{"id":30372,"date":"2020-10-29T19:47:25","date_gmt":"2020-10-29T19:47:25","guid":{"rendered":"https:\/\/dev.mtelehealth.com\/?p=30372"},"modified":"2020-10-29T19:47:25","modified_gmt":"2020-10-29T19:47:25","slug":"6-best-practices-to-sharpen-physicians-use-of-telehealth","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/6-best-practices-to-sharpen-physicians-use-of-telehealth\/","title":{"rendered":"6 best practices to sharpen physicians\u2019 use of telehealth"},"content":{"rendered":"\n\n\n
\n

The COVID-19 pandemic sparked rapid growth in the use of telehealth, and what\u2019s perhaps most surprising to seasoned experts on telemedicine is how smoothly the transition has fared for so many patients and physicians.<\/p>\n\n\n\n

\u201cThe one thing that we can all say we have achieved at this point is we brought the doctor’s office into the home successfully,\u201d said AMA member Joseph Kvedar, MD, senior advisor of virtual care at Mass General Brigham in Boston, a nonprofit hospital and physicians network that includes Brigham and Women’s Hospital and Massachusetts General Hospital.<\/p>\n\n\n\n

Dr. Kvedar also is president of the American Telemedicine Association and made his remarks during the Telehealth Initiative<\/a> virtual boot camp. \u201cWe should be proud of that because a lot of things could have gone wrong and not many really did.\u201d<\/p>\n\n\n\n

The Telehealth Initiative\u2014a collaboration between the AMA, The Physicians Foundation, Florida Medical Association, Massachusetts Medical Society and Texas Medical Association\u2014helps physicians implement telehealth services. This initiative is especially important during the current COVID-19 pandemic to support physicians in their shift to telehealth models to reduce exposure and minimize surges in care facilities.<\/p>\n\n\n\n

Yet many physicians are still searching for advice on how they practice telemedicine at its most effective. In a panel discussion during the Telehealth Initiative virtual boot camp, led by AMA Director of Chronic Disease Prevention Kate Kirley, MD, three physicians shared best practices for physicians to follow when implementing and using telehealth.<\/p>\n\n\n\n

Get the basics right<\/h2>\n\n\n\n

One key is for physicians to make sure they understand \u201chow to interact over the video,\u201d said Ami Bhatt, MD, director of adult congenital heart disease program at Massachusetts General Hospital in Boston.<\/p>\n\n\n\n

This is where a checklist might help physicians when preparing for telehealth visits with their patients. For example, \u201cmake sure you don\u2019t have a lot of backlight, make sure you\u2019re on Wi-Fi as well as on your network,\u201d said Dr. Bhatt. \u201cWe do some of those basics because if providers get frustrated with the technology, then they won\u2019t continue with it.\u201d<\/p>\n\n\n\n

Make sure patients can connect<\/h2>\n\n\n\n

\u201cWe have medical assistants as part of our workflow who are calling patients in advance,\u201d said Dr. Bhatt. \u201cThey play the role of making sure that patients can get on and get on successfully before they\u2019ve even gotten to their physician visit.\u201d<\/p>\n\n\n\n

At the same time, medical assistants should ask patients if they have BP monitors, a scale and other tools to enhance their virtual experience. If so, patients will be asked to upload the data prior to their telehealth visit.<\/p>\n\n\n\n

In a recent episode of the \u201cAMA COVID-19 Update,\u201d experts share how to help patients manage high blood pressure remotely<\/a>.<\/p>\n\n\n\n

Dress professionally<\/h2>\n\n\n\n

\u201cI\u2019m seeing patients from home, but you should dress professionally,\u201d said Lawrence Garber, MD, medical director for informatics at Reliant Medical Group in Worcester, Massachusetts. Reliant Medical Group serves more than 500 physicians and health professionals while caring for over 320,000 patients.<\/p>\n\n\n\n

One thing Dr. Garber does is to wear his ID badge. That adds to the patient\u2019s sense that \u201cyou\u2019re in the office.\u201d<\/p>\n\n\n\n

Learn more from the AMA about how to succeed with telehealth by knowing your \u201cwebside manner.\u201d<\/a><\/p>\n\n\n\n

Have a backup plan<\/h2>\n\n\n\n

\u201cWhen we book appointments, we ask the patients to give us their phone number because you need to have a backup plan,\u201d said Dr. Garber. \u201cWe do have the medical assistant calling in and getting them into the visit, and we use that phone number, but also if during the visit something goes south, you want to be able to contact them.\u201d<\/p>\n\n\n\n

\u201cWe’ve also found it useful to have a, a backup video solution,\u201d he said. \u201cWe actually have two video solutions. One is our primary, but if you know that one’s not working, which as everyone’s seen over the last few months, sometimes the different technology vendors are down. It’s nice to have a backup plan that you can use.\u201d<\/p>\n\n\n\n

Create in-depth conversation<\/h2>\n\n\n\n

When conducting a telehealth patient visit \u201ca good web-side manner\u201d is essential, said Vimal Mishra, MD, director of digital health at the AMA and medical director of telehealth at VCU Health in Richmond, Virginia. \u201cA really critical part of the conversation is: How will you engage your patient?\u201d<\/p>\n\n\n\n

\u201cApproximately eighty percent of our diagnosis could be made with a patient\u2019s history,\u201d said Dr. Mishra, adding that an effective telehealth visit is all about \u201chaving in-depth conversation and eliciting a good medical history.\u201d<\/p>\n\n\n\n

Initiate virtual visit after hospital stay<\/h2>\n\n\n\n

When a patient is discharged from the hospital, scheduling a telehealth visit can help improve outcomes.<\/p>\n\n\n\n

\u201cAt my institution, each patient admitted to hospital medicine service is offered a post-discharge virtual visit\u2014two to three days after discharge\u2014to ensure patients have transitioned back home safely, are taking the right medications and all loose ends are tied,\u201d said Dr. Mishra, adding that this increased patient satisfaction, safety and decreased readmissions.<\/p>\n\n\n\n

The AMA has developed a Telehealth Implementation Playbook<\/a> that is designed to support efficient, successful implementation of telemedicine so that physicians, care teams, patients and the broader community can experience the benefits of telehealth in practice.<\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

The COVID-19 pandemic sparked rapid growth in the use of telehealth, and what\u2019s perhaps most 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