Game Changer: Telehealth for NPs and PAs in the Age of COVID-19

Game Changer: Telehealth for NPs and PAs in the Age of COVID-19 Posted By:
...

Having worked as a nurse practitioner for almost 30 years, I have seen so much change and evolution in health care, from practice standards to system changes. However, I have never experienced such rapid change on so many fronts: Let's look at the recent changes in telehealth and Centers for Medicare and Medicaid Services (CMS) regulations.

In March 2020, President Trump issued a number of temporary emergency regulatory waivers impacting healthcare, which became effective immediately for the duration of the emergency declaration. Among these changes was an expansion of telehealth for NPs and PAsamong othersaimed at increasing safe access to health care for patients at home during the COVID-19 pandemic. The changes in telehealth include an increase in the type of services provided, the availability of telehealth to both new and established patients, the frequency of telehealth services, virtual check-ins, and remote patient monitoring. Importantly, billing capability was also expanded, and limitations lifted; new CPT codes linked to these services were provided by CMS.

It feels like a windfall for both clinicians and patients. Now, both can avoid travel to the office (transportation cost, traffic/travel time, possibly needing a driver, lost time from work, parking/cost), touching a lot of objects and surfaces, contact with multiple ancillary front and back office staff, check-in paperwork, the time and space needed to wait to be seen, the time in an exam room with the provider, and the repeat travel home. Harnessing relatively basic technology, which may be as simple and ubiquitous as a phone, tablet, or computer, patients can access providers and health care virtually and have their needs met in a COVID-19 free, safe, convenient, and efficient way.

In my practice this change occurred over a 2-week periodlightning speed. Initially, all non-urgent patient visits were offered by phone, then with video, and then a Zoom feature was added to our EMR system (Epic) software. Cameras and microphones were added where needed; training was blasted out to all providers; and telehealth visits became a reality. The parking lot is empty, the waiting room is empty, the exam rooms are empty, and providers' offices are empty as they are "seeing" patients from home. Very few patients actually want or need to be seen face-to-face, and if they do, we now have the capacity to accommodate this, easily. No more waiting for months.

We are seeing so many changes during this pandemic. Everyone asks what changes will remain when life as we knew it resumes, but I think telehealth is here to stay.

References

Share

Filed under: Health Policy and Trends , Practice Management/Career , NPs & PAs

Related
Artificial Intelligence in Healthcare: Our Next Great Innovation, Part III - AIs Use in the Future of Healthcare

Artificial Intelligence in Healthcare: Our Next Gr ...

During the first and second posts on artificial intelligence (AI) and healthcare, I explored AI’s ...

Filed under: Neurology, Health Policy and Trends, Miscellaneous, NPs & PAs


Continue Reading
Artificial Intelligence in Healthcare: Our Next Great Innovation, Part II—AI’s Use in Technology and the APP Impact

Artificial Intelligence in Healthcare: Our Next Gr ...

Most of us have heard someone invariably shout out, “Hey, Siri!” or “Alexa . . . !” These ex ...

Filed under: Health Policy and Trends, Miscellaneous


Continue Reading
Autonomy and Motivation for the Healthcare Workforce

Autonomy and Motivation for the Healthcare Workfor ...

I recently discovered the New England Journal of Medicine podcast Not Otherwise Specified. In full t ...

Filed under: Health Policy and Trends, Miscellaneous, Practice Management/Career, NPs & PAs


Continue Reading
Artificial Intelligence in Healthcare: Our Next Great Innovation

Artificial Intelligence in Healthcare: Our Next Gr ...

In 1935, the great British mathematician Alan Turing described a math machine that had limitless cap ...

Filed under: Health Policy and Trends, Miscellaneous, NPs & PAs


Continue Reading
Alternative Medicine Treatment for Skin Conditions

Alternative Medicine Treatment for Skin Conditions

Patients often seek complementary and alternative medicine (CAM) treatments for skin conditions, inc ...

Filed under: Dermatology, Health Policy and Trends


Continue Reading
How Much News Is Too Much News?

How Much News Is Too Much News?

With the COVID-19 pandemic and influx of global interest in current events, many people started cons ...

Filed under: Health Policy and Trends, Miscellaneous


Continue Reading