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Rapid Implementation of a
Complex, Multimodal Technology
Response to COVID-19 at an
Integrated Community-Based
Health Care System
Andrew J Knighton et al. Appl Clin Inform. 2020
Oct.

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Appl Clin Inform. 2020 Oct;11(5):825-838.

doi: 10.1055/s-0040-1719179.
Epub 2020 Dec 16.

Authors
Andrew J Knighton 1 , Pallavi Ranade-Kharkar 2 ,
Kimberly D Brunisholz 1 , Douglas Wolfe 1 ,
Lauren Allen 1 , Thomas W Belnap 1 ,
Tamara Moores Todd 2 ,
Rajendu Srivastava 1 3 ,
Seraphine Kapsandoy 2 , Diego Ize-Ludlow 2 ,
Todd L Allen 1

Affiliations
1 Healthcare Delivery Institute, Intermountain
Healthcare, Murray, Utah, United States.
2 Care Transformation Information Systems,
Intermountain Healthcare, Salt Lake City,
Utah, United States.
3 Department of Pediatrics, University of Utah
School of Medicine, Salt Lake City, Utah,
United States.

PMID: 33327036
PMCID: PMC7744250 (available on 2021-12-
16)
DOI: 10.1055/s-0040-1719179

Full-text links Cite …

Abstract
Background: The rapid spread of severe acute
respiratory syndrome coronavirus-2 or SARS-CoV-
2 necessitated a scaled treatment response to the
novel coronavirus disease 2019 (COVID-19).

Objective: This study aimed to characterize the

design and rapid implementation of a complex,
multimodal, technology response to COVID-19 led
by the Intermountain Healthcare's
(Intermountain's) Care Transformation Information
Systems (CTIS) organization to build pandemic
surge capacity.

Methods: Intermountain has active community-

spread cases of COVID-19 that are increasing. We
used the Centers for Disease Control and
Prevention Pandemic Intervals Framework (the
Framework) to characterize CTIS leadership's
multimodal technology response to COVID-19 at
Intermountain. We provide results on
implementation feasibility and sustainability of
health information technology (HIT) interventions
as of June 30, 2020, characterize lessons learned
and identify persistent barriers to sustained
deployment.

Results: We characterize the CTIS organization's

multimodal technology response to COVID-19 in
five relevant areas of the Framework enabling (1)
incident management, (2) surveillance, (3)
laboratory testing, (4) community mitigation, and
(5) medical care and countermeasures. We are
seeing increased use of traditionally slow-to-adopt
technologies that create additional surge capacity
while sustaining patient safety and care quality.
CTIS leadership recognized early that a multimodal
technology intervention could enable additional
surge capacity for health care delivery systems
with a broad geographic and service scope. A
statewide central tracking system to coordinate
capacity planning and management response is
needed. Order interoperability between health care
systems remains a barrier to an integrated
response.

Conclusion: The rate of future pandemics is

estimated to increase. The pandemic response of
health care systems, like Intermountain, offers a
blueprint for the leadership role that HIT
organizations can play in mainstream care delivery,
enabling a nimbler, virtual health care delivery
system that is more responsive to current and
future needs.

Thieme. All rights reserved.

Conflict of interest statement

A.J.K. reports grants from National Center for
Advancing Translational Sciences, NIH, during the
conduct of the study; other from publicly-traded
stock, personal fees from St. Catherine's
University, St. Paul, Minnesota, United States,
outside the submitted work.

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Publication types
Research Support, N.I.H., Extramural

MeSH terms
COVID-19 / epidemiology*
Clinical Laboratory Techniques
Clinical Trials as Topic
Delivery of Health Care*
Epidemiological Monitoring
Humans
Medical Informatics*
Pandemics*
Residence Characteristics*

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Grant support
KL2 TR002539/TR/NCATS NIH HHS/United States
U01 HL143505/HL/NHLBI NIH HHS/United States
National Heart, Lung and Blood Institute/U-
01HL143505/International
National Center for Advancing Translational
Sciences/KL2TR002539/International

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