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Indian Health Service use of critical care response teams has helped to meet facility needs during the COVID-19 pandemic
Indian Health Service use of critical care response teams has helped to meet facility needs during the COVID-19 pandemic
Why OIG Did This Review. Coronavirus disease 2019 (COVID-19) is a highly contagious, sometimes fatal, disease that has disproportionately affected American Indians and Alaska Natives (AI/ANs). The Indian Health Service (IHS) and Tribal health care facilities are the main health care providers for the AI/AN population. Prior OIG work found that IHS facilities often lacked sufficient staff and had limited access to clinical specialists, as well as finding other quality-of-care concerns. One recent IHS effort to address staffing and quality concerns is its development of Critical Care Response Teams (CCRTs) to support IHS and Tribal facilities in caring for critically ill COVID-19 patients. This study examines IHS’s first five deployments of the CCRTs, which provided services to six IHS facilities and three Tribal facilities from June through September 2020. How OIG Did This Review. We based our findings on document reviews and interviews with 74 key officials and staff at IHS headquarters, IHS Area Offices, HIS-operated facilities, and tribally operated facilities, as well as with contracted providers who served on the CCRTs. We conducted data collection in December 2020 and January 2021. We reviewed contracts and other documents related to IHS’s deployment of the CCRTs. Topics for the interviews included processes for deploying the teams; roles and expectations; and strategies used to address any challenges encountered during the deployments.
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The National Library of Medicine believes this item to be in the public domain. (More information)