Military Response to Medical Crises - Consensus Recommendations for Military-Civilian Transitions of Care

Craig Goolsby, Keke Schuler, Laura Tilley, Alexis Zebrowski, Nicole Dacuyan-Faucher, Claire Kim, Michael Redlener

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: The threat that New York faced in 2020, as the COVID-19 pandemic unfolded, prompted an unprecedented response. The US military deployed active-duty medical professionals and equipment to NYC in a first of its kind response to a medical domestic disaster. Transitions of care for patients surfaced as a key challenge. Uniformed Services University and the Icahn School of Medicine at Mount Sinai hosted a consensus conference of civilian and military healthcare professionals to identify care transition best practices for future military-civilian responses. Methods: We performed individual interviews followed by a modified Delphi technique during a two-day virtual conference. Patient transitions of care emerged as a key theme from pre-conference interviews. Twelve participants attended the two-day virtual conference and generated best practice recommendations from an iterative process. Results: Participants identified 19 recommendations in 10 sub-themes related to patient transitions of care: needs assessment and capability analysis; unified command; equipment; patient handoffs; role of in-person facilitation; dynamic updates; patient selection; patient tracking; daily operations; and resource typing. Conclusions: The COVID-19 pandemic resulted in an unprecedented military response. This study created 19 consensus recommendations for care transitions between military and civilian healthcare assets that may be useful in future military-civilian medical engagements.

Original languageEnglish
Article numbere281
JournalDisaster Medicine and Public Health Preparedness
Volume17
Issue number11
DOIs
StatePublished - 12 Dec 2023

Keywords

  • civil defense
  • disaster medicine
  • military medicine
  • pandemics

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