Real-Time Coordination of the Regional Health System During the Pandemic

The 2019 coronavirus disease (COVID-19) pandemic is an enormous challenge for health care systems, with great impact on hospital response. 1 Advanced organization based on hospital alliances and consistent coordination among different levels is essential to handle high influx scenarios and expand surge capacity of the entire health system. 2-4 This paper describes the experience of the real-time coordination of the Tuscany region, Italy, a network of 43 hospitals with a total availability of approximately 11 000 beds, during the COVID-19 pandemic, through the use of a novel computerized operational tool (COV19-OT). [...]line additional beds (over 120 hours) The section includes fields for additional resources needed to increase number of beds available, such as critical care resources (ventilators, monitors, etc.). Intensive/non-intensive bed occupancy ratio M - D V V - D V (p) V V V - D 7 Graphs Graphical visualization of all data trends listed in section 6 M V V V (p) V V V 8 Technical and logistic Tracking tool for medical devices and equipment (eg, critical care resources) managed by technical and logistics department available to bolster hospital response I - V - M - D I – V - M NV NV NV I - V - M - D NV 9 File manager Collection of files on procedures, protocols, regulations, guidelines I - V - M - D I - V - M - D NV NV NV NV NV 10 Contacts Address book I - V - M - D I - V - M - D NV V NV V NV Notes: User profile: (1) COV19-OT developer, (2) Regional Operation Centre operators (ROC), (3) Regional Disaster Response coordinators (RDRC), (4) Hospital and health care facility referents* (5) Health care company managers, (6) Technical and logistics department referents, (7) Data managers/Regional civil protection referents User permission: I = insert data; V = view data; V(p) = partial view data; M = modify; D = download data; NV = not visible (*only for own structure/service).