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      Telehealth Transformation: COVID-19 and the rise of Virtual Care

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          Abstract

          The novel coronavirus disease-19 (COVID-19) pandemic has altered our economy, society and healthcare system. While this crisis has presented the US healthcare delivery system with unprecedented challenges, the pandemic has catalyzed rapid adoption of telehealth or the entire spectrum of activities used to deliver care at a distance. Using examples reported by US healthcare organizations including ours, we describe the role telehealth has played in transforming healthcare delivery during the three phases of the US COVID-19 pandemic: 1) Stay-at-Home Outpatient Care; 2) Initial COVID-19 Hospital Surge, and 3) Post-Pandemic Recovery. Within each of these three phases, we examine how people, process and technology work together to support a successful telehealth transformation. Whether healthcare enterprises are ready or not, the new reality is that virtual care has arrived.

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          Author and article information

          Journal
          J Am Med Inform Assoc
          J Am Med Inform Assoc
          jamia
          jamia
          Journal of the American Medical Informatics Association : JAMIA
          Oxford University Press
          1067-5027
          1527-974X
          20 April 2020
          20 April 2020
          : ocaa067
          Affiliations
          [o1 ]Division of Cardiology, Department of Medicine and Division of Cardiology, Duke University School of Medicine , Durham, NC, USA
          [o2 ]Division of Nephrology, Department of Medicine, Duke University School of Medicine , Durham, NC, USA
          [o3 ]Division of Gastroenterology, Department of Medicine, Duke University School of Medicine , Durham, North Carolina, USA
          [o4 ] Durham VA Health Care System , Durham, North Carolina, USA
          [o5 ]Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine
          [o6 ] Private Diagnostic Clinic and Duke Health Access Center , Durham, North Carolina, USA
          [o7 ]Duke Network Services, Duke University Health System
          [o8 ] Duke Health Technology Solutions , Durham, North Carolina, USA
          [o9 ] Duke University , Department of Pediatrics, Durham, NC, USA
          Author notes
          Corresponding author: Jedrek Wosik, MD, 2301 Erwin Road, Durham, NC, Tel: 919 681 9842, email: jedrek.wosik@ 123456duke.edu
          Article
          ocaa067
          10.1093/jamia/ocaa067
          7188147
          32311034
          721516b8-3836-4bf4-84f4-b336f017805c
          © The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com

          This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model ( https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

          This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

          History
          : 14 April 2020
          : 15 April 2020
          Page count
          Pages: 16
          Categories
          Perspective
          Custom metadata
          accepted-manuscript
          PAP

          Bioinformatics & Computational biology
          Bioinformatics & Computational biology

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