- 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

- 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

Opportunities for 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).

Platforms for video visits

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

University of California, Santa Cruz

Google

Telehealth encounters can be encountered by the following:
- E-consult: clinician-to-clinician communications
- Remote patient monitoring
- E-consult: patient-initiated communication
- Telephone visit
- Video visit

Telehealth encounters

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

Specialists can communicate in real-time to optimize patient care as well as having accessible second opinions based on patient request.

E-consult: clinician-to-clinician communications

Remote patient monitoring, or the direct transmission of a patient’s clinical measurements to a healthcare provider, provides an efficient method of monitoring conditions as they progress. Symptoms and developments of chronic conditions can be tracked effectively as well.

Remote patient monitoring

Patient can get medical assistance from medical providers directly saving time on more "basic" issues. Reduces strain on front-line workers and allows said providers to focus on more pressing concerns. 

E-consult: patient-initiated communication

Can replace sine unnecessary face-to-face visits; saving time, resources, and strain on the entire healthcare system, especially in terms of cost.

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