Front-Line innovation: Rapid implementation of a nurse-driven protocol for care of outpatients with COVID-19.

COVID-19 coordinated transitional care outpatient monitoring transitional care

Journal

Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302

Informations de publication

Date de publication:
Jun 2021
Historique:
revised: 11 11 2020
received: 31 07 2020
accepted: 22 01 2021
pubmed: 9 2 2021
medline: 29 7 2021
entrez: 8 2 2021
Statut: ppublish

Résumé

Our objective was to rapidly adapt and scale a registered nurse-driven Coordinated Transitional Care (C-TraC) programme to provide intensive home monitoring and optimise care for outpatient Veterans with COVID-19 in a large urban Unites States healthcare system. Our diffuse primary care network had no existing model of care by which to provide coordinated result tracking and monitoring of outpatients with COVID-19. Quality improvement implementation project. We used the Replicating Effective Programs model to guide implementation, iterative Plan-Do-Study-Act cycles and SQUIRE reporting guidelines. Two transitional care registered nurses, and a geriatrician medical director developed a protocol that included detailed initial assessment, overnight delivery of monitoring equipment and phone-based follow-up tailored to risk level and symptom severity. We tripled programme capacity in time for the surge of cases by training Primary Care registered nurses. Between 23 March and 15 May 2020, 120 Veterans with COVID-19 were enrolled for outpatient monitoring; over one-third were aged 65 years or older, and 70% had medical conditions associated with poor COVID-19 outcomes. All Veterans received an initial call within a few hours of the laboratory reporting positive results. The mean length of follow-up was 8.1 days, with an average of 4.2 nurse and 1.3 physician or advanced practice clinician contacts per patient. The majority (85%) were managed entirely in the outpatient setting. After the surge, the model was disseminated to individual primary care teams through educational sessions. A model based on experienced registered nurses can provide comprehensive, effective and sustainable outpatient monitoring to high-risk populations with COVID-19.

Sections du résumé

AIMS AND OBJECTIVES OBJECTIVE
Our objective was to rapidly adapt and scale a registered nurse-driven Coordinated Transitional Care (C-TraC) programme to provide intensive home monitoring and optimise care for outpatient Veterans with COVID-19 in a large urban Unites States healthcare system.
BACKGROUND BACKGROUND
Our diffuse primary care network had no existing model of care by which to provide coordinated result tracking and monitoring of outpatients with COVID-19.
DESIGN METHODS
Quality improvement implementation project.
METHODS METHODS
We used the Replicating Effective Programs model to guide implementation, iterative Plan-Do-Study-Act cycles and SQUIRE reporting guidelines. Two transitional care registered nurses, and a geriatrician medical director developed a protocol that included detailed initial assessment, overnight delivery of monitoring equipment and phone-based follow-up tailored to risk level and symptom severity. We tripled programme capacity in time for the surge of cases by training Primary Care registered nurses.
RESULTS RESULTS
Between 23 March and 15 May 2020, 120 Veterans with COVID-19 were enrolled for outpatient monitoring; over one-third were aged 65 years or older, and 70% had medical conditions associated with poor COVID-19 outcomes. All Veterans received an initial call within a few hours of the laboratory reporting positive results. The mean length of follow-up was 8.1 days, with an average of 4.2 nurse and 1.3 physician or advanced practice clinician contacts per patient. The majority (85%) were managed entirely in the outpatient setting. After the surge, the model was disseminated to individual primary care teams through educational sessions.
CONCLUSION CONCLUSIONS
A model based on experienced registered nurses can provide comprehensive, effective and sustainable outpatient monitoring to high-risk populations with COVID-19.

Identifiants

pubmed: 33555618
doi: 10.1111/jocn.15704
pmc: PMC8013304
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1564-1572

Informations de copyright

Published 2021. This article is a U.S. Government work and is in the public domain in the USA.

Références

Implement Sci. 2007 Dec 09;2:42
pubmed: 18067681
Health Aff (Millwood). 2012 Dec;31(12):2659-68
pubmed: 23213150
J Am Med Inform Assoc. 2020 Jun 1;27(6):957-962
pubmed: 32311034
Health Care Financ Rev. 2004 Summer;25(4):43-58
pubmed: 15493443
Telemed J E Health. 2020 Jul;26(7):850-852
pubmed: 32329659
J Am Geriatr Soc. 2016 Feb;64(2):409-16
pubmed: 26804896
J Am Board Fam Med. 2019 Nov-Dec;32(6):868-875
pubmed: 31704755
Front Public Health. 2020 Sep 17;8:514
pubmed: 33042950
J Am Med Inform Assoc. 2020 Aug 1;27(8):1326-1330
pubmed: 32392280
J Telemed Telecare. 2022 Apr;28(3):203-206
pubmed: 32746761
BMJ Qual Saf. 2016 Dec;25(12):986-992
pubmed: 26369893
JAMA. 2020 Oct 27;324(16):1593-1595
pubmed: 33027503
BJGP Open. 2020 Oct 27;4(4):
pubmed: 32900708
J Gen Intern Med. 2020 Oct;35(10):3077-3080
pubmed: 32720239
J Rehabil Med. 2018 Feb 28;50(3):225-235
pubmed: 29257195

Auteurs

Jane A Driver (JA)

New England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Boston, MA, USA.
Division of Geriatrics and Palliative Care, Department of Medicine, VA Boston Healthcare System, Boston, MA, USA.

Judith Strymish (J)

Division of Infectious Diseases, VA Boston Healthcare System, Boston, MA, USA.

Sherry Clement (S)

Division of Pulmonary Medicine, VA Boston Healthcare System, Boston, MA, USA.

Barbara Hayes (B)

Division of Geriatrics and Palliative Care, Department of Medicine, VA Boston Healthcare System, Boston, MA, USA.

Kathleen Craig (K)

Primary Care Service, VA Boston Healthcare System, Boston, MA, USA.

Alejandra Cervera (A)

Hospital in Home Program, VA Boston Healthcare System, Boston, MA, USA.

Michelle Morreale-Karl (M)

Primary Care Service, VA Boston Healthcare System, Boston, MA, USA.

Katherine Linsenmeyer (K)

Division of Infectious Diseases, VA Boston Healthcare System, Boston, MA, USA.

Sarah Grudberg (S)

Hospital in Home Program, VA Boston Healthcare System, Boston, MA, USA.
Division of Hospitalist Medicine, Department of Medicine, VA Boston Healthcare System, Boston, MA, USA.

Heather Davidson (H)

Division of Hospitalist Medicine, Department of Medicine, VA Boston Healthcare System, Boston, MA, USA.

Jacqueline Spencer (J)

Primary Care Service, VA Boston Healthcare System, Boston, MA, USA.
Primary Care Service, Veterans Integrated Service Network-1, Bedford, MA, USA.

Amy H J Kind (AHJ)

William S. Middleton VA Hospital, Madison, WI, USA.
University of Wisconsin School of Medicine, Madison, WI, USA.

Thomas Fantes (T)

Primary Care Service, VA Boston Healthcare System, Boston, MA, USA.

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Classifications MeSH