A Western Massachusetts hospital system’s response to the COVID-19 pandemic

Authors

DOI:

https://doi.org/10.5055/ajdm.2021.0382

Keywords:

COVID-19, critical care surge, disaster medicine, pandemic

Abstract

Objective: The objective of this paper was to outline a novel model created for the management of the critical care surge due to coronavirus disease 2019 (COVID-19) in a Western Massachusetts hospital.

Setting: This model was created and implemented at a Western Massachusetts Level 1 Trauma and tertiary referral center.

Conclusions: This article outlines a model devised by an interdisciplinary team for rapid expansion of critical care services by increasing allocated space, staffing, and supplies via modifications of existing systems of care to accommodate a predicted large critical care patient surge due to the COVID-19 pandemic. We predict that this model can be utilized and adapted for future critical care surges in times of similar pandemic situations.

Author Biographies

Nikita Ramanathan, MD, MM

Department of Surgery, Baystate Medical Center, University of Massachusetts, Springfield, Massachusetts

Reginald Alouidor, MD, FACS

University of Massachusetts Medical School, Springfield, Massachusetts; Department of Surgery, Baystate Medical Center, University of Massachusetts, Springfield, Massachusetts

Kristina Kramer, MD

Department of Surgery, Baystate Medical Center, University of Massachusetts, Springfield, Massachusetts

Tyler Putnam, MD, FACS, FCCM

Department of Surgery, Baystate Medical Center, University of Massachusetts, Springfield, Massachusetts

References

American Hospital Directory: Information about hospitals from public and private data sources including MedPAR, OPPS, hospital cost reports, and other CMS files. Homepage on the Internet. Available at www.ahd.com/. Accessed May 20, 2020.

COBTH: Conference of Boston teaching hospitals. Homepage on the Internet. Available at www.cobth.org/. Accessed May 14, 2020.

Finlaw S: Governor Baker declares state of emergency to support commonwealth's response to coronavirus. Mass.gov. 2020. Available at www.mass.gov/news/governorbaker-declares-state-of-emergency-tosupport-commonwealths-response-to-coronavirus. Accessed May 14,

Baker C, Sudders M, Polito KE, et al.: Elective procedure order. The commonwealth of Massachusetts: Order of the commissioner of public health. 2020. Available at https://www.mass.gov/doc/march-15-2020-elective-procedures-order/download. Accessed May 24, 2020.

Halpern NA, Kay ST: United States resource availability for COVID-19. Society of critical care medicine. 2020. Available at www.sccm.org/getattachment/Blog/March2020/United-States-Resource-Availability-for-COVID-19/United-States-ResourceAvailability-for-COVID-19.pdf. Accessed May 18, 2020.

Ross SW, Lauer CW, Miles WS, et al.: Maximizing the calm before the storm: A tiered surgical response plan for COVID-19. J Am Coll Surg. doi:10.1016/j.jamcollsurg.2020.03.019.

Frogner BK: How many health care workers are at risk of being sacrificed to COVID-19 in the US?. Center for Health Workforce Studies, University of Washington. Internet Blog. 2020. Available at http://depts.washington.edu/fammed/chws/howmany-healthcare-workers-are-at-risk-of-being-sacrificed-to-covid-19-in-the-us/. Accessed June 9, 2020.

Skiest D: Clinical guidelines for management of COVID-19: Baystate Health. Baystate Health System. 2020. Available at https://thehub.bhs.org/Departments/COVID19/Documents/Resourcesfor MedicalProviders/clinical-guideline-summary.pdf. Accessed May 24, 2020.

Mayo Clinic: Expanded access to convalescent plasma for the treatment of patients with COVID-19. 2020. Available at https://clinicaltrials.gov/ct2/show/NCT04338360. Accessed June 1, 2020.

Massachusetts General Hospital: Outcomes related to COVID- 19 treated with hydroxychloroquine among in-patients with symptomatic disease (ORCHID). 2020. Available at https://clinicaltrials.gov/ct2/show/NCT04332991. Accessed June 1, 2020.

Roche H-L: A study to evaluate the safety and efficacy of tocilizumab in patients with severe COVID-19 pneumonia (COVACTA). 2020. Available at https://clinicaltrials.gov/ct2/show/NCT04320615. Accessed June 1, 2020.

Baker C, Sudders M, Polito KE, et al.: Crisis standards of care planning guidance for the COVID-19 pandemic. The Commonwealth of Massachusetts Executive Office of Health and Human Services, Department of Public Health. 2020. Available at http://d279m997dpfwgl.cloudfront.net/wp/2020/04/CSC_April-7_2020.pdf. Accessed June 1, 2020.

NECN: A little surreal: Mass. doctor's quest to acquire PPE for hospital caught attention of FBI. 2020. Available at www.necn.com/news/coronavirus/a-little-surreal-massdoctors-quest-to-acquire-ppefor-hospital-caught-attention-of-fbi/2262572/. Accessed May 1, 2020.

Maza C: MassMutual Center could become field hospital during COVID-19 surge. Reminder Publications. 2020. Available at www.thereminder.com/localnews/greaterspringfield/massmutual-centercould-becomefield-hospital-duri/. Accessed May 23, 2020.

Goonan P: Federal errors overpaid hospital system by $63 million in coronavirus relief. [online] masslive. 2020. Available at www.masslive.com/coronavirus/2020/06/errors-overpaid-baystate-healthby-63-million-in-coronavirus-relief-feds-wont-say-how-widespreadproblem-is.html. Accessed October 4, 2020.

ACR: First distribution summary by state [ebook]. 2020. Available at www.acr.org/-/media/ACR/Files/State-Issues/First-Distribution-Summary-by-State.pdf. Accessed October 4, 2020.

Wu Z, McGoogan J: Characteristics of an important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China. JAMA. 2020; 323(13): 1239-1242. doi:10.1001/jama.2020.2648.

Gavin K: Flattening the curve for COVID-19: Expert Howard Markel weighs in. Institute for Healthcare Policy & Innovation. 2020. Available at http://ihpi.umich.edu/news/flattening-curvecovid-19-expert-howard-markel-weighs. Accessed May 2, 2020.

COVID-19 updates and information. Mass.gov. Available at www.mass.gov/info-details/covid-19-updates-and-information. Accessed October 8, 2020.

Bharel M: Infectious disease emergency response plan. Massachusetts Department of Public Health. 2020. Available at https://www.mass.gov/doc/mdph-infectious-disease-emergencyresponse-ider-plan/download. Accessed October 8, 2020.

Published

01/01/2021

How to Cite

Ramanathan, MD, MM, N., R. Alouidor, MD, FACS, K. Kramer, MD, and T. Putnam, MD, FACS, FCCM. “A Western Massachusetts Hospital system’s Response to the COVID-19 Pandemic”. American Journal of Disaster Medicine, vol. 16, no. 1, Jan. 2021, pp. 13-24, doi:10.5055/ajdm.2021.0382.

Issue

Section

Articles