Virtual Scribing Services
COVID-19, Telemedicine/Telehealth and Temporary Structure Workflow Transitions

Client Profile:

Major metropolitan teaching hospital with thousands of affiliated physicians

and hundreds of clinics.


In response to the growing COVID-19 pandemic, practices are transitioning from
in-person clinic office visits to telemedicine and temporary structure
environments; creating patient workflow and clinical documentation challenges.


Practice Management and Operations teams from the client and Aquity
reviewed existing and proposed workflow schemes, logistics and objectives. Of
specific concern were efficient coordination of patient/physician online
connectivity and appointment scheduling, along with the code and
compensation differences between Telemedicine (video connection) and
Telehealth (phone connection) encounters.


Once physician connectivity logistics were established for their new work
environments, the first 150 physicians were fully transitioned for Telemedicine
encounters and/or temporary structure environments in two days. This
included validating audio capture quality through personal protective
equipment PPE in temporary structures.

To support the new workflow, Aquity remote scribes took on enhanced
responsibilities to fully prepare patients for the Telemedicine visits. Added
duties included connecting with patients prior to the scheduled visits to confirm
connectivity and familiarity with the telemedicine technology, as well as previsit condition detail capture to help prepare physician for the encounters.

In preparation for the transition, all remote scribes received enhanced training
to comply with evolving approved Telemedicine code capture opportunities as
well as comprehensive high-volume temporary structure encounter

Changes to workflow and visit environments had no measurable impact on the
traditional clinical documentation support functions of the Aquity remote
scribes. Audio connections were established with existing in-office Jabra
devices connected to home-based laptops or use of mobile phone applications,
ensuring HIPAA compliant secure connections. The mobile phone app proved
especially successful through PPE in temporary structure visit environments.

To learn more about Aquity Solutions virtual scribing services and how to help
your providers transition from in person patient visits to Telemedicine,
Telehealth and/or temporary structure encounter workflows, contact us today at

Aquity Solutions

To learn more about Aquity Solutions interim management, staff mentoring, and coding quality assurance support services, contact us today.

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