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1. Clinical outcomes and serologic response in solid organ transplant recipients with COVID-19: A case series from the United States.

Author

Fung M, Chiu CY, DeVoe C, Doernberg SB, Schwartz BS, Langelier C, Henrich TJ, Yokoe D, Davis J, Hays SR, Chandran S, Kukreja J, Ng D, Prostko J, Taylor R, Reyes K, Bainbridge E, Bond A, Chin-Hong P, and Babik JM

Subjects
Adult, Aged, Aged, 80 and over, Comorbidity, Female, Humans, Male, Middle Aged, United States epidemiology, Antibodies, Viral immunology, COVID-19 epidemiology, Immunocompromised Host, Organ Transplantation methods, Pandemics, SARS-CoV-2 immunology, Transplant Recipients
Abstract

The coronavirus disease 2019 (COVID-19) pandemic caused by SARS coronavirus 2 (SARS-CoV-2) has caused significant morbidity and mortality for patients and stressed healthcare systems worldwide. The clinical features, disease course, and serologic response of COVID-19 among immunosuppressed patients such as solid organ transplant (SOT) recipients, who are at presumed risk for more severe disease, are not well characterized. We describe our institutional experience with COVID-19 among 10 SOT patients, including the clinical presentation, treatment modalities, and outcomes of 7 renal transplant recipients, 1 liver transplant recipient, 1 heart transplant recipient, and 1 lung transplant recipient. In addition, we report the serologic response in SOT recipients, documenting a positive IgG response in all 7 hospitalized patients. We also review the existing literature on COVID-19 in SOT recipients to consolidate the current knowledge on COVID-19 in the SOT population for the transplant community., (© 2020 The American Society of Transplantation and the American Society of Transplant Surgeons.)

Published
2020
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2. Facilitating improvement in primary care: the promise of practice coaching.

Author

Grumbach K, Bainbridge E, and Bodenheimer T

Subjects
Canada, Family Practice education, Humans, Netherlands, Outcome and Process Assessment, Health Care, Physicians, Family education, United Kingdom, United States, Delivery of Health Care methods, Practice Management, Medical organization & administration, Practice Patterns, Physicians' organization & administration, Primary Health Care organization & administration, Quality Improvement organization & administration, Quality of Health Care organization & administration
Abstract

Practice coaching, also called practice facilitation, assists physician practices with the desire to improve in such areas as patient access, chronic and preventive care, electronic medical record use, patient-centeredness, cultural competence, and team-building. This issue brief clarifies the essential features of practice coaching and offers guidance for health system leaders, public and private insurers, and federal and state policymakers on how best to structure and design these programs in primary care settings. Good-quality evidence demonstrates that practice coaching is effective. The authors argue that primary care delivery in the United States would benefit from a more systematic approach to the training and deployment of primary care practice coaches.

Published
2012

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