In this episode of GuideWire, Devin Hubbard with FastTraCS talks to Dr. Rob Lampman about his experiences managing COVID-19 patients and the directions of hospital medicine post-COVID. What was in short supply and what changes in practice are expected?
Dr. Lampman is a hospitalist at UNC and member of the FastTraCS Clinical Advisory Group. He reflects on predictions he set for medical supplies, such as disposable stethoscopes, masks, and face shields.
Today’s Topics Include:
PPE: Sometimes there were enough masks and gowns, sometimes not—wash, reuse
Masks: About 90% of people fit into standard N95, and 10% wear a non-traditional size
Hot Zone Containment Area: Different hospitals did different things to adapt
Unexpected Shortages: Different every day/week—testing swabs, wipes, OR gowns
Kudos to College Kids: Chapel Hill hit less hard because community wore masks
Organizational and Operational Changes: Willingness toward telehealth, other barriers
Capacity: Exposed limitations when population grew, but number of hospital beds did not
Mobile and Home Healthcare: Shrink, package, and make technologies easier to use
Policy and Licensing: Federal and local laws should change because of pandemic
Turnaround Time: Tests/results were disrupted due to direction, trajectory of stressors
Haves and Have Nots: COVID highlighted disparities in access and quality in everything
COVID Changes: Medicare and other payers need to support medical care in U.S.
Links and Resources:
Devin Hubbard
Dr. Rob Lampman - FastTraCS Clinical Advisory Group
U.S. Food and Drug Administration (FDA)
FastTraCS
GuideWire Podcast on Twitter
GuideWire Podcast
Quotes:
“On the inpatient side, it felt like we were kind of living on the edge. It felt like some days we had enough N95s that fit and sometimes we didn’t.”
“Inside the hospital, honestly, it seemed like we were playing Whac-A-Mole.”
“Don’t waste your crisis.”
“You’re going to have to change the model of how we deliver some of this care, and I think it’s going to have to create some flexibility.”