Topic: 6 best practices to sharpen physicians’ use of telehealth

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

“The one thing that we can all say we have achieved at this point is we brought the doctor’s office into the home successfully,” 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.

Dr. Kvedar also is president of the American Telemedicine Association and made his remarks during the Telehealth Initiative virtual boot camp. “We should be proud of that because a lot of things could have gone wrong and not many really did.”

The Telehealth Initiative—a collaboration between the AMA, The Physicians Foundation, Florida Medical Association, Massachusetts Medical Society and Texas Medical Association—helps 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.

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.

Get the basics right

One key is for physicians to make sure they understand “how to interact over the video,” said Ami Bhatt, MD, director of adult congenital heart disease program at Massachusetts General Hospital in Boston.

This is where a checklist might help physicians when preparing for telehealth visits with their patients. For example, “make sure you don’t have a lot of backlight, make sure you’re on Wi-Fi as well as on your network,” said Dr. Bhatt. “We do some of those basics because if providers get frustrated with the technology, then they won’t continue with it.”

Learn how to maintain momentum on telehealth after COVID-19 crisis ends.

Make sure patients can connect

“We have medical assistants as part of our workflow who are calling patients in advance,” said Dr. Bhatt. “They play the role of making sure that patients can get on and get on successfully before they’ve even gotten to their physician visit.”

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.

In a recent episode of the “AMA COVID-19 Update,” experts share how to help patients manage high blood pressure remotely.

Topic Discussed: 6 best practices to sharpen physicians’ use of telehealth

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