Back to Top Skip to main content

COVID-19 and its impact on healthcare in Europe

Nurses review medical charts Nurses review medical charts (Photo Credit: Courtesy photo)

Recommended Content:

Coronavirus

SEMBACH Kaserne, Germany – While the recent outbreak of COVID-19 has had a major impact on healthcare, Army medical facilities in Europe are working hard to continue providing quality health care and services to their beneficiaries.

As Regional Health Command Europe medical treatment facilities have had to adjust their operations to meet the increased demand for acute care and COVID-19 screening operations, patients can expect some changes to the availability of routine appointments. However, MTF staffs are working hard to meet the needs of beneficiaries across Europe.

WHAT CAN BENEFICIARIES EXPECT IN THE NEAR TERM?

“Generally speaking, primary care clinics are continuing to see patients,” said Ryan Lindgren, a health system specialist with Regional Health Command Europe.

“However, some non-urgent care has been deferred until after the COVID threat wanes. Acute care needs, on the other hand, are being addressed either in the clinic or as a virtual visit. Acute care appointments are for issues that need to be addressed in the next 24 hours,” Lindgren said.

“Additionally, visits that are very hands-on, such as hearing and eye exams, have been put on hold for protection of the patients and staff. Primary care will continue its current efforts as long as COVID remains a threat. RHCE has a very strong virtual health capability, so I expect it will continue even after the COVID threat subsides,” said Lindgren.

HOW CAN PATIENTS MAKE APPOINTMENTS OR OBTAIN ADVICE?

“Patients can still call the central appointment line for appointments,” Lindgren said. “However, some non-urgent requests may be deferred, as most appointment types are for acute issues needing to be seen in the next 24 hours.”

“We are, however, starting to open up some future appointments” added Lindgren. As a result, callers may expect more appointment availability in the coming weeks. Clinics are also now doing some of their own appointing to match the availability of providers with their patients’ needs. So, beneficiaries might be able to contact the clinic directly if they feel they need to be seen for an urgent matter.”

NEED MEDICAL ADVICE? CALL THE NURSE ADVICE LINE

TRICARE beneficiaries can call the Nurse Advice Line 24 hours a day / seven days a week for medical advice.

To learn more about the Nurse Advice Line visit: https://mhsnurseadviceline.com/home

Numbers for the Nurse Advice Line are as follows:

  • Bahrain: 800-06432
  • Spain: 900-82-2740
  • Belgium: 0800-81933
  • Turkey: 00-800-44-882-5287
  • Germany: 0800-071-3516
  • UK: 0800-028-3263
  • Italy: 800-979721

With a larger than normal volume of phone calls, some users have experience difficulty calling the appointment line or reaching the Nurse Advice Line.

“We began working with the clinics across the footprint to change appointment lines to 24 hours, opening access for the Nurse Advice Line and those patients needing acute care,” said Lindgren. “Other efforts have included the increase of telephone lines region-wide from 60 lines to 150 lines to allow more virtual house calls, and improve phone access to the clinics.”

COMMUNICATE WITH YOUR PROVIDER VIA SECURE MESSAGING

Other than face-to-face communication, another way beneficiaries can communicate with their provider is through the use of TRICARE Online Secure Messaging. Secure Messaging lets you talk privately with your doctor or the medical staff via secure email. With Secure Messaging, you can:

  • Ask questions and get non-emergency health care advice
  • Request appointments and referrals
  • Ask your doctor to renew your prescriptions
  • Request copies of labs and other test results
  • Find health education information about a variety of topics including links to doctor-recommended information and sites

To learn more about TOL Secure Messaging visit: https://go.usa.gov/xvB8t

ARE LAB SERVICES BEING OFFERED?

Lt. Col. Jared Andrews, Laboratory Director at Landstuhl Regional Medical Center, said, “All laboratory services remain the same and we continue to do specimen draws. However, individuals who have COVID-19 symptoms must first go to the COVID clinic to be screened prior to entering the hospital. If they have symptoms they must wear a mask. We require all persons in the specimen collection area to wear a mask or face covering.”

HOW CAN I GET MY PRESCRIPTIONS REFILLED?

Overall, there has been little change in pharmacy operations, according to Lt. Col. Paul Kassebaum, chief of pharmacy for Landstuhl Regional Medical Center.

“With so many things in flux, our goal has been to sustain access to medications and keep processes simple,” Kassebaum said. “However, if filling a prescription can be safely delayed, that is most desirable. Doing so will allow people to continue to shelter in place at home and not make trips out into public spaces.”

“For refill prescriptions, we strongly urge patients to request them ahead of time through TRICARE Online or over the phone,” Kassebaum said. “By doing this, the prescriptions will already be filled when the patient arrives, thus limiting the patient’s time in the pharmacy lobby. We will, of course, accept refill requests at the pharmacy window, but that increases the time waiting in the lobby, potentially increasing the risk to themselves and others.”

Some military treatment facilities in Europe have implemented drive-thru pharmacy services and other protective measures.

“To increase patient safety and the safety of our staff, all of our outpatient pharmacies have installed Plexiglas in the pharmacy windows,” Kassebaum said. “When visiting the pharmacy, we ask that patients use hand sanitizer before and after pulling a ticket from the kiosk. It should also be noted that our pharmacy staff no longer handle or touch patient ID cards. And, as with any other public space, we recommend that patients wear cloth masks when visiting the pharmacy.”

WHAT ABOUT DENTAL SERVICES?

Col. Manuel Pozo-Alonso, commander of Dental Health Command Europe said, “The recent COVID-19 outbreak across Europe resulted in the curtailment of most non-emergency dental care in Army dental clinics. Army dental clinics are currently only seeing urgent or emergency type dental patients. Routine appointments will need to be rescheduled at a later date.”

Pozo-Alonso added, “However, if you feel you have a real dental emergency, or are in severe pain, call your local Army dental clinic so a dental provider can get a clear picture of your particular situation. If the dental provider establishes the need for treatment, you will be scheduled for an appointment to have your dental emergency addressed.”

ARE BEHAVIORAL HEALTH SERVICES STILL BEING PROVIDED?

One of the most significant changes to behavioral health services in Europe recently has been the expanded use of virtual appointments.

“Roughly 90 percent of the regular behavioral health appointments the past two or three weeks have been conducted virtually through videoconference or via telephone,” said Lt. Col. Emile K. Wijnans, director of Psychological Health for Regional Health Command Europe. “Most beneficiaries say they like and appreciate the services, even if it is an adjustment. The scope and general success of these virtual services may have lasting and significant consequences for future behavioral health care across EUCOM and adjacent combatant commands.”

DO I HAVE TO WEAR A FACE MASK OR COVERING?

One of the most visible changes beneficiaries will notice is the new requirement to wear a facial covering. The use of a cloth face covering is now required at all Regional Health Command Europe medical and dental facilities by both staff and patients/visitors over the age of five.

The U.S. Centers for Disease Control and Prevention (CDC) recommends wearing cloth face coverings in public settings where physical distancing measures are difficult to maintain. Additional guidance has been provided to staff who have regular close contact (less than six feet) with patients with known COVID-19 exposure, or who are symptomatic.

The Department of Defense has implemented guidance on the use of cloth face coverings, including wear of the neck gaiter and other cloth items, such as bandanas and scarves, as face coverings.

For more ideas on making a cloth face covering, visit the CDC website: http://ow.ly/eIBG50z9N4S.

You also may be interested in...

Tidewater set to become fifth Military Health System market

Article
4/19/2021
Military health personnel reading a medical machine

The Tidewater Military Health System market in southeast Virginia is scheduled to officially stand up April 19.

Recommended Content:

COVID-19 Toolkit | Coronavirus | MHS Transformation

Appenzeller emphasizes: Get COVID-19 vaccine, no matter where

Article
4/16/2021
Military personnel explaining forensic equipment

The DHA’s Combat Support assistant director had some direct and encouraging words about the military’s COVID-19 vaccine rollout to date.

Recommended Content:

COVID-19 Toolkit | Coronavirus | COVID-19 Vaccine Toolkit

Tele-critical care will play increased COVID-19 response role in 2021

Article
4/15/2021
Infographic that says "202 tele-critical care successes will help 2021 COVID19 response"

Virtual health and particularly tele-critical care for critically ill patients assumed frontline roles in sustaining care while keeping beneficiaries and health care teams safe.

Recommended Content:

COVID-19 Toolkit | Coronavirus | MHS Transformation

Join Us!! Third COVID-19 Townhall Update with Major General George Appenzeller!

Article
4/13/2021
MHS and Military OneSource COVID-19 Townhall, with Major General (Dr.) George N. Appenzeller.  Wednesday, 14 April, 1 PM ET

Join us for the MHS' Third COVID-19 Townhall with Major General George Appenzeller

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

DOD surpasses 2 million COVID-19 vaccines worldwide

Article
4/9/2021
Military health personnel wearing a face mask and a face shield giving the COVID-19 vaccine

The DOD hit the 2 million mark for vaccinations worldwide just a month after the 1 million milestone.

Recommended Content:

COVID-19 Toolkit | Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

Public health remains an integral part in the fight against COVID

Article
4/9/2021
Infographic featuring health personnel wearing face shields and mask with "National Public Health Week" across the top of the picture

The pandemic has highlighted a need to provide more advanced training on infection prevention and control.

Recommended Content:

COVID-19 Toolkit | April Toolkit | Public Health | Coronavirus | COVID-19 Vaccine Toolkit

Children’s well-being contributes immeasurably to force readiness

Article
4/6/2021
Military personnel wearing face mask in the back of a truck

The Defense Health Agency joins in celebrating military children during Month of the Military Child, observed in April, and always.

Recommended Content:

Children's Health | April Toolkit | Month of the Military Child – Celebrating the Mighty | Coronavirus | Month of the Military Child | Month of the Military Child Image Library

Telemedicine advances put to the test during pandemic

Article
4/1/2021
Uniformed service member stands behind wall of computer screens

COVID-19 has led to the need for physical distancing and has overwhelmed the capacities of health systems, compelling many to adopt telehealth solutions.

Recommended Content:

Technology | Research and Innovation | Coronavirus | COVID-19 Vaccine Toolkit

DOD healthcare leaders give COVID-19 update, praise DHA personnel

Article
3/30/2021
Picture of Director Army Lt. Gen. (Dr. Ronald Place providing a COVID-19 update at  the Pentagon

Dr. Terry Adirim and Army Lt. Gen. (Dr.) Ronald Place provide update on COVID-19 vaccination progress and offer thanks to MHS workers for their contributions.

Recommended Content:

COVID-19 Toolkit | Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

Lovell FHCC staff steps up to create formidable COVID-19 team

Article
3/30/2021
Military health personnel preparing to administer the COVID-19 vaccine

The COVID-19 vaccination effort at the Capt. James A. Lovell Federal Health Care Center in North Chicago, Illinois, has brought out the best in staff.

Recommended Content:

COVID-19 Toolkit | Coronavirus | COVID-19 Vaccine Efforts | COVID-19 Vaccine Toolkit

Dover Air Force Base features ‘Park ‘N Pickup’ pharmacy

Article
3/26/2021
Picture of prescription sitting on a counter

Due to the increased need for patient safety, the 436th Medical Group pharmacy at Dover Air Force Base has implemented a Park ‘N Pickup process.

Recommended Content:

Patient Safety Awareness Week | COVID-19 Toolkit | Coronavirus | Patient Safety

DHA Form 207: COVID-19 Vaccine Screening and Immunization Document

Form/Template
3/25/2021

The purpose of this form is to determine if the COVID-19 vaccine can be administered to the patient.

Recommended Content:

COVID-19 Toolkit | Coronavirus | COVID-19 Vaccine Efforts

TAB A MEO COVID19 Medical Coding Policy

Policy

Memorandum for DHA Staff - Military Medical Treatment Facilities to Implement Updated DHA COVID-19 Medical Coding Policy

  • Identification #: N/A
  • Date: 3/25/2021
  • Type: Memorandums
  • Topics: Coronavirus

DHA COVID19 Medical Coding PolicyV5 1v

Policy

Establishes the DHA procedures to standardize the coding for Coronavirus 2019 (COVID-19) within military medical treatment facilities (MTFs). This memorandum replaces DHA-Policy Memorandum 20-003 of July 1, 2020. Attachment 1 was updated to include the 2021 procedure and diagnosis codes for COVID-19, including the new vaccination and treatment codes.

  • Identification #: 20-003
  • Date: 3/25/2021
  • Type: Memorandums
  • Topics: Coronavirus

Eight nations participate in West African virtual pandemic exercise

Article
3/24/2021
Picture of military personnel wearing a face mask looking at a laptop computer

Medical experts from six African nations, the United Kingdom and the United States, participated in a Virtual Pandemic Preparation and Response Engagement exercise.

Recommended Content:

COVID-19 Toolkit | Coronavirus | Global Health Engagement | Partners
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 28

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.