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. 2021 Sep 8;11(10):2155–2165. doi: 10.34172/ijhpm.2021.130

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.