A Model for Rapid Transition to Virtual Care, VA Connecticut Primary Care Response to COVID-19
| Autor: | Christopher B. Ruser, Juliette F Spelman, Rebecca Brienza, Paul Drost, Jeffrey D. Kravetz, Amy R. Schwartz, Robert F. Walsh, Patricia Pitkin |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Program evaluation
Coronavirus disease 2019 (COVID-19) Pneumonia Viral Urgent Care Clinics Primary care 01 natural sciences 03 medical and health sciences primary care Betacoronavirus 0302 clinical medicine prevention virtual care Pandemic Health care Internal Medicine Medicine Humans 030212 general & internal medicine 0101 mathematics Pandemics Veterans Primary Health Care business.industry SARS-CoV-2 pandemic 010102 general mathematics COVID-19 Patient exposure medicine.disease Telemedicine United States Health care delivery Connecticut United States Department of Veterans Affairs Medical emergency business Innovations in Clinical Practice Coronavirus Infections Program Evaluation |
| Zdroj: | Journal of General Internal Medicine |
| ISSN: | 1525-1497 0884-8734 |
| Popis: | Introduction Traditionally, health care delivery in the USA has been structured around in-person visits. The COVID-19 pandemic has forced a shift to virtual care models in order to reduce patient exposure to high-risk environments and to preserve valuable health care resources. This report describes one large primary care system’s model for rapid transition to virtual care (RTVC). Setting and Participants A RTVC model was implemented at the VA Connecticut Health Care System (VACHS), which delivers care to over 58,000 veterans. Program Description The RTVC model included immediate virtual care conversion, telework expansion, implementation of virtual respiratory urgent care clinics, and development of standardized note templates. Program Evaluation Outcomes include the rates of primary encounter types, staff teleworking, and utilization of virtual respiratory urgent care clinics. In under 2 weeks, most encounters were transitioned from in-person to virtual care, enabling telework for over half of the medical staff. The majority of virtual visits were telephone encounters, though rates of video visits increased nearly 18-fold. Discussion The RTVC model demonstrates expeditious and sustained transition to virtual care during the COVID-19 pandemic. Our experiences help inform institutions still reliant on traditional in-person visits, and future pandemic response. |
| Databáze: | OpenAIRE |
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