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Pediatric integrated delivery system's experience with pandemic influenza A (H1N1)

Evan S Fieldston1, Richard J Scarfone, Lisa M Biggs

  • 1Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, USA. fieldston@email.chop.edu

The American Journal of Managed Care
|November 14, 2012
PubMed

Insights

A pediatric delivery system effectively managed the 2009 H1N1 influenza pandemic using a coordinated, tiered response plan. This approach demonstrated the value of flexibility and integration in handling high patient volumes during public health emergencies.

Area of Science:

  • Public Health
  • Epidemiology
  • Healthcare Management

Background:

  • The 2009 influenza A (H1N1) pandemic presented significant challenges to healthcare systems.
  • Pediatric integrated delivery systems require robust strategies for managing surges in patient demand.

Purpose of the Study:

  • To evaluate the experience of a pediatric integrated delivery system during the 2009 H1N1 pandemic.
  • To highlight the benefits of coordination, scale, scope, and flexibility in managing high patient volumes.

Main Methods:

  • Development of a multidisciplinary, 3-tier response plan across a large, multisite pediatric delivery system.
  • Implementation of the plan to address anticipated patient volume increases during the pandemic.

Main Results:

  • Patient demand, particularly for emergency services and phone consultations, increased significantly.
  • The 3-tier plan enabled effective management of doubled patient volumes, maintaining service quality.
  • Wait times and left-without-being-seen rates indicated successful capacity-to-demand matching.

Conclusions:

  • The system's experience offers valuable lessons for healthcare organizations and policymakers on pandemic preparedness.
  • Effective pandemic response relies on tight coordination, communication, and integration, not necessarily vertical integration.
Abstract

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