https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g Hospital CEO Interview #2 062322 en-us 2022-06-08 14:20:35 UTC 2022-06-30 00:05:22 UTC hello@padlet.com robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229167785 Space - utilize areas in the hospital that we were currently not using. Waivers allowed use of space for not normally allowed.]]> 2022-06-23 20:41:57 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229167785 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229168111 Regional and corporate call to discuss needs - utilize each other as resources. Could share and help others as needed within system.]]> 2022-06-23 20:42:47 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229168111 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229168552 Telemedicine waiver - shift staff from outpatient/surgery to other functions to support COVID.]]> 2022-06-23 20:43:55 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229168552 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229168795 Aligned message with all hospitals. Weekly call with all hospitals. Critical at the beginning.]]> 2022-06-23 20:44:34 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229168795 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229169033 When hospitals didn't agree to follow aligned message it was a problem. One hospital would always go "rogue"]]> 2022-06-23 20:45:15 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229169033 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229169795 ESF-8 coordination.  Weekly calls, locally and across the state.
Challenge - people would make commitments and not follow through.  People who make those statements must have the authority.

]]> 2022-06-23 20:47:15 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229169795 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229170034 Capacity to take on everything that was needed.]]> 2022-06-23 20:47:46 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229170034 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229170235 Dedication to make efforts to pivot to make things work.

]]> 2022-06-23 20:48:12 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229170235 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229170748 Testing supplies and testing results coming back quickly. Didn't feel like they had a lot of support outside of system. Caused a lot of delays. Used more PPE than was necessary due to this.]]> 2022-06-23 20:49:25 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229170748 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229171001 Supplies - PPE, using garbage bags as gowns. Supplied through corporate office]]> 2022-06-23 20:50:06 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229171001 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229171902 Entered into huge contracts for PPE and now have overages or not the correct PPE that it's been a challenge to keep consistent. Was not easy to get state supply, so bought ridiculous things.]]> 2022-06-23 20:51:47 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229171902 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229172177 Did have respiratory support from MACC/MSST that was helpful]]> 2022-06-23 20:52:30 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229172177 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229172450 Management and utilization of PAPRs and supplies.]]> 2022-06-23 20:53:13 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229172450 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229173322 Trying to find placement for patients in skilled facilities.]]> 2022-06-23 20:55:16 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229173322 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229174407 Confusing in the beginning.  Documentation was difficult because the available forms did not really fit the situation.  Requirement to complete form changed as the pandemic progressed. Did not feel like they got a lot of support in the beginning, then some things came available and distribution of some supplies was a benefit.]]> 2022-06-23 20:57:39 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229174407 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229174860 Case managers valley wide were willing to share data with MSST in order to get patients moved and have situational awareness. Helped her try to help them.]]> 2022-06-23 20:58:52 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229174860 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229175563 Few times there were some difficulties getting death certificates. Some of the smaller facilities had difficulties, waiting longer sometimes for pick up. Not much of a problem.]]> 2022-06-23 21:00:57 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229175563 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229175963 Would get a call about reaching capacity, never reached point, but already had facilities set up for it even though they were never needed.]]> 2022-06-23 21:01:57 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229175963 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229176207 Plans in place for fatality management.]]> 2022-06-23 21:02:30 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229176207 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229176741 Regular communication with the team with a set agenda: labor, resources, facilities, etc. Everyone made the time to commit to it and were able to coordinate better across the system.]]> 2022-06-23 21:04:04 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229176741 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229177425 Clinical - critical care adopted best practices from east coast. First to delay intubation, prone patient, use high-flow more. Spearheaded COVID critical care protocol.]]> 2022-06-23 21:05:39 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229177425 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229178718 Surge plan - surge for every level of care. Ten-layer plan for surge. Implemented aspects throughout the pandemic. Worked well for recent surge.]]> 2022-06-23 21:08:48 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229178718 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229179356 Misinformation was detrimental to everything we did.]]> 2022-06-23 21:10:13 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229179356 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229179695 Had to put out information that is not normally put out - not a testing facility: what is urgent care/primary care/etc.]]> 2022-06-23 21:11:09 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229179695 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229180987 Home O2 paperwork and testing and specific company - took time. Did not have a lot of capability to discharge people from the ER to Home O2 so had to admit them.]]> 2022-06-23 21:14:20 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229180987 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229181400 Pathway to follow for length of stay for COVID that is similar for pneumonia. Different physicians were not following same procedure for treatment.]]> 2022-06-23 21:15:25 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229181400 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229181631 SNF/LTAC - policy or protocol to deal with patient placement after hospital care.]]> 2022-06-23 21:16:00 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229181631 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229182553 Staffing!!! Last wave - more staff got sick. Continue to see shortages. Staff turnover. Would be in trouble if patient levels got back to January 2022 level.]]> 2022-06-23 21:18:34 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229182553 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229183209 PTSD - impact staffing. Lack of resources for healthcare workers in general. Compassion fatigue, burnout.]]> 2022-06-23 21:20:06 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229183209 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229183773 mental health patients skyrocketed during shut down, especially pediatric. Tapering off now as things normalize. Overall behavioral health issues have been a problem which are leading to PTSD.]]> 2022-06-23 21:21:43 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229183773 robinson52 https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229184615 SNF capacity - suffered financially because they were providing care at an acute care level when patients could have been at a sub-acute level. Two entire units' worth of patients at one time were in acute care when not needed.]]> 2022-06-23 21:23:59 UTC https://padlet.com/navisstrategicservicesllc/kddtg4p0q6tpc2g/wish/2229184615