COVID-19's Impact on Genetics at One Medical Center in New York.
COVID-19's Impact on Genetics at One Medical Center in New York.
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DOI：
10.1038/s41436-020-0857-7
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Chung WK
中科院分区：
文献类型：
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作者：
Pereira EM;Columbia University Clinical Genetics Professionals;Chung WK
由于在COVID-19疫情期间保持社交距离、试图保持员工和患者安全的独特挑战，全国各地的医疗服务发生了迅速变化。我们提供了这个评论所面临的挑战和经验教训，在哥伦比亚大学欧文医学中心（CUIMC），一个学术医疗中心在纽约市（NYC），通过修改我们如何提供遗传护理的种族和社会多元化的患者人群的产前，儿科和成人患者。通过评估对员工和患者满意度的影响的数据，我们获得了重要的经验教训，这将有助于改善患者获得护理的机会，即使在大流行的威胁解除后。临床遗传学为患有罕见和更常见遗传疾病的儿童和成人提供护理，包括先天性异常，神经发育障碍，代谢疾病和癌症。生殖遗传学评估妇女的有关问题，孕前，载体筛选，产妇年龄，家族史，异常筛选/超声波，致畸暴露。由于纽约市于2020年3月3日宣布首例COVID-19阳性患者，而CUIMC开始限制旅行和团体聚会，我们立即要求能够通过我们的电子健康记录（EHR）系统进行视频访问，该系统已于5周前推出。我们制定了及时的战略规划，为38名临床工作人员建立工作流程，以便远程安排和进行预约（补充图1）。我们更新/购买了笔记本电脑，打印机和平板电脑，同时我们与大学信息技术合作，加密设备，安装软件，并建立虚拟专用网络到我们的家庭互联网。与此同时，管理员解决了远程医疗计费选项，这在以前是具有挑战性的，由于合规性问题。截至2020年3月12日，NYC 1报告了356例新的COVID-19病例（较前一天增加132%），个人防护设备有限，我们几乎将所有
Due to the unique challenges of social distancing, attempting to keep workforce and patients safe during the COVID-19 pandemic, there have been rapid changes in delivering medical care across the country. We provide this commentary on challenges faced and lessons learned at Columbia University Irving Medical Center (CUIMC), an academic medical center in New York City (NYC), by modifying how we provide genetic care to an ethnically and socially diverse patient population of prenatal, pediatric, and adult patients. Through data assessing the impact on staff and patient satisfaction, we learned important lessons that will help improve patients’ access to care even after the threat of the pandemic is lifted.Clinical Genetics offers care to children and adults with rare and more common genetic disorders including congenital anomalies, neurodevelopmental disorders, metabolic conditions, and cancer. Reproductive Genetics evaluates women for issues related to preconception, carrier screening, maternal age, family history, abnormal screenings/ultrasounds, and teratogenic exposure. As the first COVID-19 positive patient in NYC was announced on 3 March 2020 and CUIMC began restricting travel and group gatherings, we immediately requested capability to conduct video visits through our electronic health record (EHR) system, which had launched 5 weeks prior. We developed prompt strategic planning to establish workflows for our 38 clinically based staff so appointments could be scheduled and conducted remotely (Supplemental Fig. 1). We updated/purchased laptops, printers, and tablets while we worked with university information technology to encrypt devices, install software, and establish virtual private networks to our home Internet. Simultaneously, administrators addressed telemedicine billing options, which previously were challenging due to compliance issues. By 12 March 2020, with 356 new COVID-19 cases reported in NYC 1 (a 132% increase from the prior day) and limited personal protective equipment, we shifted almost all
影响因子：
0.9
作者：
Hopper, Bruce;Buckman, Melissa;Edwards, Matthew
通讯作者：
Edwards, Matthew
影响因子：
8.8
作者：
Kubendran, Shobana;Sivamurthy, Siddharthan;Schaefer, Gerald Bradley
通讯作者：
Schaefer, Gerald Bradley