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Rebooting the ambulatory enterprise in a community medical group in Kentucky following the initial surge of COVID-19.
Shields, Lisa B E; Hester, Steven T; Johnson, Craig; Hamilton, Randy; Honaker, Joshua T.
  • Shields LBE; Norton Neuroscience Institute, Norton Healthcare, Louisville, KY, U.S.A.
  • Hester ST; Norton Medical Group, Norton Healthcare, Louisville, KY, U.S.A.
  • Johnson C; Norton Medical Group, Norton Healthcare, Louisville, KY, U.S.A.
  • Hamilton R; Norton Medical Group, Norton Healthcare, Louisville, KY, U.S.A.
  • Honaker JT; Norton Medical Group, Norton Healthcare, Louisville, KY, U.S.A.
Medicine (Baltimore) ; 100(41): e27399, 2021 Oct 15.
Article in English | MEDLINE | ID: covidwho-1501200
ABSTRACT
ABSTRACT The novel coronavirus disease 2019 (COVID-19) pandemic has intensified globally since its origin in Wuhan, China in December 2019. Many medical groups across the United States have experienced extraordinary clinical and financial pressures due to COVID-19 as a result of a decline in elective inpatient and outpatient surgical procedures and most nonurgent elective physician visits. The current study reports how our medical group in a metropolitan community in Kentucky rebooted our ambulatory and inpatient services following the guidance of our state's phased reopening. Particular attention focused on the transition between the initial COVID-19 surge and post-COVID-19 surge and how our medical group responded to meet community needs. Ten strategies were incorporated in our medical group, including heightened communication; ambulatory telehealth; safe and clean outpatient environment; marketing; physician, other medical provider, and staff compensation; high quality patient experience; schedule optimization; rescheduling tactics; data management; and primary care versus specialty approaches. These methods are applicable to both the current rebooting stage as well as to a potential resurgence of COVID-19 in the future.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Office Visits / Telemedicine / Ambulatory Care Type of study: Clinical Practice Guide / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: Medicine (Baltimore) Year: 2021 Document Type: Article Affiliation country: MD.0000000000027399

Full text: Available Collection: International databases Database: MEDLINE Main subject: Office Visits / Telemedicine / Ambulatory Care Type of study: Clinical Practice Guide / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: Medicine (Baltimore) Year: 2021 Document Type: Article Affiliation country: MD.0000000000027399