Expert Pitch
Thomas Jefferson University

When the Doctors get Sick with Coronavirus - How Telemedicine Provides an Answer

11-Mar-2020 5:15 PM EDT, by Thomas Jefferson University

(PHILADELPHIA) – Reports of over 100 medical workers from a single institution quarantined to prevent coronavirus COVID-19 spread raise the looming problem of workforce shortage among healthcare providers. At institutions with established telehealth programs providing secure video-calls with physicians, quarantined doctors can pick up some of the workload. A single quarantined physician can remotely provide coverage for multiple areas from home.

A new perspective in New England Journal of Medicine lays out existing telehealth infrastructure deployed for COVID-19 relief across the country, how health systems and primary-care providers lacking telehealth infrastructure can get up to speed, and the ways in which telehealth interventions are well suited for a pandemic like COVID-19. The article, by Judd Hollander, MD, an Emergency Medicine doctor who leads Jefferson Health’s telemedicine efforts and Brendan Carr, MD, an Emergency Medicine doctor with Icahn School of Medicine at Mount Sinai, New York, was published on March 11, 2020.

Telehealth infrastructure is proving invaluable in the COVID-19 pandemic, from methods aimed at preventing the spread of disease to reducing exposure in-hospital where more advanced cases are treated. Patients have been asked not to walk into urgent-care centers if they think they might be sick, but rather to call ahead or use telehealth. Many health systems currently use telemedicine for emergency consultations, and can continue to use these to help triage patients who think they might be sick.

Some organizations have implemented telehealth intensive-care monitoring programs allowing physicians to track the most fragile patients remotely. Similar efforts can be implemented with two tablets for COVID-19 patients in the hospital to reduce risks for healthcare workers while continuing to monitor and care for those with more serious disease.

Even with the best precautions, the healthcare workforce is not inexhaustible. There will continue to be a need for physicians, nurses, and hospital staff on the ground interacting directly with patients. However, telehealth is an essential tool that acts as both a buffer and a form of relief for front-line workers.

Telemedicine efforts currently in effect at Thomas Jefferson University, in Philadelphia:

  • On-demand service with JeffConnect to evaluate patients with symptoms of COVID19 or concerns due to travel history. (Over 1,000 patients seen via telehealth since COVID-19 outbreak)
  • Place patients who walk into urgent care and the emergency department into private rooms and evaluate them using the two-tablet approach to keep doctors safe.
  • See patients via video upon arrival to the emergency department.
  • Train over 1000 providers to take care of established patients via telemedicine
  • Have switched sick doctors out of in-person shifts into telehealth shifts while COVID19 testing is pending.
  • Continue to provide care to non-exposed patients via telemedicine.

Article reference: Judd E. Hollander and Brendan G. Carr, “Virtually Perfect? Telemedicine for Covid-19,” NEJM, DOI: 10.1056/NEJMp2003539, 2020.




Filters close

Showing results

110 of 2521
Released: 10-Jul-2020 9:45 AM EDT
How COVID-19 Shifted Inpatient Imaging Utilization
Harvey L. Neiman Health Policy Institute

As medical resources shifted away from elective and non-urgent procedures toward emergent and critical care of COVID-19 patients, departments were forced to reconfigure their personnel and resources. In particular, many Radiology practices rescheduled non-urgent and routine imaging according to recommendations from the American College of Radiology (ACR). This new Harvey L. Neiman Health Policy Institute study, published online in the Journal of American College of Radiology (JACR), evaluates the change in the inpatient imaging volumes and composition mix during the COVID-19 pandemic within a large healthcare system.

access_time Embargo lifts in 2 days
Embargo will expire: 12-Jul-2020 7:00 PM EDT Released to reporters: 10-Jul-2020 9:00 AM EDT

A reporter's PressPass is required to access this story until the embargo expires on 12-Jul-2020 7:00 PM EDT The Newswise PressPass gives verified journalists access to embargoed stories. Please log in to complete a presspass application. If you have not yet registered, please Register. When you fill out the registration form, please identify yourself as a reporter in order to advance to the presspass application form.

Released: 10-Jul-2020 9:00 AM EDT
Team is first in Texas to investigate convalescent plasma for prevention of COVID-19 onset and progression
University of Texas Health Science Center at Houston

A research team is the first in Texas to investigate whether plasma from COVID-19 survivors can be used in outpatient settings to prevent the onset and progression of the virus in two new clinical trials at UTHealth.

Newswise: Commentary in Pediatrics: Children Don’t Transmit Covid-19, Schools Should Reopen in Fall
7-Jul-2020 3:00 PM EDT
Commentary in Pediatrics: Children Don’t Transmit Covid-19, Schools Should Reopen in Fall
University of Vermont

Based on one new and three recent studies, the authors of this commentary in Pediatrics conclude that children rarely transmit Covid-19, either among themselves or to adults. The authors recommend that schools reopen in the fall, since staying home can adversely affects children's development.

Newswise: Team Sports Risks Go Well Beyond Injury During the Pandemic
Released: 9-Jul-2020 6:25 PM EDT
Team Sports Risks Go Well Beyond Injury During the Pandemic
University of California, Los Angeles (UCLA), Health Sciences

Annabelle de St. Maurice, MD, MPH, co-chief infection prevention officer for UCLA Health, speaks on The Centers for Disease Control and Prevention's guide for youth sports to resume.

Newswise: shutterstock_1658523400-300x300.jpg
Released: 9-Jul-2020 3:40 PM EDT
WashU Expert: America gains nothing by leaving WHO
Washington University in St. Louis

President Donald Trump’s recent announcement to suspend U.S. funding to, and withdraw from, the World Health Organization is “counter to our interests in addressing our needs to save the lives and further the health of Americans, as well as an abandonment of America’s position as a global leader,” says the director of Washington University in St.

Released: 9-Jul-2020 2:15 PM EDT
NFHS-AMSSM Guidance for Assessing Cardiac Issues in High School Student-Athletes with COVID-19 Infection
American Medical Society for Sports Medicine (AMSSM)

An expert medical task force appointed by the American Medical Society for Sports Medicine (AMSSM) and National Federation of State High School Associations (NFHS) has issued guidance for assessing potential cardiac issues in high school student-athletes with COVID-19 infection.

Released: 9-Jul-2020 12:45 PM EDT
Structural analysis of COVID-19 spike protein provides insight into its evolution
Francis Crick Institute

Researchers at the Francis Crick Institute have characterised the structure of the SARS-CoV-2 spike protein as well as its most similar relative in a bat coronavirus.

Released: 9-Jul-2020 12:20 PM EDT
Face Masks Can be Devastating for People with Hearing loss, NYU professors say in British Medical Journal
New York University

Experts examine the serious implications of needed coronavirus prevention measures on health care practitioners and their patients with hearing loss.


Showing results

110 of 2521

close
1.41821