Key Factors Promoting Rapid Implementation of Virtual Screening Modalities for the COVID-19 Pandemic Response

Area of Science:

• Healthcare Management
• Telemedicine
• Infectious Disease Control

Background:

• The COVID-19 (C-19) pandemic necessitated rapid deployment of healthcare services.
• A large health network implemented virtual access channels for assessment and triage.
• Asynchronous e-visits and video visits were key for C-19 screening.

Purpose of the Study:

• Evaluate implementation of C-19 screening e-visits and video visits.
• Identify the volume of C-19 screening and other care via virtual visits.
• Discuss future implications of expanded virtual access models.

Main Methods:

• Retrospective analysis of implementation data.
• Examination of operational characteristics of virtual visits.
• Analysis of visit and screening volumes for C-19 e-visits and video visits.

Main Results:

• Virtual channels were rapidly deployed during the initial week of C-19 testing availability.
• Over 10,000 e-visits and 31,000 video visits were conducted by primary care clinicians.
• 4,267 C-19 tests were ordered (10% of total virtual visits), supported by 448 clinicians offering 24/7 access.

Conclusions:

• Virtual healthcare services are poised for continued availability and expansion.
• Patient interest and opportunities support the ongoing use of virtual care.
• Expanded virtual access will accommodate a wider range of symptoms and diagnoses.