• Christian A Koziatek, Ada Rubin, Viraj Lakdawala, David C Lee, Jordan Swartz, Elizabeth Auld, Silas W Smith, Harita Reddy, Catherine Jamin, Paul Testa, Robert Femia, and Christopher Caspers.
• Ronald O. Perelman Department of Emergency Medicine, New York University Grossman School of Medicine, New York, New York; Department of Emergency Medicine, Bellevue Hospital Center, New York, New York.
• J Emerg Med. 2020 Oct 1; 59 (4): 610-618.

BackgroundThe coronavirus disease (COVID)-19 pandemic quickly challenged New York City health care systems. Telemedicine has been suggested to manage acute complaints and divert patients from in-person care.ObjectivesThe objective of this study was to describe and assess the impact of a rapidly scaled virtual urgent care platform during the COVID-19 pandemic.MethodsThis was a retrospective cohort study of all patients who presented to a virtual urgent care platform over 1 month during the COVID-19 pandemic surge. We described scaling our telemedicine urgent care capacity, described patient clinical characteristics, assessed for emergency department (ED) referrals, and analyzed postvisit surveys.ResultsDuring the study period, a total of 17,730 patients were seen via virtual urgent care; 454 (2.56%) were referred to an ED. The most frequent diagnoses were COVID-19 related or upper respiratory symptoms. Geospatial analysis indicated a wide catchment area. There were 251 providers onboarded to the platform; at peak, 62 providers supplied 364 h of coverage in 1 day. The average patient satisfaction score was 4.4/5. There were 2668 patients (15.05%) who responded to the postvisit survey; 1236 (49.35%) would have sought care in an ED (11.86%) or in-person urgent care (37.49%).ConclusionsA virtual urgent care platform was scaled to manage a volume of more than 800 patients a day across a large catchment area during the pandemic surge. About half of the patients would otherwise have presented to an ED or urgent care in person. Virtual urgent care is an option for appropriate patients while minimizing in-person visits during the COVID-19 pandemic.Copyright © 2020 Elsevier Inc. All rights reserved.

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