{"pk":20929,"title":"Interfacility Patient Transfers During COVID-19 Pandemic: Mixed-Methods Study","subtitle":null,"abstract":"<p><strong>Introduction: </strong>The United States lacks a national interfacility patient transfer coordination system. During the coronavirus 2019 (COVID-19) pandemic, many hospitals were overwhelmed and faced difficulties transferring sick patients, leading some states and cities to form transfer centers intended to assist sending facilities. In this study we aimed to explore clinician experiences with newly implemented transfer coordination centers.</p>\n<p><strong>Methods:</strong> This mixed-methods study used a brief national survey along with in-depth interviews. The American College of Emergency Physicians Emergency Medicine Practice Research Network (EMPRN) administered the national survey in March 2021. From September–December 2021, semi-structured qualitative interviews were conducted with administrators and rural emergency clinicians in Arizona and New Mexico, two states that started transfer centers during COVID-19.</p>\n<p><strong>Results:</strong> Among 141 respondents (of 765, 18.4% response rate) to the national EMPRN survey, only 30% reported implementation or expansion of a transfer coordination center during COVID-19. Those with new transfer centers reported no change in difficulty of patient transfers during COVID-19 while those without had increased difficulty. The 17 qualitative interviews expanded upon this, revealing four major themes: 1) limited resources for facilitating transfers even before COVID-19; 2) increased number of and distance to transfer partners during the COVID-19 pandemic; 3) generally positive impacts of transfer centers on workflow, and 4) the potential for continued use of centers to facilitate transfers.</p>\n<p><strong>Conclusion: </strong>Transfer centers may have offset pandemic-related transfer challenges brought on by the COVID-19 pandemic. Clinicians who frequently need to transfer patients may particularly benefit from ongoing access to such transfer coordination services.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"patient transfer"},{"word":"COVID-19"},{"word":"Rural Medicine"},{"word":"Emergency Medicine"},{"word":"qualitative"},{"word":"Pandemic"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/51f4b3qx","frozenauthors":[{"first_name":"Michael","middle_name":"B.","last_name":"Henry","name_suffix":"","institution":"Creighton University Arizona Health Education Alliance, Maricopa Emergency Medicine Residency, Phoenix, Arizona","department":""},{"first_name":"Emily","middle_name":"","last_name":"Funsten","name_suffix":"","institution":"University of New Mexico, School of Medicine, Albuquerque, New Mexico","department":""},{"first_name":"Marisa","middle_name":"A.","last_name":"Michealson","name_suffix":"","institution":"University of New Mexico, School of Medicine, Albuquerque, New Mexico","department":""},{"first_name":"Danielle","middle_name":"","last_name":"Albright","name_suffix":"","institution":"University of New Mexico, School of Medicine, Department of Emergency Medicine, Albuquerque, New Mexico","department":""},{"first_name":"Cameron","middle_name":"S.","last_name":"Crandall","name_suffix":"","institution":"University of New Mexico, School of Medicine, Department of Emergency Medicine, Albuquerque, New Mexico","department":""},{"first_name":"David","middle_name":"P.","last_name":"Sklar","name_suffix":"","institution":"University of New Mexico, School of Medicine, Department of Emergency Medicine, Albuquerque, New Mexico; Arizona State University, College of Health Solutions, Phoenix, Arizona","department":""},{"first_name":"Naomi","middle_name":"","last_name":"George","name_suffix":"","institution":"University of New Mexico, School of Medicine, Department of Emergency Medicine, Albuquerque, New Mexico","department":""},{"first_name":"Margaret","middle_name":"","last_name":"Greenwood-Ericksen","name_suffix":"","institution":"University of New Mexico, School of Medicine, Department of Emergency Medicine, Albuquerque, New Mexico","department":""}],"date_submitted":"2024-04-24T22:11:46.524000Z","date_accepted":"2024-08-22T16:38:30.665000Z","date_published":"2024-09-10T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20929/galley/26265/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20929/galley/26209/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20929/galley/26265/download/"}]}