I am a Family Medicine PCP working for a university health system in the South. I am just back from a mini vacation this week and catching up, a lot has happened while I sat on the beach! In an effort to reduce face to face time and help our mostly elderly patients stay home much as possible, my clinic supervisor has emailed all the docs and APRNs in the practice that we are to comb our panels for the coming two weeks, and any visit that we feel can be conducted over the phone, we are to propose switching to a telephone visit, in addition all new patient examinations and annual wellness visits are going to be offered to reschedule, for now about a month out.
I have a very close relationship with my supervisor, he was my mentor in residency and still is truthfully, and I think this idea to try and do more visits over the phone is an excellent one. But it is certainly new to our practice, our system hasn’t figured out billing for calls yet so most our care is face to face. I am trying to help prep some resources for what can and can’t be safely done on the telephone, I have today to research some but this is where I am asking for help.
Ideally if I can get together a decent list of resources this weekend, maybe I can put this together to share with other PCPs who may want to consider making this hard shift to the telephone. Most practically for me as a resource list to share with my colleagues.
Some of the areas I would think helpful and am looking for quick resources on:
Coronavirus telehealth screening guidelines
Telehealth visits for hypertension
Telehealth for Type 2 Diabetes
Telehealth for depression and anxiety
Telehealth for low back pain/other MSK pain
Telehealth for hypothyroidism
Telehealth for weight loss counseling
If you have read this far, thank you already for your time! I will be trying to research just a bit on some clinical guidelines for telehealth in hypertension, even without guidelines or clinical resources most of us feel comfortable with our clinical experience in knowing what can and can’t be done on the phone, but I thought it could be helpful to have a compilation of resources.
TLDR; PCP who is switching over to the phones! Busy weekend ahead of me but looking for some help compiling telehealth clinical resources.
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