An In-Person and Telemedicine “Hybrid” System to Improve Cross-Border Critical Care in COVID-19

Background:UC San Diego Health System (UCSDHS) is an academic medical center and integrated care network in the US-Mexico border area of California contiguous to the Mexican Northern Baja region. The COVID-19 pandemic deeply influenced UCSDHS activities as new public health challenges increasingly r...

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Autores principales:	Venktesh R. Ramnath, Linda Hill, Jim Schultz, Jess Mandel, Andres Smith, Tim Morris, Stacy Holberg, Lucy E. Horton, Atul Malhotra, Lawrence S. Friedman
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d21fa07589c24e01b5535d696929e649
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spelling	oai:doaj.org-article:d21fa07589c24e01b5535d696929e6492021-12-02T14:22:52ZAn In-Person and Telemedicine “Hybrid” System to Improve Cross-Border Critical Care in COVID-192214-999610.5334/aogh.3108https://doaj.org/article/d21fa07589c24e01b5535d696929e6492021-01-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3108https://doaj.org/toc/2214-9996Background:UC San Diego Health System (UCSDHS) is an academic medical center and integrated care network in the US-Mexico border area of California contiguous to the Mexican Northern Baja region. The COVID-19 pandemic deeply influenced UCSDHS activities as new public health challenges increasingly related to high population density, cross-border traffic, economic disparities, and interconnectedness between cross-border communities, which accelerated development of clinical collaborations between UCSDHS and several border community hospitals – one in the US, two in Mexico – as high volumes of severely ill patients overwhelmed hospitals. Objective:We describe the development, implementation, feasibility, and acceptance of a novel critical care support program in three community hospitals along the US-Mexico border. Methods:We created and instituted a hybrid critical care program involving: 1) in-person activities to perform needs assessments of equipment and supplies and hands-on training and education, and 2) creation of a telemedicine-based (Tele-ICU) service for direct patient management and/or consultative, education-based experiences. We collected performance metrics surrounding adherence to evidence-based practices and staff perceptions of critical care delivery. Findings:In-person intervention phase identified and filled gaps in equipment and supplies, and Tele-ICU program promoted adherence to evidence-based practices and improved staff confidence in caring for critically ill COVID-19 patients at each hospital. Conclusion:A collaborative, hybrid critical care program across academic and community centers is feasible and effective to address cross-cultural public health emergencies.Venktesh R. RamnathLinda HillJim SchultzJess MandelAndres SmithTim MorrisStacy HolbergLucy E. HortonAtul MalhotraLawrence S. FriedmanUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 87, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Venktesh R. Ramnath Linda Hill Jim Schultz Jess Mandel Andres Smith Tim Morris Stacy Holberg Lucy E. Horton Atul Malhotra Lawrence S. Friedman An In-Person and Telemedicine “Hybrid” System to Improve Cross-Border Critical Care in COVID-19
description	Background:UC San Diego Health System (UCSDHS) is an academic medical center and integrated care network in the US-Mexico border area of California contiguous to the Mexican Northern Baja region. The COVID-19 pandemic deeply influenced UCSDHS activities as new public health challenges increasingly related to high population density, cross-border traffic, economic disparities, and interconnectedness between cross-border communities, which accelerated development of clinical collaborations between UCSDHS and several border community hospitals – one in the US, two in Mexico – as high volumes of severely ill patients overwhelmed hospitals. Objective:We describe the development, implementation, feasibility, and acceptance of a novel critical care support program in three community hospitals along the US-Mexico border. Methods:We created and instituted a hybrid critical care program involving: 1) in-person activities to perform needs assessments of equipment and supplies and hands-on training and education, and 2) creation of a telemedicine-based (Tele-ICU) service for direct patient management and/or consultative, education-based experiences. We collected performance metrics surrounding adherence to evidence-based practices and staff perceptions of critical care delivery. Findings:In-person intervention phase identified and filled gaps in equipment and supplies, and Tele-ICU program promoted adherence to evidence-based practices and improved staff confidence in caring for critically ill COVID-19 patients at each hospital. Conclusion:A collaborative, hybrid critical care program across academic and community centers is feasible and effective to address cross-cultural public health emergencies.
format	article
author	Venktesh R. Ramnath Linda Hill Jim Schultz Jess Mandel Andres Smith Tim Morris Stacy Holberg Lucy E. Horton Atul Malhotra Lawrence S. Friedman
author_facet	Venktesh R. Ramnath Linda Hill Jim Schultz Jess Mandel Andres Smith Tim Morris Stacy Holberg Lucy E. Horton Atul Malhotra Lawrence S. Friedman
author_sort	Venktesh R. Ramnath
title	An In-Person and Telemedicine “Hybrid” System to Improve Cross-Border Critical Care in COVID-19
title_short	An In-Person and Telemedicine “Hybrid” System to Improve Cross-Border Critical Care in COVID-19
title_full	An In-Person and Telemedicine “Hybrid” System to Improve Cross-Border Critical Care in COVID-19
title_fullStr	An In-Person and Telemedicine “Hybrid” System to Improve Cross-Border Critical Care in COVID-19
title_full_unstemmed	An In-Person and Telemedicine “Hybrid” System to Improve Cross-Border Critical Care in COVID-19
title_sort	in-person and telemedicine “hybrid” system to improve cross-border critical care in covid-19
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/d21fa07589c24e01b5535d696929e649
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An In-Person and Telemedicine “Hybrid” System to Improve Cross-Border Critical Care in COVID-19

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