Department of Surgery, Cleveland Clinic Foundation, Cleveland, United States
Research Article
Rapid Adoption of Telemedicine for Pre-Operative Optimization
during the COVID-19 Pandemic
Author(s): Maureen Keshock*, Sarah A. Vogler, Scott R. Steele, Piyush Mathur and Kenneth C. Cummings
Background: Despite the abundance of publications regarding the COVID-19 pandemic, there is little information
regarding the pre-surgical optimization process and telemedicine visits in a large healthcare system. The purpose of
this research is to report on the use of an automated algorithm to triage patients into virtual visits versus standard
in person visits.
Methods: In order to triage appropriate patients to a virtual PACC visit, an algorithm was developed and embedded
in our electronic health record (EHR). The algorithm was named the “PACC Triage Questionnaire” and takes into account
the procedural risk as well as patient comorbidities. The surgeon’s office completes this questionnaire within
the patient’s EHR and at completion a recommended PACC visit type is automatically generated. Thus the pa.. View More»
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