- Physicians (respiratory therapists especially)
- Medicare leadership/bureaucracy
- Potential vendors
- Medical students
- IT (security, hardware, updating software)

University of California, Santa Cruz

- People affected by the new approach 
- Processes/policieschanged to accomplish the new approach 
- Technologies implemented for the new approach 

Rapid application of a Tele-ICU service during a crisis

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

People affected by the new approach

All technology and software introduced must be HIPAA-compliant 
- A 1080p Video camera accompanied by a microphone and speaker
- Mounts and other hardware to modify camera angles toward the patient, ventilator, vitals, etc.
- Protective gear to ensure the safety of the hardware
- Specific virtual platforms to utilize electronic health records and for communication

Technologies implemented for the new approach

During the COVID-19 pandemic, nations adapted to the crisis by modifying existing healthcare policies, introducing new legislation, and allocating funds to accommodate the increased need for telemedicine services. For example, the United States enacted the Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 to allocate additional funding to public health agencies. Similarly, France's Ministry of Health issued a decree to reimburse video teleconsultations for patients with COVID-19 symptoms or confirmed cases, even without a prior patient-provider relationship.

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