Abstract

In response to the rapid spread of novel coronavirus disease 2019 (COVID-19), health-care systems should establish procedures for early recognition and management of suspected or confirmed cases. We describe the various steps taken for the development, implementation, and dissemination of the interdisciplinary COVID-19 protocol at Jackson Health System (JHS), a complex tertiary academic health system in Miami, Florida. Recognizing the dynamic nature of COVID-19, the protocol addresses the potential investigational treatment options and considerations for special populations. The protocol also includes infection prevention and control measures and routine care for suspected or proven COVID-19 patients.

Highlights

  • In response to the rapid spread of novel coronavirus disease 2019 (COVID-19), health-care systems should establish procedures for early recognition and management of suspected or confirmed cases

  • 65,735 deaths have been reported in the United States due to COVID-19.2

  • Due to the dynamic nature of COVID-19, the protocol has evolved, incorporating frequent updates and guidance as more is learned about this pandemic

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Summary

Introduction

In response to the rapid spread of novel coronavirus disease 2019 (COVID-19), health-care systems should establish procedures for early recognition and management of suspected or confirmed cases. At JHS, the clinical and administrative leadership recognized early on the necessity for a comprehensive COVID-19 protocol and response team that could standardize communication, education, and preventive process measures across the diverse and complex health system. Their efforts, along with the work and research of the JHS Antimicrobial Stewardship Team (AST) for the investigational treatment protocol, and the Infection Prevention team, led to the quick development and dissemination of a clinical protocol. The most recent version of our protocol is available.[4]

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