Zhang T, McFarlane K, Vallon J, et al. A Model of Bed Demand to Facilitate the Implementation of Data-driven Recommendations for COVID-19 Capacity Management. Research Square; 2020. DOI: 10.21203/rs.3.rs-31953/v1.

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Abstract

Background:

We sought to build an accessible interactive model that could facilitate hospital capacity planning in the presence of significant uncertainty about the proportion of the population that is positive forcoronavirus disease 2019 (COVID-19) and the rate at which COVID-19 is spreading in the population. Our goal was to facilitate the implementation of data-driven recommendations for capacity management with a transparent mathematical simulation designed to answer the specific, local questions hospital leadership considered critical.

Methods:

The model facilitates hospital planning with estimates of the number of Intensive Care (IC) beds, Acute Care (AC) beds, and ventilators necessary to accommodate patients who require hospitalization for COVID-19 and how these compare to the available resources. Inputs to the model include estimates of the characteristics of the patient population and hospital capacity. We deployed this model as an interactive online tool with modifiable parameters.

Results:

The use of the model is illustrated by estimating the demand generated by COVID-19+ arrivals for a hypothetical acute care medical center. The model calculated that the number of patients requiring an IC bed would equal the number of IC beds on Day 23, the number of patients requiring a ventilator would equal the number of ventilators available on Day 27, and the number of patients requiring an AC bed and coverage by the Medicine Service would equal the capacity of the Medicine service on Day 21. The model was used to inform COVID-19 planning and decision-making, including Intensive Care Unit (ICU) staffing and ventilator

Authors
Teng Zhang, Kelly McFarlane, Jacqueline Vallon, Linying Yang, Jin Xie, Jose Blanchet, Peter Glynn, Kristan Staudenmayer, Kevin Schulman, David Scheinker
Publication date
2020/6/11
Description
Background: