Strategies for efficient adaptation in a pandemic: A decision-making flowchart from an integrative oncology wellness center

Objective: To support implementation at other integrative health institutions, this poster describes the processes and tools necessary to rapidly establish virtual and distance healthcare options for a variety of integrative treatment modalities to serve as a template for other healthcare facilities Methods: The Wellness and Integrative Health Center (WIHC) at Huntsman Cancer Institute (HCI) provides primarily in-person and hands-on patient visits for supportive oncology services With the COVID-19 pandemic dramatically changing the landscape of in-person healthcare, The WIHC worked to quickly roll-out virtual and telemedicine appointments for most of its offerings over the course of only two weeks in March and April 2020 This poster visually showcases key decision-making processes and workflows to prepare and implement necessary technologies, documents, staff trainings, and other key components for a successful and swift transition to telehealth and virtual wellness services The poster will also display ideas and strategies for utilizing and retaining staff and funding for hands-on modalities that cannot translate to a virtual alternative Results: The WIHC successfully transitioned physician physical assessments, supervised exercise prescriptions, nutrition, music therapy, art therapy, and group fitness classes to virtual and online alternatives with a high rate of patient retention and satisfaction Full-time acupuncturists and massage therapists were reassigned to work-fromhome tasks or other administrative and COVID-safety related tasks within the HCI building Conclusion: The COVID-19 pandemic prompted many healthcare facilities to quickly adapt healthcare treatments and day-to-day operations into online and telehealth offerings The in-person and hands-on modalities found at Huntsman Cancer Institute's WIHC forced our team to utilize creative and unprecedented measures to ensure continuity of care for our patients The WIHC team and its leadership hope that by sharing its rapid and adaptable response to clinical and supportive services it can help other wellness programs and healthcare facilities adapt to future emergency and disaster situations Education Research