Informatics response to address the COVID-19 pandemic in a safety net healthcare system

被引：6

作者：

Sadasivaiah, Shobha ^{[1
,2
]}

Shaffer, Eric ^{[1
,3
]}

Enanoria, Wayne ^{[1
,4
,5
]}

Su, George ^{[1
,6
,7
]}

Goldman, Seth ^{[1
,2
]}

Scarafia, Jeff ^{[3
]}

Lee, Tina ^{[3
]}

Yu, Albert ^{[1
,8
]}

Goldman, L. Elizabeth ^{[1
,9
]}

Ratanawongsa, Neda ^{[1
,9
,10
]}

机构：

[1] San Francisco Dept Publ Hlth, Off Hlth Informat, San Francisco, CA USA

[2] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA

[3] San Francisco Dept Publ Hlth Informat Technol, San Francisco, CA USA

[4] San Francisco Dept Publ Hlth, Populat Hlth Div, San Francisco, CA USA

[5] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA USA

[6] San Francisco Gen Hosp, San Francisco, CA 94110 USA

[7] Univ Calif San Francisco, Dept Med, Div Pulm Crit Care & Sleep, San Francisco, CA 94143 USA

[8] Univ Calif San Francisco, Dept Family & Community Med, San Francisco, CA USA

[9] Univ Calif San Francisco, Dept Med, Div Gen Internal Med, San Francisco, CA USA

[10] Univ Calif San Francisco, Ctr Vulnerable Populat, San Francisco, CA 94143 USA

来源：

JAMIA OPEN | 2021年 / 4卷 / 03期

关键词：

COVID-19; informatics; public health; electronic health record (EHR); vulnerable populations;

D O I：

10.1093/jamiaopen/ooaa057

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

In service of particularly vulnerable populations, safety net healthcare systems must nimbly leverage health information technology (IT), including electronic health records (EHRs), to coordinate the medical and public health response to the novel coronavirus (COVID-19). Six months after the San Francisco Department of Public Health implemented a new EHR across its hospitals and citywide clinics, California declared a state of emergency in response to COVID-19. This paper describes how the IT and informatics teams supported San Francisco Department of Public Health's goals of expanding the safety net healthcare system capacity, meeting the needs of specific vulnerable populations, increasing equity in COVID-19 testing access, and expanding public health analytics and research capacity. Key enabling factors included critical partnerships with operational leaders, early identification of priorities, a clear governance structure, agility in the face of rapidly changing circumstances, and a commitment to vulnerable populations.

引用

页数：7

共 12 条

[1]

[Anonymous], 2020, MORATORIUM ROUTINE M

[2]

[Anonymous], SHELTER PLACE

[3]

[Anonymous], 2020, EXCLUDING VISITORS S

[4]

[Anonymous], 2019, DECLARATION LOCAL HL

[5] This Time Must Be Different: Disparities During the COVID-19 Pandemic [J].

Bibbins-Domingo, Kirsten .

ANNALS OF INTERNAL MEDICINE, 2020, 173 (03) :233-+

[6]

Chamie G, 20132233 MEDRXIV, DOI [10.1101/2020.06.15.20132233v1, DOI 10.1101/2020.06.15.20132233V1]

[7]

Data SF, COVID 19 DATA REPORT

[8] COVID-19 transforms health care through telemedicine: Evidence from the field [J].

Mann, Devin M. ;

Chen, Ji ;

Chunara, Rumi ;

Testa, Paul A. ;

Nov, Oded .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2020, 27 (07) :1132-1135

[9]

Restricting Visitors and Non-Essential Personnel from Laguna Honda Hospital and the Skilled Nursing Facility Unit at Zuckerberg San Fran- cisco General Hospital, 2020, ORDER HLTH OFFICER N

[10] Digital Health Equity as a Necessity in the 21st Century Cures Act Era [J].

Rodriguez, Jorge A. ;

Clark, Cheryl R. ;

Bates, David W. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (23) :2381-2382

← 1 2 →