The Minnesota Medical Operations Coordination Center: A COVID-19 Statewide Response to Ensure Access to Critical Care and Medical-Surgical Beds
Authors' conclusion
Implementation of a large-scale Minnesota MOCC program was effective at placing patients during the first COVID-19 pandemic fall 2020 surge and was well regarded by hospitals and health systems. However, under worsening duress of limited resources during the fall 2021 surge, placement of ICU and medical-surgical patients was greatly decreased.
Study context
- Population
- Requests to transfer adult ICU and medical-surgical patients through the Minnesota Medical Operations Coordination Centers (MOCC) (trauma, cardiac, stroke, burn and ECMO cases excluded), August 1, 2020–March 31, 2022
- Participants
- 5,307 transfer requests
- Outcome
- Transfer requests and placements
- Follow-up
- August 1, 2020, through March 31, 2022
Methodological detailsstatewide, 24/7 telephone line, anonymous client satisfaction survey, time series analysis
- Statewide
- 24/7 telephone line
- Anonymous client satisfaction survey
- Time series analysis
Main finding
As reported in the abstract
- Total requests
- 5,307
- Beds identified
- 2,008
- Requests canceled
- 1,316
- Requests unable to be fulfilled
- 1,981
- Fall 2021 surge: ICU patients placed
- 30%
- Fall 2021 surge: medical-surgical patients placed
- 39%
Observational data: associations, not effects.
Further findings
COVID-19 status of patients
- COVID-19
- 1,715 (32.3%)
- Negative or low risk for COVID-19
- 2,473 (46.6%)
- COVID-19 status unknown
- 1,119 (21.1%)
- Patients on ventilators
- 760
- Ventilated patients COVID-19 positive
- 49.1%
Indicators of severe surge
- Number of requests, decreasing placements, longer placement times, significant request-acceptance differences on time series analysis
Original publication
The Minnesota Medical Operations Coordination Center: A COVID-19 Statewide Response to Ensure Access to Critical Care and Medical-Surgical Beds. Chest. Published 17 August 2023. doi:10.
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