Select Medical, Mechanicsburg, PA.
Division of Pulmonary, Critical Care, & Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Chest. 2021 May;159(5):1894-1901. doi: 10.1016/j.chest.2020.12.001. Epub 2020 Dec 10.
The COVID-19 pandemic has presented novel challenges for the entire health-care continuum, requiring transformative changes to hospital and post-acute care, including clinical, administrative, and physical modifications to current standards of operations. Innovative use and adaptation of long-term acute care hospitals (LTACHs) can safely and effectively care for patients during the ongoing COVID-19 pandemic. A framework for the rapid changes, including increasing collaboration with external health-care organizations, creating new methods for enhanced communication, and modifying processes focused on patient safety and clinical outcomes, is described for a network of 94 LTACHs. When managed and modified correctly, LTACHs can play a vital role in managing the national health-care pandemic crisis.
新冠疫情给整个医疗保健领域带来了新的挑战，需要对医院和康复护理进行变革，包括对当前运营标准进行临床、行政和物理方面的修改。长期急性护理医院（LTACH）的创新使用和调整，可以在持续的新冠疫情期间为患者提供安全有效的护理。本文为一个由 94 家 LTACH 组成的网络描述了一个快速变革的框架，包括增加与外部医疗机构的合作、创建新的增强沟通方法，以及修改以患者安全和临床结果为重点的流程。如果管理和调整得当，LTACH 可以在管理国家医疗保健大流行病危机方面发挥重要作用。
