In the article COVID-19, the clinic looks at hybrids in human, eye care, and equality

While providers scrambled to roll out telemedicine when the pandemic broke out this spring, hospitals that were in full swing were also forced to massively speed up their plans. The results – Patients preferred virtual support in many cases and technical hurdles were overcome relatively quickly – mean that many systems are pursuing a future of hybrid care that incorporates telemedicine as a cornerstone.

The Cohen Veteran Network, a non-profit network of clinics providing mental health services to military and veteran families, plans to drastically change its physical spaces in the future, it is foreign affairs chief Paul said Tuesday. Woods at the US hospital virtual conference. Association.

That includes reducing the physical footprint of future clinics by about 50 percent, he said.

“The other really interesting thing is that it potentially opens up entirely new markets for us where we don’t necessarily need to be physically present,” he said.

Comments at the AHA conference reflected a clear consensus that telemedicine will not only stay here but continue to be at the heart of healthcare in the future. And the signs are that patients want more virtual options and in many cases they prefer them. Reluctantly, in the past, doctors have no choice but to adapt.

Deborah Hollenstein, vice president of strategic marketing at Vanderbilt University Medical Center, said her hospital is also rethinking the idea that patient care is based on personal interactions and realizes that she is nobody.

In the future, all patients will have simultaneous access to physical and virtual care. 

By the end of last year, approximately 18% of Cohen Veterans Network patients had attended at least one telemedicine session while nursing. The system’s target for 2020 was 30%, but after the COVID-19 outbreak, it was 98%.

Woods predicts that once a vaccine is widely available, CVN will take effect for about 40 percent of patients using virtual services as part of their care.

While access to telemedicine is always an issue and some patients always prefer personal assistance, most providers indicated that patients highly value their experience with telemedicine.

Nikki Moll, senior vice president of marketing and communications for Baylor Scott and White Health, said patient satisfaction has increased with the rise of telemedicine.

“People don’t come back,” she said. “I have used our virtual experience and I know that I will not return as a patient.”

The health care system also needs many new patients who are wondering, showing opportunities to increase voice and reach. He took every patient to the hospital and the hospital a year ago, asking them for an online diagnostic tool that could inform people of the best visits if necessary. It was distributed to more than 3 million people, some of whom described it

Of those who tried the COVID-19 support desk, 400,000 were new to Baylor Scott & White.

Future marketing will emphasize these advertising options, at least through other traditional channels like social media and advertising, Moll said.

The introduction of COVID-19, especially in the first weeks and months after the onset of the disease in the United States, has made the medical system more difficult to accept telemedicine: infidels.

They supported it for a while. They want to have that face-to-face relationship, which is natural, “Hollenstein said.” But they welcomed it at the beginning of the tragedy in March. “

Woods said CVN has a similar experience. “Obviously we got a lot of this from a fast pace,” he said.

Obviously, there is still a problem in using telemedicine in large numbers. Woods said social inequality is an asset. It remains to be seen how CMS and private service providers will decide to pay for telemedicine services as soon as public health emergencies pass.

Privacy also applies, especially when families are together. “We actually had a few clients who said they should have their own telemedicine party in the room because that’s the only place they can be alone,” Woods said.

In the next column, Scott Rissmiller, Atrium Health’s chief medical officer, explains how the system made his hospital open three weeks before its start in April. Plans are already in place, but the disease is contagious, as it has happened with many things, including this idea.

The drug regimen is designed for 15,000 patients, 13,000 who are “eligible” and only 3% will require advanced care, Rissmiller said.

Atrium thinks the hospital has doubled. One is for additional support research and services such as telephone screening and nursing. Others involve intensive care, such as monitoring important signals on home visits by health care providers.

Rissmiller said he and his colleagues have learned that they can move “faster” than they thought before the disease broke out.

“Silos was completely destroyed,” he said. “People are just focused on trying to take care of the patient, as they should.”