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Lessons Learned During COVID-19 That Can Move Telehealth in Primary Care Forward.
J Am Board Fam Med. 2021 Feb; 34(Suppl):S196-S202.JA

Abstract

INTRODUCTION

Our university hospital-based primary care practices transitioned a budding interest in telehealth to a largely telehealth-based approach in the face of the COVID-19 pandemic.

INITIAL WORK

Implementation of telehealth began in 2017. Health system barriers, provider and patient reluctance, and inadequate reimbursement prevented widespread adoption at the time. COVID-19 served as the catalyst to accelerate telehealth efforts.

IMPLEMENTATION

COVID-19 resulted in the need for patient care with "social distancing." In addition, due to the pandemic, the Centers for Medicare and Medicaid Services and other insurers began expanded reimbursement for telehealth. More than 2000 providers received virtual health training in less than 2 weeks. In March 2020, we provided 2376 virtual visits, and in April 5293, which was more than 75 times the number provided in February; 73% of all visits in April were virtual (up from 0.5% in October 2019). As COVID-19 cases receded in May, June, and July, patient demand for virtual visits decreased, but 28% of visits in July were still virtual.

LESSONS LEARNED

Several key lessons are important for future efforts regarding clinical implementation: (1) prepare for innovation, (2) cultivate an innovation mindset, (3) standardize (but not too much), (4) technological innovation is necessary but not sufficient, and (5) communicate widely and often.

Authors+Show Affiliations

From the Department of Family Medicine, University of Colorado School of Medicine, Aurora. Kyle.Knierim@cuanschutz.edu.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.From the Department of Family Medicine, University of Colorado School of Medicine, Aurora.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

33622838

Citation

Knierim, Kyle, et al. "Lessons Learned During COVID-19 That Can Move Telehealth in Primary Care Forward." Journal of the American Board of Family Medicine : JABFM, vol. 34, no. Suppl, 2021, pp. S196-S202.
Knierim K, Palmer C, Kramer ES, et al. Lessons Learned During COVID-19 That Can Move Telehealth in Primary Care Forward. J Am Board Fam Med. 2021;34(Suppl):S196-S202.
Knierim, K., Palmer, C., Kramer, E. S., Rodriguez, R. S., VanWyk, J., Shmerling, A., Smith, P., Holmstrom, H., Bacak, B. S., Brown Levey, S. M., Staton, E. W., & Holtrop, J. S. (2021). Lessons Learned During COVID-19 That Can Move Telehealth in Primary Care Forward. Journal of the American Board of Family Medicine : JABFM, 34(Suppl), S196-S202. https://doi.org/10.3122/jabfm.2021.S1.200419
Knierim K, et al. Lessons Learned During COVID-19 That Can Move Telehealth in Primary Care Forward. J Am Board Fam Med. 2021;34(Suppl):S196-S202. PubMed PMID: 33622838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lessons Learned During COVID-19 That Can Move Telehealth in Primary Care Forward. AU - Knierim,Kyle, AU - Palmer,Christina, AU - Kramer,Erik Seth, AU - Rodriguez,Rachel S, AU - VanWyk,Jill, AU - Shmerling,Alison, AU - Smith,Peter, AU - Holmstrom,Heather, AU - Bacak,Brian S, AU - Brown Levey,Shandra M, AU - Staton,Elizabeth W, AU - Holtrop,Jodi Summers, PY - 2020/08/06/received PY - 2020/09/09/accepted PY - 2021/2/24/entrez PY - 2021/2/25/pubmed PY - 2021/3/10/medline KW - COVID-19 KW - Pandemics KW - Patient Care KW - Primary Health Care KW - Telemedicine SP - S196 EP - S202 JF - Journal of the American Board of Family Medicine : JABFM JO - J Am Board Fam Med VL - 34 IS - Suppl N2 - INTRODUCTION: Our university hospital-based primary care practices transitioned a budding interest in telehealth to a largely telehealth-based approach in the face of the COVID-19 pandemic. INITIAL WORK: Implementation of telehealth began in 2017. Health system barriers, provider and patient reluctance, and inadequate reimbursement prevented widespread adoption at the time. COVID-19 served as the catalyst to accelerate telehealth efforts. IMPLEMENTATION: COVID-19 resulted in the need for patient care with "social distancing." In addition, due to the pandemic, the Centers for Medicare and Medicaid Services and other insurers began expanded reimbursement for telehealth. More than 2000 providers received virtual health training in less than 2 weeks. In March 2020, we provided 2376 virtual visits, and in April 5293, which was more than 75 times the number provided in February; 73% of all visits in April were virtual (up from 0.5% in October 2019). As COVID-19 cases receded in May, June, and July, patient demand for virtual visits decreased, but 28% of visits in July were still virtual. LESSONS LEARNED: Several key lessons are important for future efforts regarding clinical implementation: (1) prepare for innovation, (2) cultivate an innovation mindset, (3) standardize (but not too much), (4) technological innovation is necessary but not sufficient, and (5) communicate widely and often. SN - 1558-7118 UR - https://www.unboundmedicine.com/medline/citation/33622838/Lessons_Learned_During_COVID_19_That_Can_Move_Telehealth_in_Primary_Care_Forward_ DB - PRIME DP - Unbound Medicine ER -