Image for post
Image for post

By Avery Plough, MPH; Amber Weiseth, DNP, MSN, RNC-OB; Elizabeth Curtis; Joyce Edmonds, PhD, MPH, RN; Monica Christina Esqueda, PhD; Heather M. Young, PhD, RN, FAAN; Neel Shah, MD, MPP

The rapid and unyielding spread of the COVID-19 pandemic has radically changed how health care is administered, delivered, and experienced. While this is true across the entire spectrum of care, maternal health is particularly sensitive to these disruptions, with potentially far-reaching generational impacts.

The pandemic has exposed weaknesses and inequities in our maternal care systems, including fragmented care, anti-Blackness, and unconscionable racial inequities; however, it has also revealed unique opportunities to re-envision how our existing systems can be built to better serve the needs of people giving birth. …


Image for post
Image for post

By Rachel Broudy

In recent years, there has been a movement in health care to focus on goal driven care, where the goals are patient goals and the laudable intent is to provide patient-centered care. However, there is something uncomfortable for me in the focus on goal driven care, goal attainability scales, and achieving what matters for patients. What could be wrong, you ask, about setting and achieving goals and paying attention to what matters? To me, it’s the worry that this intent becomes one more box for us to check, and we lose the transformative power of seeing our patients more fully as the complex and whole humans that we are. …


Image for post
Image for post

By Asaf Bitton, MD, MPH; Evan Benjamin, MD, MS, FACP; Margaret Ben-Or, MPH

Many K–12 schools in the United States are closing in on the end of their first term of the 2020–2021 school year, a year unlike anything we have experienced in recent history due to the COVID-19 pandemic. Some schools have opened their doors to full in-person instruction, others have adopted a hybrid model of remote and in-person learning, and still others have remained fully virtual. Planning for any of these models has been difficult and complex for school administrators, educators and staff, families, and students.

The planning discussions have rightfully centered the health and wellbeing of students and staff given the local context of the school community. The physical health and safety precautions have solidified around universal mask wearing, appropriate physical distancing, adequate ventilation, and hygiene considerations for both hands and surfaces. At the Parabola Project, a collaboration between Ariadne Labs and The Learning Accelerator, we have outlined nine public health principles for school reopening, which include those listed above, and others like leadership, symptom checking, and cohorting. …


Image for post
Image for post

By Evan Benjamin, MD, MS, FACP; Bozwell Bueno; Meghan Long, MHA; and Saranya Loehrer, MD, MPH

Over the past several months we have had the privilege of supporting health care organizations across the United States as they respond to unprecedented challenges brought forth by the COVID-19 pandemic. From policy and payment changes at the federal and state level to innumerable changes at the level of health care delivery and operations, seemingly every aspect of health care has been upended by the pandemic. …


Image for post
Image for post

By Mary Brindle, MD, MPH

A pediatric surgeon’s job is characterized by urgency — whether operating on a neonate born with a life-threatening condition or a teenager badly injured in a motor vehicle collision. We are familiar with rapid decision-making informed by best evidence. These are qualities that proved essential in confronting the COVID-19 pandemic.

I am a pediatric surgeon at a hospital located in the foothills of the Rocky Mountains and at the western border of the Canadian prairies in one of the largest urban centers in Canada. We serve a catchment area of about 2.5 million people. I am also a health systems researcher, running a research lab and serving as director of the research arm of our provincial surgery strategic network. As COVID-19 began its inexorable march across the continents, I found myself well-positioned as a researcher to help identify best practices and build tools to support them, while at the same time putting those practices into action as a clinician. …


Image for post
Image for post

By Rebecca Weintraub, MD

Like many families, we watched summer plans for our two children dissolve as the COVID-19 pandemic raged unchecked and travel restrictions mounted, forcing many camps to go virtual or shut down. As we scrambled to find alternatives, we learned of two camps opening in-person in Maine, a state within driving distance that had low community transmission rates. One of them, a music camp, was particularly high-risk due to the aerosols produced by woodwind instruments. But both had detailed safety protocols, and we felt fortunate to find spots for our sons. …


Image for post
Image for post

By Laura Subramanian, Anthony McDonnell, Robert Van Exan, Julie Rosenberg, Prashant Yadav, and Rebecca Weintraub

As the world awaits the results of COVID-19 vaccine clinical trials, we need to invest now in systems to ensure equitable global vaccine delivery. Sixteen vaccine experts from the vaccine industry, academic and regulatory agencies interviewed by the Center for Global Development and Ariadne Labs advised on how to do this. While being asked to inform quantitative models on COVID-19 vaccine success rates and timelines, they shared recommendations on COVID-19 vaccine communications, safety monitoring, manufacturing, and distribution, as well as lessons learned for pandemic vaccine development processes. …


Image for post
Image for post

By Noah Nunnelly

*Names and details have been changed to protect privacy.

Mary* (not her real name) has been working at a nursing home as a certified nursing assistant (CNA) for many years; she cares deeply for her patients, takes pride in her facility, and does hard work. Sometimes, her shift will last 16 hours. Judy* is one of Mary’s patients. She loves to sew, and according to Mary, is an “absolute firecracker.” One day this spring, a bored Judy began pestering Mary. Mary smiled, and left the room to tear a hole in her sweater; she returned swiftly to Judy, held up the garment, and exclaimed, “Look at my sweater! It’s ruined. …


Image for post
Image for post

By Sam Cox

COVID-19 has upended all areas of society, but among the populations worst affected are elderly residents of long-term care facilities. Older adults are most vulnerable to serious complications of COVID-19, representing over 80% of COVID-19 deaths in the United States despite making up just 15.6% of the population. Older adults living in long-term care facilities have their vulnerability magnified, with the structure of nursing homes and intimate care making these facilities susceptible to becoming infection hotspots.

As of July 30, there have been over 62,000 COVID-19 deaths in US nursing homes, more than 40% of the national total. There are clearly widespread, structural issues at play that are jeopardizing the health of elderly nursing home residents. While many of these issues persisted long before COVID-19, the pandemic has played an important role in shining a light on systemic issues. …


Image for post
Image for post

By Sam Cox and Evan Benjamin, MD, MS

The COVID-19 pandemic has strained our medical systems, transforming the medical environment for both patients and staff. Medical errors are not uncommon in normal times, but the upended medical environment physicians now find themselves in has in several ways made adverse events even more difficult to avoid. At the same time, patients are approaching the health care system with added fear and uncertainty. Faced with these added challenges, communication and transparency are more important than ever. …

About

Ariadne Labs

Our mission is to create scalable health care solutions that deliver better care at the most critical moments in people's lives, everywhere.

Get the Medium app

A button that says 'Download on the App Store', and if clicked it will lead you to the iOS App store
A button that says 'Get it on, Google Play', and if clicked it will lead you to the Google Play store