2. CME Credit
• Bridgeport Hospital Yale New Haven Health is accredited by the Connecticut State
Medical Society to sponsor continuing medical education for physicians. The
Bridgeport Hospital Yale New Haven Health designates this live activity for a
maximum of one (1) AMA PRA Category 1 CreditsTM. Physicians should claim only
credits commensurate with the extent of their participation in the various
activities.
• This activity has been planned and implemented in accordance with the Essential
Areas and policies of the Accreditation Council for Continuing Medical Education
through the joint sponsorship of Bridgeport Hospital Yale New Haven Health and
the Weitzman Institute. Bridgeport Hospital Yale New Haven Health is accredited
by the Connecticut State Medical Society to provide continuing medical education
for physicians.
• The content of this activity is not related to products or services of an ACCME-
defined commercial interest; therefore, no one in control of content has a relevant
financial relationship to disclose and there is no potential for conflicts of interest.
4. COVID-19 in the United States
6,604,355 cases on 9/16/20 up 6,326,791 cases on 9/8/20 195,765 deaths
https://coronavirus.jhu.edu/map.html
5.
6.
7. COVID-19 News Updates
• WHO -highest single-day record in global
infections on 9/13 with 307,930 new cases
• India leads ~100,000 cases a day
– Argentina, Indonesia increasing
• United Nations -up to 265 million people could
face starvation by the end of the year (April
2020)
8. COVID-19 News Updates
• AstraZeneca resumes vaccine trial
• Pfizer CEO – data expected end of October
– Possible vaccine distribution before end of 2020
– Expanding to more vulnerable populations
9. Speak softly to reduce viral spread
• A 6-decibel reduction in average vocalization
intensity –lowers transmission risk
– equal to doubling the ventilation rate in a room
• A loudness increase of about 35 decibels, the
difference between whispering and shouting,
boosts particle emission rate by 50 times
• “Quiet zones” -high-risk indoor environments
– Clinic waiting rooms, dining facilities
https://bit.ly/3hiXws2
11. Illustrations of Telehealth Innovations:
Esperanza Health Centers
Jeffrey McInnes
Director of Billing and Patient Access
Esperanza Health Centers
12. Esperanza Health Centers
Building Sustainability
• Within 3 weeks of Illinois stay-at-home order, telehealth
use grew from 0% to 74% of patient encounters
• Initial implementation was led by two directors, allowing
for rapid rollout and scale, but additional bandwidth was
required to transition from disruption to long-term strategy
• Conducted agency-wide interviews across care teams to:
– Learn what was and wasn’t working
– Leverage the talent of the care teams in developing sustainable
systems
• Developed task force to address common challenges
– At-home BP Monitors
– Patient connectivity issues solvable through local resources
– Resolve scheduling, administrative challenges
13. Illustrations of Telehealth Innovations:
Presbyterian Medical Services
Doug Smith
Executive Vice President,
Presbyterian Medical Services
14. Presbyterian Medical Services
Telehealth Access in Rural New Mexico
• Operates 60 facilities Statewide
– 900 miles furthest distance between locations
– Rural and Frontier status – smaller footprints
• Geography and infrastructure challenges
• Addressing access
– Hotspots / mobile devices
– Deploying phone and video devices to patients
– Working with the Navajo Nation on internet access
• Initial Outcomes
• Long-term Implications and Next Steps
16. Illustrations of Telehealth Innovations:
Community Health Center Inc.
Kate Gager
Patient Experience Supervisor,
Community Health Center, Inc.
Sydney Kennedy
Assistant Director of Telehealth Administration,
Community Health Center, Inc.