Blueprint for Restructuring a Department of Surgery in Concert With the Health Care System During a Pandemic: The University of Wisconsin Experience.

Journal Article (Journal Article;Review)

The current health care environment is complex. Systems often cross US state boundaries to provide care to patients with a wide variety of medical needs. The coronavirus disease 2019 pandemic is challenging health care systems across the globe. Systems face varying levels of complexity as they adapt to the new reality. This pandemic continues to escalate in hot spots nationally and internationally, and the worst strain on health care systems may be yet to come. The purpose of this article is to provide a road map developed from lessons learned from the experience in the Department of Surgery at the University of Wisconsin School of Medicine and Public Health and University of Wisconsin Health, based on past experience with incident command structures in military combat operations and Federal Emergency Management Agency responses. We will discuss administrative restructuring leveraging a team-of-teams approach, provide a framework for deploying the workforce needed to deliver all necessary urgent health care and critical care to patients in the system, and consider implications for the future.

Full Text

Duke Authors

Cited Authors

  • Zarzaur, BL; Stahl, CC; Greenberg, JA; Savage, SA; Minter, RM

Published Date

  • July 1, 2020

Published In

Volume / Issue

  • 155 / 7

Start / End Page

  • 628 - 635

PubMed ID

  • 32286611

Electronic International Standard Serial Number (EISSN)

  • 2168-6262

Digital Object Identifier (DOI)

  • 10.1001/jamasurg.2020.1386


  • eng

Conference Location

  • United States