{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:31:11Z","timestamp":1777681871315,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Security"],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:p>The Sudan virus disease outbreak in 2022 prompted the Denver Health High-Risk Infection Team (HITeam) to evaluate and implement novel strategies to respond to viral hemorrhagic fever (VHF) events. To improve the VHF response, HITeam members developed a virtual assessment model (VAM) for at-home evaluation of individuals who are suspected of having a VHF. The VAM incorporates aspects of care that would normally be rendered in a high-level isolation unit\u2014including assessment and monitoring, specimen collection, provider consultation, patient and family teaching, and pharmaceutical intervention\u2014into a mobile framework in which team members respond to a suspected case at the individual\u2019s home. Building this capability allows for more thorough assessment of a suspect case in the field, as well as the postponement of a decision about activation of the high-level isolation unit until more information is available. Development, testing, and implementation of the VAM required input from an interdisciplinary group of partners that demonstrated the ability of nurses, physicians, laboratorians, paramedics, emergency medical technicians, and public health personnel to integrate into 1 cohesive care team. The resulting model recenters VHF care on the patient by allowing the care team to gather critical information in an environment that is more comfortable for the suspect case while keeping communities safe and lowering exposure risks. The VAM has long-term sustainability implications for global VHF programs and provides solutions for broader challenges in healthcare by modeling cost-effective, patient-centered care within the highly nuanced subspecialty of special pathogen care.<\/jats:p>","DOI":"10.1089\/hs.2023.0157","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T12:14:31Z","timestamp":1723551271000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Virtual Assessment Model for At-Home Evaluation of Suspected Viral Hemorrhagic Fever Cases"],"prefix":"10.1177","volume":"22","author":[{"given":"Jacob","family":"Wiersch","sequence":"first","affiliation":[{"name":"Jacob Wiersch, MHA, is a Program Manager, Disaster Health;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Lenz","sequence":"additional","affiliation":[{"name":"Elizabeth Lenz, NREMT-P, is Operations Captain, Paramedics;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Medero","sequence":"additional","affiliation":[{"name":"Kelly Medero, DNP, RN, MSN, CCRN, NE-BC, is Director, Critical Care;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Sorenson","sequence":"additional","affiliation":[{"name":"Adam Sorenson, BSN, is a Nurse Educator, Biocontainment Unit;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Fray","sequence":"additional","affiliation":[{"name":"Jacob Fray, MLS, CM, MHA, is a Point of Care Supervisor, Laboratory;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Angell","sequence":"additional","affiliation":[{"name":"Kim Angell, MLS (ASCP), MBA, is High-Risk Pathogen Lab Coordinator, Laboratory;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7900-1625","authenticated-orcid":false,"given":"Caroline C.","family":"Persson","sequence":"additional","affiliation":[{"name":"Caroline C. 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Frank, MD, is Medical Director, Biocontainment Unit, Department of Medicine; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Connie Savor","family":"Price","sequence":"additional","affiliation":[{"name":"Connie Savor Price, MD, MBA, is Chief Medical Officer and Principal Investigator, Department of Medicine; all at Denver Health and Hospital Authority, Denver, CO."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,11]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2023-012037"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/hs.2021.0188"},{"key":"e_1_3_2_4_2","unstructured":"National Emerging Special Pathogens Training and Education Center (NETEC). National Special Pathogen System (NSPS) Strategy Summary. Atlanta: NETEC; 2024. 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