Children's Hospital Ambulatory Response to the 2019 Novel Coronavirus Disease (COVID-19) Pandemic : The Journal of Ambulatory Care Management

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Children's Hospital Ambulatory Response to the 2019 Novel Coronavirus Disease (COVID-19) Pandemic

Harahsheh, Ashraf S. MD, FACC, FAAP; Selekman, Rachel E. MD, MAS; Simpson, Joelle N. MD, MPH; Cronin, Ileen FNP-BC; Cady, Rebecca F. Esq, BSN, CPHRM, DFASHRM, FACHE; Martin, Benjamin D. MD; Mbwana, Juma MD; Biddle, Cara L. MD, MPH; Kalloo, Naida MD; Sharma, Hemant MD, MHS; Ricks, Jeanne R. RN, BSN, MS, NE-BC; Helmandollar, Carole; DiFazio, Marc MD; Corriveau, Christiane MD, MEd; Melwani, Anjna MD; Saleh, Ayman MD; Schultz, John MSSA; Lindquist, Terry L.; Hamburger, Ellen K. MD

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Journal of Ambulatory Care Management 44(3):p 184-196, July/September 2021. | DOI: 10.1097/JAC.0000000000000378

Abstract

The 2019 novel coronavirus disease (COVID-19) pandemic produced an abrupt and near shutdown of nonemergent patient care. Children's National Hospital (CNH) mounted a multidisciplinary, coordinated ambulatory response that included supply chain management, human resources, risk management, infection control, and information technology. To ensure patient access, CNH expanded telemedicine and instituted operational innovations for outpatient procedures. While monthly in-person ambulatory subspecialty visits decreased from 25 889 pre-COVID-19 to 4484 at nadir of the COVID-19 pandemic, telemedicine visits increased from 70 to 13 539. Further studies are needed to assess the impact of innovations in health care delivery and operations that the crisis prompted.

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