Long-Term Acute Care Hospitals Extend ICU Capacity for COVID-19 Response and Recovery

Chest. 2021 May;159(5):1894-1901. doi: 10.1016/j.chest.2020.12.001. Epub 2020 Dec 10.

Abstract

The COVID-19 pandemic has presented novel challenges for the entire health-care continuum, requiring transformative changes to hospital and post-acute care, including clinical, administrative, and physical modifications to current standards of operations. Innovative use and adaptation of long-term acute care hospitals (LTACHs) can safely and effectively care for patients during the ongoing COVID-19 pandemic. A framework for the rapid changes, including increasing collaboration with external health-care organizations, creating new methods for enhanced communication, and modifying processes focused on patient safety and clinical outcomes, is described for a network of 94 LTACHs. When managed and modified correctly, LTACHs can play a vital role in managing the national health-care pandemic crisis.

Keywords: critical care; health-care utilization; mechanical ventilation.

Publication types

  • Review

MeSH terms

  • COVID-19 / epidemiology
  • COVID-19 / therapy
  • Critical Care / methods*
  • Duration of Therapy
  • Humans
  • Intensive Care Units* / organization & administration
  • Intensive Care Units* / trends
  • Long-Term Care* / methods
  • Long-Term Care* / organization & administration
  • Long-Term Care* / trends
  • Organizational Innovation
  • SARS-CoV-2