Developing new models of care at speed: learning from healthcare redesign for children with COVID-related multisystem inflammation

This article describes the rapid, system-wide reconfiguration of local and network services in response to the newly described paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) (also known as multisystem inflammatory syndrome in children). Developing the mo...

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Bibliographic Details
Published in:	Archives of disease in childhood Vol. 106; no. 6; pp. 528 - 532
Main Authors:	Cheung, C Ronny, Finnemore, Anna, Handforth, Jennifer, Bohmer, Richard, Christiansen, Nanna, Miller, Owen, Kenny, Julia, Watterson, Claire, Meesters, Kevin, Fogarty, Mary-Jo, Broad, Jonathan, White, Marie, Blackburn, Frances, Parish, Emma, Tiesman, Bianca, Trecchi, Nadia, Jackman, John, Butler, Mark, Ramachandran, Rohana, Roueche, Alice, Macaulay, Chloe, Montgomery, Felicity, Shivamurthy, Vinay, Wilkinson, Nick, Brighouse, James, Arenas, Sara, Wan, Mandy, Mathur, Sujeev, Wong, James, Theocharis, Paraskevi, Stewart, Kirsty, Kabir, Saleha, Peacock, Kelly, Pushparajah, Kuberan, Savis, Alex, Regan, Will, Pascall, Emma, Cleary, Aoife, Uy, Mirasol, Heard, Hannah, Carter, Michael, Tibby, Shane, Lillie, Jon, Riphagen, Shelley, MacDougall, Marilyn, Ben Griffths, Xabi Gomez, Waters, Gareth, Minen, Federico, Nyman, Andrew, Goulden, Miriam Fine, Sa, Mario, Lim, Ming, Bryne, Susan, Cadwgan, Jill, Lim, JP, Singh, Rahul, Tang, Shan, Lumsden, Dan, Senior, Sam, McMurtrie, Sarah, Norridge, Matthew, Emberson, Stephanie, Marr, Stacey, Felton, Victoria, Reid, Chris, Adalat, Shazia, Balasubramanian, Ramnath, Jones, Helen, Alamelu, Jay, Insua, Baba, Jeff, Jo Howard, Rees, David, Cheung, Moira, Santos, Rui, Jogeesvaran, Haran, Elbaaly, Heba, Reid, Catriona, Durve, Dipalee, Flohr, Carsten, Greenblatt, Danielle, Psomadakis, Cristina, Craythorne, Emma, Albert, Vanessa, Yardley, Iain, Brennan, Kirsty, Wolfe, Ingrid, Forman, Julia, Ben Baig, Deborah Woodman, Coniff, Harriet, Gordon, Anne, Taylor, Dan, Woude, Olga van der, McIntosh, Alysha
Format:	Journal Article
Language:	English
Published:	England BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01-06-2021 BMJ Publishing Group LTD
Subjects:	Cardiology Children Collaboration COVID-19 Critical care Documentation Evidence Health care Health Personnel Health services health services research Hospitals Inflammation information technology Intensive care Labor Force Medical personnel Meetings Multisystem inflammatory syndrome in children Networks Nursing Pandemics Patient care planning Patients Pediatrics Professionals Referral Resistance (Psychology) Review Scientific Methodology Severe acute respiratory syndrome coronavirus 2 Teams Workforce Workforce planning United Kingdom > UK England information technology health services research
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Summary:	This article describes the rapid, system-wide reconfiguration of local and network services in response to the newly described paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) (also known as multisystem inflammatory syndrome in children). Developing the model of care for this novel disease, whose natural history, characteristics and treatment options were still unclear, presented distinct challenges.We analyse this redesign through the lens of healthcare management science, and outline transferable principles which may be of specific and urgent relevance for paediatricians yet to experience the full impact of the COVID-19 pandemic; and more generally, for those developing a new clinical service or healthcare operating model to manage the sudden emergence of any unanticipated clinical entity. Health service leaders in areas where COVID-19 is, or will soon be, in the ascendancy, and who are anticipating the imminent influx of PIMS-TS, should use these principles and recommendations to plan an agile, responsive and system-wide model of care for these children.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0003-9888 1468-2044
DOI:	10.1136/archdischild-2020-320358