Question

Discuss the impacts of the COVID-19 pandemic as it specifically affects the provision of quality care. Specifically address the following:

a. How has the pandemic affected the ability of facilities to provide patient care safely? Discuss both the aspect of keeping the patient safe while also addressing the needs to safely protect the healthcare providers?

b. How has the pandemic affected the ability of facilities to provide Equitable care to patients? Specifically consider the ethical dilemma that providers might face when choosing who to provide a ventilator to if a shortage occurs.

c. How has the pandemic affected the ability of facilities to provide Efficient & Effective care to patients? Discuss how issues with staffing affect the ability to meet these quality goals.

d. How has the pandemic affected the ability of facilities to provide time-bound care to patients? Consider how facilities are having to prioritize patient care in a situation where every patient could be considered emergent in one way or another. e. How has the pandemic affected the ability of facilities to provide patient-centered care? Discuss how staffing and census issues affect customer service in healthcare facilities during a pandemic.

e. How has the pandemic affected the ability of facilities to provide patient-centered care? Discuss how staffing and census issues affect customer service in healthcare facilities during a pandemic.

Answer 1

a) hospitals reported that their most significant challenges sended on testing and caring for patient with covid-19 and keeping the staff safe.hospitals said that severe shortage of testing suplies on extended waitfor the test results limited hospital ability to monitor the health of patient and staff .they also reported that widespread shortage of personal protective equipment to staff and patients at risk in addition hospital said that every were not always able to maintain attitude levels for office staff addicted support.

hospitals also described substantial challenges maintaining an expanding capacity to care for patients.capacity concerns emerged as hospitals anticipated being overwhelmed if they experiencingsurge of patients.,robot made specially beds an isolated areas for effective equipment.hospitals explain that shortage of critical supplies materials and logistic support that accompany more birds affected hospitals able to care for patient. Hospitals also cited anticipated shortage of ventilators as potential challenge.hospital described increasing cost and decreasing revenue asset to their financial viability.further hospital reported that changing and sometimes inconsistent guidance from federal state and local authorities posed challenges and confused to hospital and the public.

b,) anticipated shortage of ventilators were identified as big challenge for hospital s.hospital reported and uncertain supply of standard full feature ventilators and some cases used alternative to support patients ,including adapting anaesthesia machines on using single use emergency transport ventilators.Hospital anticipated that will get a shortage would most difficult it decisions about ethical allocation and liability, all the time our survey no hospital reported limiting with letter use

in anticipation of ingress need of ventilators hospitals tried to obtain additional machine by trending when letters buying single use emergency transport when letters for getting when letters throw affiliated facilities some hospital report converting other equipments anaesthesia machine used as ventilators.

Healthcare professionals faced great challenge in equitable distribution of care in all patients. Many of the old age people died due to the lack of efficient care and ventilator support. Healthcare professionals face ethical dilemma in selecting ventilator care and emergency care in in severely ill patients of all age group.

C) pandemic also affect the efficient and effective care provided with the patient.

Hospital report they did not have enough to make current anticipated need for covid-19 patients, which sports train on existing staff. Some hospitals reported that they were already struggling with staff and limitations prior to covid-19 which made any additional demand particularly challenging. One hospital administrator explain that their hospitalwould have significant staff in shortage it is placed with the search of covid-19 patient because the hospital relies heavily on travelling nurses..

chevron hospital emphasized particular need for specialised staff such as infectious disease providers, respiratory therapist, and physicians and nurses who can provide intensive and critical care.

d) hospital administrator reported using several strategies manager patient flow as they respond to their communities need during the COVID-19pandemic.strategies included promoting use of ambulatory care for patient with the lassi BA symptom to help relieve pressure on emergency department,interiors of telehealth services when possible to help protect both patients and staff through social distancing measures, in addition help patient flow into the hospitals,hospital administrators described effort to educate community members about covid-19 screening for testing process to avoid patient entering the hospital is not adviced under guidelines.

Address potential bed and facility shortage some hospitals reported converting or creating space to house a surge of additional patients. This included expanding their intensive care unit, repurposing existing space, using tents, and utilising other network facilities to separate covid-19 patience when possible.

Hospitals anticipated being overwhelmed my surge in covid-19 patients. Specifically, hospitals report concerns about cotton shortage of intensive care unit beds, negative pressure rooms, and isolation Units. Hospitals also reported that, given the limitations to bet availability,it was challenging to sufficiently separate covid-19 and non covid-19 patient with their facilities.separating patients is thought to allow healthcare workers to better co-ordinate and direct needed treatment specific to covid-19 patients as well as reduce the spread of infection.

Many hospitals reported that some post-acute facilities,success later nursing facilities of facilities with lower level care repairing negative cobit test before accepting patients discharged from hospitals.as such patients, who no longer required acute care taking vulnerable bed space while waiting to be discharged.

e)covid-19 pandemic overwhelming hospital and emergency response system in US much as it did in Italy.current effort to increase number of inpatient that some communities will fall short of having enough to manage aur patient with covid-19. Community based approach that our hospital has implemented can help.

perhaps in even greater shortage of personal protective equipment which is used to the higher rates in impression management.communities of colour or hardest hit by pandemic and face many barriers to care placing them particularly highest score being unable to access in patient care when needed.under rural areas face capicity challenges with hospital classes and aging populations at high risk of complications.

Most successful model available for managing covid-19 become from China. In patients with symptoms are evaluated in person at fever clinic.the goal of this clinic to identify all patients who have covid-19 and refer them in the hospital to both quarantaine them and manage their disease. In this model everyone is admitted to the hospital whether they have mild or severe case.

but why this approach successful Quora days people and provides care to all with covid-19. Etios hospital care for many patient who do not need it because their symptoms are mild.WhatsApp brings all patient need to clinics for in person evaluations increasing exposure to healthcare workers and patients who do not have covid-19

In Italy, the US does not have a impatient resources to implement this model.even in the US could significant increase the number of hospital beds limitation in access to personal protective equipment would continue to place healthcare workers at risk and shortage of healthcare workers would persist.

some us outpatient health system have rapidly adapted to covid-19 crisis by expanding the availability of telemedicine, creating an opportunity to manage care at home. Attitude optimally care for patients,telephonic based patient management needs availability of coordinated in-person evaluation.