Analysis & Perspective: PDF OnlyLessons Learned from Implementing Rehabilitation at a COVID-19 Field HospitalMcLaughlin, Kevin H. DPT1; Simon, Lauren DPT1; Friedman, Michael PT, MBA1; Siddiqui, Zishan K. MD1; Ficke, James R. MD2; Kantsiper, Melinda E. MD3 CONQUER COVID consortiumAuthor Information From the 1Department of Physical Medicine and Rehabilitation, The Johns Hopkins University, Baltimore, MD, USA 2Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA 3Division of Hospital Medicine, The Johns Hopkins Bayview Medical Center, Baltimore, MD, USA Funding: None Disclaimers: No conflicts of interest This manuscript has not been previously presented in any form. Address all correspondence and reprint requests to: James R. Ficke, MD, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N Caroline St, Baltimore, MD, 21205 (Telephone: 410-502-1714; Fax: 410-550-2899; E-mail: [email protected]). This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections. American Journal of Physical Medicine & Rehabilitation: September 9, 2021 - Volume - Issue - doi: 10.1097/PHM.0000000000001878 Free PAP Metrics Abstract Rehabilitation experts play an important role in preventing hospital-acquired debility, increasing patients’ abilities to safely perform activities of daily living, and facilitating discharge to the home setting for patients with COVID-19. Surges in COVID-19 hospitalization rates combined with increases in length of hospital stay and decreases in post-acute care placements have necessitated the opening of COVID-19 field hospitals around the country. Most field hospitals lack the resources to offer a full suite of rehabilitation services, but there are opportunities for small teams of rehabilitation experts to increase their reach by using innovative strategies. This article describes the implementation of a small team of rehabilitation experts in a COVID-19 field hospital and strategies used by this team to maximize patient activity and mobility, facilitate timely discharge, and maximize the number of patients discharged to the home setting. Strategies include training nonclinical staff to assist with activity and mobility promotion and using a rehabilitation triage system to determine needs of individual patients and facilitate efficient resource utilization. The authors reflect on successful aspects of these strategies, as well as barriers to rehabilitation implementation, and make recommendations for other field hospitals seeking to implement rehabilitation during the COVID-19 pandemic or future health crises. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.