Covid-19 Clinical Rounds One Year + 24 HRS

Covid-19 Clinical Rounds One Year 24 HRS

Covid-19 Clinical Rounds Who, What, When, Where, Why

Covid-19 Clinical Rounds Who

Collaborating Organizations

Overall Credentials 3/31/20 – 2/25/21 Overall Credentials PhD/PharmD 0 MPH/MA/MBA/ MS/MHS 0 Other 0 EMT/ Paramedic/ Firefighter 0 MD/DO 0 RN/BSN/MSN/ APRN/NP/PA 0 Credentials Totals EMT/Paramedic/Firefighter 13,219 RN/BSN/MSN/APRN/NP/PA 11,286 MD/DO 8,018 Other 2,875 PhD/PharmD 2,226 MPH/MA/MBA/MS/MHS 1,933

Critical Care Sessions Critical Care Credentials MPH/MA/MBA/MS/MHS 0 PhD/PharmD 0 Other 0 MD/DO 0 EMT/ Paramedic/ Firefighter 0 RN/BSN/MSN/APRN/ NP/PA 0 Credentials Totals EMT/Paramedic/Firefighter 2,774 RN/BSN/MSN/APRN/NP/PA 3,485 MD/DO 3,283 Other 845 PhD/PharmD 762 MPH/MA/MBA/MS/MHS 506

EMS Sessions EMS Credentials PhD/PharmD 0 MPH/MA/MBA/MS/MHS 0 Other 0 MD/DO 0 EMT/ Paramedic/ Firefighter 0 RN/BSN/MSN/ APRN/NP/PA 0 Credentials Totals EMT/Paramedic/Firefighter 6,726 RN/BSN/MSN/APRN/NP/PA 2,983 MD/DO 2,113 Other 899 PhD/PharmD 518 MPH/MA/MBA/MS/MHS 633

Emergency Department Sessions Emergency Department Credentials PhD/PharmD 0 Other 0 MPH/MA/MBA/ MS/MHS 0 EMT/ Paramedic/ Firefighter 0 MD/DO 0 RN/BSN/MSN/ APRN/NP/PA 0 Credentials Totals EMT/Paramedic/Firefighter 2,875 RN/BSN/MSN/APRN/NP/PA 3,613 MD/DO 1,821 Other 775 PhD/PharmD 484 MPH/MA/MBA/MS/MHS 532

Covid-19 Clinical Rounds What & When

HHS/ASPR COVID-19 Clinical Rounds March 24, 2020 through March 18, 2021 HHS/ASPR COVID-19 Clinical Rounds: 134 sessions Total Cumulative Attendees (3/24/20-3/18/21): 47,260 - EMS (38 sessions) – 15,361 Critical Care (43 sessions) – 14,815 Emergency Department (42 sessions) – 12,028 Special Sessions (11 sessions) – 5,018

HHS/ASPR COVID-19 Clinical Rounds March 24, 2020 through March 18, 2021 Total Video Views (as of 2:30pm MT 3/18/2021): 13,195 - Critical Care (43 videos) – 5,833 Emergency Department (41 videos) – 2,322 EMS (38 videos) – 2,741 Special Sessions (11 videos) – 2,299

Covid-19 Clinical Rounds Where

March 24, 2020 - March 18, 2021

March 24, 2020 - March 18, 2021

Covid-19 Clinical Rounds Why

“The purpose of COVID-19 Clinical Rounds is ” Peer to peer real time sharing of COVID-19 clinical challenges and successes.

Covid-19 Clinical Rounds Impact

Self-Reported Knowledge Before and After COVID-19 Clinical Round Session P-Value Session Type (# of Observations) EMS (2,620) Before (SD) 3·28 (0·83) After (SD) 3·65 (0·72) 0·0001 Emergency Dept (2,309) 3·06 (0·81) 3·50 (0·71) 0·0001 Special Session (168) 2·53 (0·89) 3·20 (0·79) 0·0001 Critical Care (2,523) 2·83 (0·81) 3·37 (0·72) 0·0001 Overall (7,620) 3·05 (0·84) 3·50 (0·73) 0·0001

Types of Information Clinicians Intended to Use Types of Information Clinicians Intended to Use Innovative/General Therapeutic Care Disseminating Content or Learning to Others PPE Practices and Preservation Workforce Strengthening, Support, and Resilience Planning and Preparedness (Surge, Natural Disasters, General) Ventilation Support Strategies and Airway Management Scaling Lessons Learned / Leading Practices Informing Local Policies/Protocols Facility-Related (ACS, LTCF, General) Did not Specify / Unsure Frequency % of Total Intended Uses 804 588 532 506 496 496 416 291 272 217 11·4% 8·4% 7·6% 7·2% 7·1% 7·1% 5·9% 4·1% 3·9% 3·1%

Reported Barriers to Use of Session Information (March 24 – July 30) Frequency of Percentage of Reported Barrier Respondents Reporting Barrier None - I will use content I need additional training I will not be provided opportunities to use what I learned 5,869 692 413 71·7% 8·5% I will not have resources The session content is not relevant to my current work Other My supervisor will not support me in using what I learned 362 308 195 176 4·4% 3·8% 2·4% My colleagues will not support me in using what I learned 94 I will not have time to use what I learned 76 Reported Barriers to Use 5·0% 2·2% 1·1% 0·9%

Changed Clinical Practices Changed Clinical Practices (Reported November of Frequency 2020) Innovative/General Therapeutic Care PPE Practices and Preservation Ventilation Support Strategies and Airway Management All/General Use/Presentation Material/Discussion Informing Local Policies/Protocols Disseminating Content or Learning to Others Workforce Strengthening, Support, and Resilience Did Not Specify/Unsure Scaling Lessons Learned/Leading Practices Validation of Current Practice 54 46 45 36 25 20 20 19 12 9 Percent of Total Changed Clinical Practices 16·8% 14·3% 14·0% 11·2% 7·8% 6·2% 6·2% 5·9% 3·7% 2·8%

Changed Operational Practices (Reported November of 2020) Changed Operational Practices PPE Practices and Preservation Did Not Specify/Unsure Workforce Strengthening, Support, and Resilience Facility-related (ACS, LTCF, General) Ventilation Support Strategies and Airway Management All/General Use/Presentation Material/Discussion Disseminating Content or Learning to Others Informing Local Policies/Protocols Innovative/General Therapeutic Care Testing & Diagnostics Frequency Percent of Total Changed Operational Practices 62 44 38 27 19 18 18 18 16 10 20·3% 14·4% 12·4% 8·8% 6·2% 5·9% 5·9% 5·9% 5·2% 3·3%

Do you believe that the information provided by ECHO Clinical Rounds has helped you provide better care to your patients? 200 181 180 160 140 120 100 80 63 60 40 20 0 13 1 0 Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree

In the event of a future national or local emergency, would you join ECHO Clinical Rounds again? 250 226 200 150 100 50 27 0 0 0 1 Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree

Participant Feedback COVID-19 Clinical Rounds “Excellent exchange of on the ground observations that need further investigation. These clinical exchanges are critical for clinicians to validate what they are seeing and consider when clinical care and research practices/directions might need to be modified. As acknowledged, the information shared is sometimes speculative but without dialogues like this we might be more prone to miss important clinical anomalies that truly we need to understand.”

Covid-19 Clinical Rounds Impact Appendix

HHS/ASPR Project ECHO COVID-19 Clinical Rounds March 24, 2020 through March 18, 2021

Types of Information Clinicians Intended to Use Innovative/General Therapeutic Care Disseminating Content or Learning to Others PPE Practices and Preservation Workforce Strengthening, Support, and Resilience Planning and Preparedness (Surge, Natural Disasters, General) Ventilation Support Strategies and Airway Management Scaling Lessons Learned / Leading Practices Informing Local Policies/Protocols Facility-Related (ACS, LTCF, General) Did not Specify / Unsure Use of Data/Evidence Patient Transport Validation of Current Practice Strengthening External Collaboration Telemedicine Rural Health Practices Testing & Diagnostics All/General Use/Presentation Material/Discussion All Reported Uses Frequency % of Total Intended Uses 804 11·4% 588 532 506 496 496 416 291 272 217 157 146 145 129 99 97 95 1539 7025 8·4% 7·6% 7·2% 7·1% 7·1% 5·9% 4·1% 3·9% 3·1% 2·2% 2·1% 2·1% 1·8% 1·4% 1·4% 1·4% 21·9% 100·0%

Changed Clinical Practices (Reported November of 2020) Frequency Percent of Total Changed Clinical Practices Innovative/General Therapeutic Care 54 16·8% PPE Practices and Preservation 46 14·3% Ventilation Support Strategies and Airway Management 45 14·0% All/General Use/Presentation Material/Discussion 36 11·2% Informing Local Policies/Protocols 25 7·8% Disseminating Content or Learning to Others 20 6·2% Workforce Strengthening, Support, and Resilience 20 6·2% Did Not Specify/Unsure 19 5·9% Scaling Lessons Learned/Leading Practices 12 3·7% Validation of Current Practice 9 2·8% Testing & Diagnostics 8 2·5% Facility-related (ACS, LTCF, General) 7 2·2% Use of Data/Evidence 6 1·9% Planning and Preparedness (Surge, Natural Disasters, General) 5 1·6% Patient Transport 4 1·2% Strengthening External Collaboration 2 0·6% Rural Health Practices 1 0·3% Telemedicine 1 0·3% 321 100·0% Changed Clinical Practices All Reported Changed Clinical Practices

Changed Operational Practices (Reported November of 2020) Frequency Percent of Total Changed Operational Practices PPE Practices and Preservation 62 20·3% Did Not Specify/Unsure 44 14·4% Workforce Strengthening, Support, and Resilience 38 12·4% Facility-related (ACS, LTCF, General) 27 8·8% Ventilation Support Strategies and Airway Management 19 6·2% All/General Use/Presentation Material/Discussion 18 5·9% Disseminating Content or Learning to Others 18 5·9% Informing Local Policies/Protocols 18 5·9% Innovative/General Therapeutic Care 16 5·2% Testing & Diagnostics 10 3·3% Patient Transport 7 2·3% Strengthening External Collaboration 7 2·3% Validation of Current Practice 7 2·3% Planning and Preparedness (Surge, Natural Disasters, General) 5 1·6% Telemedicine 4 1·3% Rural Health Practices 2 0·7% Scaling Lessons Learned/Leading Practices 2 0·7% 2 306 0·7% Changed Operational Practices Use of Data/Evidence All Reported Changed Operational Practices 100·0%