Telehealth—the use of technology to deliver care at a distance—offers unique opportunities and poses potential risks for academic medicine.
Telehealth use has risen dramatically as health systems look for ways to provide care while protecting providers and patients during the COVID-19 pandemic. As we reassess what health care looks like in a world living with COVID-19, it is crucial that we understand how telehealth impacts medical education and training, the delivery system and its workforce, and patients’ access to care. Additionally, the research mission of academic medicine will have an outsized role in evaluating the impact of telehealth services on quality, costs, and outcomes of care.
This collection of resources:
- Shares learnings across academic medicine about telehealth implementation and training; and
- Provides regulatory support for telehealth at health care institutions, including education about recent updates;
- Highlights how the AAMC and its members are implementing and using telehealth to provide high-quality care and improve access;
- Uncovers insights from research and other literature about the impact of telehealth on access and workforce.
Sustaining Telehealth Success: Integration Imperatives and Best Practices for Advancing Telehealth in Academic Health Systems
As telehealth has become an even more widely accepted mode of delivering care, academic medical centers (AMCs) are examining how telehealth can advance their strategic goals. AMCs must learn how to integrate telehealth capabilities into their everyday clinical care and operations.
This report from the AAMC’s Future of Academic Medicine Series will help health system leaders and telehealth managers to critically assess, design, implement, and integrate telehealth programs across mission areas. It presents effective strategies and successful practices from leaders at 15 AMCs that have leading telehealth programs. Read the Executive Summary (PDF). Download the report. For questions, please contact firstname.lastname@example.org.
AAMC Telehealth Equity Catalyst Awards
The AAMC is excited to announce the five awardees of the AAMC’s new Telehealth Equity Catalyst “TEC” Awards. The following programs demonstrate a positive impact on barriers associated with telehealth and health technology across clinical delivery and medical training, particularly for underserved and vulnerable populations. Through these innovative programs and others, the AAMC aims to learn how member institutions are addressing and mitigating these barriers to care and how best practices can be spread across health systems to advance health care equity. For questions, please contact email@example.com.
- Connecticut Children’s—Pediatric Residency Telemedicine Curriculum
- GW Medical Faculty Associates—HealthDesk
- University of Florida Health Jacksonville—Expansion of a Telemedicine Program for Patients with HIV to Include Pre-Exposure Prophylaxis
- University of Michigan—GET Access (Geriatric Education on Telehealth)
- Wayne State University—Interprofessional Telehealth Training Using a Standardized Patient
Telehealth and Education
Final Report: New Cross-Continuum Competencies in Telehealth
The AAMC and its Telehealth Advisory Committee have developed telehealth competencies across the continuum of UME, GME, and CME with input from a broad range of stakeholders. The competencies are intended to guide educators developing curricula as well as students learning to practice and professionals continuing their development. This is the second report in the New & Emerging Areas in Medicine Series. Download the telehealth competencies report from the AAMC Store. If you have questions, please contact us.
Telehealth Skills for Health Care Providers
The AAMC Telehealth Advisory Committee recently published a defined a set of critical skills needed by all clinicians to deliver care through telehealth. This set of skills can support health care institutions and health care professionals looking for guidance on how to provide high-quality care at a time when telehealth services are being rapidly deployed. You can review the set of skills recently published in the Telemedicine and e-Health journal.
Call for Submissions: Telehealth Education
As health systems increasingly use telehealth to provide care delivery, it is important to disseminate best practices across the field, promoting their integration into training and curricula across the continuum. MedEdPORTAL invites generalizable teaching and learning activities with a focus on telehealth education. For more information, please visit www.mededportal.org/telehealth.
Examples of Telehealth Training Across Academic Medicine
As health systems increasingly use telehealth to provide care delivery, it is important to capture best practices across the field and highlight the innovative ways in which telehealth is being integrated into training and curricula across UME, GME, and continuing education. Learn more about exemplary telehealth training programs across the country.
Telehealth and COVID-19
AAMC Data Snapshot: AAMC-member teaching hospitals are expanding telehealth services to support COVID-19 patients
This data snapshot highlights how the COVID-19 pandemic has created myriad needs in both diagnosing COVID-19 cases and preventing the spread of the virus.
AAMC Webinars: Telehealth and COVID-19
Scaling Telehealth in Urban and Rural Settings During the COVID-19 Crisis
This webinar focuses on how two health systems have managed to scale up to meet current demand and how they are applying telehealth technology in both urban and rural communities.
Rapidly Scaling Telehealth in Response to COVID-19
In this webinar, leaders from the University of Virginia and Oregon Health & Science University share their experiences in deploying resources to dramatically scale up telehealth capacity.
Telehealth Regulatory and Policy Resources During COVID-19
Regulatory resource documents on the current state of telehealth during and after the Covid-19 public health emergency and AAMC’s recommendations for the future of telehealth.
- Audio-only Telehealth (PDF)
- Virtual Supervision of Residents and Supervision of Residents during Telehealth (PDF)
- Telehealth in Behavioral Health (PDF)
- Remote Physiologic Monitoring (PDF)
Visit the Coronavirus (COVID-19) Resource Hub to learn more about the advocacy efforts led by the AAMC.
Center for Connected Health Policy (CCHP): Access resources about telehealth policies, focusing on federal, state, and private payer policies, state licensure laws, and federal legislation.
Federation of State Medical Boards (FSMB): Before the COVID-19 pandemic, FSMB had been working on a universal licensure compact. With the vast increase in telehealth and the increased movement in providers across the country to respond to the pandemic, licensure has come again to the forefront. FSMB has been analyzing state licensure laws and other policies.
CMS COVID-19 Waivers and Flexibilities: Access the current decisions from the Secretary of the Department of Health and Human Services’ (HHS) to temporarily modify or waive certain Medicare, Medicaid, CHIP, or HIPAA requirements during the COVID-19 pandemic.
AAMC Telehealth Initiatives and Research
Project CORE: Coordinating Optimal Referral Experiences
The AAMC has been supporting health systems in implementing eConsults (asynchronous communication between primary care providers and specialists) and improving communication and coordination at the point of referral since 2014, through a Center for Medicare and Medicaid Innovation (CMMI) Health Care Innovation Award. Project CORE has expanded to over 30 AMCs and children’s hospitals, better serving the needs of collective primary care populations totaling over 3 million patients. The model has been shown to reduce wait times, no-show rates, and leakage rates, in addition to improving comprehensiveness in primary care, and improving coordination of care between PCPs and specialists.
Telehealth in Academic Medicine: Roles, Opportunities, and Risks
If AMCs are to be leaders in the rapidly advancing field of telehealth, they must consider opportunities and risks in developing workforce capacity, telehealth training, and collecting high-quality data and conducting telehealth research. Read more.
Teaching Hospitals Lead in Telehealth Adoption Data Snapshot and Overview
Findings from an AAMC analysis of data from the American Hospital Association reveal that teaching hospitals are increasingly implementing telehealth programs and are more likely to offer many types of telehealth services compared with nonteaching hospitals.