balancing covid 19 preparedness and apos business as usual apos in hospitals lessons CORD-Papers-2021-10-25 (Version 1)

Title: Balancing COVID-19 preparedness and 'business as usual' in hospitals: lessons from executives in China, Norway and the UK
Abstract: Background During the first wave of COVID-19 pandemic, hospitals were forced to cancel or postpone non-COVID-19 care. With new outbreaks emerging, hospitals are now figuring out how to balance preparedness for future COVID-19 waves with their elective and regular services. This report discusses how four hospital systems deal with these dual responsibilities in China, Norway and the UK. Reflections Based on the experiences and combined reflections of hospital executives, we have formulated five strategic and leadership lessons for hospitals as they manage these dual responsibilities. (1) Redesign organisation to separate COVID-19 and non-COVID-19 services both within and across hospitals. (2) Expand virtual care strategies to improve access. (3) Use data-driven models to allocate resources across COVID-19 and non-COVID-19 units. (4) Invest in programmes to promote frontline staff well-being. (5) Secure financial support to continue to deliver on the dual responsibilities. Conclusion The COVID-19 pandemic gives rise to leadership challenges that have fuelled organisational change and new approaches to healthcare delivery. Leading hospitals during the pandemic is a balancing act -providing care for both patients with COVID-19 and non-COVID-19, while at the same time preparing for the next waves of the pandemic. Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Published: 2021
Journal: BMJ Leader
DOI: 10.1136/leader-2020-000314
DOI_URL: http://doi.org/10.1136/leader-2020-000314
Author Name: Ikram, U
Author link: https://covid19-data.nist.gov/pid/rest/local/author/ikram_u
Author Name: Ren, H
Author link: https://covid19-data.nist.gov/pid/rest/local/author/ren_h
Author Name: Shields Zeeman, L
Author link: https://covid19-data.nist.gov/pid/rest/local/author/shields_zeeman_l
Author Name: Frich, J
Author link: https://covid19-data.nist.gov/pid/rest/local/author/frich_j
Author Name: Northam Jones, D
Author link: https://covid19-data.nist.gov/pid/rest/local/author/northam_jones_d
Author Name: Wu, J
Author link: https://covid19-data.nist.gov/pid/rest/local/author/wu_j
Author Name: Kuang, M
Author link: https://covid19-data.nist.gov/pid/rest/local/author/kuang_m
Author Name: Liu, Y
Author link: https://covid19-data.nist.gov/pid/rest/local/author/liu_y
Author Name: Ma, J
Author link: https://covid19-data.nist.gov/pid/rest/local/author/ma_j
license: unk
license_url: [unknown license]
source_x: WHO
source_x_url: https://www.who.int/
who_covidence_id: #covidwho-1299235
url: https://doi.org/10.1136/leader-2020-000314
has_full_text: FALSE
G_ID: balancing_covid_19_preparedness_and_apos_business_as_usual_apos_in_hospitals_lessons
S2 ID: 226341086