OPERATING ROOM


their patients, with their visitors, and this does offer the highest protection.’”


Caring on


So, with all the odds stacked up against them in the continuing pandemic, how will hospitals and healthcare facilities fare in patient care? The outlook, currently, shows a financial toll will occur this year, according to “new analysis prepared by Kaufman, Hall & Associates, LLC and released by the American Hospital Association (AHA),” 5


reported AHA.


• “Even under the most optimistic scenario with a smooth vaccine roll-out and reduced COVID-19 hospitalizations, on average, 39% of hospitals would operate in the red in 2021, a marked increase over pre-pandemic baselines, according to Kaufman Hall data. Under this scenario, median hospital operating margins would be 10.5% down from pre-pandemic baselines in 2019. Before COVID-19, the median hospital margin was a modest 3.5%.


• “In the most pessimistic scenario, on average, half of hospitals would operate in the red in 2021, with median margins down 80% from pre-pandemic baselines.


• “For rural hospitals, the most optimistic scenario would result in median margins that are 38% down from pre-pandemic baselines, with the most pessimistic scenario resulting in a 100% decline from baselines.” 5


Still, there is a glimpse of advancing care and safety as new technology makes its way to bedsides. For example, “Hackensack Meridian JFK University Medical


enter is the first hospital in ew ersey to operate a new portable MRI that can be wheeled to the bedside of critically ill patients… The Swoop ortable  Imaging System is made by Hyperfine Research,”6


announced Hackensack Meridian JFK University Medical Center. “Some of the potential advantages of mobile MRI include:


• “Scanning patients in the Emergency Department, decreasing wait times and speeding diagnosis


• “Scanning COVID-19 patients at the bedside, decreasing the risks of transporting infectious patients through the hospital


 Improved monitoring of patients in the euro Intensive are Unit as they recover.”


Additionally, CareView Communications, Inc announced a “three-year agreement with Maury Regional includes CareView’s latest Gen 5 hardware and software offerings, which includes a variety of camera solutions specifically designed to address clinical needs in general safety, applications for use in ICUs, behavioral health settings, and negative pressure COVID-19 units. CareView’s solution for reducing patient falls and increasing in-room patient safety is a scalable design that delivers operational savings in any application.” 7


The supply chain-clinical partnership on products needed can help enhance operations and care, suggests La Brie. The Supply hain and ritical are ursing teams should connect with key suppliers, where applicable, to create a com- prehensive plan,” La Brie recommended. “As each situation is fluid, the goal should be to ensure an atmosphere of visibility and openness with supply chain and clinical staff. The teams should have a plan in place that provides concise, consistent and frequent communication in any future pandemic or emergency care.” She continued, “Several elements impact how these teams can perform most effectively together, including: • Standardized process and products: standardizing patient care can lead to more consistent patient outcomes as well as improved efficiency


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• Visibility to product inventory • Built-in time for the staff to take a breather; with increased clean- ing protocols and higher nurse-patient ratios, it is essential for clinicians to have breaks for physical and mental wellbeing.” Industry regulations for adequate supply of PPE on site are coming, indicates Phillips. “There will soon be state deadlines that require hospitals to


have at least a minimum amount of PPE on hand,” Phillips noted. “Once that amount is met, the inventory will need to be accurately tracked and managed. Even though there is a light at the end of the tunnel with the current pandemic, there will always be healthcare events that need isolated supplies.” HPN


References:


1. 209 US Counties Face a Crisis in Staffing ICUs that Care for COVID-19 Patients, Online tool launched today by George Washington University and partners, March 04, 2021, https://mediarela- tions.gwu.edu/209-us-counties-face-crisis-staffing-icus-care-covid-19-patients


2. https://www.aacn.org/newsroom/class-of-2021-circle-of-excellence-recipients-announced


3. Mental health support for health care workers during COVID-19 pandemic, https://www. jointcommission.org/resources/news-and-multimedia/news/2021/02/mental-health-support-for-health- care-workers-during--covid-19-pandemic/


4. Henry Ford Study Shows Face Masks Strongly Associated With Reducing Healthcare Workers’ Risk of Acquiring COVID-19, March 26, 2021, https://www.henryford.com/news/2021/03/universal- masks


5. Hospital & Health System Financial Health in 2021, WASHINGTON (March 23, 2021), https:// www.aha.org/press-releases/2021-03-23-new-analysis-shows-continued-negative-impact-covid-19-hos- pital-health


6. JFK University Medical Center First Hospital in New Jersey to Utilize New Portable MRI, March 25, 2021, https://www.hackensackmeridianhealth.org/press-releases/2021/03/25/jfk-university- medical-center-first-hospital-in-new-jersey-to-utilize-new-portable-mri/


7. CareView Communications, Inc. Executes Hospital Agreement with Maury Regional Medical Center, Posted on March 23, 2021, https://care-view.com/careview-communications-inc-executes- hospital-agreement-with-maury-regional-medical-center/


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