Allison I Summers1, Annie Kuo1, Tosha Zaback1, Allison R Loh1, Mitchell V Brinks2, Michelle R Hribar3. 1. Elks Children's Eye Clinic, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA. 2. Comprehensive Ophthalmology and Community Outreach Program, and Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA. 3. Department of Medical Informatics and Clinical Epidemiology, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon, USA.
Abstract
Purpose:Describe a comprehensive overview of a telehealth implementation process that highlights attitudes and satisfaction scores toward telehealth from patients, providers, and staff in an academic pediatric ophthalmology practice during the early months of the coronavirus disease 2019 (COVID-19) pandemic. Methods: The electronic medical record data for telehealth and in-person visits, as well as a patient experience survey in pediatric ophthalmology were retrospectively reviewed for March 1 to July 31, 2020 and March 1 to July 31, 2019. Patient experience survey results were retrospectively reviewed. All current providers and staff were invited to participate in an anonymous and voluntary survey focused on attitudes at the time of telehealth implementation. Results: During March 1 to July 31, 2020, there was significant increase in telehealth visits (n = 1,006) compared with the same period in 2019 (n = 22). Evaluation and management (E & M) codes (n = 527) were the most commonly used billing codes, and strabismus, nystagmus, and irregular eye movement (n = 496) were the most common telehealth primary diagnoses. The telehealth attitudes survey showed more positive responses from providers than staff. The patient experience survey showed more favorable scores for telehealth visits compared with clinic visits. However, only about 50% of the respondents were satisfied with the technology in terms of ease and quality of connection during their telehealth visits.Conclusions:Telehealth was a satisfactory alternative to clinic visits in our academic pediatric ophthalmology practice during the early phase of the COVID-19 pandemic. Providers and staff had largely positive attitudes toward telehealth; however, future efforts should include strategies to increase staff buy in. Patients had high satisfaction scores with telehealth visits despite connection challenges.
Purpose:Describe a comprehensive overview of a telehealth implementation process that highlights attitudes and satisfaction scores toward telehealth from patients, providers, and staff in an academic pediatric ophthalmology practice during the early months of the coronavirus disease 2019 (COVID-19) pandemic. Methods: The electronic medical record data for telehealth and in-person visits, as well as a patient experience survey in pediatric ophthalmology were retrospectively reviewed for March 1 to July 31, 2020 and March 1 to July 31, 2019. Patient experience survey results were retrospectively reviewed. All current providers and staff were invited to participate in an anonymous and voluntary survey focused on attitudes at the time of telehealth implementation. Results: During March 1 to July 31, 2020, there was significant increase in telehealth visits (n = 1,006) compared with the same period in 2019 (n = 22). Evaluation and management (E & M) codes (n = 527) were the most commonly used billing codes, and strabismus, nystagmus, and irregular eye movement (n = 496) were the most common telehealth primary diagnoses. The telehealth attitudes survey showed more positive responses from providers than staff. The patient experience survey showed more favorable scores for telehealth visits compared with clinic visits. However, only about 50% of the respondents were satisfied with the technology in terms of ease and quality of connection during their telehealth visits.Conclusions:Telehealth was a satisfactory alternative to clinic visits in our academic pediatric ophthalmology practice during the early phase of the COVID-19 pandemic. Providers and staff had largely positive attitudes toward telehealth; however, future efforts should include strategies to increase staff buy in. Patients had high satisfaction scores with telehealth visits despite connection challenges.
Authors: Isabel de la Torre-Díez; Miguel López-Coronado; Cesar Vaca; Jesús Saez Aguado; Carlos de Castro Journal: Telemed J E Health Date: 2014-12-04 Impact factor: 3.536
Authors: Paul A Harris; Robert Taylor; Brenda L Minor; Veida Elliott; Michelle Fernandez; Lindsay O'Neal; Laura McLeod; Giovanni Delacqua; Francesco Delacqua; Jacqueline Kirby; Stephany N Duda Journal: J Biomed Inform Date: 2019-05-09 Impact factor: 6.317
Authors: Kenman Gan; Yao Liu; Brian Stagg; Siddarth Rathi; Louis R Pasquale; Karim Damji Journal: Telemed J E Health Date: 2020-03-25 Impact factor: 3.536
Authors: Blake Sisk; Joshua Alexander; Chelsea Bodnar; Alison Curfman; Kelli Garber; S David McSwain; James M Perrin Journal: Acad Pediatr Date: 2020-05-08 Impact factor: 3.107
Authors: Nigel Madden; Ukachi N Emeruwa; Alexander M Friedman; Janice J Aubey; Aleha Aziz; Caitlin D Baptiste; Jaclyn M Coletta; Mary E D'Alton; Karin M Fuchs; Dena Goffman; Cynthia Gyamfi-Bannerman; Sneha Kondragunta; Nicole Krenitsky; Russell S Miller; Chia-Ling Nhan-Chang; Ashanda M Saint Jean; Hemangi P Shukla; Lynn L Simpson; Erica S Spiegel; Hope S Yates; Noelia Zork; Samsiya Ona Journal: Am J Perinatol Date: 2020-06-09 Impact factor: 1.862