PT  - JOURNAL ARTICLE
AU  - Aditi U. Joshi
AU  - Resa E Lewiss
TI  - Telehealth in the time of COVID-19
AID  - 10.1136/emermed-2020-209846
DP  - 2020 Oct 01
TA  - Emergency Medicine Journal
PG  - 637--638
VI  - 37
IP  - 10
4099  - http://emj.bmj.com/content/37/10/637.short
4100  - http://emj.bmj.com/content/37/10/637.full
SO  - Emerg Med J2020 Oct 01; 37
AB  - Telehealth or using technology for a remote medical encounter has become an efficient solution for safe patient care during the severe acute respiratory syndrome coronavirus 2 or COVID-19 pandemic. This medium allows patient immediate healthcare access without the need for an in-person visit. We designed a time-sensitive, practical, effective and innovative scale-up of telehealth services as a response to the demand for COVID-19 evaluation and testing. As more patients made appointments through the institution’s telehealth programme, we increased the number of clinicians available. JeffConnect, the acute care telehealth programme, was expanded to increase staffing from a standing staff of 37–187 doctors within 72 hours. Telehealth care clinicians primarily trained in emergency medicine, internal medicine and family medicine followed a patient decision pathway to risk stratify patients into three groups: home quarantine no testing, home quarantine with outpatient COVID-19 testing and referral for in-person evaluation in the ED, for symptomatic and potentially unstable patients.