Collaborating Across Private, Public, Community, and Federal Hospital Systems: Lessons Learned from the Covid-19 Pandemic Response in NYC

Abstract

Despite the variation in organizational and financial structures, the four hospital systems were able to collaborate during the crisis, with particular focus on communication, surge capacity (beds, staff, and triage), clinical care, and staff wellness.

Prioritizing studies of COVID-19 and lessons learned

“…The flux of ideas was extraordinary and unprecedented regarding speed and quantity and these needed triage and coordination. As there was no central guidance, institutions had to rapidly organize and develop their own approaches to coordinate research; an example occurred in New York, where four distinct hospitals developed a wide variety of strategies to respond rapidly to the COVID-19 pandemic [12].…”

The Economic Impact of COVID-19 Treatment at a Hospital-level: Investment and Financial Registers of Brazilian Hospitals

“…10 Schaye et al (2020) described a successful experience in New York City, in which a planned collaboration across private, public and academic hospitals achieved good results through the implementation of successful strategies for communication, surge planning, clinical care and staff wellness. 11 Implementing those strategies in a short length of time to support a global issue required a large number of investments in the health-care system worldwide. The total economic impact associated with the strategies assumed by the hospitals and health-care systems are unknown and difficult to estimate yet, but it can be divided in investments to prepare organizations to treat COVID-19 patients; 2 and decreases in revenue, due, for example, to canceling or postponing elective surgeries and procedures.…”

Corona-Triggered Global Macroeconomic Crisis of the Early 2020s

“…Even after crossing the turning point in China, the epidemic continued to spread worldwide, gaining massive momentum in terms of incidence rates, associated morbidity and intensive care unit admissions. In many nations ranging from Iran, Mediterranean southern Europe up to North America, hospital capacities of pulmonary wards and ICU units soon became overloaded even among the richest of global cities such as NYC [ 20 ]. Consequences were a rapid build-up of brand-new field hospitals devoted to COVID-19 infected patients and the expansion of existing capacities.…”