- Do the concepts of minimizing supplies, theory of constraints, and value stream mapping work well enough when applying them to process management of COVID19 patients?
- How would a random sampling strategy help assess infections rates?
- What innovative methods beyond individual human testing can be used to detect COVID19 outbreaks and trace cases? (Wastewater testing, smart phone movement …)
I am blessed to be able to work primarily from home per usual but, of course, have been 100% from home right now.
The program I work in serves some of the most medically high risk individuals per CDC guidance so tensions have been high on how to keep them safe and healthy. Many live in residential settings like assisted livings, adult family homes, or nursing homes and those congregate settings just add another troubling layer.
We've utilized Power Bi to try to identify emerging trends with our membership as well as across the state utilizing statewide data and to identify those at greatest at risk due to comorbidities (based on ICD-10 diagnoses) and other factors. This has been very helpful.
Wondering what others are doing?
In terms of surprises, one of the things I never thought about in planning scenarios (and that I find heartbreaking) is the restriction on visitors. I understand the importance of keeping everyone safe, but I can't stop thinking about how many "rites of passage" happens in hospitals - births and deaths. I think most all of us would consider having a trusted person with you in the hospital helps prevent errors. I looked for evidence of family caregivers catching errors but they are so rarely documented I was not able to find any research.
Another unexpected effect is that patient weights are not recorded for patient weights - which makes a different for weight based medication doses, such as for chemotherapy patients.
Thanks for all the replies everyone - very interesting thread in this historic event.