Table. Innovations Mapped to the COVID-19 System Shock Framework .
1. Health Services | 2. Health Workforce | 3. Information Systems | 4. Medical Products and Technology | 5. Funding and Finance | 6. Health System Values | 7. Health Policy and Governance |
Assessment clinic | Working from home support, including equipment and virtual private networks | Daily email update | Telehealth and virtual care | The COVID-19 fund | Enabling equity of access through remote delivery of care | Rapidly formed EOC |
COVID-19 Positive Outpatient Response Team | Infectious disease training for staff, including cleaning staff | Staff intranet information page | Remote monitoring systems | Collaborative care models splitting private and public funding | Acknowledging and supporting the emotional wellbeing of staff | Adaptive structure allowing working groups to confront emerging challenges |
COVID-19 wards | Training and education for potential staff redeployment (eg, training paediatric clinicians for adult ICUs) | Information web page for families | E-gate automatic concierge screening | Initiating government funding of telehealth | Continuing care in the face of uncertainty | Transparent and consistent communication |
SOPs providing an integrated repository of standard care practices | Delivering education remotely | PPE Dashboard | QR codes for hospital entry | Continuing preparedness for infection rate surges | Breaking down silos across the Network through transdisciplinary networks | |
Medical students included as part of the pandemic workforce supported by adapted workforce ie, extending visas | PPE training modules for donning and doffing PPE | Published emergent findings from global research papers and international collegial connections | Home spirometry devices | Holistic values within transformed care practices | ||
Emergency response matrix | Equity pathways | |||||
Patient flow dashboard |
Abbreviations: COVID-19, Coronavirus disease 2019; PPE, Personal Protective Equipment; ICUs, intensive care units; EOC, emergency operations centre; SOPs, standard operating procedures.