Survival often depends on behavior that can adapt to rapid changes in contingencies, which should be particularly well suited to a contingency-sensitive and data-based discipline such as applied behavior analysis (ABA). The speed and scale with which contingencies shifted in early March 2020 due to the effects of COVID-19 represent a textbook case for rapid adaptation with a direct impact on the survival of many types of enterprises. We describe here the impact, changes, and outcomes achieved by a large, multifaceted ABA clinical program that has (a) ongoing data that forecasted and tracked changes, (b) staff well practiced with data-based shifts in operations (behavior), and (c) up-to-date information (data) on policy and regulations. The results showed rapid shifts in client and staff behavior on a daily basis, shifts in services from in-person services to telehealth, and increases in volumes, revenue, and margins. We detail regulations and provide actionable steps that clinical organizations can take pertinent to this shift now and in the future. The challenges of the COVID-19 pandemic underscore the importance of maintaining robust coordination and communication across our field in order to address crises that affect our field.

中文翻译：

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在 COVID-19 大流行期间从诊所快速转换为远程医疗行为服务

生存通常取决于能够适应突发事件快速变化的行为，这应该特别适合于突发事件敏感和基于数据的学科，例如应用行为分析 (ABA)。由于 COVID-19 的影响，2020 年 3 月上旬突发事件转变的速度和规模代表了快速适应的教科书案例，直接影响到许多类型企业的生存。我们在这里描述了一个大型的、多方面的 ABA 临床项目所取得的影响、变化和结果，该项目具有 (a) 预测和跟踪变化的持续数据，(b) 工作人员在基于数据的运营（行为）变化方面得到了很好的实践，以及(c) 有关政策和法规的最新信息（数据）。结果显示，客户和员工的行为每天都在快速变化，服务从面对面服务转向远程医疗，并增加数量、收入和利润。我们详细说明了法规并提供了临床组织现在和将来可以针对这一转变采取的可行步骤。COVID-19 大流行的挑战凸显了在我们的领域内保持强有力的协调和沟通的重要性，以应对影响我们领域的危机。