Jun 04, 2020
NYC Health + Hospitals today announced the success of its telehealth expansion in response to COVID-19, which within a week of documented community spread of the virus in NYC, converted all routine face-to-face visits to televisits, or scheduled telephonic visits. The City’s public health system was able to quickly scale up its telemedicine services, going from just 500 billable virtual visits in the month prior to the COVID-19 pandemic, up to nearly 57,000 in the first three weeks of the pandemic, and over 235,000 televisits to-date. Additionally, the health system handled approximately 13,000 patient messages over six weeks during the pandemic via its patient portal, which allows patients to directly communicate with their care teams. Prior work under the public health system’s transformation strategy, including laying telehealth groundwork starting in 2017 and transitioning to a unified electronic medical record system, led to the rapid and successful expansion of telemedicine.
“Our priority during the unprecedented COVID-19 pandemic was to ensure that the City’s public healthcare system continued to provide New Yorkers the care they needed where it was safest – at home,” said NYC Health + Hospitals Senior Vice President for Ambulatory Care Ted Long, MD. “We were fortunate to already have a strong foundation to quickly scale up and expand these telehealth services, including other necessary services we provide our diverse patient base, such as financial counseling and coordinated care. NYC Health + Hospitals provides patients a one-stop-shop to live their healthiest lives, and this pandemic proved our commitment.”
Other areas of patient care and support that were successfully transitioned to virtual interactions included:
“Given what we know about how chronic diseases and healthcare disparities increase a person’s risk of succumbing to coronavirus, it was imperative for our public health system to maintain access for our nearly 500,000 clinic patients, many of whom are particularly vulnerable,” said Janine Knudsen, MD, Medical Director of Primary Care Transformation at NYC Health + Hospitals’ Office of Population Health. “We are committed to ensuring that all patients have the ability to access care safely from home, whether it be for routine appointments, renewing prescriptions, or social service needs.”
“Our prior investments in crucial technological infrastructure, such as a unified EMR system, an online patient-portal, and text-based communications helped us stay connected and provide New Yorkers the high-quality care they needed during a deadly pandemic,” said Jen Lau, Senior Director of Primary Care Transformation at NYC Health + Hospitals’ Office of Population Health. “Smart investments from the past, and a deep understanding of our patients’ needs and access, allowed our telehealth expansion to be all the more successful.”
“The ability to scale up and expand existing telehealth services to New Yorkers required an all-system’s approach and collaboration,” said Hannah Jackson, MD MPH, Assistant Vice President and Chief of Staff for the Office of Ambulatory Care at NYC Health + Hospitals. “With more than half of our ambulatory care staff redeployed to inpatient services and public-facing COVID-19 testing, our clinics relied heavily on telehealth to maintain essential services for our patients and ensure that those with serious medical issues were getting care in a timely and safe way. Together, we were able to manage and balance the ever-changing demands of this unprecedented pandemic.”
Virtual tools also helped NYC Health + Hospitals mitigate the emotional toll of being isolated in the hospital during these challenging times. Using over 1,000 donated tablets, patients who were unable to receive visitors due to strict but necessary restrictions, were able to connect with their loved ones through a newly implemented patient-family community program. NYC Health + Hospitals helped facilitate over 500 video calls a day to connect patients and their loved ones.
NYC Health + Hospitals began building its system-wide telehealth strategy in 2017. A patient survey that year revealed that over 65 percent of existing NYC Health + Hospitals patients were interested in telehealth, including 40 percent of respondents over the age of 65. In addition, the survey found 75 percent of respondents used their cell phones to access the internet, highlighting the need for mobile interventions.
For more information on NYC Health + Hospitals’ COVID-19 response, please visit their newsroom.