Section on Telehealth Care Program最新文献

{"title":"Cohorting Patients at A Community Health Center: In-Person Well Care, Telemedicine Follow-Ups, And On-Site COVID-19 Testing With Social Determinants Screening","authors":"L. Shader, Gilda DiScala, Victoria Gasca, E. Greene, L. Petterson, Frankie Santiago, J. Thompson, B. Oldfield","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.961","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.961","url":null,"abstract":"Program Goals: During the COVID-19 pandemic, anticipatory guidance, developmental surveillance andimmunizations may be postponed At Fair Haven Community Health Care (FHCHC), a multi-site communityhealth center (CHC) in New Haven, CT, serving approximately 18,000 patients (9,000 children), weimplemented cohorting during the period of greatest local impact of the pandemic Our goals were to (1)prioritize well-child care for children due for immunizations, (2) increase the capacity for telemedicine forpatients with chronic illness or acute complaints, and (3) implement on-site COVID-19 testing with socialdeterminants screening Evaluation: We implemented cohorting for pediatric patients at FHCHC on March 12,2020 (for reference, Connecticut's stay-at-home order was signed March 23) Previously scheduled well childcare (WCC) for key age groups - birth to 24 months and 4 to 5 years - were moved to a “clean” site where onlyWCC and prenatal care were offered All other children received telemedicine visits, which could be converted to same-day in-person visits at the discretion of the clinician School-based health center providers were re-purposed to call patients with asthma in need of follow-up using a chronic care model On April 22, 2020,shortly after the neighborhood surrounding FHCHC's main site was identied as a COVID-19 “hot-spot,” weimplemented on-site testing regardless of symptoms, exposure, or prior use of FHCHC services Patientstested on-site were seen prior to their test via telemedicine for symptom assessment and to be screened forsocial determinants using the Accountable Health Communities instrument They were given locally-specicinformation to meet social needs generated by the NowPow platform From March 12 through April 30, wecompleted 3,302 visits for children 0 through 22 years;1,595 (48%) were via telemedicine Younger childrenages 0-5 years had a greater proportion of visits in-person (634, 60%) than children 6-12 years (438, 46%) oradolescents 12-22 years (635, 49%) Visit counts by time, stratied by visit-type, are shown in the Figure FromApril 22 through 30, 2020, we have scheduled 317 visits for on-site testing, 243 (77%) of which werecompleted, 36 of whom were children, all of whom were screened for social determinants of health Discussion: CHCs can cohort children to ensure that preventive care and vaccinations happen in a timelyfashion in the context of an epidemic Responding to local epidemiologic data, CHCs can provide trustingenvironments for surveillance testing Testing for COVID-19 represents a feasible opportunity to screen forsocial determinants of health and facilitate community linkages to meet social needs using electronicplatforms After the COVID-19 pandemic has subsided, CHCs can offer episodic telemedicine visits for children,and can screen for social determinants at various points of contact with families","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114465677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider Satisfaction with Rapid Rollout Of A New Telehealth Program At A Pediatric Subspecialty Group Practice During The COVID-19 Pandemic.","authors":"Rasheda Amin, Ruby Higgins, Dilshad Dhillon","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.976","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.976","url":null,"abstract":"Background: The national emergency response to the COVID-19 outbreak prompted our practice to rapidlydevelop and deploy a telehealth program The goal was to continue to meet the healthcare needs of ourpatients in a safe and efficient manner Our practice has 117 providers from 23 pediatric subspecialties and atotal staff of 313 Our planning and implementation of the telehealth program started shortly after thedeclaration of a state of emergency by our Governor on March 12th and was piloted within two weeks Toensure a timely rollout, we utilized an external video conferencing platform which was independent of theelectronic medical record Because of this we were able to see 4660 patients (155/day) via telehealth in themonth of April 2020;this compares to 0 telehealth visits and 8799 in-person clinic visits (293 /day) in April2019 The in-person visit to telehealth conversion rate was 52% Objective: We developed a survey to seekfeedback from providers regarding their experience with the telehealth initiative Methods: An electronic survey was sent to 108 providers It included 9 questions to measure provider satisfaction using a 5-pointLikert scale format and a section to comment on challenges faced Questions were designed to assessprovider satisfaction in the following areas: efficiency of converting appointments to telehealth, training,technical support, software user-friendliness, interpreter incorporation, operational workflow, and overall visitquality Results: Fifty two providers responded to the survey with a response rate of 48% 92% of providers were satisfied with the visit quality and 83% with the efficiency of converting appointments to telehealth 90%were satisfied with record accessibility and 89% with ordering tests and labs 75% were satisfied withoperational workflow outside the visit From a technologic perspective the satisfaction was: 80% with technicalsupport, 96% with training received and 100% with software user-friendliness 68% were satisfied with ease ofusing interpreters Several challenges were identified in the comments section including need for improvedpatient education regarding video software, training for support staff, and issues accessing interpreterservices A few felt that telehealth was not a substitute for in-person visits Some expressed exhaustion withcontinuous telehealth visits Concern was expressed by a few regarding some families' inability to accesstelehealth Many expressed interest in continuing telehealth long-term Conclusion: Majority of the providersapproved of the telehealth program The survey feedback provided actionable information to identify issuesand find solutions in a timely manner More exploration is needed to determine long-term sustainability of ourtelehealth program Efforts should emphasize reducing provider burnout Specialty services should think ofways to balance in-person and telehealth services to provide equitable care to patients We hope our findingswill help guide others in launching or improv","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133439575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation and Usage of Telemedicine in General Pediatrics During the COVID-19 Pandemic","authors":"C. Craig, S. Clinton, L. Pomeroy","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.967","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.967","url":null,"abstract":"Problem: With the onset of the COVID-19 pandemic, many public health measures were put into place todecrease the spread of the illness Initiation of these recommendations resulted in the shutting down of manybusinesses and the large majority of the public wanting confine at home Our community noted an increase inpatient anxiety about coming into clinic for in-person visits which led to decreased clinic productivity anddecreased access to care, as telehealth services were not currently being offered by the general pediatricsdepartment Goal: Our general pediatrics clinics rapidly initiated the use of telehealth services via phone and avideo telecommunication platform in order to increase access to care for our patients and promote continuedclinical productivity Our goal was to increase telehealth services to account for at least 25% of total visits overa 6-week period Interventions: Telehealth was initiated institution wide after the state of Texas providedrelaxed restrictions on services An initial email was provided by Texas Tech Physicians regardingimplementation of telehealth services and was complete with “cheat sheets” for using these services Our department also created generic email accounts for each clinic to aid in the scheduling of visits Our residentclinic was also included and the residents were provided with a specific lecture regarding workflow oftelehealth visits One general pediatrics clinic also advertised the new services through a generic phonemessage and scheduled a meeting with nurses and patient service specialists to address questions andworkflow regarding telehealth The number of telehealth visits by provider and clinic were measured weekly Results: After initiation of telehealth, all clinics showed an uptake of this service All but one providerparticipated in the use of telehealth The percentage of total telehealth visits across all clinics peaked at 7 8%the week of 4/6/2020 and then plateaued The single largest percentage of telehealth visits reached was 12 9the week of 4/6 by the Pavilion clinic For the resident clinic, there was an increased use in services after theirlecture on telehealth Continued intervention showed sustaining telehealth visit numbers Conclusions: Whilewe were able to quickly initiate telehealth at all of our clinics, the percentage of telehealth visits only reached7 8% of total The advertisement of services did not appear to help with patient access as the number of visitsscheduled slightly decreased the week the phone message was sent Creation of the generic email helped withease in scheduling visits There still appears to be some barriers to implementation and usage of telehealthservices Continued investigation can look at telehealth use between insurance types and patient location aswell as attitudes of patients regarding this service","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117090617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physician Perspective on Utilizing Guided Parental Exam To Augment Diagnostic Reasoning","authors":"S. Sudhanthar, Kripa Thakur, J. Turner, Yakov Sigal, Jonathan G. Gold, Donald R Stiffler, Olga Napolova, Harrietta Christodoulos, M. Cole","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.974","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.974","url":null,"abstract":"","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133758157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons Learned During COVID-19 Pandemic - A Case Study in a Las Vegas Health Clinic","authors":"Cecilia J. Howell-Canada, L. Cañada","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.971","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.971","url":null,"abstract":"Lessons Learned During COVID-19 Pandemic - A Case Study in a Las Vegas Health Clinic C J Howell-Canada,MD,FAAP, L A Canada, MD Abstract Background In the wake of the COVID-19 pandemic, health care facilitypreparedness is on the forefront of hospital administrators decision making Telehealth rapidly became themost important function of healthcare facilities to effectively manage and serve patients via telemedicine andface-to-face video chat appointments Maintaining the ability to continue to provide modified well child checksthrough telemedicine is important for pediatric providers to ensure the continuity of care at all age levels Telehealth gives the opportunity to address acute care concerns for the pediatric population Methods In thispaper, we analyze the foundation necessary to implement and support telemedicine/telehealth servicesduring a pandemic in a union sponsored medium-sized health care center in Las Vegas, NV This paperanalyzes and outlines the healthcare process of determining ways to ensure episode preparedness andeffective communication from the organizational level Data was collected through retrospective observation and detailed accounts from organizational information distribution and provider input Results The lessonslearned are that health care providers need an informed decision making process;communication flow fromhealth care administration is a priority, needing to be disseminated without barriers;all possibilities need tobe exhausted to avoid disruption of day-to-day medical services;medical policies and procedures need to beestablished to encompass all aspects of medical services provided (in-person, via telephone, telemedicine);and operational decisions should reflect effective communication along with preparedness with transparency Keywords: telehealth, telemedicine, organizational preparedness, healthcare process","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115874739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary Care Education During a Global Pandemic: Implementation of Telemedicine","authors":"L. Essaid, Stephanie D. Toder, C. Lawrence, Colin J. Orr, M. Perry, C. Seashore","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.974-A","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.974-A","url":null,"abstract":"Program Goals: Facing the COVID-19 pandemic and the need for social distancing, our residency programremoved residents from certain clinical settings including the resident continuity clinic This created aneducational gap in resident training and dramatically affected the way we deliver healthcare to our patients To facilitate medical care in the safest way possible, our clinic implemented virtual visits via phone and videobeginning in mid-March Whenever appropriate, sick and well care visits were completed via virtualencounters preceded by nurse-only visits for vaccines when indicated Initially attendings performed thesevisits to develop virtual skills, build provider condence, and ensure that proper infrastructure was in place Recognizing that telemedicine represented an important educational opportunity for residents, we laterincorporated residents into clinic Residents were rst asked to observe a virtual encounter performed by anattending, and then they were observed conducting a virtual encounter Residents then conducted encountersindependently, precepting with attendings via videoconference (including the family) or by putting the family on hold Evaluation: 15 residents participated in telemedicine clinics within the rst 3 weeks of initiating thisprogram 11 respondents from all years of training provided feedback Residents reported completing 2-5telemedicine visits per half-day session When asked about the educational value of a telemedicine clinicsession, 82% of residents reported this was similar or more educational as compared to a usual continuityclinic session Educational benets included the opportunity to improve phone triage skills and increaseexperience with a technology that residents expect to use in the future Educational challenges includedfeeling “rushed trying to navigate the technology' and discomfort with an unfamiliar process for precepting All participants reported increased level of comfort with providing care via telemedicine after these sessions,and 91% of residents agreed or strongly agreed with the statement “I feel comfortable with providing care viatelemedicine now ” Although residents felt challenged by the inefficiency of reading screening tools aloud, bydelays due to connectivity problems, and by limited physical exam capabilities, they noted many strengthsincluding improved visit attendance rates and convenience for patients Discussion: Innovative care deliverymodels are necessary to protect the community and the healthcare workforce while also providing neededmedical care and educational opportunities for our residents As we move forward, we will continue to solicitfeedback to effectively meet new and evolving educational needs We anticipate a role for virtual visits wellbeyond the COVID-19 pandemic As such, we will continue to train our residents through virtual visits and willsoon be engaging medical students in telemedicine electives We will continue to identify innovative ways toengage learners in telemedic","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125196328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Teleneonatology On Transfer Rates: Do Birth Hospital Level Of Care And Patient Gestational Age Matter?","authors":"Jennifer L. Fang, Beth L. Kreofsky","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.966","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.966","url":null,"abstract":"","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"142 41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114171579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Home Direct-to-Consumer Telehealth Solutions for Children with Mental Health Disorders","authors":"Sierra Norman, S. Atabaki, Katie H. Atmore, C. Biddle, M. DiFazio, D. Felton, Eduardo R. Fox, Donna E. Marschall, J. Newman, A. Robb, Cecilia Rowland, R. Selekman, Ariella Slovin, M. Stein, J. Strang, C. Sable","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.971-A","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.971-A","url":null,"abstract":"","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130883210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Unlikely Telemedicine Diagnosis: A Case Report of Rhizobium Radiobacter Brain Abscess","authors":"Sridhi M. Patel, J. Cornely, Alejandro Isava, Hannah L. Winters, Anisha Mohandas, Amanda Costa","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.960","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.960","url":null,"abstract":"Introduction: Rhizobium radiobacter is a gram negative bacillus commonly found in soil The frequency ofreported infections in the pediatric population is rare and typically affects immunocompromised patients Thiscase highlights the incidence of a Rhizobium Radiobacter infection, prompted by a telemedicine consultation,in a healthy pediatric patient with no known risk factors Case Description: A 12-year-old male with a history ofchronic sinusitis and renal agenesis presented to the emergency department after a new-onset generalizedseizure The patient complained of having intermittent fevers for 5 days and left ear pain as well as left sidedperiorbital swelling He was febrile with elevated leukocytosis and inflammatory markers, and found to haveextensive left-sided sinusitis with no focal neurological deficits He was subsequently discharged withantibiotics and instructions to follow-up in one month with a pediatric neurologist Three days after the initialpresentation, he returned to the emergency department with persistent fever and headache He wasdetermined to have a sinus headache and instructed to complete the antibiotic course The following day, he was evaluated by pediatric neurology via telemedicine Secondary to the new onset seizures and changes inneurological status, he was referred for emergent inpatient admission Just prior to arrival, the patient had a20-minute nonverbal episode, prompting rapid video EEG placement which was suggestive of seizure activity The patient received a loading dose of levetiracetam and began maintenance dosing Despite AEDs, thepatient continued to have multiple subclinical seizures in the frontal lobe MRI brain was indicative ofmeningoencephalitis involving the left hemisphere, left frontal lobe cerebritis,and a multilocular extra-axialabscess At this time intravenous antibiotics were begun at meningitic dosing The patient was taken foremergent craniotomy for abscess evacuation, and cultures were found to be positive for RhizobiumRadiobacter Discussion: In the setting of fever and new-onset seizure in an otherwise healthy patient,meningitis should be high on the differential Infectious etiology cannot be excluded and necessitates furtherinvestigation including lumbar puncture with cerebrospinal fluid cultures The delay in ascertaining a spinaltap, alongside the late-onset of IV antibiotic use, propagated the formation of a bacterial abscess Conclusion:During the COVID-19 pandemic, the availability of telemedicine proved to be a lifesaving service The clinicalacumen of the neurologist prompted admission to the hospital for further evaluation and the eventualdiagnosis of a bacterial brain abscess A telehealth consultation with the patient in his home setting allowedfor the thorough history-taking required to develop the connection between the neurological changes andrecent sinusitis This case exemplifies the functionality of pediatric telemedicine and serves to highlight aunique pathogen in this patient population","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126575125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Clinical and Educational Experiences with Telemedicine in a Multidisciplinary High-Risk Infant Follow-Up Program due to the COVID-19 Response","authors":"Katie Swec, A. Hines, D. Szczepaniak, Emily Scott","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.962","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.962","url":null,"abstract":"Program Goals: Prior to COVID-19, infants at increased risk of poor growth, feeding difficulties, andneurodevelopmental disabilities due to prematurity or other congenital diagnoses were evaluated in-personduring the course of one patient encounter by our multidisciplinary team, consisting of two general pediatricproviders (MD and PNP), one PGY-3 resident physician, and an MA, RN, RD, LCSW, and SLP The pandemicresponse created the need for our team to rapidly convert evaluations to a telemedicine platform whilemaintaining a robust resident educational experience Program goals for transitioning to a telemedicineplatform were 1) to maintain access to a multidisciplinary evaluation for patients and families and 2)continued involvement of residents in patient encounters Three telemedicine platforms supported by ourinstitution were trialed to assess which one best-supported multi-participant use The clinical flow model usedby the program during in-person visits was also adapted for the telemedicine platform This included a virtual pre-clinic huddle with the multidisciplinary team, followed by the RN Program Coordinator introducing teammembers and outlining the sequence of the virtual visit for each patient and family in real-time Evaluation:The multidisciplinary team was offered a voluntary anonymous online survey about their experience withtelemedicine 88 % of respondents (n=9) had no previous telemedicine experience Respondents had higherrates of satisfaction for return visits compared to new visits (Figure 1) Disadvantages of virtual visits includedlimited physical assessment of patients (including accurate measurements) and decreased communicationbetween residents and staff outside of the pre-clinic huddle Advantages of virtual visits included improvedaccess for families and added insight about social determinants of health observed in the home setting 100%of resident respondents to date (n=3) rated their overall telemedicine educational experience as average toabove average and rated the quality of feedback as unchanged between virtual and in-person visits Comparison of encounter data between April 2019 and April 2020 showed similar fill rates and no-show rates(Table 1) At the time of presentation, we anticipate comparing encounter data from April through August in2019 and 2020 and having data from an additional 20-24 residents Discussion: Since transitioning to atelemedicine platform in response to COVID-19, our high-risk infant follow-up program has maintained patientaccess to a multidisciplinary evaluation and continued to involve residents in virtual patient encounters Planned adaptations include streamlining the use of technology to preserve resident autonomy in decision-making The program will continue to advocate with state Medicaid to expand provision of home infant scalesto improve patient assessment Ongoing analysis of patient/family satisfaction along with studying theadvantages and disadvantages of the telemedicine platform between mu","PeriodicalId":321596,"journal":{"name":"Section on Telehealth Care Program","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121493766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}