{"id":25286,"date":"2024-02-06T04:32:00","date_gmt":"2024-02-05T20:32:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=25286"},"modified":"2024-02-06T05:51:57","modified_gmt":"2024-02-05T21:51:57","slug":"chest%e5%8f%91%e8%a1%a8%e8%ae%ba%e6%96%87%ef%bc%9a%e6%98%8e%e5%b0%bc%e8%8b%8f%e8%be%be%e5%8c%bb%e7%96%97%e5%8d%8f%e8%b0%83%e4%b8%ad%e5%bf%83%ef%bc%9a%e5%85%a8%e5%b7%9e%e8%8c%83%e5%9b%b4%e5%86%85","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=25286","title":{"rendered":"[Chest\u53d1\u8868\u8bba\u6587]\uff1a\u660e\u5c3c\u82cf\u8fbe\u533b\u7597\u534f\u8c03\u4e2d\u5fc3\uff1a\u5168\u5dde\u8303\u56f4\u5185\u65b0\u51a0\u75ab\u60c5\u5e94\u5bf9\u63aa\u65bd\u786e\u4fdd\u91cd\u75c7\u53ca\u5185\u5916\u79d1\u5e8a\u4f4d\u9700\u6c42"},"content":{"rendered":"\n

The Minnesota Medical Operations Coordination Center: A COVID-19 Statewide Response to Ensure Access to Critical Care and Medical-Surgical Beds<\/h1>\n\n\n\n

Karyn D.\u00a0Baum,\u00a0Lauren\u00a0Vlaanderen,\u00a0Walter\u00a0James, et al<\/h3>\n\n\n\n

Chest 2024; 165: 95-109<\/h3>\n\n\n\n

Background<\/h3>\n\n\n\n

COVID-19 led to unprecedented inpatient capacity challenges, particularly in ICUs, which spurred development of statewide or regional placement centers for coordinating transfer (load-balancing) of adult patients needing intensive care to hospitals with remaining capacity.<\/p>\n\n\n\n

Research Question<\/h3>\n\n\n\n

Do Medical Operations Coordination Centers (MOCC) augment patient placement during times of severe capacity challenges?<\/p>\n\n\n\n

Study Design and Methods<\/h3>\n\n\n\n

The Minnesota MOCC was established with a focus on transfer of adult ICU and medical-surgical patients; trauma, cardiac, stroke, burn, and extracorporeal membrane oxygenation cases were excluded. The center operated within one health care system\u2019s bed management center, using a dedicated 24\/7 telephone number. Major health care systems statewide and two tertiary centers in a neighboring state participated, sharing information on system status, challenges, and strategies. Patient volumes and transfer data were tracked; client satisfaction was evaluated through an anonymous survey.<\/p>\n\n\n\n

Results<\/h3>\n\n\n\n

From August 1, 2020, through March 31, 2022, a total of 5,307 requests were made, 2,008 beds identified, 1,316 requests canceled, and 1,981 requests were unable to be fulfilled. A total of 1,715 patients had COVID-19 (32.3%), and 2,473 were negative or low risk for COVID-19 (46.6%). COVID-19 status was unknown in 1,119 (21.1%). Overall, 760 were patients on ventilators (49.1%\u00a0COVID-19 positive). The Minnesota Critical Care Coordination Center placed most patients during the fall 2020 surge with the Minnesota Governor\u2019s stay-at-home order during the peak. However, during the fall 2021 surge, only 30%\u00a0of ICU patients and 39%\u00a0of medical-surgical patients were placed. Indicators characterizing severe surge include the number of Critical Care Coordination Center requests, decreasing placements, longer placement times, and time series analysis showing significant request-acceptance differences.<\/p>\n\n\n\n

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Interpretation<\/h3>\n\n\n\n

Implementation of a large-scale Minnesota MOCC program was effective at placing patients during the first COVID-19 pandemic fall 2020 surge and was well regarded by hospitals and health systems. However, under worsening duress of limited resources during the fall 2021 surge, placement of ICU and medical-surgical patients was greatly decreased.<\/p>\n\n\n\n

,<\/p>\n","protected":false},"excerpt":{"rendered":"

The Minnesota Medical Operations Coordination Center: A […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/25286"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25286"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/25286\/revisions"}],"predecessor-version":[{"id":25287,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/25286\/revisions\/25287"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25286"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25286"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25286"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}