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Thursday, July 16, 2020
NYC Health + Hospitals and Health Affairs
NYC Health + Hospitals

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.

NYC Health + Hospitals
 
 
 
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.

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