Large-Scale Telemedicine Implementation for Outpatient Clinicians

Author:

Wong David,Cross Israel H.,Ramers Christian B.,Imtiaz Farah,Scott John D.,Dezan Amanda M.,Armistad Amy J.,Manteuffel Marie E.,Wagner Dennis,Hunt Richard C.,England William L.,Kwong Mei Wa,Dizon Raynald A.,Lamers Vanessa,Plotkin Ilya,Jolly B. Tilman,Jones Walter,Daly Darin D.,Yeager Megan,Riley Jinean A.,Krupinski Elizabeth A.,Solomon Andrew P.,Wibberly Katharine H.,Struminger Bruce B.

Abstract

Learning collaboratives are seldom used outside of health care quality improvement. We describe a condensed, 10-week learning collaborative (“Telemedicine Hack”) that facilitated telemedicine implementation for outpatient clinicians early in the COVID-19 pandemic. Live attendance averaged 1688 participants per session. Of 1005 baseline survey respondents, 57% were clinicians with one-third identifying as from a racial/ethnic minoritized group. Practice characteristics included primary care (71%), rural settings (51%), and community health centers (28%). Of three surveys, a high of 438 (81%) of 540 clinicians had billed ≥1 video-based telemedicine visit. Our learning collaborative “sprint” is a promising model for scaling knowledge during emergencies and addressing health inequities.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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