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Curtis SJ, Taylor R, Perry L, Trewin A, Were K, Walsh N, McDermott K. Telehealth for Comprehensive Care to Quarantine Residents: A Novel Approach and Lessons Learned. J Patient Exp 2023; 10:23743735231183669. [PMID: 37362249 PMCID: PMC10286160 DOI: 10.1177/23743735231183669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/28/2023] Open
Abstract
Proactive engagement and care with regular and timely information are required to manage the health and well-being of people in quarantine. At Australia's Howard Springs International Quarantine Facility, a telehealth model was rapidly established using trained non-clinical Customer Service Officers (CSO's) with the aim to provide comprehensive care to residents, maximize staff safety, and reduce clinical workforce capacity pressures. We describe this model, whereby CSO's provided residents with daily COVID-19 symptom and well-being screening, weekly psychological screening, and ongoing linkage to additional clinical and administrative services. In addition, CSO's went beyond these duties to deliver personalized care through delivery of care packages and attendance of the departure point to farewell residents. From October 2020 to May 2021, across 7105 residents, we estimated that CSO's prevented over 75 000 face-to-face resident visits, which reduced workforce requirements and preserved staff safety through minimizing potential COVID-19 transmission and time spent in personal protective equipment in the challenging ambient environment. We share key lessons learned which may inform future telehealth models and guide a positive experience for quarantine residents.
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Affiliation(s)
- Stephanie J. Curtis
- National Critical Care and Trauma Response Centre, Darwin, Northern Territory, Australia
| | - Ronnie Taylor
- National Critical Care and Trauma Response Centre, Darwin, Northern Territory, Australia
| | - Lynette Perry
- National Critical Care and Trauma Response Centre, Darwin, Northern Territory, Australia
| | - Abigail Trewin
- National Critical Care and Trauma Response Centre, Darwin, Northern Territory, Australia
| | - Karen Were
- National Critical Care and Trauma Response Centre, Darwin, Northern Territory, Australia
| | - Nick Walsh
- National Critical Care and Trauma Response Centre, Darwin, Northern Territory, Australia
| | - Kathleen McDermott
- National Critical Care and Trauma Response Centre, Darwin, Northern Territory, Australia
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Fan VY, Yamaguchi CT, Pal K, Geib SM, Conlon L, Holmes JR, Sutton Y, Aiona A, Curtis AB, Mersereau E. Planning and Implementation of COVID-19 Isolation and Quarantine Facilities in Hawaii: A Public Health Case Report. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159368. [PMID: 35954726 PMCID: PMC9368327 DOI: 10.3390/ijerph19159368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 07/28/2022] [Accepted: 07/28/2022] [Indexed: 11/16/2022]
Abstract
In response to the second surge of COVID-19 cases in Hawaii in the fall of 2020, the Hawaii State Department of Health Behavioral Health Administration led and contracted a coalition of agencies to plan and implement an isolation and quarantine facility placement service that included food, testing, and transportation assistance for a state capitol and major urban center. The goal of the program was to provide safe isolation and quarantine options for individual residents at risk of not being able to comply with isolation and quarantine mandates. Drawing upon historical lived experiences in planning and implementing the system for isolation and quarantine facilities, this qualitative public health case study report applies the plan-do-study-act (PDSA) improvement model and framework to review and summarize the implementation of this system. This case study also offers lessons for a unique opportunity for collaboration led by a public behavioral health leadership that expands upon traditionally narrow infectious disease control, by developing a continuum of care that not only addresses immediate COVID-19 concerns but also longer-term supports and services including housing, access to mental health services, and other social services. This case study highlights the role of a state agency in building a coalition of agencies, including a public university, to respond to the pandemic. The case study also discusses how continuous learning was executed to improve delivery of care.
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Affiliation(s)
- Victoria Y. Fan
- Social Science Research Institute, College of Social Sciences, University of Hawaii at Mānoa, Honolulu, HI 96822, USA; (C.T.Y.); (K.P.); (S.M.G.); (L.C.)
- Correspondence:
| | - Craig T. Yamaguchi
- Social Science Research Institute, College of Social Sciences, University of Hawaii at Mānoa, Honolulu, HI 96822, USA; (C.T.Y.); (K.P.); (S.M.G.); (L.C.)
| | - Ketan Pal
- Social Science Research Institute, College of Social Sciences, University of Hawaii at Mānoa, Honolulu, HI 96822, USA; (C.T.Y.); (K.P.); (S.M.G.); (L.C.)
| | - Stephen M. Geib
- Social Science Research Institute, College of Social Sciences, University of Hawaii at Mānoa, Honolulu, HI 96822, USA; (C.T.Y.); (K.P.); (S.M.G.); (L.C.)
| | - Leocadia Conlon
- Social Science Research Institute, College of Social Sciences, University of Hawaii at Mānoa, Honolulu, HI 96822, USA; (C.T.Y.); (K.P.); (S.M.G.); (L.C.)
| | - Joshua R. Holmes
- Hawaii State Department of Health, Behavioral Health Administration, Honolulu, HI 96819, USA; (J.R.H.); (Y.S.); (A.A.); (A.B.C.); (E.M.)
| | - Yara Sutton
- Hawaii State Department of Health, Behavioral Health Administration, Honolulu, HI 96819, USA; (J.R.H.); (Y.S.); (A.A.); (A.B.C.); (E.M.)
| | - Amihan Aiona
- Hawaii State Department of Health, Behavioral Health Administration, Honolulu, HI 96819, USA; (J.R.H.); (Y.S.); (A.A.); (A.B.C.); (E.M.)
| | - Amy B. Curtis
- Hawaii State Department of Health, Behavioral Health Administration, Honolulu, HI 96819, USA; (J.R.H.); (Y.S.); (A.A.); (A.B.C.); (E.M.)
| | - Edward Mersereau
- Hawaii State Department of Health, Behavioral Health Administration, Honolulu, HI 96819, USA; (J.R.H.); (Y.S.); (A.A.); (A.B.C.); (E.M.)
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Lee TH, Do B, Dantzinger L, Holmes J, Chyba M, Hankins S, Mersereau E, Hara K, Fan VY. Mitigation Planning and Policies Informed by COVID-19 Modeling: A Framework and Case Study of the State of Hawaii. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19106119. [PMID: 35627656 PMCID: PMC9140577 DOI: 10.3390/ijerph19106119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 05/09/2022] [Accepted: 05/12/2022] [Indexed: 02/04/2023]
Abstract
In the face of great uncertainty and a global crisis from COVID-19, mathematical and epidemiologic COVID-19 models proliferated during the pandemic. Yet, many models were not created with the explicit audience of policymakers, the intention of informing specific scenarios, or explicit communication of assumptions, limitations, and complexities. This study presents a case study of the roles, uses, and approaches to COVID-19 modeling and forecasting in one state jurisdiction in the United States. Based on an account of the historical real-world events through lived experiences, we first examine the specific modeling considerations used to inform policy decisions. Then, we review the real-world policy use cases and key decisions that were informed by modeling during the pandemic including the role of modeling in informing planning for hospital capacity, isolation and quarantine facilities, and broad public communication. Key lessons are examined through the real-world application of modeling, noting the importance of locally tailored models, the role of a scientific and technical advisory group, and the challenges of communicating technical considerations to a public audience.
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Affiliation(s)
- Thomas H. Lee
- Thompson School of Social Work & Public Health, University of Hawaii at Manoa, Honolulu, HI 96822, USA; (T.H.L.); (B.D.); (L.D.); (J.H.)
- Hawaii Data Collaborative, Honolulu, HI 96813, USA
| | - Bobby Do
- Thompson School of Social Work & Public Health, University of Hawaii at Manoa, Honolulu, HI 96822, USA; (T.H.L.); (B.D.); (L.D.); (J.H.)
| | - Levi Dantzinger
- Thompson School of Social Work & Public Health, University of Hawaii at Manoa, Honolulu, HI 96822, USA; (T.H.L.); (B.D.); (L.D.); (J.H.)
| | - Joshua Holmes
- Thompson School of Social Work & Public Health, University of Hawaii at Manoa, Honolulu, HI 96822, USA; (T.H.L.); (B.D.); (L.D.); (J.H.)
| | - Monique Chyba
- Department of Mathematics, College of Natural Sciences, University of Hawaii at Manoa, Honolulu, HI 96822, USA;
| | - Steven Hankins
- John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI 96813, USA;
| | - Edward Mersereau
- Behavioral Health Administration, Hawaii Department of Health, Honolulu, HI 96813, USA;
| | - Kenneth Hara
- Hawaii Department of Defense, Honolulu, HI 96816, USA;
| | - Victoria Y. Fan
- Thompson School of Social Work & Public Health, University of Hawaii at Manoa, Honolulu, HI 96822, USA; (T.H.L.); (B.D.); (L.D.); (J.H.)
- Center for Global Development, Washington, DC 20036, USA
- Correspondence:
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Hu X, Liu Z, Liang J, Song X, Wang Z, Gao R, Jiang F. Environmental contamination of a quarantine hotel via SARS-CoV-2 positive travellers. J Travel Med 2021; 28:6377253. [PMID: 34581412 PMCID: PMC8500083 DOI: 10.1093/jtm/taab148] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 08/12/2021] [Accepted: 09/14/2021] [Indexed: 01/12/2023]
Abstract
We report on the extent of environmental contamination of a quarantine hotel in China via two SARS-CoV-2 VOCs positive travellers.
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Affiliation(s)
- Xiaowen Hu
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Prevention Medicine, Qingdao, Shandong Province, China
| | - Ziran Liu
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Prevention Medicine, Qingdao, Shandong Province, China
| | - Jiwei Liang
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Prevention Medicine, Qingdao, Shandong Province, China
| | - Xin Song
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Prevention Medicine, Qingdao, Shandong Province, China
| | - Zhaoguo Wang
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Prevention Medicine, Qingdao, Shandong Province, China
| | - Ruqin Gao
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Prevention Medicine, Qingdao, Shandong Province, China
| | - Fachun Jiang
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Prevention Medicine, Qingdao, Shandong Province, China
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