RT Journal Article
SR Electronic
T1 Developing new models of care at speed: learning from healthcare redesign for children with COVID-related multisystem inflammation
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 528
OP 532
DO 10.1136/archdischild-2020-320358
VO 106
IS 6
A1 C Ronny Cheung
A1 Anna Finnemore
A1 Jennifer Handforth
A1 Richard Bohmer
A1 Nanna Christiansen
A1 Owen Miller
A1 ,
YR 2021
UL http://adc.bmj.com/content/106/6/528.abstract
AB This article describes the rapid, system-wide reconfiguration of local and network services in response to the newly described paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) (also known as multisystem inflammatory syndrome in children). Developing the model of care for this novel disease, whose natural history, characteristics and treatment options were still unclear, presented distinct challenges.We analyse this redesign through the lens of healthcare management science, and outline transferable principles which may be of specific and urgent relevance for paediatricians yet to experience the full impact of the COVID-19 pandemic; and more generally, for those developing a new clinical service or healthcare operating model to manage the sudden emergence of any unanticipated clinical entity. Health service leaders in areas where COVID-19 is, or will soon be, in the ascendancy, and who are anticipating the imminent influx of PIMS-TS, should use these principles and recommendations to plan an agile, responsive and system-wide model of care for these children.Data are available upon reasonable request. No patient clinical data, identifiable or otherwise, were involved in drafting the paper. Data relating to development of the service described in the paper are available from the corresponding author upon reasonable request.