Rapid Implementation of a Hybrid Telehealth Modality During the COVID-19 Pandemic and its Impact on Electronic Record Entry

This report describes the adoption of a hybrid telehealth modality implemented in a student-run free clinic after the onset of the Coronavirus disease 2019 (COVID-19) pandemic in March 2020, with particular emphasis on the impact it may have on electronic health record entry. Our hybrid telehealth modality flow board summarizes how patients received care from volunteers in person and remotely. Successes of the modality included collecting medical records before the visit, creating more defined roles, and implementing e-prescriptions. Challenges faced included recording vital signs and communicating between volunteers on-site and remotely. We present our lessons learned and future plans for other free clinics to optimize their telehealth modalities.