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How COVID-19 broke the supply chain

por Valerie Dimond, Contributing Reporter | June 10, 2020
From the May 2020 issue of HealthCare Business News magazine

Virtually every U.S. healthcare organization is struggling with a flood of patients with COVID-19. Clinicians are getting the virus, some have died, and patients are suffering. While most facilities have lived through and handled a variety of crises, this one is unusual.

“What makes this situation different than other [crises] in the past is the wholesale decrease in manufacturing production and export levels coupled together with increased global demand, which has led to severe shortages of PPE, including N95, surgical, ear loop, and face shield masks, gowns, gloves and pharmaceutical supplies,” said Michael Schiller, CMRP, senior director, American Hospital Association and Association for Health Care Resource & Materials Management (AHRMM). “AHRMM is actively working with health care leaders, associations, suppliers, and distributors from across the healthcare field, sharing information and solutions around resource allocation, conservation, supply continuity and availability."

On March 31, The Forum at the Harvard T.H. Chan School of Public Health and The World co-presented a live, online Q&A titled “The Coronavirus Pandemic: Addressing Weaknesses in the Medical Supply Chain.” Dr. Michael Mina, assistant professor, associate medical director of the clinical microbiology laboratory, and director of molecular virology diagnostics at the hospital, shared his insight.

Unlike some of the other countries battling coronavirus, Mina said, “We have no way to centralize things in this country short of declaring martial law and giving a tremendous amount of power to the federal government. There’s little ability for a central command unit to pool all resources from around the country, and you don’t have one major warehouse or lab type of thing where you could say, Wisconsin, Ohio, New York and Pennsylvania — everyone send their supplies and equipment here and really bank on the economy of scale. We’re very fragmented.”

Michael Schiller
A dearth of testing
“The availability of testing has been restricted severely and that’s because of supply chains and all sorts of issues about how to get the components that go into a test and into a laboratory and then even how to get a sample out of a person and get that to a laboratory,” explained Mina. “These things that seem like they should normally be simple, become extraordinary difficult when the basic supply chains start to break down and demand outstrips supply. Even with all of these new tests becoming available, we’re still woefully undertesting our population.”

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