| Authors, Primary | Cruz,A. T.;Tittle,K. O.;Smith,E. R.;Sirbaugh,P. E. |
| Title Primary | Increasing out-of-hospital regional surge capacity for H1N1 2009 influenza A through existing community pediatrician offices: a qualitative description of quality improvement strategies. |
| Periodical Full | Disaster Medicine & Public Health Preparedness |
| Pub Year | 2012 |
| Volume | 6 |
| issue | 2 |
| Start Page | 113-116 |
| Abstract | OBJECTIVE: To describe initiatives undertaken by a network of community pediatricians to increase a city's surge capacity for patients presenting with influenza-like illnesses during the 2009 H1N1 influenza A pandemic. METHODS: This was a descriptive quality improvement project detailing the measures employed by a network of private practice community pediatricians in Houston, Texas, caring for both insured and uninsured children. RESULTS: Four categories of interventions were used: enhanced communication, increasing community pediatrician presence, vaccine distribution, and targeted viral diagnosis and antiviral utilization. Promoting communication between clinicians, families, and an affiliated local tertiary care children's hospital allowed for the efficient coordination of resources as well as a unified and consistent message. Increasing access of families to their primary medical home by employing additional clinicians, extending office hours, and locating additional space served to decrease the number of children with low-acuity illness seen in the local emergency centers. Vaccine distribution was enhanced by effective communication between clinicians and families. Finally, targeted antiviral testing and adherence to national recommendations on antiviral utilization enabled judicious utilization of a limited supply of antiviral medications. CONCLUSIONS: Effective communication and improved access to health care enabled children within the network with influenza-like illnesses to continue to be cared for in their medical home. The measures used in response to novel influenza virus outbreaks can be adapted for other situations requiring increased community surge capacity. |
| Publisher | Not Available |
| Place of Publication | United States |
| Author/Address | Section of Emergency Medicine, Texas Children's Hospital, Houston, Texas, USA. acruz@bcm.edu |
| PubMed Link | http://www.ncbi.nlm.nih.gov/pubmed/22700018 |
| Reference Type(s) | Journal Article |
| Topic Tag(s) | System Approach to Quality and Safety;Demonstrations |
| Special Population(s) | Children with Special Needs;Children without Special Needs |
| Case Study | No |
| Commentary/Opinion Piece |
| Historical Publication | No |
| Key/Foundational Article | No |
| Literature Review | No |
| Article Rating | No |
| Summary of Article Rating | No |
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