National Outreach of Telepalliative Medicine Volunteers for a New York City Safety Net System COVID-19 Pandemic Response

Israilov, Sigal; Krouss, Mona; Zaurova, Milana; Jalon, Hillary S.; Conley, Georgia; Shulman, Pavel; Ivanyuk, Marina; Jalkut, Elizabeth; Saladini-Aponte, Carla; Sharma-Cooper, Haseen; Smeltz, Robert; Faillace, Robert T.; Wei, Eric; Cho, Hyung J.

doi:10.1016/j.jpainsymman.2020.05.026

Cited by 18 publications

(28 citation statements)

References 6 publications

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“…The city needs its society as much as society needs its government [2]. This approach could include bringing specific groups or communities for decision-making processes [58] [63] to enhance the pandemic response, and the ones at the smaller scale of clinical level that supported essential workforces [64]. For daily operations of communities, the inclusion of people [57] forms into a community support approach that could directly address issues of communities and provide better community responses.…”

Section: Include Community Representativesmentioning

confidence: 99%

Reflection on Early Lessons for Urban Resilience and Public Health Enhancement during the COVID-19

Cheshmehzangi¹

2020

Health

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With growing impacts on public health systems and economies across the world, as a result of the COVID-19 pandemic outbreak, we need to reflect on some of the early lessons for urban resilience enhancement. In this paper, a brief discussion is made through several recommendations that could make our cities more prepared specially in the probable future waves of this current outbreak or potential spikes in infections or clustered cases. The experiences from global examples highlighted in this study address what has worked in the past few months at the spatial levels of communities and cities. The COVID-19 outbreak highlighted the deficiencies and shortfall across multiple sectors of the urban systems and enabled us to identify risks, challenges, and pathways to better city management. With regard to urban resilience enhancement, the negative impacts of the COVID-19 outbreak are assessed to suggest a checklist of what could be done through early preparedness. The findings are novel in ongoing research related to urban resilience and public health during the COVID-19 pandemic. The early lessons here reflect on the ongoing situation of this pandemic outbreak, but could effectually help to enhance the resilience of our cities and communities, and especially addressing the protection of public health and societal well-being. The findings contribute to major sectors of urban resilience, city management, and public health. The recommendations from this study could be utilised and adapted in any context, allowing for the consideration of all-inclusive decision-making and much-enhanced planning processes.

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Section: Include Community Representativesmentioning

confidence: 99%

Reflection on Early Lessons for Urban Resilience and Public Health Enhancement during the COVID-19

Cheshmehzangi¹

2020

Health

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“…As noted in other models leveraging out-of-state physicians, New York State Department of Health emergency procedures enabled NYP leadership to create a fasttrack 24-48 hours privileging process for out-of-state physicians. 12,13 Once credentialed, 25 out-of-state volunteers went through a rapid virtual orientation through Zoom on the NYP-CU campus's culture, EHR, and workflows.…”

Section: Palliative Care Team Expansionmentioning

confidence: 99%

A Comprehensive Approach to Palliative Care during the Coronavirus Pandemic

Blinderman

Adelman

Kumaraiah

et al. 2021

Journal of Palliative Medicine

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Context: The COVID-19 pandemic resulted in a surge of critically ill patients that strained health care systems throughout New York City in March and April of 2020. At the peak of the crisis, consults for palliative care increased four-to sevenfold at NewYork-Presbyterian (NYP), an academic health care system with 10 campuses throughout New York City. We share our challenges, solutions, and lessons learned to help peer institutions meet increased palliative care demands during future crises and address pre-existing palliative care subspecialist shortages during nonpandemic times. Methods: In response to the increased demand, palliative care physician and administrative leadership at NYP piloted multiple creative care models to expand access to palliative care outpatient and inpatient services. The care models included virtual outpatient management of existing patients, embedded palliative care staff, education for providers, multidisciplinary family support, hospice units (which allowed for family visitation), and team expansion through training other disciplines (primarily psychiatry) and deploying an ePalliative Care service (staffed by out-of-state volunteers). Conclusion: Our comprehensive response successfully expanded the palliative care team's reach, and, at the height of the pandemic, allowed our teams to meet the increased demand for palliative care consults. We learned that flexibility and adaptability were critical to responding to a rapidly evolving crisis. Physician and family feedback and preliminary data suggest that virtual outpatient visits, embedded staff, hospice units, and team expansion through training other disciplines and deploying ePalliative Care services were impactful interventions.

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“…Realizing that even this expanded team would be unable to meet the rising demand, we launched a national outreach effort via Twitter and LinkedIn to recruit telepalliative medicine volunteers. 3 Within seventy-two hours, we enlisted more than 400 palliative care volunteers from multiple disciplines and institutions to provide virtual consultations with patients and families. In the program's first two weeks, a team of 22 volunteer physicians and nurse practitioners held 109 remote consultations with families of patients in 5 hospitals.…”

Section: Keeping Patients Connected With Their Familiesmentioning

confidence: 99%

Coping With Trauma, Celebrating Life: Reinventing Patient And Staff Support During The COVID-19 Pandemic

et al. 2020

Self Cite

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The coronavirus disease 2019 (COVID-19) pandemic presented unprecedented challenges to the New York City Health + Hospitals system. In addition to ramping up capacity and adapting operations quickly to handle the patient surge, NYC Health + Hospitals had to find new ways to provide emotional and psychological support for patients, families, and staff. To help families keep in touch, dedicated staff members provided daily updates by telephone and used tablets for virtual visits. An expanded palliative care team held virtual consultations with families to discuss advance care planning and end-of-life decisions. Bereavement hotlines were set up for families who lost loved ones. Enhanced staff support included one-on-one and group sessions with behavioral health specialists, a behavioral health hotline, a webinar series, and respite rooms, as well as complimentary lodging and child care. NYC Health + Hospitals created new rituals to celebrate recoveries and mourn losses. As regular operations resume, NYC Health + Hospitals plans to sustain and build on emotional and psychological support initiatives developed during the surge.

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National Outreach of Telepalliative Medicine Volunteers for a New York City Safety Net System COVID-19 Pandemic Response

Cited by 18 publications

References 6 publications

Reflection on Early Lessons for Urban Resilience and Public Health Enhancement during the COVID-19

Reflection on Early Lessons for Urban Resilience and Public Health Enhancement during the COVID-19

A Comprehensive Approach to Palliative Care during the Coronavirus Pandemic

Coping With Trauma, Celebrating Life: Reinventing Patient And Staff Support During The COVID-19 Pandemic

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