{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T22:39:08Z","timestamp":1769553548257,"version":"3.49.0"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T00:00:00Z","timestamp":1593475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Health Resources and Services Administration of the U.S"},{"name":"Department of Health and Human Services as part of the National Telehealth Center of Excellence Award","award":["U66 RH31458-01-00"],"award-info":[{"award-number":["U66 RH31458-01-00"]}]},{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]},{"name":"U.S. Department of Health and Human Services, or the U.S. Government"},{"name":"National Center for Advancing Translational Sciences of the National Institutes of Health","award":["UL1 TR001450"],"award-info":[{"award-number":["UL1 TR001450"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>We describe our approach in using health information technology to provide a continuum of services during the coronavirus disease 2019 (COVID-19) pandemic. COVID-19 challenges and needs required health systems to rapidly redesign the delivery of care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Our health system deployed 4 COVID-19 telehealth programs and 4 biomedical informatics innovations to screen and care for COVID-19 patients. Using programmatic and electronic health record data, we describe the implementation and initial utilization.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Through collaboration across multidisciplinary teams and strategic planning, 4 telehealth program initiatives have been deployed in response to COVID-19: virtual urgent care screening, remote patient monitoring for COVID-19\u2013positive patients, continuous virtual monitoring to reduce workforce risk and utilization of personal protective equipment, and the transition of outpatient care to telehealth. Biomedical informatics was integral to our institutional response in supporting clinical care through new and reconfigured technologies. Through linking the telehealth systems and the electronic health record, we have the ability to monitor and track patients through a continuum of COVID-19 services.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>COVID-19 has facilitated the rapid expansion and utilization of telehealth and health informatics services. We anticipate that patients and providers will view enhanced telehealth services as an essential aspect of the healthcare system. Continuation of telehealth payment models at the federal and private levels will be a key factor in whether this new uptake is sustained.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>There are substantial benefits in utilizing telehealth during the COVID-19, including the ability to rapidly scale the number of patients being screened and providing continuity of care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocaa157","type":"journal-article","created":{"date-parts":[[2020,6,27]],"date-time":"2020-06-27T03:48:26Z","timestamp":1593229706000},"page":"1871-1877","source":"Crossref","is-referenced-by-count":55,"title":["Leveraging health system telehealth and informatics infrastructure to create a continuum of services for COVID-19 screening, testing, and treatment"],"prefix":"10.1093","volume":"27","author":[{"given":"Dee","family":"Ford","sequence":"first","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Jillian B","family":"Harvey","sequence":"additional","affiliation":[{"name":"Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"James","family":"McElligott","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Kathryn","family":"King","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Kit N","family":"Simpson","sequence":"additional","affiliation":[{"name":"Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Shawn","family":"Valenta","sequence":"additional","affiliation":[{"name":"Center for Telehealth, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Emily H","family":"Warr","sequence":"additional","affiliation":[{"name":"Center for Telehealth, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Tasia","family":"Walsh","sequence":"additional","affiliation":[{"name":"Center for Telehealth, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Ellen","family":"Debenham","sequence":"additional","affiliation":[{"name":"Center for Telehealth, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Carla","family":"Teasdale","sequence":"additional","affiliation":[{"name":"Information Solutions, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Stephane","family":"Meystre","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Science, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7193-7779","authenticated-orcid":false,"given":"Jihad S","family":"Obeid","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Christopher","family":"Metts","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, South Carolina, USA"}]},{"given":"Leslie A","family":"Lenert","sequence":"additional","affiliation":[{"name":"Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, 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