The strategy for managing the #COVID19 pandemic has shifted from containment to mitigation. What does that mean for US health systems? Kaiser Permanente Executive Vice President Stephen M. Parodi, MD joins JAMA Editor Howard Bauchner, MD to discuss telemedicine, staffing revisions, equipment allocation planning, and more.

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• Coronavirus Resource page from the JAMA Network: https://ja.ma/covidyt

Topics discussed in this interview:
Background information on Dr Parodi and his work (0:24)

Could you talk about the hospital that has been particularly stressed by COVID-19 confirmed and PUI cases? (1:00)

How quickly are you able to separate COVID-19 patients from patients testing negative? Are you isolating patients under investigation while waiting for their test results? What is the role of telemedicine? (2:38)

What is the turnaround time for test results? (5:22)

For inpatient services, do you cohort all patients with respiratory symptoms and cough together? (5:48)

While waiting for test results, is it possible that patients who are eventually confirmed to have COVID-19 with patients who test negative? (6:34)

What's the process for entry into the Intensive Care Unit? (7:46)

In the ICU, are you able to separate COVID-19 patients from other patients? (9:03)

How long are patients on mechanical ventilation staying in the ICU? (9:56)

Do you know the ratio of people on the inpatient service versus ICU patients? (11:09)

How quickly are patients who arrive on the inpatient service deteriorating? (12:03)

What are the demographics of the patients that you're seeing. How closely do they match China and Italy? (12:26)

Do we have enough PPE (personal protective equipment)? (13:55)

What are you doing with physician and nursing shifts to protect health care workers? (17:02)

Older and pregnant health care workers may be feeling vulnerable right now. Are people asking to work elsewhere and how are you dealing with those requests? (19:00)

When are you telling people to come into the hospital? (21:16)

Have you had health workers test positive for COVID-19? (22:39)

When can workers who test positive return to work? (23:35)

Do you have any sense of the incidence over the past few days? (25:25)

What's the influenza data from the past week? Is the flu waning? (26:40)

Is reinfection possible? (28:00)

Any early mortality data? (28:58)

Any final thoughts? (31:15)

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