Rapid Implementation of a Hybrid Telehealth Modality During the COVID-19 Pandemic and its Impact on Electronic Record Entry

Angie El-said, Gustavo Marino, Rasika Patil, Brianna Leone, Matt P Abrams, Brandon Tapasak, A. Momin, J. Simms-Cendán
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Abstract

This report describes the adoption of a hybrid telehealth modality implemented in a student-run free clinic after the onset of the Coronavirus disease 2019 (COVID-19) pandemic in March 2020, with particular emphasis on the impact it may have on electronic health record entry. Our hybrid telehealth modality flow board summarizes how patients received care from volunteers in person and remotely. Successes of the modality included collecting medical records before the visit, creating more defined roles, and implementing e-prescriptions. Challenges faced included recording vital signs and communicating between volunteers on-site and remotely. We present our lessons learned and future plans for other free clinics to optimize their telehealth modalities.
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新型冠状病毒病疫情期间混合远程医疗模式的快速实施及其对电子病历录入的影响
本报告描述了在2020年3月2019冠状病毒病(新冠肺炎)大流行爆发后,在学生开办的免费诊所中采用的混合远程医疗模式,特别强调了它可能对电子健康记录录入产生的影响。我们的混合远程医疗模式流程板总结了患者如何亲自和远程接受志愿者的护理。该模式的成功包括在就诊前收集医疗记录,创建更明确的角色,以及实施电子处方。面临的挑战包括记录生命体征以及现场和远程志愿者之间的沟通。我们介绍了我们的经验教训和其他免费诊所的未来计划,以优化其远程医疗模式。
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