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This quick implementation guide utilizes 7 worksheets to bring the user through the complete process of implementing policy and practice changes dealing with COVID-19. The guide provides numerous policy/practice examples from SHEA members.
Recognizing the challenges of putting outbreak response policies into practice, SHEA adapted its ORTP implementation tool kit to help facilities implement changes during COVID-19.
The COVID-19 pandemic has caused facilities to rapidly adopt new practices. These changes at times have been different than previously recommended practices, or those suggested by professional societies, agencies, or other trusted voices.
While the existence of sound recommendations contributes to the health and safety of personnel and patients, recommendations need to be translated into real-world settings, especially in the midst of turbulent conditions and the rapid pace of a pandemic.
To successfully implement practice or policy changes, leaders and decision-makers need to gain multi-level buy-in. Implementation teams help to build trust across sectors.
This section quickly goes over the Hospital Incident Command System (HICS), the hospital incident management team (HIMT), how to create an implementation team, and how they can work together during a crisis to successfully implement practices to maintain healthcare personnel and patient safety.
What needs to be accomplished? This step goes through how to apply the concept of SBAR – situation, background, assessment, recommendation/request, which prepares the epidemiologist to communicate the situation, background, and recommendation succinctly.
*Corresponds to Quick Implementation Guide Sheet 2: Stp 1 – What SBAR*
Cohesion among facility leadership and decision-makers helps reassure the workforce that a change is necessary, valid, and safe, and creates a structure to take into account stakeholders’ perspectives to be able to establish a shared point of view and purpose.
*Corresponds to Quick Implementation Guide Sheet 3: Stp 2 – Who (stakeholder, team)*
Changes succeed when they’re manageable. This section helps you identify which practice changes to prioritize based on impact and effort, how to connect with team members, prepare for your first interaction, and establish a shared mental model.
*Corresponds to Quick Implementation Guide Sheet 4: Stp 3 – How (priorities)*
Steps to attain a “win-win” solution for areas of disagreement.
*Corresponds to Quick Implementation Guide Sheet 5: Stp 4 – How (negotiation)*
Messaging and communications vehicles to get information to stakeholders and implement the change.
*Corresponds to Quick Implementation Guide Sheet 6: Stp 5 – Get the Word Out and Sheet 7: Stp 5 – Assessment Plan*
For healthcare epidemiologists, infection preventionists, and other medical professionals responding to COVID-19.
Time-sensitive news/events/alerts not included below.
Other professional societies or agencies’ statements, recommendations, and guidelines may influence stakeholders’ points of view. This is a list of COVID-19 guidelines and statements. This list is provided for the purpose of facilitating situational awareness during implementation efforts.
*It is not comprehensive and does not represent endorsement by SHEA.*