CHA COVID Resource Site



Welcome to the CHA COVID-19 Public Site. As we continue to respond to the outbreak in the Boston region, we are developing guidelines, protocols and videos for others to use. Please note, our clinical materials are subject to revision as we increase our knowledge in managing this disease.

Overview: CHA COVID-19 Continuum of Care

CHA has restructured its health delivery system to meet patient and community needs during the pandemic. In addition to excellent hospital-based COVID care, we are providing comprehensive outpatient COVID care while continuing to address patients’ acute and chronic non-COVID needs.

CHA COVID-19 Response Continuum of Care Strategy (PPT)

Highlights:

  • Prevention. We are leveraging our existing population health skill set to focus on COVID prevention:
    • Outreach to high-risk patients. We have used a registry-based approach to contact and provide counseling to at-risk patients, in addition to making sure their other health needs are met.
    • Department of Public Health partnerships. CHA has partnered with multiple local public health departments to provide widespread COVID testing.
    • Preventive care for non-COVID disease. We continue to provide access to patients for preventive care needs, such as early childhood vaccinations.
  • Primary Care. We have maintained our commitment to Primary Care throughout the pandemic. To serve patients’ unique needs and protect patients and staff during the pandemic, we radically overhauled our primary care model:
    • Televisits. CHA has implemented a new telemedicine model for acute and chronic care. Televisits are also available for most medical and surgical specialties and outpatient psychiatry.
    • In-person Visits. In-person visits are available after a symptom screening at two regional clinics, or at our dedicated Respiratory Clinic for patients with COVID or COVID-like symptoms.
    • COVID Care. We developed a centralized model of COVID care embedded in our Primary Care network.
      • COVID Triage Center. We created a dedicated call center staffed by nurses and doctors seven days a week to address the needs of patients with symptoms of COVID or questions or concerns related to COVID.
      • Respiratory Clinic. The Respiratory Clinic provides acute and chronic in-person care for patients with COVID or COVID-like symptoms.
      • Community Management. Patients with suspected or confirmed COVID and at higher risk of serious disease are followed by a group of Community Management providers throughout their illness.

To accomplish these tasks, we developed many new protocols, workflows, and guidelines, which are available to the public and to interested medical practitioners below.

Handouts for Patients Recovering from COVID-19, multiple translations

Telephonic Evaluation and Management of COVID-19

Respiratory Clinic Workflows

Outpatient COVID-19 Testing

Outpatient COVID-19 Clinical Guidelines

Videos to help clinicians in the primary care setting
Featuring Pieter Cohen, MD, CHA Internist and Associate Professor of Medicine at Harvard Medical School

Advance Care Planning


Publications and Media Coverage

American Medical Association
COVID-19 health equity initiatives: Cambridge Health Alliance

The Playbook Blog, June 9, 2020
Empowering Goals of Care for Vulnerable Communities During COVID-19

Harvard Medical School Center for Primary Care, June 5, 2020
Striving for Patient Centeredness Amidst the COVID-19 Pandemic

American Medical Association, May 29, 2020
Targeting COVID-19 inequities requires a data-driven approach

NEJM Catalyst, May 27, 2020
Case Study - Developing an Intensive Community Covid-19 Management Strategy: Helping Our Patients Access Patient-Centered Care across a Continuum of Covid-19 Disease Needs

WBUR News, May 2, 2020
Family Physicians During A Pandemic: Caring For Patients Alongside COVID-19

Annals of Internal Medicine, May 1, 2020
Investing in Our First Line of Defense: Environmental Services Workers

Harvard Center for Primary Care, April 30, 2020
Primary Care and COVID: Our Role in Flattening the Curve

America's Essential Hospitals, April 29, 2020
Cambridge Health Alliance Develops COVID-19 Community Management Model

WBUR CommonHealth, April 24, 2020
After Hundreds Of Patients In Somerville COVID-19 Clinic, A Turning Point Comes Clear

UpToDate, April 23, 2020
Coronavirus disease 2019 (COVID-19): Outpatient management in adults

STAT, April 23, 2020
Our hospital’s community management strategy for Covid-19 works. Yours can, too

Mayo Clinic Proceedings, April 20, 2020
The Early Natural History of SARS-CoV-2 Infection: Clinical Observations From an Urban, Ambulatory COVID-19 Clinic

Podcasts