{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:14:38Z","timestamp":1772151278713,"version":"3.50.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T00:00:00Z","timestamp":1586304000000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003UW Medicine was one of the first health systems to encounter and treat COVID-19 patients in the United States, starting in late February 2020.<\/jats:p><jats:p>\n          Objective\u2003Here we describe the rapid rollout of capabilities by UW Medicine Information Technology Services (ITS) to support our clinical response to the COVID-19 pandemic and provide recommendations for health systems to urgently consider, as they plan their own response to this and potentially other future pandemics.<\/jats:p><jats:p>\n          Methods\u2003Our recommendations include establishing a hospital incident command structure that includes tight integration with IT, creating automated dashboards for incident command, optimizing emergency communication to staff and patients, and preparing human resources, security, other policies, and equipment to support the transition of all nonessential staff to telework.<\/jats:p><jats:p>We describe how UW Medicine quickly expanded telemedicine capabilities to include most primary care providers and increasing numbers of specialty providers. We look at how we managed expedited change control processes to quickly update electronic health records (EHR) with new COVID-19 laboratory and clinical workflows. We also examine the integration of new technology such as tele\u2013intensive care (ICU) equipment and improved integration with teleconferencing software into our EHR. To support the rapid preparation for COVID-19 at other health systems, we include samples of the UW Medicine's COVID-19 order set, COVID-19 documentation template, dashboard metric categories, and a list of the top 10 things your health care IT organization can do now to prepare.<\/jats:p><jats:p>\n          Conclusion\u2003The COVID-19 response requires new and expedited ways of approaching ITS support to clinical needs. UW Medicine ITS leadership hope that by quickly sharing our nimble response to clinical and operational requests, we can help other systems prepare to respond to this public health emergency.<\/jats:p>","DOI":"10.1055\/s-0040-1709715","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T23:24:28Z","timestamp":1586388268000},"page":"265-275","source":"Crossref","is-referenced-by-count":126,"title":["Responding to COVID-19: The UW Medicine Information Technology Services Experience"],"prefix":"10.1055","volume":"11","author":[{"given":"Elisha S.","family":"Grange","sequence":"additional","affiliation":[{"name":"Department of Information Technology Services, UW Medicine, Seattle, Washington, United States"}]},{"given":"Eric J.","family":"Neil","sequence":"additional","affiliation":[{"name":"Department of Information Technology Services, UW Medicine, Seattle, Washington, United States"}]},{"given":"Michelle","family":"Stoffel","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, University of Washington, Seattle, Washington, United States"},{"name":"Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington, United States"}]},{"given":"Angad P.","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Information Technology Services, UW Medicine, Seattle, Washington, United States"},{"name":"Department of Family Medicine, University of Washington, Seattle, Washington, United States"}]},{"given":"Ethan","family":"Tseng","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington, United States"},{"name":"Department of Emergency Medicine, University of Washington, Seattle, Washington, United States"}]},{"given":"Kelly","family":"Resco-Summers","sequence":"additional","affiliation":[{"name":"Department of Information Technology Services, UW Medicine, Seattle, Washington, United States"}]},{"given":"B. Jane","family":"Fellner","sequence":"additional","affiliation":[{"name":"Department of Information Technology Services, UW Medicine, Seattle, Washington, United States"},{"name":"Department of Family Medicine, University of Washington, Seattle, Washington, United States"}]},{"given":"John B.","family":"Lynch","sequence":"additional","affiliation":[{"name":"Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, Washington, United States"}]},{"given":"Patrick C.","family":"Mathias","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, University of Washington, Seattle, Washington, United States"},{"name":"Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington, United States"}]},{"given":"Kristal","family":"Mauritz-Miller","sequence":"additional","affiliation":[{"name":"Department of Information Technology Services, UW Medicine, Seattle, Washington, United States"}]},{"given":"Paul R.","family":"Sutton","sequence":"additional","affiliation":[{"name":"Department of Information Technology Services, UW Medicine, Seattle, Washington, United States"},{"name":"Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, Washington, United States"}]},{"given":"Michael G.","family":"Leu","sequence":"additional","affiliation":[{"name":"Department of Information Technology Services, UW Medicine, Seattle, Washington, United States"},{"name":"Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington, United States"},{"name":"Department of Pediatrics, University of Washington, Seattle, Washington, United States"},{"name":"Seattle Children\u2019s Hospital, Seattle, Washington, United States"}]}],"member":"194","published-online":{"date-parts":[[2020,4,8]]},"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1709715.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T13:18:56Z","timestamp":1588684736000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1709715"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2020,3,18]]},"published-print":{"date-parts":[[2020,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1709715","relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}