Title | ||
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Clinical Informatics Accelerates Health System Adaptation To The Covid-19 Pandemic: Examples From Colorado |
Abstract | ||
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Objective: Large health systems responding to the coronavirus disease 2019 (COVID-19) pandemic face a broad range of challenges; we describe 14 examples of innovative and effective informatics interventions.Materials and Methods: A team of 30 physician and 17 nurse informaticists with an electronic health record (EHR) and associated informatics tools.Results: To meet the demands posed by the influx of patients with COVID-19 into the health system, the team built solutions to accomplish the following goals: 1) train physicians and nurses quickly to manage a potential surge of hospital patients; 2) build and adjust interactive visual pathways to guide decisions; 3) scale up video visits and teach best-practice communication; 4) use tablets and remote monitors to improve in-hospital and posthospital patient connections; 5) allow hundreds of physicians to build rapid consensus; 6) improve the use of advance care planning; 7) keep clinicians aware of patients' changing COVID-19 status; 8) connect nurses and families in new ways; 9) semi-automate Crisis Standards of Care; and 10) predict future hospitalizations.Discussion: During the onset of the COVID-19 pandemic, the UCHealth Joint Informatics Group applied a strategy of "practical informatics" to rapidly translate critical leadership decisions into understandable guidance and effective tools for patient care.Conclusion: Informatics-trained physicians and nurses drew upon their trusted relationships with multiple teams within the organization to create practical solutions for onboarding, clinical decision-making, telehealth, and predictive analytics. |
Year | DOI | Venue |
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2020 | 10.1093/jamia/ocaa171 | JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION |
Keywords | DocType | Volume |
electronic health records, COVID-19 pandemic, clinical pathways, patient wearables, telehealth, virtual healthcare, advance care planning, crisis standards of care, predictive analytics, clinical decision support, onboard training | Journal | 27 |
Issue | ISSN | Citations |
12 | 1067-5027 | 0 |
PageRank | References | Authors |
0.34 | 0 | 19 |
Name | Order | Citations | PageRank |
---|---|---|---|
Chen-Tan Lin | 1 | 2 | 1.76 |
Kelly Bookman | 2 | 0 | 0.34 |
Amber Sieja | 3 | 2 | 1.42 |
Katie Markley | 4 | 0 | 0.34 |
Richard L Altman | 5 | 0 | 0.34 |
Jeffrey Sippel | 6 | 0 | 0.34 |
Katharine Perica | 7 | 0 | 0.34 |
Lori Reece | 8 | 0 | 0.34 |
Christopher Davis | 9 | 0 | 0.34 |
Edward Horowitz | 10 | 0 | 0.34 |
Larissa Pisney | 11 | 0 | 0.34 |
Peter D Sottile | 12 | 0 | 0.68 |
David C. Kao | 13 | 17 | 3.13 |
Bonnie Adrian | 14 | 0 | 0.34 |
Melissa Szkil | 15 | 0 | 0.34 |
Julie Griffin | 16 | 0 | 0.34 |
Jeanie Youngwerth | 17 | 0 | 0.34 |
Brendan Drew | 18 | 0 | 0.34 |
Jonathan Pell | 19 | 0 | 0.34 |