Becker's Hospital Review

80 CMO / CARE DELIVERY How Cleveland Clinic, Kaiser and Others Are Handling High Patient Volumes Amid a Severe Flu Season By Mackenzie Bean A n influx of flu patients are flocking to hospitals amid a particularly severe flu season, straining hospitals' re- sources, space and staff members. e CDC on Jan. 19 reported widespread flu activity in every state in the continental U.S., with a majority of cases attributable to the H3N2 strain. Health experts estimate this season's flu vaccine is only about 30 percent effective against this viral strain. Here's how seven hospitals nationwide are managing increased patient volumes during the severe flu season. 1. Cleveland Clinic and its regional hospitals have admitted 933 patients with flu symptoms as of Jan. 23, representing the largest inpatient number since the 2014-15 flu season. e health system is encouraging patients with nonemergency flu symptoms to stay home and use its telemedicine service, Cleveland Clinic Express Care Online, for treatment. So far, Cleveland Clinic has treated 191 flu pa- tients via telemedicine this season. 2. To keep up with high patient volumes, Palm Beach Gardens (Fla.) Medical Center is transforming other patient care spaces in the facility to accommodate sick patients. "Sometimes that means hallway beds in the emergency department or other spaces like conference rooms, larger areas where we can accommodate people," Jaime Snarski, MD, an emergency medicine physician at the medical center, told CBS 12. 3. Lehigh Valley Health Network set up tents outside the main emergency room at both its Allentown and Bethlehem, Pa-based campus- es. e 12-bed, fully equipped tents serve as a mobile surge hospital for flu patients, accord- ing to ABC 6. "We've put it into operation a couples times now over the last few days," a hospital spokes- person told Time. "I think [Jan. 16] we saw upwards of about 40 people in the tent itself." 4. Birmingham, Ala.-based UAB Hospital canceled elective surgeries to free up more beds for flu patients. "We had to treat patients in places where we normally wouldn't, like in recovery rooms," Bernard Camins, MD, associate professor of infectious diseases at the University of Ala- bama at Birmingham, told TIME. "e emer- gency room was very crowded, both with sick patients who needed to be admitted and pa- tients who just needed to be seen and given Tamiflu." 5. Kaiser Permanente Los Angeles Medical Center is one of many hospitals implement- ing visitor restrictions to limit further spread of the flu. e health system implemented a temporary restriction on patient visits from children age 14 and under or anyone with flu symptoms. "is measure is to prevent un- necessary spread of influenza and to protect you, our patients and our staff," the health sys- tem posted on Facebook Jan. 10. 6. Fenton, Mo.-based SSM Health St. Clare Hospital opened its emergency overflow wing, all outpatient centers and surgical holding centers to house flu patients. The hospital has also pulled nurses from other floors to care for patients and is offering the caregivers an increased hourly rate to work overtime, according to St. Clare Nurse Jennifer Braciszewski, RN. Yet the hospital is still short-handed on staff members, as many nurses have also gotten the flu, she told TIME. 7. Officials at Gastonia, N.C.-based Caro- Mont Regional Medical Center told the Gaston Gazette the hospital has seen a "re- cord number" of acutely ill patients come through their emergency department who require hospital admission. The hospital has increased staffing in both the ED and upper floors amid the higher patient volumes. As space is very limited in the hospital, Car- oMont Regional may need to reschedule elective surgeries to ensure they can admit and treat sick patients. "While we are not actively rescheduling sur- geries at this time, we are monitoring patient volume and flow in the hospital and working with our medical staff leadership to consid- er all options," Todd Davis, MD, CaroMont Health executive vice president and CMO, told the Gaston Gazette. n Why This Flu Season Is Especially Bad for Baby Boomers By Mackenzie Bean A significant amount of Americans between ages 50 and 64 have been hospitalized for the flu this season, reported Business Insider. Infants usually develop more severe flu cases than adults since their im- mune systems have not been exposed to prior strains. However, "baby boom- ers have higher rates [of hospitalization] than their grandchildren right now," CDC flu director Dan Jernigan, MD, MPH, told reporters Feb. 2, according to Business Insider. Scientists believe this year's flu, dominated by the H3N2 strain, has had an out- sized effect on baby boomers due to a process called "imprinting." When a person is first exposed to a flu virus, whether through a vaccine or catching the illness, the immune system teaches itself how to defend against the virus type. Baby boomers, born before the H3N2 strain even existed, were likely imprinted with an H2 flu strain, not H3, Matthew Miller, PhD, who studies the flu at McMas- ter University in Canada, told Business Insider. Therefore, their bodies may not know how to fend off the H3N2 strain as well as younger people imprinted with this virus type. The U.S. has experienced elevated flu levels for nine consecutive weeks as of Jan. 20, with flu activity hitting the highest level since 2009's flu pandemic. n

• Cover