Acute Care Advanced Practice Providers’ Use of Telehealth During the COVID-19 Pandemic

Author:

Winterbottom Fiona1,Katz Adam W.2,Skinner Sarah3,Carpenter Dawn4,Williams Lisa-Mae5,Kleinpell Ruth6

Affiliation:

1. Fiona Winterbottom is Clinical Nurse Specialist, Critical Care Medicine, Ochsner Health, Ochsner Medical Center, 1514 Jefferson Highway, New Orleans, LA 70448 (Fwinterbottom@ochsner.org).

2. Adam W. Katz is Senior Director, Advanced Practice Provider Services, and Critical Care Advanced Practice Provider Program, University of Massachusetts Medical Center, Worcester, Massachusetts.

3. Sarah Skinner is Clinical Coordinator for Critical Care Advanced Practice Providers, UMass Memorial Medical Center, Worcester, Massachusetts.

4. Dawn Carpenter is Associate Professor of Nursing, UMass Chan Medical School, Tan Chingfen Graduate School of Nursing, Worcester, Massachusetts, and Nurse Practitioner, Surgical ICU and Trauma Team, Guthrie Healthcare System, Sayre, Pennsylvania.

5. Lisa-Mae Williams is Operations Director, Telehealth Center, Tele–Critical Care and Virtual Sepsis Unit, Baptist Health, Coral Gables, Florida.

6. Ruth Kleinpell is Associate Dean for Clinical Scholarship and Professor, Vanderbilt University School of Nursing, Nashville, Tennessee.

Abstract

Advanced practice registered nurses and physician assistants, collectively termed advanced practice providers (APPs), have been part of telehealth for many years. During the COVID-19 pandemic, APPs experienced the growth in roles, responsibilities, and tools used for telehealth care delivery. This article uses examples from 3 health systems to highlight the ways in which telehealth use was expanded due to the pandemic, how APP roles were altered across the United States during and after the pandemic, and implications for future practice.

Publisher

AACN Publishing

Subject

Critical Care Nursing,Emergency Medicine,General Medicine

Reference20 articles.

1. Centers for Medicare and Medicaid Services . Physicians and other clinicians: CMS flexibilities to fight COVID-19. Accessed March 20, 2023. https://www.cms.gov/files/document/physicians-and-other-clinicians-cms-flexibilities-fight-covid-19.pdf

2. Trends in outpatient care delivery and telemedicine during the COVID-19 pandemic in the US;Patel;JAMA Inter Med,2021

3. Verma S . Early impact of CMS expansion of Medicare telehealth during COVID-19. Health Affairs Forefront. July 15, 2020. Accessed June 5, 2023. https://www.healthaffairs.org/content/forefront/early-impact-cms-expansion-medicare-telehealth-during-covid-19

4. Kilgore C . Telehealth and nursing care: healthcare delivery changes during the pandemic may be permanent. American Nurse Journal website. Published July 8, 2021. Accessed March 20, 2021. https://www.myamerican-nurse.com/telehealth-and-nursing-care

5. Describing advanced practice provider roles within critical care teams with tele-ICUs: exemplars from seven US health systems;Rincon;Nurs Outlook,2020

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