By Andrew L. Concoff, MD, FACR, CAQSM I have just heard that a close friend has decided to stop all in-person visits for the safety and well-being of her patients and staff because of the rampant local spread of COVID-19 in her community. Many of our practices are now experiencing such challenges for the sake … Read more Communicating Changes in Service Offerings: Why “The Clinic is Closed” is Hazardous Terminology
By Andrew L. Concoff, MD, FACR, CAQSM An Ounce of Prevention is Worth a Pound of Cure As we all know, given the contagiousness of COVID-19, the best way to prevent contracting the infection is to avoid exposure to those who are infected. This is complicated by the potential for those with mild symptoms, or … Read more Rheumatology in the Time of COVID-19: Pre-Clinic Visit Screening and Triage
By Andrew L. Concoff, MD, FACR, CAQSM Optimizing Telemedicine Approaches for Either Decision I received word from a practice today, where a patient was heard saying, “I can’t believe you guys are still open, I had assumed that you had closed”. This is not the first time that an agonizing Rheumatologist has reached out with … Read more Rheumatology in the Time of COVID-19: To Stay Open or To Close?
Due to the current environment, practices can now utilize the patient portal to initiate a Telehealth visit. The Centers for Medicare & Medicaid Services (CMS) has made an exception to a few aspects of this: 1. They are not restricting to rural areas. 2. CMS will now pay clinicians to check in on patients instead … Read more The latest developments about CMS Telemedicine.
Additional Resources For Rheumatologists
- The CDC provides information to lead practice leaders through a risk assessment.
It can be accessed at https://www.cdc.gov/coronavirus/2019-ncov/hcp/assess-manage-risk.html.
- An algorithmic approach to decision making in such circumstances can be found at https://www.cdc.gov/coronavirus/2019-ncov/downloads/public-health-management-decision-making.pdf.
- An example of how one member practice is communicating with their patients and staff: Practice Document.pdf
- Guiding Principles from the American College of Rheumatology for Scarce Resource Allocation During the COVID-19 Pandemic: The Case of Hydroxychloroquine
- Strategies to Optimize the Supply of PPE and Equipment
Dr. Alvin Wells, a UR Medical Policy Committee Member answers questions on converting to Telemedicine for the Rheumatologist