Elective operations delay and emergency department visits and inpatient admissions during COVID-19

Wong, Lori; Hollaway, Moriah N; Sanford, J.; Sexton, Kevin W.; Yu, Feliciano; Jensen, Hanna

doi:10.1016/j.sipas.2022.100111

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Rapid re-initiation of medical practices during crises is of utmost importance; however, this must not result in the normalization of the ongoing calamity. While continuing care for some patients is necessary, some medical practices could be postponed with no or minimal adverse outcomes (80). Comprehensive crisis-management guidelines and protocols are required to stratify medical services based their delay capacity.…”

Section: Effect Of the Covid-19 Pandemic On The Care And Incidence Of...mentioning

confidence: 99%

COVID-19 and MAFLD/NAFLD: An updated review

2023

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The COVID-19 pandemic is ongoing and places a substantial burden on healthcare systems worldwide. As we further shed light on different disease characteristics, we identify more and more groups of people at higher risk of poor COVID-19 outcomes. Metabolic-associated fatty liver disease (MAFLD) (previously non-alcoholic fatty liver disease or NAFLD) is a common metabolic disorder characterized by fat accumulation and liver fibrosis. Given its close correlation with metabolic syndrome, an established risk factor for severe COVID-19, it is necessary to investigate its interplay with the novel coronavirus. In this study, we review the available data on COVID-19 prognosis, treatment and prevention options in patients with MAFLD, and the effect that the disease and the pandemic have on MAFLD care. Furthermore, we point out the gaps in the current literature to accentuate the work that needs to be done to improve MAFLD care during the pandemic and beyond.

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Section: Effect Of the Covid-19 Pandemic On The Care And Incidence Of...mentioning

confidence: 99%

COVID-19 and MAFLD/NAFLD: An updated review

2023

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“…The emergence of the COVID-19 pandemic and subsequent public health emergency occurred soon after PDPM and PDGM were implemented and significantly affected PAC [38]. The public health emergency declaration first issued on 31 January 2020 initiated changes in healthcare operations and utilization, such as hospitals pausing elective surgeries (e.g., total joint replacements) to free up hospital beds for COVID-19 cases [39,40]. Simultaneously, national, state, and regional agencies mandated elevated safety and infection control policies, such as no-visitation policies in SNFs, a moratorium on group activities (e.g., SNF patient group activities, SNF and HHA staff in-person staff meetings), and use of personal protective equipment (PPE) to control viral spread [41][42][43][44].…”

Section: Emergence Of Covid-19mentioning

confidence: 99%

Implementation of US Post-Acute Care Payment Reform and COVID-19 Policies: Examining Experiences of Health System Leaders, Staff, Patients, and Family Caregivers—A Protocol

Leland,

Rouch,

Prusynski

et al. 2023

IJERPH

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In fiscal year 2020, new national Medicare payment models were implemented in the two most common post-acute care settings (i.e., skilled nursing facilities (SNFs) and home health agencies (HHAs)), which were followed by the emergence of COVID-19. Given concerns about the unintended consequence of these events, this study protocol will examine how organizations responded to these policies and whether there were changes in SNF and HHA access, care delivery, and outcomes from the perspectives of leadership, staff, patients, and families. We will conduct a two-phase multiple case study guided by the Institute of Medicine’s Model of Healthcare Systems. Phase I will include three cases for each setting and a maximum of fifty administrators per case. Phase II will include a subset of Phase I organizations, which are grouped into three setting-specific cases. Each Phase II case will include a maximum of four organizations. Semi-structured interviews will explore the perspectives of frontline staff, patients, and family caregivers (Phase II). Thematic analysis will be used to examine the impact of payment policy and COVID-19 on organizational operations, care delivery, and patient outcomes. The results of this study intend to develop evidence addressing concerns about the unintended consequences of the PAC payment policy during the COVID-19 pandemic.

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