COVID-19 Response: Key Roles & Contingency Staffing Plan
SITUATION
Proactive planning is underway in the case of a COVID-19 associated surge in disease/hospital activity. We will have three new types of “COVID anesthesiology assignments” for physicians:
- Airway management (intubation team leader)- in-house assignment
- Assigned daily to a 12-hour day shift and a 12-hour night shift
- The night shift will replace the second call position and will be an in-house call, however, the sole assignment for this individual will be to be available for airway management requests from the ICU, Emergency Department (as a backup) and inpatient services.
- Depending on the extent of disease surge, we may have to add a second airway management team leader to the schedule. If that happens, scheduling will be done as for the first intubation team.
- Role assignment will be reflected as a new category in Open Tempo
- Available Intensivists
- All available intensivists will be responsive to calls from the Hospital Command Center and may be redeployed to provide care in any of the intensive cares units throughout the Froedtert health system.
- These sites include:
- MICU
- TICU
- SICU
- NICU
- 7-NT
- FMF ICU
- Available intensivists will cover sites in 12-hour shifts d. Available Intensivists will be reflected as such in Open Tempo
- Ambulatory Pain Physician
- All in-person patient visits have been cancelled.
- A Pain physician will be assigned each day to:
- triage patients with painful conditions
- manage any medication refills needed prior to their next appointment
- conduct phone-only visits
STAFFING PLAN
- All Froedtert Hospital locations at Main Campus, West Bend, VA and Menomonee Falls will continue to staff clinical sites as needed (anesthetizing locations as well as inpatient beds).
- All ASCs, with the exception of Froedtert Ambulatory Surgery Center, are closed to patient care.
- As noted above, pain procedures and in person visits have been cancelled. Because of the closure of clinical sites, we have staff and faculty from all of our sites that will be considered AVAILABLE for emergent staffing needs when they are not assigned to provide care.
These teams are from:
- Froedtert Hospital (anesthesiologists, CRNAs, residents)
- Froedtert West Bend Hospital (Anesthesiologists)
- Froedtert Menomonee Falls Hospital (Anesthesiologists and CAAs)
- Pain Management (Anesthesiologists)
- ASC’s (Anesthesiologists and CAA’s)
- Critical Care (Anesthesiologist and APPs)
All AVAILABLE physicians, CVICU APPs, CRNAs and CAAs not assigned to work in a specific location or to airway or critical care call shifts will need to be available to work within one hour of being notified. You will be notified of additional scheduled hours during regular work hours. Check Open Tempo each day to see whether or not you have been assigned to work in a clinical setting. If a change is made after the schedule has been posted, either the AIC or Amanda will call you to let you know that your assignment has changed. Available providers will be assigned to staff different clinical sites as needed.
COMPENSATION STRUCTURE
COVID 19 Plan- New Role | Type of coverage | Shift Assignment | Location | Compensation |
Airway management (intubation team) | In-house | 12-hour shift: day | Froedtert Main Campus | Weekday: Base Compensation and 2 hours of after 5pm pay ($167/hour) Weekend: 2 CSUs |
12-hour shift: night | Froedtert Main Campus | Weekday night: 2 CSUs per in-house night Scheduled for post call day/week to follow Weekend Night: 2 CSUs and Monday post-call |
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Available Intensivists | Available by phone or pager | 12-hour shift: day | Any critical care setting | If available but not called in: Base Compensation. If called to come in-house: 1.5 CSU/13-hours (equal to CV 2). |
12-hour shift: night/weekends | Any critical care setting | If available but not called in: Base Compensation. If called to come in-house: 1.5 CSU/13-hours (equal to CV 2). |
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Ambulatory Pain Assignment | remote work phone consults | Â 10-hour shift: day | Remote site | Â Base Compensation |
Available Provider | Consistently available by phone or pager | Available for work during weekday hours | All hospital locations | Â Base Compensation |
CONTINGENCY PLAN MARCH 24 to APRIL 6, 2020
- COVID Anesthesiology Team (#1-3) will be assigned as such in Open Tempo
- All available providers will be coded in Open Tempo as AVAILABLE, making them available for posting by the AIC
- For now, vacation and post-call time remains without change. If you are asked to work on a post-call or vacation day, you will receive 1 CSU as compensation.
- Compensation structure will be put in place as noted above
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