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Brief ReportBrief Report

Care Redesign to Support Telemedicine Implementation During the COVID-19 Pandemic: Federally Qualified Health Center Personnel Experiences

Jennifer L. Frehn, Brooke E. Starn, Hector P. Rodriguez and Denise D. Payán
The Journal of the American Board of Family Medicine October 2023, 36 (5) 712-722; DOI: https://doi.org/10.3122/jabfm.2022.220370R2
Jennifer L. Frehn
From the Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles (JLF); Department of Public Health, School of Social Sciences, Humanities and Arts, University of California, Merced (JLF, DDP); Department of Public Health Sciences, School of Medicine, University of California, Davis (BES); Division of Health Policy and Management, School of Public Health, University of California, Berkeley (HPR); Department of Health, Society and Behavior, Public Health Program, University of California, Irvine (DDP).
PhD, MPH
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Brooke E. Starn
From the Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles (JLF); Department of Public Health, School of Social Sciences, Humanities and Arts, University of California, Merced (JLF, DDP); Department of Public Health Sciences, School of Medicine, University of California, Davis (BES); Division of Health Policy and Management, School of Public Health, University of California, Berkeley (HPR); Department of Health, Society and Behavior, Public Health Program, University of California, Irvine (DDP).
MPH
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Hector P. Rodriguez
From the Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles (JLF); Department of Public Health, School of Social Sciences, Humanities and Arts, University of California, Merced (JLF, DDP); Department of Public Health Sciences, School of Medicine, University of California, Davis (BES); Division of Health Policy and Management, School of Public Health, University of California, Berkeley (HPR); Department of Health, Society and Behavior, Public Health Program, University of California, Irvine (DDP).
PhD, MPH
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Denise D. Payán
From the Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles (JLF); Department of Public Health, School of Social Sciences, Humanities and Arts, University of California, Merced (JLF, DDP); Department of Public Health Sciences, School of Medicine, University of California, Davis (BES); Division of Health Policy and Management, School of Public Health, University of California, Berkeley (HPR); Department of Health, Society and Behavior, Public Health Program, University of California, Irvine (DDP).
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References

  1. 1.↵
    1. Kim JH,
    2. Desai E,
    3. Cole MB
    . How The Rapid Shift To Telehealth Leaves Many Community Health Centers Behind During The COVID-19 Pandemic. Health Affairs Forefront. Published June 2, 2020. Accessed April 24, 2023. Available at: https://www.healthaffairs.org/do/10.1377/forefront.20200529.449762/full/.
  2. 2.↵
    Health Center Program Data. Health Resources & Services Administration. Published 2019. Accessed April 4, 2023. Available at: https://data.hrsa.gov/tools/data-reporting/program-data/national/table?tableName=ODE&year=2019.
  3. 3.↵
    Health Center Program Data. Health Resources & Services Administration. Published 2020. Accessed April 4, 2023. Available at: https://data.hrsa.gov/tools/data-reporting/program-data/national/table?tableName=ODE&year=2020.
  4. 4.↵
    1. Gelburd R
    . Examining the state of telehealth during the COVID-19 pandemic. United Hospital Fund; 2020. Accessed April 4, 2023. Available at: https://uhfnyc.org/publications/publication/telehealth-during-covid-19/.
  5. 5.↵
    1. Verma S
    . Early impact of CMS expansion of Medicare telehealth during COVID-19. Health Affairs Blog. Published July 15, 2020. Accessed April 4, 2023. Available at: https://www.healthaffairs.org/do/10.1377/forefront.20200715.454789/full/.
  6. 6.↵
    1. Gomez T,
    2. Anaya YB,
    3. Shih KJ,
    4. Tarn DM
    . A qualitative study of primary care physicians’ experiences with telemedicine during COVID-19. J Am Board Fam Med 2021;34:S61–S70.
    OpenUrlAbstract/FREE Full Text
  7. 7.↵
    1. Tewksbury C,
    2. Deleener ME,
    3. Dumon KR,
    4. Williams NN
    . Practical considerations of developing and conducting a successful telehealth practice in response to COVID‐19. Nutr Clin Pract 2021;36:769–74.
    OpenUrl
  8. 8.↵
    1. Breton M,
    2. Sullivan EE,
    3. Deville-Stoetzel N,
    4. et al
    . Telehealth challenges during COVID-19 as reported by primary healthcare physicians in Quebec and Massachusetts. BMC Fam Pract 2021;22:192.
    OpenUrlCrossRefPubMed
  9. 9.↵
    1. Knierim K,
    2. Palmer C,
    3. Kramer ES,
    4. et al
    . Lessons learned during COVID-19 that can move telehealth in primary care forward. J Am Board Fam Med 2021;34:S196–S202.
    OpenUrlAbstract/FREE Full Text
  10. 10.↵
    1. Hall TL,
    2. Connelly L,
    3. Staton EW,
    4. et al
    . Points of concordance, points of discordance: a qualitative examination of telemedicine implementation. J Am Board Fam Med 2022;35:517–26.
    OpenUrlAbstract/FREE Full Text
  11. 11.↵
    1. Callisaya ML,
    2. Lee AHC,
    3. Khushu A
    . Rapid implementation of telehealth in geriatric outpatient clinics due to COVID-19. Intern Med J 2021;51:1151–5.
    OpenUrl
  12. 12.↵
    1. Barney A,
    2. Buckelew S,
    3. Mesheriakova V,
    4. Raymond-Flesch M
    . The COVID-19 pandemic and rapid implementation of adolescent and young adult telemedicine: challenges and opportunities for innovation. J Adolesc Health 2020;67:164–71.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Aziz A,
    2. Zork N,
    3. Aubey JJ,
    4. et al
    . Telehealth for high-risk pregnancies in the setting of the COVID-19 pandemic. Am J Perinatol 2020;37:800–8.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Uscher-Pines L,
    2. Arora N,
    3. Jones M,
    4. et al
    . Experiences of health centers in implementing telehealth visits for underserved patients during the COVID-19 pandemic: results from the Connected Care Accelerator Initiative. Published online March 14, 2022. Accessed April 4, 2023. Available at: https://www.rand.org/pubs/research_reports/RRA1840-1.html.
  15. 15.↵
    1. McCarthy C,
    2. Bateman MT Jr.,
    3. Henderson T,
    4. Jean R,
    5. Evans R
    . Adoption of telepharmacy within a community health center: a focus on clinical pharmacy services. J Am Coll Clin Pharm 2021;4:924–33.
    OpenUrl
  16. 16.↵
    1. Lyles CR,
    2. Allen JY,
    3. Poole D,
    4. Tieu L,
    5. Kanter MH,
    6. Garrido T
    . “I want to keep the personal relationship with my doctor”: understanding barriers to portal use among African Americans and Latinos. J Med Internet Res 2016;18:e5910.
    OpenUrl
  17. 17.↵
    1. Lyles CR,
    2. Handley MA,
    3. Ackerman SL,
    4. et al
    . Innovative implementation studies conducted in US safety net health care settings: a systematic review. Am J Med Qual 2019;34:293–306.
    OpenUrlPubMed
  18. 18.↵
    1. Portz JD,
    2. Fruhauf C,
    3. Bull S,
    4. et al
    . “Call a teenager … that’s what i do!”—grandchildren help older adults use new technologies: qualitative study. JMIR Aging 2019;2:e13713.
    OpenUrl
  19. 19.↵
    1. Scott Kruse C,
    2. Karem P,
    3. Shifflett K,
    4. Vegi L,
    5. Ravi K,
    6. Brooks M
    . Evaluating barriers to adopting telemedicine worldwide: a systematic review. J Telemed Telecare 2018;24:4–12.
    OpenUrlCrossRefPubMed
  20. 20.↵
    1. Anderson K,
    2. Francis T,
    3. Ibanez-Carrasco F,
    4. Globerman J
    . Physician’s perceptions of telemedicine in HIV care provision: a cross-sectional web-based survey. JMIR Public Health Surveill 2017;3:e31.
    OpenUrl
  21. 21.↵
    1. Chwistek M
    . “Are you wearing your white coat?”: telemedicine in the time of pandemic. JAMA 2020;324:149–50.
    OpenUrl
  22. 22.↵
    1. Gordon HS,
    2. Solanki P,
    3. Bokhour BG,
    4. Gopal RK
    . “I’m not feeling like I’m part of the conversation”: patients’ perspectives on communicating in clinical video telehealth visits. J Gen Intern Med 2020;35:1751–8.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Lau J,
    2. Knudsen J,
    3. Jackson H,
    4. et al
    . Staying connected in the COVID-19 pandemic: telehealth at the largest safety-net system in the United States. Health Aff (Millwood) 2020;39:1437–42.
    OpenUrlCrossRefPubMed
  24. 24.↵
    1. Venkatesh V,
    2. Davis FD
    . A theoretical extension of the technology acceptance model: four longitudinal field studies. Management Science 2000;46:186–204.
    OpenUrl
  25. 25.↵
    1. Damschroder LJ,
    2. Aron DC,
    3. Keith RE,
    4. Kirsh SR,
    5. Alexander JA,
    6. Lowery JC
    . Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009;4:50.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Payán DD,
    2. Sloane DC,
    3. Illum J,
    4. et al
    . Catalyzing implementation of evidence-based interventions in safety net settings: a clinical–community partnership in South Los Angeles. Health Promot Pract 2017;18:586–97.
    OpenUrl
  27. 27.↵
    1. Klein KJ,
    2. Sorra JS
    . The challenge of innovation implementation. The Academy of Management Review 1996;21:1055–80.
    OpenUrlWeb of Science
  28. 28.↵
    1. Payán DD,
    2. Frehn JL,
    3. Garcia L,
    4. Tierney AA,
    5. Rodriguez HP
    . Telemedicine implementation and use in community health centers during COVID-19: Clinic personnel and patient perspectives. SSM Qual Res Health 2022;2:100054. Published online February 10, 2022.
    OpenUrl
  29. 29.↵
    1. Nevedal AL,
    2. Reardon CM,
    3. Opra Widerquist MA,
    4. et al
    . Rapid versus traditional qualitative analysis using the Consolidated Framework for Implementation Research (CFIR). Implement Sci 2021;16:67.
    OpenUrlPubMed
  30. 30.↵
    1. Rodriguez JA,
    2. Saadi A,
    3. Schwamm LH,
    4. Bates DW,
    5. Samal L
    . Disparities in telehealth use among California patients with limited English proficiency. Health Aff (Millwood) 2021;40:487–95.
    OpenUrlCrossRef
  31. 31.↵
    1. Khoong EC,
    2. Butler BA,
    3. Mesina O,
    4. et al
    . Patient interest in and barriers to telemedicine video visits in a multilingual urban safety-net system. J Am Med Inform Assoc 2021;28:349–53. Published online November.
    OpenUrlCrossRefPubMed
  32. 32.↵
    1. Park J,
    2. Erikson C,
    3. Han X,
    4. Iyer P
    . Are State telehealth policies associated with the use of telehealth services among underserved populations? Health Aff (Millwood) 2018;37:2060–8.
    OpenUrlCrossRefPubMed
  33. 33.↵
    1. Hogue A,
    2. Becker SJ,
    3. Fishman M,
    4. Henderson CE,
    5. Levy S
    . Youth OUD treatment during and after COVID: Increasing family involvement across the services continuum. J Subst Abuse Treat 2021;120:108159.
    OpenUrl
  34. 34.↵
    1. Cole B,
    2. Pickard K,
    3. Stredler-Brown A
    . Report on the use of telehealth in early intervention in Colorado: strengths and challenges with telehealth as a service delivery method. Int J Telerehabil 2019;11:33–40.
    OpenUrl
  35. 35.↵
    1. Goddard A,
    2. Sullivan E,
    3. Fields P,
    4. Mackey S
    . The future of telehealth in school-based health centers: lessons from COVID-19. J Pediatr Health Care 2021;35:304–9.
    OpenUrl
  36. 36.↵
    1. Talana AL,
    2. Finn J,
    3. Sentell T
    . Landscape analysis of current self-measured blood pressure activities at selected federally qualified health centers in Hawaiʻi. Published online October 2021. Accessed April 4, 2023. Available at: https://manoa.hawaii.edu/publichealth/sites/manoa.hawaii.edu.publichealth/files/downloads/2021_project_12_.pdf.
  37. 37.↵
    1. Loeb AE,
    2. Rao SS,
    3. Ficke JR,
    4. Morris CD,
    5. Riley LH,
    6. Levin AS
    . Departmental experience and lessons learned with accelerated introduction of telemedicine during the COVID-19 crisis. J Am Acad Orthop Surg 2020;28:e469–e476.
    OpenUrlCrossRefPubMed
  38. 38.↵
    1. Croymans D,
    2. Hurst I,
    3. Han M
    . Telehealth: the right care, at the right time, via the right medium. N Engl J Med Catalyst. Published online2020;12.
  39. 39.↵
    1. Ott KK,
    2. Schein RM,
    3. Straatmann J,
    4. Schmeler MR,
    5. Dicianno BE
    . Development of a Home-based telerehabilitation service delivery protocol for wheelchair seating and mobility within the Veterans Health Administration. Mil Med 2022;187:e718–e725.
    OpenUrl
  40. 40.↵
    1. Henry BW,
    2. Block DE,
    3. Ciesla JR,
    4. McGowan BA,
    5. Vozenilek JA
    . Clinician behaviors in telehealth care delivery: a systematic review. Adv Health Sci Educ Theory Pract 2017;22:869–88.
    OpenUrlCrossRefPubMed
  41. 41.↵
    1. Powell RE,
    2. Henstenburg JM,
    3. Cooper G,
    4. Hollander JE,
    5. Rising KL
    . Patient perceptions of telehealth primary care video visits. Ann Fam Med 2017;15:225–9.
    OpenUrlAbstract/FREE Full Text
  42. 42.↵
    1. Sequeira GM,
    2. Kidd KM,
    3. Rankine J,
    4. et al
    . Gender-diverse youth’s experiences and satisfaction with telemedicine for gender-affirming care during the COVID-19 pandemic. Transgend Health 2022;7:127–34.
    OpenUrl
  43. 43.↵
    1. Allison BA,
    2. Rea S,
    3. Mikesell L,
    4. Perry MF
    . Adolescent and parent perceptions of telehealth visits: a mixed-methods study. J Adolesc Health 2022;70:403–13.
    OpenUrl
  44. 44.↵
    1. McSwain SD,
    2. Bernard J,
    3. Burke BL,
    4. et al
    . American Telemedicine Association operating procedures for pediatric telehealth. Telemed J E Health 2017;23:699–706.
    OpenUrlPubMed
  45. 45.↵
    1. Bernhardt C,
    2. King C
    . Telehealth and food insecurity screenings: challenges and lessons learned. Mhealth 2022;8:10.
    OpenUrl
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The Journal of the American Board of Family     Medicine: 36 (5)
The Journal of the American Board of Family Medicine
Vol. 36, Issue 5
September-October 2023
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Care Redesign to Support Telemedicine Implementation During the COVID-19 Pandemic: Federally Qualified Health Center Personnel Experiences
Jennifer L. Frehn, Brooke E. Starn, Hector P. Rodriguez, Denise D. Payán
The Journal of the American Board of Family Medicine Oct 2023, 36 (5) 712-722; DOI: 10.3122/jabfm.2022.220370R2

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Care Redesign to Support Telemedicine Implementation During the COVID-19 Pandemic: Federally Qualified Health Center Personnel Experiences
Jennifer L. Frehn, Brooke E. Starn, Hector P. Rodriguez, Denise D. Payán
The Journal of the American Board of Family Medicine Oct 2023, 36 (5) 712-722; DOI: 10.3122/jabfm.2022.220370R2
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