Member Frontline Tactics

While Americans are called to socially distance themselves, AMGA believes connectedness is the U.S. healthcare community’s key to prevailing over the novel coronavirus (COVID-19) pandemic. To promote sharing of resources, tactics, and best practices by frontline health providers, AMGA has compiled a selection of operational, clinical management, and administrative guidelines, lessons learned, and tools used by AMGA member medical groups and health systems. Included is guidance specifically for leadership roles responding to COVID-19, including CEOs, CMOs, CFOs, COOs, and HR professionals.

Clinical Issues

University of California San Diego: COVID-19questions.org Clinical Data Consult Portal (R2D2 Consortium 9/17/20 [announcement])
Updated Visitor Policies: AMGA CMO Council Discussion Summary (August 4, 2020)
Council members discuss visitor policies in light of the resurgence of COVID-19.
Alternative Work Hours: AMGA CMO Council Discussion Summary (August 4, 2020)
Council members discuss alternative schedules for physicians and providers to address childcare related to schools maintaining distance learning.
Fall Planning for COVID-19 and Flu Clinics: AMGA CEO and CMO Council Discussions Summary (July 31, 2020)
Council members discuss planning for the flu season and how they are adapting.
Testing Asymptomatic Workers: AMGA CMO Council Discussion Summary (July 6, 2020)
Council members discuss how they address testing and retesting of asymptomatic healthcare workers.
Managing Telehealth Workflows: AMGA CMO Council Discussion Summary (May 26, 2020)
Council members discuss how they address technical issues that interfere with telehealth appointments.
Case Study: How a Physician Group Rapidly Deployed a Successful Telehealth Program in Response to the COVID-19 Pandemic (May 12, 2020)
Crystal Run Healthcare CQO Dr. Scott Hines shares their strategy for rapid deployment of a telehealth program, including revising workflows, sharing data, and choosing physician champions.
Pros and Cons of Video Visit Platforms: CMO Council Summary (April 16, 2020)
Council members share experiences with platforms used for video visits, including Zoom, Doximity, doxy.me, and Facetime.
Staffing Telehealth Visits from Home: CMO Council Summary (April 15, 2020)
Council members share protocols and workflows for providers who are working from home. Sample Policy: Remote Provider Telecommuting (Work from Home) for Telehealth Visits
PPE Protocols at Respiratory Clinics and Reopened Ambulatory Sites: CMO Council Summary (April 13, 2020)
Council members share approaches to use of PPE, including N95, masks, gloves, and face shields, in dedicated respiratory clinics and reopened ambulatory sites.
Telehealth Reporting and Staffing: CMO Council Discussion Summary (April 12, 2020)
Council members share approaches to report patient-reported vitals during telehealth visits, as well as staffing issues related to telehealth, including processes, rotation, and physicians conducting telehealth from their homes.
Return to Work Using Non-Test-Based Strategies: CMO Council Summary (April 10, 2020)
Given limits on COVID-19 diagnostic testing capacity, council members discuss using “non-test-based strategies” to recommend when employees should stay home and when it is safe to return to work. Sample return to work letter.
Response at the Epicenter: Quality Council Presentation Summary (March 27, 2020)
Quality leaders from Summit Medical Group – City MD and Crystal Run Healthcare describe being in the epicenter of the pandemic and share strategies, including telehealth, patient triage, staff redeployment, inpatient surge, and future planning, as well as PPE, compensation, and staff wellness
Clinical Guidelines for Ambulatory Assessment: CEO Council Discussion Summary (March 24, 2020)
Council members share approaches to detailed service scripting and clinical guidelines on the approach to ambulatory assessment of influenza-like illness, including patient and employee testing, education, telehealth, and pandemic response centers
Clinic Consolidation and Patient Triage: CMO Council Discussion Summary (March 24, 2020)
Council members share approaches to consolidating primary care clinics, triage, and respiratory clinics
Clinical Staffing Approaches for COVID-19: CMO Council Discussion Summary (March 24, 2020)
Council members share approaches to overstaffing including staff rotation, redeployment, shifting to telehealth, new roles for physicians, and compensation adjustments
APP Deployment for COVID-19: CMO Council Discussion Summary (March 22, 2020)
Council members share approaches to the deployment of vulnerable APPs during the pandemic
Testing Procedures for COVID-19: CMO Council Presentation and Discussion Summary (March 20, 2020)
Crystal Run Healthcare Chief Transformation Officer Dr. Jonathan Nasser shares strategies for testing for COVID-19, including creating outside evaluation centers, workflows for evaluation and labs, supplies, and drive-in clinics
- Crystal Run Healthcare Evaluation Workflow
- Crystal Run Healthcare Patient Information Sheet for Testing
Handling Clinical Staff with URI Symptoms but No Known Exposure CMO Council Discussion Summary (March 18, 2020)
Council members share how they’re handling staff (doctors and clinical staff) with URI symptoms without known exposure, including testing and quarantine.
Staffing and Clinical Teams for COVID-19: CMO Council Discussion Summary (March 18, 2020)
Council members share approaches to staffing and office teams
New Procedures for Managing Patients and Providers in Response to Coronavirus: CMO Council Discussion Summary (March 17, 2020)
Council members share how they’re addressing triage, patient management, telephone visits, and provider compensation issues

Operations

Post-Pandemic Predictions: CareMount Medical President and CEO Scott Hayworth (August 2020) In this Group Practice Journal interview, CEO Dr. Scott Hayworth explains how CareMount is optimizing care delivery during COVID-19 and makes predictions for the future of health care.
Five Strategies for Restarting Elective Surgeries after COVID-19 (Aug. 10, 2020)
Orthopedic surgeon Amit Jain and colleagues at Johns Hopkins outline strategies for hospitals to meet clinical, financial, and ethical goals when restarting elective surgeries.
Health System CEO Outlines Seven Lessons Learned from the Pandemic (July 20, 2020)
Intermountain Healthcare CEO Marc Harrison outlines lessons from the pandemic to improve patient care, including harnessing technologies like telehealth more aggressively and putting more emphasis on prevention.
How Geisinger Health System Is Transforming in Response to COVID-19 (June 11, 2020)
Geisinger executives outline post-crisis planning efforts, including improved surveillance systems to detect a possible second wave of COVID-19 infections.
Telehealth: COO Council Presentation Summary (June 9, 2020)
Council members discuss the use of telehealth in response to the COVID-19 pandemic.
Staffing Entrances: COO/CAO CouncilDiscussion Summary (June 2, 2020)
Council members discuss how they address staffing entrances to medical facilities.
On the Front Lines: Responding to the COVID-19 Crisis (June 2020)
Group Practice Journal article highlights how AMGA members responded quickly to the pandemic by delivering coordinated, high-quality, and efficient care.
Analysis: PPE Supply and Demand May Delay Reopening (May 21, 2020)
Pulse survey reveals healthcare providers still struggling to gain equipment
Resuming Elective and Non-emergent Procedures: CAO/COO Council Summary (April 30, 2020)
Council members share approaches to reopening ambulatory and surgical services as COVID-19 cases plateau and fall, including how they will ramp up, the role of virtual visits now and in the future, capacity planning, reengaging furloughed providers, testing procedures, patient communications, and post-COVID changes to how health care is delivered.
Receiving Federal Funds and Telehealth Issues: CFO Council Summary (April 22, 2020)
Council members explore questions related to federal COVID-19 funds available to medical groups and health systems and telehealth issues, including platforms and plans for use of televisits post pandemic.
Preparing for the Surge and the Recovery: CAO/COO Council Presentation (April 17, 2020)
Holzer Health System COO Todd Fowler shares how his organization is preparing for the COVID-19 surge and planning recovery, including reopening, telemedicine, ambulatory and inpatient care, population health, screening, compensation, and ramping up services.
AMGA: Physician Compensation Considerations amid the COVID-19 Pandemic (March 27, 2020)
AMGA Consulting provides practical operational responses to the impact of the virus on provider compensation and staffing, including scenarios where revisions to compensation models may be appropriate.
Operations: Protocols and best practices for addressing COVID-19 in the hospital setting (March 26, 2020)
The EvergreenHealth Hospitalist group in Washington state offers critical early lessons learned from managing many of the first COVID-19 patients hospitalized in the U.S.
Operations: Staying Open as COVID-19 Nears Peak: CEO Council Presentation Summary (March 25, 2020)
Anthony Viceroy, CEO, Westmed Medical Group, shares how his group is navigating the pandemic as it reaches peak stage in their area, including leadership, inventory management, staffing, vendor relations, employee wellness and deployment, and compensation
Operations: Shifting HR Policies During the COVID-19 Pandemic Presentation to CHRO Council (March 25, 2020)
Leaders from Crystal Run Healthcare share how they are shifting HR policies as they move to the acute hospital phase of their response, including hospital surge planning, testing, communications, employee health, staff reduction, compliance with changing laws, pay policies, credentialing, benefits, workers comp, and expenses in labor and materials.
Playbook: Expanding ICU and Medical/Surgical/Telemetry Capacity, Kaiser Permanente Northern California (March 24, 2020)
AMGA: COVID-19: Immediate Action Steps from the Front Lines (March 20, 2020)
Members give some tips for what they are doing and what you should be doing
Operations: CAO/COO Planning for COVID-19 Presentation to CAO/COO Council (March 20, 2020)
The Polyclinic COO Anita Geving shares how her organization is dealing with screening, segregation, PPE and supply shortages, testing challenges, telehealth, and staffing and access during the onset of COVID-19
Playbook: Viral Control Mitigation Phase, Kaiser Permanente Northern California (March 18, 2020)
Operations: Provider Compensation Approaches to COVID-19 CFO Council Discussion Summary (March 18, 2020)
Council members share strategies for provider compensation (both salaried/guaranteed and productivity-based) as elective procedures are cancelled, departments close, and schedules are cleared during COVID-19
Human Resources: Coronavirus Impact on HR Policies: CHRO Council Discussion Summary (March 18, 2020)
Council members share policies for pay, leave, and child care for employees affected by COVID-19
Operations: CEO Planning for COVID-19 Presentation to CEO Council (March 17, 2020)
Sutter Health leaders share how different parts of their organization are addressing the COVID pandemic, including communications strategies and decision-making, segregating providers who have had contact with the virus and quarantine, PPE management, staff reassignment, triage, telehealth, rescheduling appointments, child care, lab backlogs, and provider compensation
Operations: New Procedures in Response to Coronavirus: CAO/COO Council Discussion Summary (March 14, 2020)
Council members share new procedures for responding to COVID-19

If you have any contributions to share or want to suggest a topic area, please contact AMGA.

Member Frontline Tactics

Clinical Issues

Operations

Patient, Provider Communications and Resources

Specific Guidance

Tools