Restructuring Electrophysiology during the COVID-19 Pandemic: A Practical Guide from a New York City Hospital Network

Geoffrey A. Rubin, Elaine Y. Wan, Deepak Saluja, George Thomas, David J. Slotwiner, Seth Goldbarg, Salma Chaudhary, Gioia Turitto, Jose Dizon, Hirad Yarmohammadi, Frederick Ehlert, David A. Rubin, John P. Morrow, Marc Waase, Jeremy Berman, Alexander Kushnir, Mark P. Abrams, Carolyn Halik, Deepa Kumaraiah, Allan SchwartzAjay Kirtane, Susheel Kodali, Isaac Goldenthal, Hasan Garan, Angelo Biviano

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

The coronavirus disease 2019 crisis is a global pandemic of a novel infectious disease with far-ranging public health implications. With regard to cardiac electrophysiology (EP) services, we discuss the "real-world" challenges and solutions that have been essential for efficient and successful (1) ramping down of standard clinical practice patterns and (2) pivoting of workflow processes to meet the demands of this pandemic. The aims of these recommendations are to outline: (1) essential practical steps to approaching procedures, as well as outpatient and inpatient care of EP patients, with relevant examples, (2) successful strategies to minimize exposure risk to patients and clinical staff while also balancing resource utilization, (3) challenges related to redeployment and restructuring of clinical and support staff, and (4) considerations regarding continued collaboration with clinical and administrative colleagues to implement these changes. While process changes will vary across practices and hospital systems, we believe that these experiences from 4 different EP sections in a large New York City hospital network currently based in the global epicenter of the coronavirus disease 2019 pandemic will prove useful for other EP practices adapting their own practices in preparation for local surges.

Original languageEnglish (US)
Pages (from-to)105-111
Number of pages7
JournalCritical pathways in cardiology
Volume19
Issue number3
DOIs
StatePublished - Sep 1 2020
Externally publishedYes

Keywords

  • administration
  • coronavirus
  • COVID-19
  • pandemic
  • restructuring

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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