Lessons learned in real time at rural hospitals during pandemic

One of Boston's major teaching hospitals is examining how it handles patients’ bodies and supports family members after a death.

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

The rate of Cesarean sections is on the rise in the United States, despite the higher risks of hysterectomy, hemorrhage, and infection, as well as the elevated expense. San Francisco General’s maternity ward, however, stands as an outlier by following evidence-based medicine that suggests decreasing C-sections and has also shifted from a pay-per-service incentive for the doctors to a salary or shift position.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

When people don't show up for an appointment, it can cost hospitals a lot of money and also unnecessarily increase wait times for other patients. A hospital in London is trying to reduce both the cost and wait problems by using artificial intelligence to predict which patients are most likely to be no-shows.

Enrolling local agents allows global partners to connect underserved and remote communities to healthcare. A partnership between Rwanda’s Health Ministry and the Boston-based nonprofit, Partners in Health, trains community-based health workers to communicate and connect people on the ground to health services across the country. Rwanda has also implemented reforms and services such as government-subsided healthcare, which has helped improve the life expectancy of its citizens.

Europe's generous social policies, such as allowing employees to retain their salaries while taking sick time to care for themselves or family members, may help to mitigate the coronavirus outbreak while also safeguarding the economy. Although the long-term impacts are yet unknown, in the short term, government-provided incentives are helping people and businesses stay afloat.

The United States and Italy have been playing catch up in the mitigation of the coronavirus pandemic and were resistant to implementing social distancing, while other countries took more aggressive approaches. Now both countries are looking to China and South Korea to learn how sweeping actions and industrialized scaling of measures such as fever clinics, temperature check points, portable CAT scanning, and social isolation, have helped to contain the pandemic.

As the novel coronavirus outbreak continues to spread, the San Antonio Food Bank is working with other organizations to get more food out into the community. Although volunteer turnout has decreased, the Texas food bank has partnered with groups like Pre-K 4 SA to hand out food to students and their families. Every day, the food bank says it is sending $500,000 worth of food into the community.

To address gaps in healthcare access, the local government partnered with organizations like Plan International, German Cooperation and the World Bank’s Saving One Million Lives Project to build, refurbish and equip primary healthcare centers across the state to provide better care. As of May 2023, 138 centers have been built or upgraded, offering maternity care services, child healthcare, vaccinations and family planning among other services.