Clinical Informatics Accelerates Health System Adaptation to the COVID-19 Pandemic: Examples from Colorado.

摘要: OBJECTIVE Large health systems responding to the coronavirus disease 2019 (COVID-19) pandemic face a broad range of challenges; we describe 14 examples innovative and effective informatics interventions. MATERIALS AND METHODS A team 30 physician 17 nurse informaticists with an electronic record (EHR) associated tools. RESULTS To meet demands posed by influx patients COVID-19 into system, built solutions accomplish following goals: 1) train physicians nurses quickly manage potential surge hospital patients; 2) build adjust interactive visual pathways guide decisions; 3) scale up video visits teach best-practice communication; 4) use tablets remote monitors improve in-hospital posthospital patient connections; 5) allow hundreds rapid consensus; 6) advance care planning; 7) keep clinicians aware patients' changing status; 8) connect families in new ways; 9) semi-automate Crisis Standards Care; 10) predict future hospitalizations. DISCUSSION During onset pandemic, UCHealth Joint Informatics Group applied strategy "practical informatics" rapidly translate critical leadership decisions understandable guidance tools for care. CONCLUSION Informatics-trained drew upon their trusted relationships multiple teams within organization create practical onboarding, clinical decision-making, telehealth, predictive analytics.