- Improvement on clinical care in comparison to telephone visits
- A variation of a physical exam can be made using peripheral devices 
- favorable for reimbursement by insurance

University of California, Santa Cruz

- Opportunities of E-consult: clinician-to-clinician communications
- Opportunities for Remote patient monitoring
- Opportunities for Patient-initiated messaging
- Opportunities for Telephone visit
- Opportunities for Video visit

Opportunities of telehealth infrastructure

A form of telehealth encounter involving synchronous patient-clinician communication with both audio and video, allowing care providers to visually observe patients.

Video visit

Wosik, J., Fudim, M., Cameron, B., Gellad, Z. F., Cho, A., Phinney, D., . . . Tcheng, J. (2020). Telehealth transformation: COVID-19 and the rise of virtual care. Journal of the American Medical Informatics Association, 27(6), 957-962. doi:10.1093/jamia/ocaa067

Telehealth transformation: COVID-19 and the rise of virtual care

- Time-efficient for specialists
- Patient-initiated second opinion requests are possible

Opportunities of E-consult: clinician-to-clinician communications

- The patient initiates communication-based on convenience 
- Patient can use self-service tools
- Live/autonomous responses can be employed
- Live text/messaging can be used for communication

Opportunities for Patient-initiated messaging

- Respond to clinical data outside of regular clinic visits
- Recordings can be automatically sent to clinicians

Opportunities for remote patient monitoring

- Telephone visits are basically universally accessible by today's standards of living

Opportunities for telephone visits

Opportunities for video visits

- Technology requirements include the following: broadband internet/smart device, digital peripherals
- most complex conditions may be the least able to access medical attention


Limitations of video visits

- Due to COVID-19, the Department of Health and Human Services (HHS) has relaxed some of the restrictions on software/streaming-based violations of the Health Insurance Portability and Accountability Act (HIPAA).

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