COVID-19 has changed how we deliver care
UT Health San Antonio ECHO Project and partners at the UT System Virtual Health Network launched “COVID-19 Telemedicine Implementation ECHO” to provide very practical implementation guidance to the many clinics and providers that are having to implement different levels of telemedicine in different settings at very short notice. Our first ECHO session was on Monday, March 30, 2020 and was scheduled every Monday at 2pm for 10 weeks.
The ECHO Session
COVID-19 Telemedicine Implementation ECHO didactics covered topics regarding regulatory consideration, federal regulations, technology and connectivity concerns, billing and other concerns regarding implementing telemedicine.
Following the didactic, there was a case presentation from a clinic who launched or expanded telemedicine during this COVID-19 emergency. Finally, we have a robust interactive discussion period.
Telemedicine Implementation ECHO Hub Team
The COVID-19 Telemedicine Implementation ECHO is supported by a partnership from UT Health San Antonio, UT System Virtual Health Network, and the South Central Area Health Education Centers (AHEC).
Session slides & recordings
Please check back often for new content. View all session recordings here.
Session 1: March 30, 2020
Session summary: On March 30, UT Health San Antonio launched the COVID-19 Telemedicine Implementation ECHO to provide guidance and support for clinics and providers having to implement telemedicine at short notice due to the COVID-19 pandemic. Session didactics focused on: 1) Regulatory considerations 2) Hardware/software support; and 3) Clinical considerations for telehealth. The case presentation explored telemedicine launch in a practice without telemedicine tools integrated in the electronic medical record.
Session 2: April 6, 2020
Session summary: Session didactics provided a deeper dive into regulatory and technological considerations for launching telemedicine. The presenting site discussed rapid launch of telemedicine tools in a practice serving 2,200+ clients.
Session 3: April 13, 2020
Session Summary: This session didactic focused on protocol development and highlighted regulations and technology considerations.
The session featured a presentation from a community pharmacist who had shifted to “tele-strategies” during this COVID-19 pandemic.
Session 4: April 20, 2020
Session Summary: This session didactic recapped from our 1st session, covering: 1) Regulatory considerations 2) Hardware/software support; and 3) Clinical considerations for maintaining standard of care and professionalism from a home office.
Session 5: April 27, 2020
Session Summary: This session didactic covered billing/coding for Telemedicine.
Session 6: May 4, 2020
Session Summary: This session didactic covered Telemental health services. The case study discussed delivering behavioral health services via tele-technologies.
Session 7: May 11, 2020
Session Summary: This session didactic covered STD Services in Telemedicine. The case study was presented by the KIND clinic who discussed their shift to telemedicine.
Session 8: May 18, 2020
Session Summary: This session didactic provided an overview of strategies and considerations for transitioning telemedicine practice beyond the emergency declaration period. A case presentation was delivered by a Family Physician at the Robert B. Green Family Health Center, who discussed the clinic’s shift to telemedicine and plans for sustaining these services.
Session 9: June 1, 2020
Session Summary: This session didactic presented on considerations for protocol development and patient population planning in the post-COVID-19 emergency period. The case presentation was provided by Basin Assistance Services, a non-profit Ryan White HIV/AIDS service organization in Odessa, TX who discussed their telemedicine process.
Session 10: June 8, 2020
Session Summary: This session didactic was an interactive demonstration on a medical camera equipment used for telemedicine, followed by a recapped of key points on telemedicine implementation and transitioning beyond the COVID-19 emergency declaration period. The case presentation was from PILLAR, a mental health and addiction care provider based in Laredo, TX.
- UT Virtual Health Network: Telemedicine Technology used by VHN V4
- American Medical Association Special coding advice during COVID-19 public health emergency
- CMS Telehealth Services guidance
- USDA 2020 Distance Learning & Telemedicine Grant Program
- COVID-19 Resources – Texas DSHS Ryan White Part-B Program
- Zoom Research for HIPAA Compliance
- National Consortium of Telehealth Resource Centers
- TELEVIST Process Primary Workflow-Cambridge Health Alliance
- A Virtual Visit Algorithm: How to Differentiate and Code Telehealth Visits, E-Visits, and Virtual Check-Ins
- Medicare Telemedicine Health Care Provider Fact Sheet
- SAMPLE – Telemedicine Informed Consent (Texas Medical Association)
- SAMPLE – Telemedicine Consent Form (Callie Clinic)
- Creating Protocols by Telehealth Resource Center
- SAMPLE – Clinical Protocol for Telemedicine
- SAMPLE – Telemedicine Protocol
- Emergency Medical Treatment and Labor Act (EMTALA) Requirements and Implications Related to COVID-19
- What you need to know about Telemedicine (Texas DSHS)