https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv Hospital CEO Interview #2 follow up en-us 2022-06-23 22:15:50 UTC 2022-06-23 22:15:51 UTC hello@padlet.com navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204759 Misinformation was detrimental to everything we did.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204759 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204760 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204760 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204761 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204761 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204762 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204762 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204763 Capacity to take on everything that was needed.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204763 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204764 Dedication to make efforts to pivot to make things work.

]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204764 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204765 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204765 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204766 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204766 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204767 Did have respiratory support from MACC/MSST that was helpful]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204767 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204768 Confusing in the beginning. Documentation was difficult. Things changed in the middle, but didn't feel like they got a lot of support in the beginning.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204768 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204769 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204769 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204770 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204770 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204771 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204771 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204772 SNF/LTAC - policy or protocol to deal with patient placement after hospital care.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204772 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204773 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204773 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204774 PTSD - impact staffing. Lack of resources for healthcare workers in general. Compassion fatigue, burnout.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204774 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204775 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204775 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204776 Management and utilization of PAPRs and supplies.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204776 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204777 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204777 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204778 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204778 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204779 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204779 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204780 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204780 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204781 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 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204781 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204782 Plans in place for fatality management.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204782 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204783 Space - utilize areas in the hospital that we were currently not using. Waivers allowed use of space for not normally allowed.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204783 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204784 Regional and corporate call to discuss needs - utilize each other as resources. Could share and help others as needed within system.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204784 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204785 Telemedicine waiver - shift staff from outpatient/surgery to other functions to support COVID.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204785 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204786 Aligned message with all hospitals. Weekly call with all hospitals. Critical at the beginning.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204786 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204787 When hospitals didn't agree to follow aligned message it was a problem. One hospital would always go "rogue"]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204787 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204789 Supplies - PPE, using garbage bags as gowns. Supplied through corporate office]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204789 navisstrategicservicesllc https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204790 Trying to find placement for patients in skilled facilities.]]> 2022-06-23 22:15:50 UTC https://padlet.com/navisstrategicservicesllc/xntpfc5uivc62udv/wish/2229204790