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$49/month to $150/month or significantly more if per practice or institutionalizedĮMR‐Based Systems, Including Vidyo‐Connect, Polycom, Zoom for Healthcare, and Cisco WebEx for Healthcare $200/month for up to 10 users, significant if institutionalized In addition, having technical support available during the virtual encounters, either with a dedicated call center or MA on standby, can be valuable (Fig. Some options include physical mailings, M圜hart or electronic medical record (EMR) patient portal‐based messages, and Web site–based information and links. Having dedicated clinic staff assigned to this role and having different routes to communicate this information prior to the visit is ideal. Some centers have automatic logic flows (bots) to help patients through the setup process.
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An additional benefit of contacting patients ahead of the virtual visit is that it may also allow for medication reconciliation and update of the problem lists. If patient access cannot be tested prior to the appointment, it is vital to have a system by which either medical assistants (MAs) or clerks contact patients prior to the scheduled start time to assist them.
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To ensure this, a mechanism to assist patients in troubleshooting virtual technology and access prior to the scheduled appointment is necessary. In contrast with delays to starting in‐person visits related to patient travel, check‐in, and rooming, telemedicine visits can more frequently start at the scheduled time. If schedules cannot accommodate discrete clinic blocks that are only in person or only virtual, I recommend that virtual visits be scheduled at the start of the clinic block and the rest of the block be filled with in‐person appointments. My experience suggests it is better to have virtual clinics stand‐alone during a clinic block. In addition to the adaption of the office visit, telemedicine requires reorganization of provider workflows. The US Department of Health and Human Services (HHS) has recently indicated that it will be continuing the telehealth waivers and exceptions for the rest of 2021. The hope is that further adoption and sustained use of telemedicine will lead to it being readily available in its current, less restricted form in the future. With this challenge has also come an opportunity to reimagine the idyllic office visit. To facilitate safe access to our expertise and guidance, the pandemic has made it necessary that we rethink the ways in which we deliver care. This pedagogy along with insurer restrictions kept telemedicine from being utilized widely. Despite interest from providers and patients alike, the tangible physical patient interaction was viewed by many as integral to the practice of medicine. Prior to the pandemic, many providers had limited exposure to virtual care. As physicians and providers, coronavirus disease 2019 (COVID‐19) has challenged us to transform how we practice medicine in fundamental ways.