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**Thursday, July 16, 2020**

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New Insights From NYC Health + Hospitals As US COVID-19 Cases Surge

In the last month, the nation's COVID-19 outbreak worsened
dramatically. When we launched this special collection in early June
with expert contributors from NYC Health + Hospitals, it looked like the
US might succeed in flattening the curve. Then, as communities started
to reopen, COVID-19 cases spiked, along with hospitalizations.

New York City also began slowly lifting its restrictions in June,
marking a turning point for the city that was once the COVID-19
epicenter. As new hot spots emerge, hospitals in those hardest hit areas
might look to health systems like NYC Health + Hospitals for cues on
responding to the challenges ahead.

Health Affairs updated the NYC Health + Hospitals series

today with three new journal articles, two blog posts, and a podcast
interview. These pieces consider many hard-won lessons from the early
days of America's pandemic, but here are three takeaways:

The toll on health care workers remains to be seen. Eric Wei, a senior
executive at NYC Health + Hospitals, and coauthors write about meeting
the emotional and psychological needs of frontline staff
. Underscoring
the collective trauma of the past few months, surgeon and critical care
specialist Leon Boudourakis likens COVID-19 surges to repeated
mass-casualty incidents. Read more from Boudourakis and colleagues, who
describe what it took to transfer scores of patients with COVID-19

from overstretched hospitals to those with available capacity.

Speed and safety in decision making are essential. Legal experts Deborah
Brown and Andrea Cohen say all levels of government were involved in
issuing regulatory waivers and modifications

that allowed hospitals to act quickly. Still, supply chain disruptions
made it nearly impossible to keep up with demand for PPE and
ventilators. Syra Madad and coauthors offer new ways of thinking about
procurement and conservation strategies
. In
a related piece, James Salway and coauthors explain how NYC Health +
Hospitals used informatics tools to rapidly evaluate low-acuity patients
to free up
resources, including lifesaving medical equipment.

COVID-19 will eventually pass, but a "shadow" pandemic will endure.
The solution is not simply a vaccine or treatment. We shouldn't
downplay the importance of food, housing, and financial security in the
midst of a social and economic crisis ignited by COVID-19, say Jenifer
Clapp and coauthors in a commentary on how NYC Health + Hospitals is
incorporating social needs into patient care
.

Read more and access all of our special coverage on NYC Health +
Hospitals
.

Get updates, follow the conversation
on Twitter @Health_Affairs, and see
our COVID-19 Resource Center
for even
more timely commentary and expert analysis.

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About Health Affairs

Health Affairs is the leading peer-reviewed journal
at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs
Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
humanitarian relief organization that places power in the hands of local
health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

Health Affairs, 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814, United States

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