Table 1.

COVID-19: Immediate Community Needs

NeedsHow Public Health and Primary Care Can Collaborate
Testing, tracking, and tracingIsolate cases and quarantine contacts to reduce transmissionExpand and link public health and primary care testingProvide patient identification, supportive treatment, and resource support for isolationEstablish contact identification and tracing and provide resource support for quarantine
Identify patients who have had COVID-19 infectionsDevelop protocols for interpreting and implementing serologic testingConduct multi-system analyses on the impact of COVID-19 infection on functional, behavioral, and financial impairment
Identify, investigate, and manage clustersUsing electronic health and public health records, identify the locations and mechanisms of infection transmissionIdentify equity-grounded strategies to address clusters
RecoveryPlan for mass immunizationStratify risk to inform vaccine distributionDeliver vaccine education by leveraging community partnershipsDistribute vaccinesIdentify immunization locations (eg, public health departments, points of dispensing, pharmacies, schools, community centers/YMCAs, and community health centers, long-term care facilities, shelters)
Community identification, creation, and engagement.Engaging patients to address ongoing needsIdentify patients in need of primary care (ie, continuous, comprehensive, coordinated, and first contact care)Provide diagnosis, treatment, and careIn-personTelehealthMobile delivery to homes
Identify patients with (or at risk of) mental, emotional, or behavioral health problemsProvide treatment and referralsDeliver suicide prevention interventionsAddress substance useTarget:Youth and young adultsElderlyOther at-risk communities including homeless, non-English speakers, refugees, migrant workers, individuals with serious mental illnesses
Integrate careIntegrate across multiple domains, including prevention, acute illness, chronic disease management, multiple chronic conditions, mental health, and family care, long-term care, assisted living.
Community leadership developmentCreate local community medical, public health leadership activitiesProvide opportunities for clinicians (Physicians, NPs, PAs) to meet regularly with public health leadershipCo-create education and community programs that would feature primary care and public health teamsPartner with medical and other health professions educational institutions to educate and train the future health workforce
  • Abbreviations: NP, nurse practitioner; PA, physician assistant; COVID-19, Coronavirus disease 2019.