Boston Hope Field Hospital, Boston, MA, USA; Massachusetts General Hospital, Boston, MA, USA.
Boston Hope Field Hospital, Boston, MA, USA; Massachusetts General Hospital, Boston, MA, USA; Spaulding Rehabilitation Hospital, Boston, MA, USA.
J Am Med Dir Assoc. 2020 Nov;21(11):1563-1567. doi: 10.1016/j.jamda.2020.09.003. Epub 2020 Sep 8.
During the surge of Coronavirus Disease 2019 (COVID-19) infections in March and April 2020, many skilled-nursing facilities in the Boston area closed to COVID-19 post-acute admissions because of infection control concerns and staffing shortages. Local government and health care leaders collaborated to establish a 1000-bed field hospital for patients with COVID-19, with 500 respite beds for the undomiciled and 500 post-acute care (PAC) beds within 9 days. The PAC hospital provided care for 394 patients over 7 weeks, from April 10 to June 2, 2020. In this report, we describe our implementation strategy, including organization structure, admissions criteria, and clinical services. Partnership with government, military, and local health care organizations was essential for logistical and medical support. In addition, dynamic workflows necessitated clear communication pathways, clinical operations expertise, and highly adaptable staff.
在 2020 年 3 月和 4 月 2019 年冠状病毒病（COVID-19）感染激增期间，由于感染控制问题和人员短缺，波士顿地区的许多熟练护理设施停止接收 COVID-19 康复期患者。当地政府和医疗保健领导人合作，在 9 天内为 COVID-19 患者建立了一个 1000 张床位的野战医院，其中 500 张为无家可归者提供暂息床位，500 张为康复期护理（PAC）床位。PAC 医院在 2020 年 4 月 10 日至 6 月 2 日期间为 394 名患者提供了 7 周的护理。在本报告中，我们描述了我们的实施策略，包括组织结构、入院标准和临床服务。与政府、军队和当地医疗保健组织的合作对于后勤和医疗支持至关重要。此外，动态工作流程需要明确的沟通途径、临床运营专业知识和高度适应性的员工。
