TY - JOUR
PY - 2022//
TI - Military response to medical crises-consensus recommendations for military-civilian transitions of care
JO - Disaster medicine and public health preparedness
A1 - Goolsby, Craig
A1 - Schuler, Keke
A1 - Tilley, Laura
A1 - Zebrowski, Alexis
A1 - Dacuyan-Faucher, Nicole
A1 - Kim, Claire
A1 - Redlener, Michael
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: The threat that New York faced in 2020, as the COVID-19 pandemic unfolded, prompted an unprecedented response. The US military deployed active-duty medical professionals and equipment to NYC in a first of its kind response to a "medical" domestic disaster. Transitions of care for patients surfaced as a key challenge. Uniformed Services University and the Icahn School of Medicine at Mount Sinai hosted a consensus conference of civilian and military healthcare professionals to identify care transition best practices for future military-civilian responses.
METHODS: We performed individual interviews followed by a modified Delphi technique during a two-day virtual conference. Patient transitions of care emerged as a key theme from pre-conference interviews. Twelve participants attended the two-day virtual conference and generated best practice recommendations from an iterative process.
RESULTS: Participants identified 19 recommendations in 10 "sub-themes" related to patient transitions of care: needs assessment and capability analysis; unified command; equipment; patient handoffs; role of in-person facilitation; dynamic updates; patient selection; patient tracking; daily operations; and resource typing.
CONCLUSIONS: The COVID-19 pandemic resulted in an unprecedented military response. This study created 19 consensus recommendations for care transitions between military and civilian healthcare assets that may be useful in future military-civilian medical engagements.
Language: en
LA - en SN - 1935-7893 UR - http://dx.doi.org/10.1017/dmp.2022.246 ID - ref1 ER -