Clinical redeployment of an academic family medicine department in an early, severe covid-19 pandemic in the bronx, ny

Anna Flattau, Jessica R. Cristallo, Mary Duggan, Maria Gbur, Marie Louise Fabienne Daguilh, Peter Selwyn

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: A severe surge of the COVID-19 pandemic in spring 2020 infected 33% of the population and caused more than 7000 deaths in the Bronx, NY. The Department of Family and Social Medicine at Montefiore Medical Center rapidly and strategically reconfigured clinical services to meet the needs of patients, communities, and the health system. Clinical Reconfiguration: Family medicine hospitalist services tripled in size within 2 weeks to cover 71 beds and cared for 447 patients between March 24 and June 10, 2020, of whom 279 (62.4%) had COVID-19. Community health centers reorganized to maintain primary care services, shifting abruptly to telemedicine while maintaining 95% of the previous year s visit volume, and address intensified patient needs related to viral infection and mental health impacts. Core principles for redeployment included role flexibility, communication, responsiveness, and safety and wellness. Discussion: During a pandemic surge, academic family medicine departments have an important role in expanding hospitalist services and redesigning primary care services. The ability to reconfigure work to meet unprecedented demands on health care was facilitated by family medicine s broad scope of practice including training in hospital medicine, interpersonal communication, behavioral health, care across settings, collaborative partnerships with specialists, and adaptability to communities needs. ( J Am Board Fam Med 2021;34:466 473.).

Original languageEnglish (US)
Pages (from-to)466-473
Number of pages8
JournalJournal of the American Board of Family Medicine
Volume34
Issue number3
DOIs
StatePublished - May 2021

Keywords

  • Community Health Centers
  • COVID-19
  • Emergency Preparedness
  • Family Medicine
  • Hospital Medicine
  • Hospitalists
  • New York
  • Pandemics
  • Primary Health Care
  • Telemedicine

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

Fingerprint

Dive into the research topics of 'Clinical redeployment of an academic family medicine department in an early, severe covid-19 pandemic in the bronx, ny'. Together they form a unique fingerprint.

Cite this