Journal of the American Medical Informatics Association : JAMIA
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J Am Med Inform Assoc · Jun 2020
Rapid design and implementation of an integrated patient self-triage and self-scheduling tool for COVID-19.
To rapidly deploy a digital patient-facing self-triage and self-scheduling tool in a large academic health system to address the COVID-19 pandemic. ⋯ Patient self-triage tools integrated into electronic health record systems have the potential to greatly improve triage efficiency and prevent unnecessary visits during the COVID-19 pandemic.
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J Am Med Inform Assoc · Jun 2020
Electronic Personal Protective Equipment: A Strategy to Protect Emergency Department Providers in the Age of COVID-19.
Emergent policy changes related to telemedicine and the Emergency Medical Treatment and Labor Act during the novel coronavirus disease 2019 (COVID-19) pandemic have created opportunities for technology-based clinical evaluation, which serves to conserve personal protective equipment (PPE) and protect emergency providers. We define electronic PPE as an approach using telemedicine tools to perform electronic medical screening exams while satisfying the Emergency Medical Treatment and Labor Act. We discuss the safety, legal, and technical factors necessary for implementing such a pathway. This approach has the potential to conserve PPE and protect providers while maintaining safe standards for medical screening exams in the emergency department for low-risk patients in whom COVID-19 is suspected.
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J Am Med Inform Assoc · Jun 2020
Rapid Response to COVID-19: Health Informatics Support for Outbreak Management in an Academic Health System.
To describe the implementation of technological support important for optimizing clinical management of the COVID-19 pandemic. ⋯ The EHR is an essential tool in supporting the clinical needs of a health system managing the COVID-19 pandemic.
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The novel coronavirus disease-19 (COVID-19) pandemic has altered our economy, society, and healthcare system. While this crisis has presented the U. S. healthcare delivery system with unprecedented challenges, the pandemic has catalyzed rapid adoption of telehealth, or the entire spectrum of activities used to deliver care at a distance. ⋯ COVID-19 pandemic: (1) stay-at-home outpatient care, (2) initial COVID-19 hospital surge, and (3) postpandemic recovery. Within each of these 3 phases, we examine how people, process, and technology work together to support a successful telehealth transformation. Whether healthcare enterprises are ready or not, the new reality is that virtual care has arrived.