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Date Event Description March 5, 2020 First case of COVID-19 in Colorado March 12, 2020 Need for new backup call system identified for both residents and faculty We needed backup providers for: • Faculty and residents who needed to minimize risk of COVID-19 exposure
• Faculty and residents who may contract the illness either from the community or work exposure
March 13, 2020 First UCH inpatient diagnosed with COVID-19 • Developed a contingency plan for our maternity care service
• Developed a contingency plan to take more adult inpatients
• Ensured PUIs would not be on our maternity care service
• Contacted both the obstetrics-gynecology and newborn nursery directors regarding the care of our moms/babies in the event of a surge of adult patients
• Contacted the clinical director of hospital medicine regarding our ability to admit more adult inpatients if needed
Enhanced resident backup call schedule finalized March 17, 2020 Faculty backup call schedule finalized 12 of our inpatient providers that had no contraindication to COVID-19 patient care/exposure divided up shifts and days so that all but 1 provider had >2 weeks off between stints and there were 2 backup providers on any given day in the event of a provider getting ill March 19 to 22, 2020 Department of family medicine sends surveys to all providers regarding clinical experience and skills A survey regarding clinical skills (most recent inpatient, ICU, obstetric experience) and availability to work in the hospital in the event of a surge to inform planning for emergency reassignment of providers March 26, 2020 Formal surge planning team created within the family medicine residency program A team of faculty and residents create a schedule to increase the capacity of our inpatient service using residents who are likely to be displaced from other rotations March 30, 2020 Phase 2 resident reassignment schedule finalized A schedule reassigning displaced residents into the UCH FM hospital schedule to increase capacity and create learning experiences was generated April 6, 2020 • Resident reassignment schedule implemented
• OB and pediatrics assume care of FM maternity care service
• FM capacity increased from 12 to 24 patients
April 10, 2020 FM A becomes a dedicated COVID-19 team UCH, University of Colorado Hospital; PUI, person under investigation; OB, obstetrics; FM, family medicine.
