Table 3.
Multivariable models for odds of uptake of strategies, adjusted for weekly county-level COVID-19 case counts*
| Strategy (n=17) | OR, p value | ||||
| Hospital type† | Region‡:NE | Region‡:S | Region‡:W | Phase§ | |
| Patient volume and flow, modified clinical practices | |||||
| Use a phone or other video device (eg, iPad) to register patients | 0.29, 0.30 | 217.08,<0.0001 | 79.40, 0.03 | 25.09, 0.07 | 1.65, 0.19 |
| Create dedicated COVID-19 care areas/zones | 0.83, 0.87 | 37.66,<0.0001 | 9.82, 0.07 | 2.06, 0.49 | 1.70, 0.17 |
| Use video laryngoscopy instead of direct laryngoscopy | 2.43, 0.42 | 1.63, 0.62 | 0.85, 0.92 | 0.60, 0.59 | 0.20, 0.0003 |
| Cancel non-emergency outpatient visits | 2.64, 0.33 | 6.39, 0.09 | 1.47, 0.51 | 5.16, 0.04 | 6.15, 0.0007 |
| Cancel non-emergency surgeries | 5.40, 0.01 | 17.33, 0.003 | 1.91, 0.36 | 1.45, 0.68 | 11.39,<0.0001 |
| Hospital and workforce capacity | |||||
| Significantly increase inpatient bed capacity on the floors (by >25%) | 0.59, 0.68 | 1.09, 0.94 | 0.46, 0.56 | 0.20, 0.09 | 2.65,<0.0001 |
| Minimise viral transmission across personnel | |||||
| Encourage or implement voluntary work from home policies for non-essential employees | 0.89, 0.92 | 0.62, 0.70 | 0.97, 0.98 | 0.08, 0.04 | 0.19,<0.0001 |
| Mandate work from home policies for non-essential employees | 6.50, 0.03 | 26.79, 0.0002 | 142.23,<0.0001 | 13.25,<0.0001 | 0.90 0.86 |
| Remove medical student clinical rotations | 0.92, 0.87 | 5.89, 0.09 | 5.91, 0.02 | 0.44, 0.24 | 8.54,<0.0001 |
| PPE use and supply | |||||
| Restrict access to PPE | 1.16, 0.92 | 11.40, 0.002 | 91.11,<0.0001 | 0.78, 0.83 | 0.92, 0.85 |
| Testing | |||||
| Conduct drive-through (or walk-through) COVID-19 testing for the public | 10.42, 0.01 | 7.11, 0.19 | 10.33, 0.01 | 59.18, 0.0003 | 0.38, 0.008 |
| Turnaround time for COVID-19-test<1 day | 0.79, 0.80 | 68.06,<0.0001 | 3.28, 0.41 | 0.51, 0.56 | 0.15, 0.0003 |
| In-house COVID-19 testing | 21.38,<0.0001 | 4.12, 0.10 | 0.13, 0.09 | 7.02, 0.049 | 0.36, 0.07 |
Only strategies with significant relationships are shown here (the remainder are included in a table in online supplemental file 2).
*Alpha value of <0.0012 is significant.
†Hospital type baseline category=non-major teaching hospital (vs major teaching hospital).
‡Regions: NE=northeast; S=south; W=west; Midwest=referent category.
§Phase baseline (referent) category=post-June 2020.
PPE, personal protective equipment.