Reeves, Hollandsworth, Torriani, Taplitz, Abeles, Tai-Seale, Millen, Clay, Longhurst, 2020: Rapid response to COVID-19: health informatics support for outbreak management in an academic health system.

Article Review
1.)  Provide the citation for the study here.
Reeves, J. J., Hollandsworth, H. M., Torriani, F. J., Taplitz, R., Abeles, S., Tai-Seale, M., … Longhurst, C. A. (2020, April 27). Rapid response to COVID-19: health informatics support for outbreak management in an academic health system. OUP Academic. https://academic.oup.com/jamia/article/27/6/853/5811358?login=true.
2.)  What is the abstract of the article?
                “Objective: To describe the implementation of technological support important for optimizing clinical management of the COVID-19 pandemic. Materials and Methods: Our health system has confirmed prior and current cases of COVID-19. An Incident Command Center was established early in the crisis and helped identify electronic health record (EHR)-based tools to support clinical care. Results: We outline the design and implementation of EHR-based rapid screening processes, laboratory testing, clinical decision support, reporting tools, and patient-facing technology related to COVID-19. Discussion: The EHR is a useful tool to enable rapid deployment of standardized processes. UC San Diego Health built multiple COVID-19-specific tools to support outbreak management, including scripted triaging, electronic check-in, standard ordering and documentation, secure messaging, real-time data analytics, and telemedicine capabilities. Challenges included the need to frequently adjust build to meet rapidly evolving requirements, communication, and adoption, and to coordinate the needs of multiple stakeholders while maintaining high-quality, pre-pandemic medical care. Conclusion: The EHR is an essential tool in supporting the clinical needs of a health system managing the COVID-19 pandemic. Key words: coronavirus, pandemic, electronic health record, clinical informatics, telemedicine” (Reeves et al., 2020).
3.)  Was the study experimental or non-experimental? Explain.
This research study was non-experimental. The University of California, San Diego Health (UCSDH) took on the task of implementing immediate solution to COVID cases when the world was faced with time sensitive matter in the face of the pandemic. They had to respond in an innovative way to track COVID-19 cases quickly and efficiently.
4.)  Was the research qualitative or quantitative? Again, explain.
This research was qualitative. The information provided was based on data that was explained in words and processes rather than numbers and statistics. This study configured the EHR with the technology-based tools for managing a pandemic.
5.)  What was the population studied?
                The population this article referred to was San Diego County residents in the state of California, along with those travelling in the area at that time.
6.)  What sample was used for this study?
The sample used for this study was knowledge of current health systems from health management centers from all over the world. With guidance from the World Health Organization, data was gathered and analyzed quickly and communicated competently.
7.)  What was the method of measurement?
a. If the research was quantitative, was the measurement scale used, Nominal, Ordinal, Interval or Ratio?

1. If the research was qualitative, what data was collected?
       Data was collected from patients.  They were contacted about how the virus was exactly attacking their systems and how they were responding to possible successful treatments. Data was also collected from any system that a health care setting used to input results of lab tests, COVID swabs, x-ray’s, pre-screening answers, and vaccine records.

8.)  Method of analysis.
a. If the research was quantitative, what statistical tools were used to analyze the data?

1. If the research was qualitative, in what manner was the data analyzed?

Data was analyzed by how the patients responded to different types of treatment and their individualized conditions. It was also analyzed by screening tools, ordering tools, team communications, and coordination of health system efforts locally and nationally.
9.) What was the conclusion of the study?
The conclusion of this study was that the electronic medical records system is a vital tool that every health care setting needs to use for the CDC to get updated statistics to stay ahead of a pandemic or other catastrophic medical emergency in our country. Improving the communication between the electronic medical records systems nationwide will also help aide in the response of accurate and effective data.
10.)  Why is this study useful to you? Explain in detail.
This study is important to me because I work in a healthcare facility and use the EHR daily. Since the pandemic, my workflow has changed drastically. I must prepare to spend more time with patients in the room due to the screening processes and possible exposure. Much time is spent with possible COVID positive patients as well with the added use of Protective Personal Equipment (PPE) and increased duties such as testing, analyzing, and communicating results and proper documentation. Now having this background knowledge helps me understand the importance of collaboration and communication among systems nationwide.
11.) What would be the next logical step in extending this study?
The next step in extending this study would be taking this qualitative information and integrating quantitative information by using statistics on the effectiveness of tracking COVID-19 cases along with numbers of vaccines given to the type of vaccine given and analyzing the data through the EHR system and new configurations of the EHR system.
References
Reeves, J. J., Hollandsworth, H. M., Torriani, F. J., Taplitz, R., Abeles, S., Tai-Seale, M., … Longhurst, C. A. (2020, April 27). Rapid response to COVID-19: health informatics support for outbreak management in an academic health system. OUP Academic. https://academic.oup.com/jamia/article/27/6/853/5811358?login=true.