Reflections on a Health System's Telemedicine Marathon
Author(s) -
Lawrence R. Wechsler,
Srinath Adusumalli,
Mary Elisabeth Deleener,
Ann Marie Huffenberger,
Gregory Kruse,
C. William Hanson
Publication year - 2020
Publication title -
telemedicine reports
Language(s) - English
Resource type - Journals
ISSN - 2692-4366
DOI - 10.1089/tmr.2020.0009
Subject(s) - telemedicine , workflow , covid-19 , medical emergency , health care , healthcare system , public health , health care delivery , pandemic , business , medicine , nursing , computer science , disease , political science , infectious disease (medical specialty) , pathology , database , law
The coronavirus disease 2019 (COVID-19) public health emergency necessitated changes in health care delivery that will have lasting implications. The University of Pennsylvania Health System is a large multihospital system with an academic medical center at its core. To continue to care for patients with and without COVID-19, the system had to rapidly deploy telemedicine. We describe the challenges faced with the existing telemedicine infrastructures, the central mechanisms created to facilitate the necessary conversions, and the workflow changes instituted to support both inpatient and outpatient activities for thousands of providers, many of whom had little or no experience with telemedicine. We also discuss innovations that occurred as a result of this transition and the future of telemedicine at our institution.
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