialists, and adaptability to communities needs. ( J Am Board Fam Med 2021;34:466 473.).
KW - COVID-19
KW - Community Health Centers
KW - Emergency Preparedness
KW - Family Medicine
KW - Hospital Medicine
KW - Hospitalists
KW - New York
KW - Pandemics
KW - Primary Health Care
KW - Telemedicine
UR - http://www.scopus.com/inward/record.url?scp=85107902874&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85107902874&partnerID=8YFLogxK
U2 - 10.3122/JABFM.2021.03.200562
DO - 10.3122/JABFM.2021.03.200562
M3 - Article
C2 - 34088805
AN - SCOPUS:85107902874
SN - 1557-2625
VL - 34
SP - 466
EP - 473
JO - Journal of the American Board of Family Medicine
JF - Journal of the American Board of Family Medicine
IS - 3
ER -