Rapid response to COVID-19: health informatics support for outbreak management in an academic health system
By MD J. Jeffery Reeves, MD a Hannah M. Hollandsworth, MD b Francesca J. Torriani, MD b Randy Taplitz, MD b Shira Abeles, P. M. C. Ming Tai-Seale, MD d Marlene Millen, MD Brian J Clay, M. C. A. Christopher A. Longhurst. J. Am. Medical Informatics Assoc., 2020
399 citations recorded by the source corpus.
Abstract Objective To describe the implementation of technological support important for optimizing clinical management of the COVID-19 pandemic. Materials and Methods Our health system has confirmed prior and current cases of COVID-19. An Incident Command Center was established early in the crisis and helped identify electronic health record (EHR)-based tools to support clinical care. Results We outline the design and implementation of EHR-based rapid screening processes, laboratory testing, clinical decision support, reporting tools, and patient-facing technology related to COVID-19. Discussion The EHR is a useful tool to enable rapid deployment of standardized processes. UC San Diego Health built multiple COVID-19-specific tools to support outbreak management, including scripted triaging, electronic check-in, standard ordering and documentation, secure messaging, real-time data analytics, and telemedicine capabilities. Challenges included the need to frequently adjust build to meet rapidly evolving requirements, communication, and adoption, and to coordinate the needs of multiple stakeholders while maintaining high-quality, prepandemic medical care. Conclusion The EHR is an essential tool in supporting the clinical needs of a health system managing the COVID-19 pandemic.
Subfields: Health Information Management, Information Systems, Public Health, Environmental and Occupational Health
View Paper: https://www.semanticscholar.org/paper/8b5c3457be3bde93c15d10ede706d616428d3688
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Citations in the corpus
- Telehealth transformation: COVID-19 and the rise of virtual care (2020, background): “The EHR can play a role here; most already allow patients to privately and securely obtain laboratory and imaging results, and recent reports of EHR-based clinical decision support and reporting tools are encouraging.(19) Of note, a full assessment of the strengths and weaknesses of each type of enc”
- Adoption of Digital Technologies in Health Care During the COVID-19 Pandemic: Systematic Review of Early Scientific Literature (2020, background): “…Blake et al [112] Global Substituting Clients/patients, health care providers, health systems/resource managers, data services Reeves et al [113] Global Substituting Clients/patients, Khan et al [114] Global Complementing Clients/patients, health care providers, health systems/resource…”
- Digital Health Strategies to Fight COVID-19 Worldwide: Challenges, Recommendations, and a Call for Papers (2020, background): “Digital tools can effectively support institutions during a pandemic by facilitating the immediate widespread distribution of information [5], tracking transmission in real time, creating virtual venues for meetings or day-to-day operations, and providing telemedicine visits for patients [6].”
- The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence (2020, background): “Based on the study conducted in the USA, phone calls and electronic health records (EHR) can facilitates screening or treating a patient without the need for inperson visits and improve decision making process among healthcare team in an ambulatory and urgent care [35].”