These tools include technologies that can help slow the spread of this new, highly transmissible virus through social distancing, allowing us to work with patients to determine the most appropriate venue of care.
As essential as hospitals are during this time, it is critical that we continue to stretch the limits of medical care beyond traditional settings by testing the capacity of contemporary digital tools that can help us adapt to delivering care in a variety of new settings. While governments are either mandating or strongly suggesting the cancellation of elective procedures, how can we continue to serve those patients who still require hospital care, as a tidal wave of novel coronavirus infections threatens to drown our systems?
Virtual care is an important and necessary part of the solution. In the U.S., the Coronavirus Preparedness and Response Supplemental Appropriations Act is expanding Medicare’s telemedicine coverage beyond rural areas, to enable millions of seniors to access their providers without risking infection.
As part of the 1135 waiver, Medicare will pay for office, hospital, and other visits furnished via virtual care across the country and including in patients’ places of residence, starting retroactively on March 6, 2020. A fact sheet published by the CMS states that these virtual care visits will be considered the same as in-person visits for the duration of the pandemic, and will be paid at the same rates.
This means that older patient populations, who are at the highest risk of serious coronavirus complications, can now visit with their physicians remotely for any reason - whether they are having COVID-19 symptoms or just need follow-ups for their ongoing health issues. Remote screening through virtual visits enables providers to better direct all of their patients, regardless of COVID-19 symptoms to the most appropriate setting. Engaging these vulnerable patients through virtual visits could go a long way in helping to prevent infections in crowded public health spaces, while also protecting staff from exposure.
Another promising piece of legislation is a change to HIPAA Privacy Enforcement policies. The HHS Office for Civil Rights (OCR) will exercise enforcement discretion and waive penalties for HIPAA violations during the pandemic, for providers serving patients in good faith using everyday communications technologies. This includes non-public facing video applications like Skype, Google Hangouts, and Facebook Messenger.
"More older Americans will be able to access healthcare they need from their home, without worrying about putting themselves or others at risk during the COVID-19 outbreak," said HHS Secretary Alex Azar, in a press release.
"Providers will be allowed to use everyday technologies to talk to telehealth patients. More telehealth services will be covered for millions more Medicare beneficiaries, and providers will be allowed to offer these telehealth benefits at a lower cost than traditional services."
Virtual visits will also enable providers to reduce the volume burden at their facilities, while vetting patients to determine which ones should be seen in person. This will be paramount to controlling the spread of illness to both the clinician staff and the community at large, as we continue to best serve the needs of all patients.
Here are a few best practices to keep in mind, as you get started with conducting virtual visits:
The coronavirus is forcing all of us to live our lives differently. Social distancing may be the most important behavior we put into practice this year. The sooner healthcare can follow this trend and find new ways to serve our patients, the safer we will all be in the coming weeks.
We're all in this together. We're sharing our latest updates and strategies for managing the current COVID-19 pandemic, along with those from our customer community.