COVID-19 telehealth preparedness: a cross-sectional assessment of cardiology practices in the USA

Author:

Waldman Carly E12ORCID,Min Jean H12,Wassif Heba3,Freeman Andrew M4,Rzeszut Anne K5,Reilly Jack5,Theriot Paul5,Soliman Ahmed M6,Thamman Ritu7,Bhatt Ami8,Bhavnani Sanjeev P2ORCID

Affiliation:

1. Department of Internal Medicine, Scripps Clinic, San Diego, CA, USA

2. Division of Cardiology, Healthcare Innovation Laboratory, Prebys Cardiovascular Institute, Scripps Clinic, San Diego, CA 92037,USA

3. Department of Cardiovascular Medicine, Section of Clinical Cardiology, Heart, Vascular & Thoracic Institute, Cleveland Clinic Foundation, Cleveland, OH 44103, USA

4. Department of Medicine, Division of Cardiology, National Jewish Health, Denver, CO 80206, USA.

5. American College of Cardiology, Heart House, Washington, DC 20037, USA

6. Division of Cardiology, Houston Methodist DeBakey Cardiology Associates, Houston, TX 77030, USA

7. Division of Medicine, University of Pittsburg School of Medicine, Pittsburg, PA 15213, USA

8. Division of Cardiology, Adult Congenital Heart Disease Program, Massachusetts General Hospital, Boston, MA 02114, USA

Abstract

Aim: The COVID-19 pandemic forced medical practices to augment healthcare delivery to remote and virtual services. We describe the results of a nationwide survey of cardiovascular professionals regarding telehealth perspectives. Materials & methods: A 31-question survey was sent early in the pandemic to assess the impact of COVID-19 on telehealth adoption & reimbursement. Results: A total of 342 clinicians across 42 states participated. 77% were using telehealth, with the majority initiating usage 2 months after the COVID-19 shutdown. A variety of video-based systems were used. Telehealth integration requirements differed, with electronic medical record integration being mandated in more urban than rural practices (70 vs 59%; p < 0.005). Many implementation barriers surfaced, with over 75% of respondents emphasizing reimbursement uncertainty and concerns for telehealth generalizability given the complexity of cardiovascular diseases. Conclusion: Substantial variation exists in telehealth practices. Further studies and legislation are needed to improve access, reimbursement and the quality of telehealth-based cardiovascular care.

Funder

Scripps Clinic

Publisher

Future Medicine Ltd

Subject

Pharmacology,Molecular Medicine,General Medicine

Reference24 articles.

1. Telehealth transformation: COVID-19 and the rise of virtual care

2. Use of Telemedicine and Virtual Care for Remote Treatment in Response to COVID-19 Pandemic

3. Centers for Medicare and Medicaid Services. CMS Medicare telemedicine health care provider fact sheet (2020). www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

4. Availability of Telemedicine Services Across Hospitals in the United States in 2018: A Cross-sectional Study

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