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Pandemic Lessons Learnt COVID 19 Essay

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Introduction

To a large extent, the COVID-19 pandemic could be described as one of the worst pandemics the world has experienced in modern times. In addition to occasioning the death of millions of people, this particular pandemic was especially taxing for healthcare systems across the world. For instance, in the U.S., hospitals had to continue routine medical care roles while at the same time attending to the needs of those diagnosed with COVID-19. What lessons, if any, have we learnt from this complex situation? What steps should we take to ensure that we are better prepared to respond to a future pandemic? These are some of the key issues that will be highlighted in this text.

Discussion

From the onset, it would be prudent to note that so far, close to 6 million deaths have been directly or indirectly associated with COVID-19. In addition to the said fatalities, the disease has largely destabilized entire economic and financial systems effectively leaving many families destitute. An argument could be presented to the effect that better response measures could have blunted the impact of this particular global pandemic.

To a large extent, an assessment of response measures could be undertaken from the perspective of national public level response and localized (i.e. hospital-level) response. As part of my healthcare organizations leadership, I will focus on lessons of relevance at the hospital-level. It is important to note that it is from this level that we can work upwards in efforts to ensure that our systems are better prepared to handle a pandemic of a similar magnitude and scale as the Covid-19.

a) Planning for Continuing Patient Care

One of the aspects of hospital operations that was affected by the COVID-19 pandemic happens to be continuing patient care. Lim et al. (2021) indicate that at both the patient and service levels, primary care was adversely affected by the COVID-19 pandemic. It is on this basis that the authors indicate that going forward, there is need for healthcare organizations to formulate and deploy strategies to mitigate the said impact. It therefore follows that hospitals ought to develop a disaster plan containing crucial aspects to be operationalized during a pandemic or in situations when there is an unexpected increase in the demand for services. As Griffith and White (2019) indicate, forecasts of demand often underlie facility size ad layout (p. 372). According to Wei, Long, and Katz (2021), a disaster plan of this kind could, amongst other things, capture aspects such as: what areas of the hospital to expand to and in what order (e.g. recovery room first, ambulatory areas second), how to increase ability to care for incoming patients (e.g. cancel routine surgeries and appointments), etc. (p. 1162). A similar point of view is advanced by Griffith and White (2019) who indicate that there is need for healthcare organizations to come up with disaster and emergency response plans that address issues relating to increased utilization. This is especially instrumental in efforts to ensure that there are no significant disruptions in continuing patient care during periods of sudden increase in demand for services, i.e. in case of a pandemic such as COVID-19.

Next, the COVID-19 pandemic also underlined the relevance of telemedicine in the realm of healthcare. In basic terms, telemedicine could be defined as the utilization of telecommunication as well as information technology to enable or facilitate remote contact between patients and healthcare providers. Hospitals can deploy telemedicine solutions to rein in disruptions and promote/enhance care continuity by reducing the need for physical visits and hence additional strain on medical resources during periods of increased utilization. Indeed, as Muli at al. (2021) point out, telemedicine could be perceived as one way of leveraging technology to ensure continuity of care during a pandemic. In their study seeking to establish to what extent technological interventions such as telemedicine could be used to promote continuity of services, especially in relation to patient follow-up, the authors make a finding to the effect that there is a dire need to integrate technological interventions in the provision of health care services to ensure continuity (Muli et al. 2021, p. 41).

b) Supply and Scheduling

Griffith and White (2019) point out that healthcare organizations often seek to ensure that they do not maintain excess supplies in efforts to rein in costs. Further, according to Wei, Long, and...

…Partnering with Municipal and State Leadership

Yet another lesson that we could learn from the COVID-19 pandemic relates to the need as well as relevance of public-private partnerships. This is more so the case when it comes to pandemic assessment and surveillance. To begin with, it should be noted that incase of epidemics and pandemics, one of the key capabilities of public health public health systems backed by the relevant agencies happens to be tracing and testing. It would, however, be prudent to note that as Wei, Long, and Katz (2021) indicate, this capability was overstretched during the present pandemic. More specifically, in the words of the authors, the scale and speed of the outbreak rapidly outpaced the resources of health departments... (Wei, Long, and Katz, 2021, p. 1162). Better partnership mechanisms between municipal/state leadership and healthcare organizations could have been instrumental in as far as surveillance and assessment capabilities expansion are concerned.

Similarly, healthcare organizations, by themselves, lacked the capabilities to deploy needed resources to ensure effective preparedness and response. Thus, there is clear need to further enhance partnerships between both state and municipal leadership and healthcare organizations. This could especially be beneficial in as far as knowledge and information sharing is concerned. Effective partnership modalities could be established by first identifying the relevant takeholders and the specific functions and roles they should play. Next, a local/state leadership and private partnership implementation plan should be developed with an aim of streamlining diverse collaborative aspects. Partnerships of this nature would also be instrumental in the achievement of better coordination during future pandemics.

Conclusion

It is clear from the discussion above that the COVID-19 pandemic revealed that most healthcare institutions were ill-equipped to effectively handle a substantial or significant increase in the demand for services. As has been indicated elsewhere in this text, more than 6 million lives have been lost to COVID-19. There is reason to believe that the number of deaths could have been significantly lower had healthcare organizations and entire healthcare systems been better equipped to handle a pandemic of this magnitude and scale. The suggestions presented above come in handy in this regard especially as we seek to ensure…

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References

Griffith, J.R. & White, K.R. (2019). The Well-Managed Healthcare Organization. American College of Health Care.

Keeley, C., Jimenez, J., Jackson, H., Boudourakis, L., Salway, R.J., Cineas, N., Villanueva, Y., ...Long, T.G. (2020). Staffing up for the surge: expanding the New York City public hospital workforce during the COVID-19 pandemic. ?Health Aff (Millwood), 39(8), 1426-1430.

Kluger, D.M., Aizenbud, Y., Jaffe, A., Parisi, F., Aizenbud, L., Minsky-Fenick, E., Kluger, J.M., ... Kluger, Y. (2020). Impact of healthcare worker shift scheduling on workforce preservation during the COVID-19 pandemic. Infect Control Hosp. Epidemiol., 20, 113-119.

Lim, J., Broughan, J., Crowley, D., O’Kelly, B., Fawsitt, R., Burke, M.C., McCombe, G., ...Cullen, W. (2021). COVID-19’s impact on primary care and related mitigation strategies: A scoping review. EurJ Gen Pract., 27(1), 166-175.

Muli, E., Waithanji, R., Kamita, M., Gitau, T., Obonyo, I., Mweni, S., Mutisya, F., ...Makokha, F. (2021). Leveraging technology for health services continuity in times of COVID-19 pandemic: Patient follow-up, and mitigation of worse patient outcomes. J Glob Health, 11, 40-48.

Wei, E.K., Long, T. & Katz, M.H. (2021). Nine Lessons Learned From the COVID-19 Pandemic for Improving Hospital Care and Health Care Delivery. JAMA Intern Med., 181(9), 1161-1163.

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