An Approach to Outpatient Screening, Treatment, and Community Health Outreach during the Coronavirus Epidemic in New York City

May 5, 2020
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by Christian Medical & Dental Associations®

Beacon Christian Community Health Center (www.beaconcchc.com), in conjunction with personnel from South Korea and Europe, created a first-of-its-kind comprehensive outpatient protocol at the start of the height of COVID-19 cases in New York City.  The goal was to help reduce an overwhelming surge of patients in hospital emergency rooms and subsequent overwhelming of intensive care units, if possible, while also ministering to patients using a whole-person (physical, mental, emotional, relational, and spiritual) approach.  The link to the paper is below:

 

An Approach to Outpatient Screening, Treatment, and Community Health Outreach during the Coronavirus Epidemic in New York City

Since the publication of the paper, several updates at this time should be addressed:

 

1) There has been some promising recent research with remdesivir (Gilead Sciences), but since the medication can only be administered in hospitals, there is no use for it at this time in a widespread outpatient context.

2) While an initial study found hydroxychloroquine potentially helpful in treating COVID-19, subsequent studies have not been so promising.  In any case, in certain states (like New York), hydroxychloroquine was and still is not readily available to the outpatient provider community.

3) Since the writing of our paper, we have treated close to 100 people on this protocol.  As of this emailing, none have reached a level of severity requiring ER evaluation or hospitalization.

 

It must be noted that as of this date, there is still ongoing research into combatting COVID-19.  Again, our paper does not propose an ironclad solution to preventing COVID-19 from progressing in patients.  The paper simply attempts to describe what an integrated outpatient approach that incorporates diagnostic testing, treating, tracking and teaching (via community health education principles) can potentially do in an effort to prevent hospital surge related to coronavirus pandemic activity in a given population.  

 

More information about our protocols can be found on Beacon Christian Community Health Center’s new teaching website:  Beacon360.org

 

Please contact Dr. Janet Kim at [email protected] for further questions related to this paper or the protocol implementation.  May God bless and guide those who read this paper.  

 

Christian Medical & Dental Associations®

About Christian Medical & Dental Associations®

The Christian Medical & Dental Associations® (CMDA) is made up of the Christian Medical Association (CMA) and the Christian Dental Association (CDA). CMDA provides resources, networking opportunities, education and a public voice for Christian healthcare professionals and students. Founded in 1931, CMDA provides programs and services supporting its mission to "change hearts in healthcare" with a current membership of over 13,000 healthcare professionals. CMDA promotes positions and addresses policies on healthcare issues; conducts overseas medical education and evangelism projects; coordinates a network of Christian healthcare professionals for fellowship and professional growth; sponsors student ministries in medical dental, PA, and other healthcare training schools; distributes educational and inspirational resources; hosts marriage and family conferences; provides developing world missionary healthcare professionals with continuing education resources; and conducts academic exchange programs overseas. By being the "hands of Jesus" to needy people, CMDA seeks to fulfill His Great Commandment (Matthew 22:39; 25:36) and His Great Commission (Matthew 28:19). The Christian Medical & Dental Associations® is a 501(c)3 and is governed by a Board of Trustees and House of Delegates. Policies of CMDA are interpreted and applied by the Board of Trustees, which also establishes the guidelines for the executive director and his staff. An elected House of Delegates assists the board with recommendations on courses of action. The House of Delegates is composed of graduate, student, resident and missionary members who are elected for three-year terms by district and meets annually at the CMDA National Convention. Approximately 75 employees currently make up the staff of CMDA in the national office and U.S. field offices.

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