By employing MIH-CP programs to undergo evaluation before/ during transport to the ED, sick patients can be delivered directly to a hospital bed, which reduces potential spread of SARS-CoV-2 between the community, clinicians, and patients.

Pre-ED evaluations

Houston’s MIH Project ETHAN (Emergency Telehealth and Navigation) allows physicians to remotely assist 911 responders in providing appropriate care, reducing the need for emergency department transportation.


ETHAN Project in Houston, Texas

healthcare model that includes
- connecting patients with primary care, mental health, and substance abuse centers or resources instead of hospital emergency departments
- advice and assistance for non-urgent 911 callers
- remote interactions between patients and clinicians

Syracuse University

Patients and clinicians use smartphones, tablets, or computers to audio or audio-video call. May include an in-person medical assistant using peripheral medical equipment (such as a digital stethoscope) while a remote clinician evaluates the results in real-time


Synchronous telehealth

Hollander, J. E., & Carr, B. G. (2020). Virtually Perfect? Telemedicine for Covid-19. New England Journal of Medicine, 382(18), 1679-1681. 
doi:10.1056/nejmp2003539
https://www.nejm.org/doi/full/10.1056/nejmp2003539


Virtually Perfect? Telemedicine for Covid-19

Within e-ICU or upon ER arrival, patient is isolated and given a tablet to engage in secure web conference communication with a clinician. 

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