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10.1007/s11606-020-05981-1

http://scihub22266oqcxt.onion/10.1007/s11606-020-05981-1
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32720239!7384553!32720239
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suck abstract from ncbi


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pmid32720239      J+Gen+Intern+Med 2020 ; 35 (10): 3077-3080
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  • Primary Care Population Management for COVID-19 Patients #MMPMID32720239
  • Blazey-Martin D; Barnhart E; Gillis J Jr; Vazquez GA
  • J Gen Intern Med 2020[Oct]; 35 (10): 3077-3080 PMID32720239show ga
  • BACKGROUND: Most patients infected with SARS-CoV-2 have mild to moderate symptoms manageable at home; however, up to 20% develop severe illness requiring additional support. Primary care practices performing population management can use these tools to remotely assess and manage COVID-19 patients and identify those needing additional medical support before becoming critically ill. AIM: We developed an innovative population management approach for managing COVID-19 patients remotely. SETTING: Development, implementation, and evaluation took place in April 2020 within a large urban academic medical center primary care practice. PARTICIPANTS: Our panel consists of 40,000 patients. By April 27, 2020, 305 had tested positive for SARS-CoV-2 by RT-qPCR. Outreach was performed by teams of doctors, nurse practitioners, physician assistants, and nurses. PROGRAM DESCRIPTION: Our innovation includes an algorithm, an EMR component, and a twice daily population report for managing COVID-19 patients remotely. PROGRAM EVALUATION: Of the 305 patients with COVID-19 in our practice at time of submission, 196 had returned to baseline; 54 were admitted to hospitals, six of these died, and 40 were discharged. DISCUSSION: Our population management strategy helped us optimize at-home care for our COVID-19 patients and enabled us to identify those who require inpatient medical care in a timely fashion.
  • |Academic Medical Centers[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/epidemiology/*therapy[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/epidemiology/*therapy[MESH]
  • |Primary Health Care/*organization & administration[MESH]
  • |Program Development[MESH]
  • |Program Evaluation[MESH]
  • |SARS-CoV-2[MESH]


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