Telehealth transformation: COVID-19 and the rise of virtual care.

Abstract

The novel coronavirus disease-19 (COVID-19) pandemic has altered our economy, society, and healthcare system. While this crisis has presented the U.S. healthcare delivery system with unprecedented challenges, the pandemic has catalyzed rapid adoption of telehealth, or the entire spectrum of activities used to deliver care at a distance. Using examples reported by U.S. healthcare organizations, including ours, we describe the role that telehealth has played in transforming healthcare delivery during the 3 phases of the U.S. COVID-19 pandemic: (1) stay-at-home outpatient care, (2) initial COVID-19 hospital surge, and (3) postpandemic recovery. Within each of these 3 phases, we examine how people, process, and technology work together to support a successful telehealth transformation. Whether healthcare enterprises are ready or not, the new reality is that virtual care has arrived.

Department

Description

Provenance

Citation

Published Version (Please cite this version)

10.1093/jamia/ocaa067

Publication Info

Wosik, Jedrek, Marat Fudim, Blake Cameron, Ziad F Gellad, Alex Cho, Donna Phinney, Simon Curtis, Matthew Roman, et al. (2020). Telehealth transformation: COVID-19 and the rise of virtual care. Journal of the American Medical Informatics Association : JAMIA, 27(6). pp. 957–962. 10.1093/jamia/ocaa067 Retrieved from https://hdl.handle.net/10161/21168.

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Scholars@Duke

Wosik

Jedrek Wosik

Clinical Associate in the Department of Medicine
Cameron

Blake Cameron

Associate Professor of Medicine
Gellad

Ziad F. Gellad

Professor of Medicine

Dr. Gellad is an associate professor of medicine in the Division of Gastroenterology at Duke University Medical Center and the Chief of Gastroenterology at the Durham VA Health Care System.  His research focuses on quality of care in gastroenterology, with a particular focus on colorectal cancer screening. Dr. Gellad has also received several innovation grants to develop and implement novel information technology platforms to improve the patient and clinician experience.  He is also an active contributor to the innovation and entrepreneurship activities within Duke University and co-founder of a health technology startup in Durham, NC.

Dr. Gellad received his MD and MPH degrees from Johns Hopkins University.  He completed a residency in internal medicine and a fellowship in gastroenterology at Duke University Medical Center.   Dr. Gellad is past-chair of the Quality Measures Committee of the American Gastroenterological Association, associate editor for GI & Hepatology News and is on the Board of Editors for Clinical Gastroenterology and Hepatology.

Poon

Eric Gon-Chee Poon

Professor of Medicine

I currently serve as the Chief Health Information Officer for Duke Medicine. I also practice primary care internal medicine at the Durham Medical Center as part of Duke Primary Care. In my capacity as CHIO, I am responsible for the visioning and strategic planning of clinical and analytic information systems that impact patient care, research and education.  I work with the Duke Medicine leadership to ensure technology solutions are well aligned with our overall organizational objectives. I oversee the optimization of the Maestro Care (Epic) electronic health record, and partner with physicians, patients and operational leaders to effectively leverage innovative IT in support of the Duke mission.  I also have a keen interest in IT innovation, and work with investigators across Duke to pursue new and innovative ways to efficiently deliver high quality care to our patients.

My research interests have revolved around the use of health information technology to improve the quality of care and patient safety in both the ambulatory and hospital settings.  My work in the ambulatory setting has focused on the efficient delivery of decision support to clinicians to prevent errors of omission and commission during diagnostic test ordering and review of test results. I have also worked to use information technology, including secure on-line patient portals, to improve the communication between clinicians and patients around health maintenance and the follow-up of abnormal test results.  In the inpatient setting, I have conducted several studies to delineate the barriers to and facilitators of the wide-spread diffusion of computerized physician order entry and have led many studies evaluating the safety, financial and socio-technical impact of barcode technology in the hospital pharmacy and nursing units. 


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