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

doi:10.1016/j.jpainsymman.2020.05.026

. 2020 Aug;60(2):e14-e17.

doi: 10.1016/j.jpainsymman.2020.05.026. Epub 2020 May 29.

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

Affiliations

¹ Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA; Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
² Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
³ Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA; NYC Health and Hospitals/Elmhurst, New York, New York, USA; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
⁴ Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA.
⁵ NYC Health and Hospitals/Kings County, New York, New York, USA; Department of Medicine, SUNY Downstate, New York, New York, USA.
⁶ Department of Medicine, NYC Health and Hospitals/Coney Island, New York, New York, USA.
⁷ Department of Medicine, NYC Health and Hospitals/Woodhull, New York, New York, USA.
⁸ Department of Medicine, NYC Health and Hospitals/Jacobi, New York, New York, USA.
⁹ Department of Psychiatry, NYC Health and Hospitals/North Central Bronx, New York, New York, USA.
¹⁰ NYC Health and Hospitals/Bellevue, New York, New York, USA; Department of Medicine, NYU Grossman School of Medicine, New York, New York, USA.
¹¹ Department of Medicine, NYC Health and Hospitals/Jacobi, New York, New York, USA; Department of Medicine, Albert Einstein College of Medicine, New York, New York, USA.
¹² Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA; Department of Medicine, NYU Grossman School of Medicine, New York, New York, USA. Electronic address: choh7@nychhc.org.

PMID: 32479861
PMCID: PMC7258838
DOI: 10.1016/j.jpainsymman.2020.05.026

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

Sigal Israilov et al. J Pain Symptom Manage. 2020 Aug.

. 2020 Aug;60(2):e14-e17.

doi: 10.1016/j.jpainsymman.2020.05.026. Epub 2020 May 29.

Authors

Affiliations

¹ Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA; Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
² Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
³ Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA; NYC Health and Hospitals/Elmhurst, New York, New York, USA; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
⁴ Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA.
⁵ NYC Health and Hospitals/Kings County, New York, New York, USA; Department of Medicine, SUNY Downstate, New York, New York, USA.
⁶ Department of Medicine, NYC Health and Hospitals/Coney Island, New York, New York, USA.
⁷ Department of Medicine, NYC Health and Hospitals/Woodhull, New York, New York, USA.
⁸ Department of Medicine, NYC Health and Hospitals/Jacobi, New York, New York, USA.
⁹ Department of Psychiatry, NYC Health and Hospitals/North Central Bronx, New York, New York, USA.
¹⁰ NYC Health and Hospitals/Bellevue, New York, New York, USA; Department of Medicine, NYU Grossman School of Medicine, New York, New York, USA.
¹¹ Department of Medicine, NYC Health and Hospitals/Jacobi, New York, New York, USA; Department of Medicine, Albert Einstein College of Medicine, New York, New York, USA.
¹² Department of Quality and Safety, NYC Health and Hospitals, New York, New York, USA; Department of Medicine, NYU Grossman School of Medicine, New York, New York, USA. Electronic address: choh7@nychhc.org.

PMID: 32479861
PMCID: PMC7258838
DOI: 10.1016/j.jpainsymman.2020.05.026

Abstract

The coronavirus disease 2019 surge in New York City created an increased demand for palliative care (PC) services. In staff-limited settings such as safety net systems, and amid growing reports of health care worker illness, leveraging help from less-affected areas around the country may provide an untapped source of support. A national social media outreach effort recruited 413 telepalliative medicine volunteers (TPMVs). After expedited credentialing and onboarding of 67 TPMVs, a two-week pilot was initiated in partnership with five public health hospitals without any previous existing telehealth structure. The volunteers completed 109 PC consults in the pilot period. Survey feedback from TPMVs and on-site PC providers was largely positive, with areas of improvement identified around electronic health record navigation and continuity of care. This was a successful, proof of concept, and quality improvement initiative leveraging TPMVs from across the nation for a PC pandemic response in a safety net system.

Keywords: COVID-19; Palliative care; pandemic response; telehealth.

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References

1. COVID-10 data, NYC health. https://www1.nyc.gov/site/doh/covid/covid-19-data.page Available from.
1. Fausto J., Hirano L., Lam D. Creating a palliative care inpatient response plan for COVID19—the UW medicine experience. J Pain Symptom Manage. 2020 doi: 10.1016/j.jpainsymman.2020.03.025. - DOI - PMC - PubMed
1. Humphreys J., Schoenherr L., Elia G. Rapid implementation of inpatient telepalliative medicine consultations during COVID-19 pandemic. J Pain Symptom Manage. 2020 doi: 10.1016/j.jpainsymman.2020.04.001. - DOI - PMC - PubMed
1. Lyles C.R., Handley M.A., Ackerman S.L. Innovative implementation studies conducted in US safety net health care settings: a systematic review. Am J Med Qual. 2019;34:293–306. - PMC - PubMed
1. Characteristics of health care personnel with COVID-19—United States, February 12–April 9, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:477–481. - PMC - PubMed

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[1] COVID-10 data, NYC health. https://www1.nyc.gov/site/doh/covid/covid-19-data.page Available from.

[2] COVID-10 data, NYC health. https://www1.nyc.gov/site/doh/covid/covid-19-data.page Available from.

[3] Fausto J., Hirano L., Lam D. Creating a palliative care inpatient response plan for COVID19—the UW medicine experience. J Pain Symptom Manage. 2020 doi: 10.1016/j.jpainsymman.2020.03.025. - DOI - PMC - PubMed

[4] Fausto J., Hirano L., Lam D. Creating a palliative care inpatient response plan for COVID19—the UW medicine experience. J Pain Symptom Manage. 2020 doi: 10.1016/j.jpainsymman.2020.03.025. - DOI - PMC - PubMed

[5] Humphreys J., Schoenherr L., Elia G. Rapid implementation of inpatient telepalliative medicine consultations during COVID-19 pandemic. J Pain Symptom Manage. 2020 doi: 10.1016/j.jpainsymman.2020.04.001. - DOI - PMC - PubMed

[6] Humphreys J., Schoenherr L., Elia G. Rapid implementation of inpatient telepalliative medicine consultations during COVID-19 pandemic. J Pain Symptom Manage. 2020 doi: 10.1016/j.jpainsymman.2020.04.001. - DOI - PMC - PubMed

[7] Lyles C.R., Handley M.A., Ackerman S.L. Innovative implementation studies conducted in US safety net health care settings: a systematic review. Am J Med Qual. 2019;34:293–306. - PMC - PubMed

[8] Lyles C.R., Handley M.A., Ackerman S.L. Innovative implementation studies conducted in US safety net health care settings: a systematic review. Am J Med Qual. 2019;34:293–306. - PMC - PubMed

[9] Characteristics of health care personnel with COVID-19—United States, February 12–April 9, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:477–481. - PMC - PubMed

[10] Characteristics of health care personnel with COVID-19—United States, February 12–April 9, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:477–481. - PMC - PubMed

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

Affiliations

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

Authors

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Abstract

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