Bracing for the Wave: a Multi-Institutional Survey Analysis of Inpatient Workforce Adaptations in the First Phase of COVID-19

on behalf of the HOMERuN COVID-19 Collaborative Working Group

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Medical centers across the country have had to rapidly adapt clinician staffing strategies to accommodate large influxes of patients with the coronavirus disease 2019 (COVID-19). Objective: We sought to understand the adaptations and staffing strategies that US academic medical centers employed in the inpatient setting early in the spread of COVID-19, and to assess whether those changes were sustained during the first phase of the pandemic. Design: Cross-sectional survey assessing organization-level, team-level, and clinician-level inpatient workforce adaptations. Participants: Hospital medicine leadership at 27 academic medical centers in the USA. Key Results: Twenty-seven of 36 centers responded to the survey (75%). Widespread practices included frequent staffing reassessment, organization-level changes such as geographic cohorting and redeployment of non-hospitalists, and exempting high-risk healthcare workers from direct care of patients with COVID-19. Several practices were implemented but discontinued, such as reduction of non-essential services, indicating that they were less sustainable for large centers. Conclusion: These findings provide guidance for inpatient leaders seeking to identify sustainable practices for COVID-19 inpatient workforce planning.

Original languageEnglish (US)
JournalJournal of general internal medicine
DOIs
StateAccepted/In press - 2021

Keywords

  • COVID-19
  • implementation science
  • workforce planning

ASJC Scopus subject areas

  • Internal Medicine

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