Pandemic Response to COVID-19: Lessons from Restructuring Breast Imaging at a Multi-site Academic Center in New York...

Area of Science:

• Healthcare Management
• Radiology
• Public Health

Background:

• The COVID-19 pandemic significantly disrupted healthcare delivery, necessitating resource reallocation and workflow modifications.
• Breast imaging services experienced a reduction during the pandemic's acute phase, followed by a phased reopening with enhanced safety measures.

Purpose of the Study:

• To review practical strategies for restructuring breast imaging workflow, onsite policies, and staffing during the COVID-19 pandemic.
• To provide a roadmap for managing breast imaging services during future crises based on experiences at a New York City academic center.

Main Methods:

• Development of protocols for limited breast imaging services during the acute pandemic phase.
• Implementation of modified protocols for safe reopening and continued service delivery.
• Case examples illustrating workflow modifications for breast cancer diagnosis during the pandemic.

Main Results:

• Protocols were successfully devised and implemented for both the acute and post-acute phases of the pandemic.
• Modified workflows facilitated the diagnosis of breast cancers even during the acute phase.
• The strategies allowed for the safe reopening and continuation of essential breast imaging services.

Conclusions:

• Restructuring breast imaging workflow, policies, and staffing are crucial for navigating healthcare crises.
• Sharing practical strategies can guide other institutions in managing breast imaging services during unforeseen events.
• The presented roadmap offers valuable insights for maintaining breast cancer screening and diagnostic services during public health emergencies.