Evidence map›Paper›PMID 33327036›Full record

ArticleApplied clinical informatics2020

Rapid Implementation of a Complex, Multimodal Technology Response to COVID-19 at an Integrated Community-Based Health Care System.

Andrew J Knighton, Pallavi Ranade-Kharkar, Kimberly D Brunisholz, Douglas Wolfe, Lauren Allen, Thomas W Belnap, Tamara Moores Todd, Rajendu Srivastava, Seraphine Kapsandoy, Diego Ize-Ludlow and 1 more

Abstract read
In one paragraph

Article in Applied clinical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
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  3. Article
  4. Article
  5. Article
  6. Article
  7. Managing Pandemics with Health Informatics.Yearbook of medical informatics · 2021
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Andrew J KnightonHealthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, United States.
Pallavi Ranade-KharkarCare Transformation Information Systems, Intermountain Healthcare, Salt Lake City, Utah, United States.
Kimberly D BrunisholzHealthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, United States.
Douglas WolfeHealthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, United States.
Lauren AllenHealthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, United States.
Thomas W BelnapHealthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, United States.
Tamara Moores ToddCare Transformation Information Systems, Intermountain Healthcare, Salt Lake City, Utah, United States.
Rajendu SrivastavaHealthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, United States.
Seraphine KapsandoyCare Transformation Information Systems, Intermountain Healthcare, Salt Lake City, Utah, United States.
Diego Ize-LudlowCare Transformation Information Systems, Intermountain Healthcare, Salt Lake City, Utah, United States.
Todd L AllenHealthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, United States.

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Vascular Health and Risk Factors in Children with Down SyndromeKL2TR002539 · NCATS · UNIVERSITY OF UTAH · PI MURTAUGH, MAUREEN A, NYGAARD, INGRID E · 2018 to 2022
$4.3M
Implementation of Computerized Clinical Support for Mechanical Ventilation of Patients with Acute Respiratory Distress SyndromeU01HL143505 · NHLBI · IHC HEALTH SERVICES, INC. · PI GRISSOM, COLIN KERST, SRIVASTAVA, RAJENDU · 2018 to 2019
$1.1M
KL2TR002539 National Center for Advancing Translational SciencesNCATS NIH HHS KL2 TR002539NCATS NIH HHS UL1 TR002538U-01HL143505 National Heart, Lung and Blood Institute
6 · The paper itself

Abstract

backgroundThe rapid spread of severe acute respiratory syndrome coronavirus-2 or SARS-CoV-2 necessitated a scaled treatment response to the novel coronavirus disease 2019 (COVID-19).

objectiveThis study aimed to characterize the design and rapid implementation of a complex, multimodal, technology response to COVID-19 led by the Intermountain Healthcare's (Intermountain's) Care Transformation Information Systems (CTIS) organization to build pandemic surge capacity.

methodsIntermountain has active community-spread cases of COVID-19 that are increasing. We used the Centers for Disease Control and Prevention Pandemic Intervals Framework (the Framework) to characterize CTIS leadership's multimodal technology response to COVID-19 at Intermountain. We provide results on implementation feasibility and sustainability of health information technology (HIT) interventions as of June 30, 2020, characterize lessons learned and identify persistent barriers to sustained deployment.

resultsWe characterize the CTIS organization's multimodal technology response to COVID-19 in five relevant areas of the Framework enabling (1) incident management, (2) surveillance, (3) laboratory testing, (4) community mitigation, and (5) medical care and countermeasures. We are seeing increased use of traditionally slow-to-adopt technologies that create additional surge capacity while sustaining patient safety and care quality. CTIS leadership recognized early that a multimodal technology intervention could enable additional surge capacity for health care delivery systems with a broad geographic and service scope. A statewide central tracking system to coordinate capacity planning and management response is needed. Order interoperability between health care systems remains a barrier to an integrated response.

conclusionThe rate of future pandemics is estimated to increase. The pandemic response of health care systems, like Intermountain, offers a blueprint for the leadership role that HIT organizations can play in mainstream care delivery, enabling a nimbler, virtual health care delivery system that is more responsive to current and future needs.

Indexed as

Delivery of Health CareMedical InformaticsPandemicsResidence CharacteristicsClinical Laboratory TechniquesClinical Trials as TopicCOVID-19Epidemiological MonitoringHumans

Identifiers

PMID33327036
PMCPMC7744250

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.