Scope of the Review. This review provides a national snapshot, from the perspective of front-line hospital administrators, on how responding to the COVID-19 pandemic has affected their capacity to care for patients, staff, and communities. This is not a review of the HHS response to the COVID-19 pandemic. These hospital perspectives reflect a specific point in time—February 22–26, 2021— provided during a “pulse survey” (brief interviews) that OIG conducted with 320 hospitals nationwide. The timing was nearly a year after the World Health Organization declared COVID-19 to be a pandemic on March 11, 2020. First Pulse Survey—March 2020. We conducted our first pulse survey of challenges that hospitals reported facing in response to COVID-19 during the early weeks of the pandemic. At that time, hospitals reported that they were largely focused on enhancing their capacity to respond to the pandemic. Hospitals reported challenges such as significant shortages in personal protective equipment (PPE), ventilators, and other supplies as demand increased across the country and around the globe. Hospitals also spoke of the challenge of needing to rapidly expand facility and staffing capacity. Finally, hospitals reported that, at the time, the lack of testing capability to detect which patients had COVID-19 negatively impacted hospital operations as they tried to prevent outbreaks among hospital patients and staff. Since March 2020, the pandemic has continued to evolve. This snapshot from 2021 provides HHS and other decisionmakers with updated information on hospital perspectives. Specifically, this pulse survey offers hospital administrators’ perspectives on the most significant strains that the response to COVID-19 has exerted on hospitals, as well as their perspectives on the longer-term implications of these strains.
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