Tomer Yaron, Ng Gong Michelle, Keller Marla J, Southern William, Kitsis Elizabeth A, Kajita Grace R, Shapiro Lauren I, Jariwala Sunit P, Epstein Eric J
Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, United States.
Divisions of Critical Care Medicine and Pulmonary Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, United States.
Front Med (Lausanne). 2021 Mar 18;8:610100. doi: 10.3389/fmed.2021.610100. eCollection 2021.
The first Covid-19 patient was admitted to Montefiore Medical Center (MMC) on March 10, 2020. Soon thereafter there was a rapid and exponential surge of Covid-19 admissions to MMC that could have resulted in catastrophic consequences if MMC had been overwhelmed, as happened in Europe. To adjust to this crisis our institution, under the inspiring leadership of Dr. Philip Ozuah, President and CEO of Montefiore Medicine, adopted an "all hands on deck" approach, mobilizing our entire workforce to expand our units to accommodate the growing number of patients being admitted. Given that the internal medicine (IM) and ICU units are part of the department of medicine (DOM), the DOM was at the center of this mobilization. The DOM is the largest department at MMC and mobilizing it required careful planning, seamless teamwork, and strong leadership. To achieve that goal, we applied a framework that we designate the "," denoting oordination, ommunication, and ollaboration. In this report we describe the many initiatives the Montefiore Einstein DOM implemented during the Covid-19 pandemic using the framework. These included establishing the Medicine Covid-19 Taskforce to lead our efforts, starting a daily newsletter for up-to-date communications, rapidly expanding the ICU and IM units, converting most specialty inpatient consults to eConsults, coordinating research studies, and more. The goal of this report is to serve as a guide on how the 3C framework helped us organize, mobilize, and energize the department of medicine effectively and efficiently during this unprecedented crisis.
2020年3月10日，首例新冠患者被收治入蒙特菲奥里医疗中心（MMC）。此后不久，MMC的新冠收治人数迅速呈指数级激增，如果MMC不堪重负，可能会导致灾难性后果，欧洲就发生了这种情况。为应对这场危机，在蒙特菲奥里医学总裁兼首席执行官菲利普·奥祖阿博士的鼓舞人心的领导下，我们的机构采取了“全员上阵”的方法，动员全体员工扩充病房，以收治越来越多的患者。鉴于内科（IM）和重症监护病房（ICU）是医学部（DOM）的一部分，DOM处于此次动员的核心位置。DOM是MMC最大的科室，动员它需要精心规划、无缝协作和强有力的领导。为实现这一目标，我们应用了一个我们称之为“3C”的框架，即协调（coordination）、沟通（communication）和协作（collaboration）。在本报告中，我们描述了蒙特菲奥里爱因斯坦医学部在新冠疫情期间使用该3C框架实施的诸多举措。这些举措包括成立医学新冠特别工作组来领导我们的工作、创办每日通讯以进行最新信息沟通、迅速扩充ICU和IM病房、将大多数专科住院会诊转为电子会诊、协调研究项目等等。本报告的目的是作为一份指南，介绍3C框架如何在这场前所未有的危机中帮助我们有效且高效地组织、动员和激励医学部。
