T-Minus 10 Days: The Role of an Academic Medical Institution in Field Hospital Planning

Alternate care sites (ACS) are locations that can be converted to provide either in-patient and/or out-patient health care services when existing facilities are compromised by a hazard impact or the volume of patients exceeds available capacity and/or capabilities. In March through May of 2020, Mich...

Full description

Saved in:
Bibliographic Details
Published in:Prehospital and Disaster Medicine 2021-06, Vol.36 (3), p.338-343
Main Authors: Bell, Sue Anne, Dossett, Lesly A., Cespero, Jesus, Guntupalli, Mayuri, Dickey, Keith, Eliason, Jonathan, Coleman, Dawn
Format: Article
Language:English
Subjects:
Academic Medical Centers
Chronic obstructive pulmonary disease
Collaboration
Coronaviruses
COVID-19
COVID-19 - epidemiology
COVID-19 - therapy
Critical care
Disease transmission
Health services
Health technology assessment
Hospital Planning - organization & administration
Hospitals
Humans
Intensive care
Logistics
Medicine
Michigan - epidemiology
Mobile Health Units - organization & administration
Ostomy
Pandemics
Patients
Personal protective equipment
Physical therapy
Planning
Rehabilitation
Role
SARS-CoV-2
Special Report
Sports facilities
Citations: Items that this one cites
Items that cite this one
Online Access:Request full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Alternate care sites (ACS) are locations that can be converted to provide either in-patient and/or out-patient health care services when existing facilities are compromised by a hazard impact or the volume of patients exceeds available capacity and/or capabilities. In March through May of 2020, Michigan Medicine (MM), the affiliated health system of the University of Michigan, planned a 500 bed ACS at an off-site location. Termed the Michigan Medicine Field Hospital (MMFH), this ACS was intended to be a step-down care facility for low-acuity COVID-19 positive MM patients who could be transitioned from the hospital setting and safely cared for prior to discharge home, while also allowing increased bed capacity in the remaining MM hospitals for additional critical patient care. The planning was organized into six units: personnel and labor, security, clinical operations, logistics and supply, planning and training, and communications. The purpose of this report is to describe the development and planning of an ACS within the MM academic medical center (AMC) to discuss anticipated barriers to success and to suggest guidance for health systems in future planning.
ISSN:1049-023X
1945-1938
DOI:10.1017/S1049023X21000224