Diabetes and COVID-19

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

Original Message------

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

Original Message------

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

It might be a good idea to reach out to the sales reps as they are also working remotely.  The industry representatives
may be willing to do remote teaching to those needed to learn how to use monitors, pumps, cgm's, etc.  Just a thought...……...

------------------------------
Paula Jimenez BSN
ILLINOIS DEPARTMENT PUBLIC
SPRINGFIELD IL
------------------------------

Original Message:
Sent: 03-25-2020 12:37
From: Maria c Matas-chamberlain
Subject: Using Telemedicine in the time of novel coronavirus

Hello everyone,

Stay healthy.

Using phone visits, mostly.

Some brave patients want to come to the office so, they come.

Our CDE group in our region,  is here for the duration, or until someone tells us to pack it up and go home.

Pumps, CGMs, monitors mostly coming from the cloud.

So many people waiting for pump/cgm trainings.

 

 

Most Sincerely & take care.

 

Maria/Tina

 

Maria C Matas-Chamberlain, MS, RN, CDE

Kaiser Permanente MAS

Gaithersburg Medical Center

655 Watkins Mill Road

Diabetes Services

5th Floor

Adult Medicine

Area 500

Gaithersburg, Maryland 20879

maria.c.matas-chamberlain@kp.org

240-632-4091 Direct

 

 

 

 

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Original Message------

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

I am curious if anyone started using inpatient telemedicine for inpatient diabetes management?


------------------------------
Mihail Zilbermint, MD
Bethesda MD
------------------------------

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

How do you bill these patients?
I understand Telemedicine is not billable for diabetes education.
​

------------------------------
Shesha Desai
RWJ UNIV HOSPITAL HAM
Hamilton NJ
------------------------------

Original Message:
Sent: 03-25-2020 12:46
From: Mihail Zilbermint
Subject: Using Telemedicine in the time of novel coronavirus

I am curious if anyone started using inpatient telemedicine for inpatient diabetes management?


------------------------------
Mihail Zilbermint, MD
Bethesda MD

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

​ This might help:

 

https://www.eatrightpro.org/news-center/member-updates/coronavirus-updates/during-covid19-emergency-cms-gives-green-light-to-mnt-via-telehealth-for-medicare-beneficiaries

------------------------------
Cristin Bruns
OKLAHOMA HEART INSTITUTE
TULSA OK
------------------------------

Original Message:
Sent: 03-25-2020 12:46
From: Mihail Zilbermint
Subject: Using Telemedicine in the time of novel coronavirus

I am curious if anyone started using inpatient telemedicine for inpatient diabetes management?


------------------------------
Mihail Zilbermint, MD
Bethesda MD

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

​Hi Boris and group,
    Let me see what we can do at Medtronic to get that rule suspended.  As you know it comes from payers including CMS but I can try to get our team to work on it.
Bob

------------------------------
Robert Vigersky MD,
WASHINGTON DC
------------------------------

Original Message:
Sent: 03-26-2020 12:31
From: Cristin Bruns
Subject: Using Telemedicine in the time of novel coronavirus

​ This might help:

 

https://www.eatrightpro.org/news-center/member-updates/coronavirus-updates/during-covid19-emergency-cms-gives-green-light-to-mnt-via-telehealth-for-medicare-beneficiaries

------------------------------
Cristin Bruns
OKLAHOMA HEART INSTITUTE
TULSA OK

Original Message:
Sent: 03-25-2020 12:46
From: Mihail Zilbermint
Subject: Using Telemedicine in the time of novel coronavirus

I am curious if anyone started using inpatient telemedicine for inpatient diabetes management?


------------------------------
Mihail Zilbermint, MD
Bethesda MD

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

We are basically doing phone consults right now to help with urgent needs. We would like to start officially doing telehealth but are unsure how to bill.  It is my understanding that traditionally only our RDs can charge for telehealth using MNT codes. It would be great if that was opened up to DSME codes as well. Has anyone found any information on it being opened up to DSME? For those billing for MNT, are they different billing codes than our traditional or must we enter coding differently? Thank you!​

------------------------------
Danette Anderson
VERDE VALLEY MEDICAL CTR
COTTONWOOD AZ
------------------------------

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

We are able to bill for MNT using telehealth but as a RN-CDE I am told I cannot bill for DSME through telehealth.  I agree that it is important that we liberalize these rules to allow DSME codes. Can the ADA help with this? Any insights would be appreciated, thank you

------------------------------
Amy Katz
BOZEMAN MT
------------------------------

Original Message:
Sent: 03-25-2020 18:42
From: Danette Anderson
Subject: Using Telemedicine in the time of novel coronavirus

We are basically doing phone consults right now to help with urgent needs. We would like to start officially doing telehealth but are unsure how to bill.  It is my understanding that traditionally only our RDs can charge for telehealth using MNT codes. It would be great if that was opened up to DSME codes as well. Has anyone found any information on it being opened up to DSME? For those billing for MNT, are they different billing codes than our traditional or must we enter coding differently? Thank you!​

------------------------------
Danette Anderson
VERDE VALLEY MEDICAL CTR
COTTONWOOD AZ

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

Original Message------

We are able to bill for MNT using telehealth but as a RN-CDE I am told I cannot bill for DSME through telehealth.  I agree that it is important that we liberalize these rules to allow DSME codes. Can the ADA help with this? Any insights would be appreciated, thank you

------------------------------
Amy Katz
BOZEMAN MT
------------------------------

I am an RD, CDE (CDCES technically now), and we are able to bill MNT and DSMT through telehealth. There is a modifier code available in our EMR (EPIC) called GT that bills as a virtual visit. I have heard that RNs are not yet approved to bill for telehealth, however. AADE has been doing webinars for telehealth. I have the slides from the recent webinar if you are interested. I cannot attach to this post, but I can email them to you if you'd like.

------------------------------
Sherri Hall, MS, RD, CDCES
Certified Diabetes Care & Education Specialist
CHI Francsican
Tacoma, WA
------------------------------

Original Message:
Sent: 03-26-2020 14:17
From: Amy Katz
Subject: Using Telemedicine in the time of novel coronavirus

We are able to bill for MNT using telehealth but as a RN-CDE I am told I cannot bill for DSME through telehealth.  I agree that it is important that we liberalize these rules to allow DSME codes. Can the ADA help with this? Any insights would be appreciated, thank you

------------------------------
Amy Katz
BOZEMAN MT

Original Message:
Sent: 03-25-2020 18:42
From: Danette Anderson
Subject: Using Telemedicine in the time of novel coronavirus

We are basically doing phone consults right now to help with urgent needs. We would like to start officially doing telehealth but are unsure how to bill.  It is my understanding that traditionally only our RDs can charge for telehealth using MNT codes. It would be great if that was opened up to DSME codes as well. Has anyone found any information on it being opened up to DSME? For those billing for MNT, are they different billing codes than our traditional or must we enter coding differently? Thank you!​

------------------------------
Danette Anderson
VERDE VALLEY MEDICAL CTR
COTTONWOOD AZ

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

Yes, I would be interested in the slides.​

------------------------------
Shesha Desai
RWJ UNIV HOSPITAL HAM
Hamilton NJ
------------------------------

Original Message:
Sent: 03-27-2020 12:17
From: Sherri Hall
Subject: Using Telemedicine in the time of novel coronavirus

I am an RD, CDE (CDCES technically now), and we are able to bill MNT and DSMT through telehealth. There is a modifier code available in our EMR (EPIC) called GT that bills as a virtual visit. I have heard that RNs are not yet approved to bill for telehealth, however. AADE has been doing webinars for telehealth. I have the slides from the recent webinar if you are interested. I cannot attach to this post, but I can email them to you if you'd like.

------------------------------
Sherri Hall, MS, RD, CDCES
Certified Diabetes Care & Education Specialist
CHI Francsican
Tacoma, WA

Original Message:
Sent: 03-26-2020 14:17
From: Amy Katz
Subject: Using Telemedicine in the time of novel coronavirus

We are able to bill for MNT using telehealth but as a RN-CDE I am told I cannot bill for DSME through telehealth.  I agree that it is important that we liberalize these rules to allow DSME codes. Can the ADA help with this? Any insights would be appreciated, thank you

------------------------------
Amy Katz
BOZEMAN MT

Original Message:
Sent: 03-25-2020 18:42
From: Danette Anderson
Subject: Using Telemedicine in the time of novel coronavirus

We are basically doing phone consults right now to help with urgent needs. We would like to start officially doing telehealth but are unsure how to bill.  It is my understanding that traditionally only our RDs can charge for telehealth using MNT codes. It would be great if that was opened up to DSME codes as well. Has anyone found any information on it being opened up to DSME? For those billing for MNT, are they different billing codes than our traditional or must we enter coding differently? Thank you!​

------------------------------
Danette Anderson
VERDE VALLEY MEDICAL CTR
COTTONWOOD AZ

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

Hello,
It is exciting that RDNs now temporarily have options for delivering MNT services via telehealth.  I work in a hospital outpatient diabetes setting, can I still bill under code 02 for telehealth?

------------------------------
Pauline p Chau CDE, RD
BELMONT CA
------------------------------

Original Message:
Sent: 03-26-2020 14:17
From: Amy Katz
Subject: Using Telemedicine in the time of novel coronavirus

We are able to bill for MNT using telehealth but as a RN-CDE I am told I cannot bill for DSME through telehealth.  I agree that it is important that we liberalize these rules to allow DSME codes. Can the ADA help with this? Any insights would be appreciated, thank you

------------------------------
Amy Katz
BOZEMAN MT

Original Message:
Sent: 03-25-2020 18:42
From: Danette Anderson
Subject: Using Telemedicine in the time of novel coronavirus

We are basically doing phone consults right now to help with urgent needs. We would like to start officially doing telehealth but are unsure how to bill.  It is my understanding that traditionally only our RDs can charge for telehealth using MNT codes. It would be great if that was opened up to DSME codes as well. Has anyone found any information on it being opened up to DSME? For those billing for MNT, are they different billing codes than our traditional or must we enter coding differently? Thank you!​

------------------------------
Danette Anderson
VERDE VALLEY MEDICAL CTR
COTTONWOOD AZ

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

Did you ever find an answer to your question about billing when hospital based? I am trying to find out that info also for our RD CDE's.

------------------------------
Cristin Bruns
OKLAHOMA HEART INSTITUTE
TULSA OK
------------------------------

Original Message:
Sent: 03-27-2020 13:15
From: Pauline p Chau
Subject: Using Telemedicine in the time of novel coronavirus

Hello,
It is exciting that RDNs now temporarily have options for delivering MNT services via telehealth.  I work in a hospital outpatient diabetes setting, can I still bill under code 02 for telehealth?

------------------------------
Pauline p Chau CDE, RD
BELMONT CA

Original Message:
Sent: 03-26-2020 14:17
From: Amy Katz
Subject: Using Telemedicine in the time of novel coronavirus

We are able to bill for MNT using telehealth but as a RN-CDE I am told I cannot bill for DSME through telehealth.  I agree that it is important that we liberalize these rules to allow DSME codes. Can the ADA help with this? Any insights would be appreciated, thank you

------------------------------
Amy Katz
BOZEMAN MT

Original Message:
Sent: 03-25-2020 18:42
From: Danette Anderson
Subject: Using Telemedicine in the time of novel coronavirus

We are basically doing phone consults right now to help with urgent needs. We would like to start officially doing telehealth but are unsure how to bill.  It is my understanding that traditionally only our RDs can charge for telehealth using MNT codes. It would be great if that was opened up to DSME codes as well. Has anyone found any information on it being opened up to DSME? For those billing for MNT, are they different billing codes than our traditional or must we enter coding differently? Thank you!​

------------------------------
Danette Anderson
VERDE VALLEY MEDICAL CTR
COTTONWOOD AZ

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

No, still looking for an answer.
Also if I- with a Pharmacist background and with BC-ADM is eligible to bill​

------------------------------
Shesha Desai
RWJ UNIV HOSPITAL HAM
Hamilton NJ
------------------------------

Original Message:
Sent: 04-02-2020 18:58
From: Cristin Bruns
Subject: Using Telemedicine in the time of novel coronavirus

Did you ever find an answer to your question about billing when hospital based? I am trying to find out that info also for our RD CDE's.

------------------------------
Cristin Bruns
OKLAHOMA HEART INSTITUTE
TULSA OK

Original Message:
Sent: 03-27-2020 13:15
From: Pauline p Chau
Subject: Using Telemedicine in the time of novel coronavirus

Hello,
It is exciting that RDNs now temporarily have options for delivering MNT services via telehealth.  I work in a hospital outpatient diabetes setting, can I still bill under code 02 for telehealth?

------------------------------
Pauline p Chau CDE, RD
BELMONT CA

Original Message:
Sent: 03-26-2020 14:17
From: Amy Katz
Subject: Using Telemedicine in the time of novel coronavirus

We are able to bill for MNT using telehealth but as a RN-CDE I am told I cannot bill for DSME through telehealth.  I agree that it is important that we liberalize these rules to allow DSME codes. Can the ADA help with this? Any insights would be appreciated, thank you

------------------------------
Amy Katz
BOZEMAN MT

Original Message:
Sent: 03-25-2020 18:42
From: Danette Anderson
Subject: Using Telemedicine in the time of novel coronavirus

We are basically doing phone consults right now to help with urgent needs. We would like to start officially doing telehealth but are unsure how to bill.  It is my understanding that traditionally only our RDs can charge for telehealth using MNT codes. It would be great if that was opened up to DSME codes as well. Has anyone found any information on it being opened up to DSME? For those billing for MNT, are they different billing codes than our traditional or must we enter coding differently? Thank you!​

------------------------------
Danette Anderson
VERDE VALLEY MEDICAL CTR
COTTONWOOD AZ

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

Hello

I work for a psychiatry practice and we are currently fully remote for all visits.

All restrictions for payment of televisits have been lifted but each insurance company has made their individual rules regarding the matter. So check with the insurance company. Payment for video vs telephone are different. Video is preferred.

We use our EHR (eclinical works) for primary contact, it has video built in. If that fails we use doxy.me as back up (free and hippa compliant, no need for patient to have a profile or account just send them your url to join you)

You must have consent for video visits, so make sure to consent them if not already included in your practice.
You must have a license in the state the patient is attending the visit from (despite announcements that providers will be allowed to practice across state lines the professional licensing boards have not agreed, check with you board in the state to ensure this is allowed)

I recommend checking facebook for pages telemedicine groups in your speciality.

There is also a facebook page for COVID-19 USA physician/app group facebook page where all medical specialities discuss covid related practice challenges. There is a long discussion thread on getting telemedicine working in their practices and payment requirements.

Hope this helps.

Brea

------------------------------
Brea Di Dato
Nurse Practitioner & Type 1 Diabetic
MSN APRN FNP-C PMHNP-BC
Well Coast Psychiatric
------------------------------

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

We have moved to 100% remote visits for established patients and are also doing remote care for some new patients (case-specific). A how-to clinician's guide for diabetes telehealth that I co-authored was just published and made open-access: https://www.liebertpub.com/doi/pdf/10.1089/dia.2020.0042. This may be helpful for many. Info about reimbursement and HIPAA has changed currently with COVID19 which allows more innovation and flexibility, but it's hard to keep up with the changes. We plan to publish a letter about recent changes and link it to this article ASAP so people have additional guidance. In the meantime, the ATA's website has helpful updates about new policies re: reimbursement and use of technology: https://www.americantelemed.org/.

Stephanie Crossen, MD, MPH
Pediatric Endocrinology & Diabetes
University of California, Davis

------------------------------
Stephanie Crossen
SACRAMENTO CA
------------------------------

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

Thanks Stephanie! Great article!
Evan Los
Pediatric Endocrinology
East TN State University

------------------------------
Evan Los DMSC
408 N STATE OF FRANKLIN RD
JOHNSON CITY TN
423-431-4946
------------------------------

Original Message:
Sent: 03-27-2020 14:32
From: Stephanie Crossen
Subject: Using Telemedicine in the time of novel coronavirus

We have moved to 100% remote visits for established patients and are also doing remote care for some new patients (case-specific). A how-to clinician's guide for diabetes telehealth that I co-authored was just published and made open-access: https://www.liebertpub.com/doi/pdf/10.1089/dia.2020.0042. This may be helpful for many. Info about reimbursement and HIPAA has changed currently with COVID19 which allows more innovation and flexibility, but it's hard to keep up with the changes. We plan to publish a letter about recent changes and link it to this article ASAP so people have additional guidance. In the meantime, the ATA's website has helpful updates about new policies re: reimbursement and use of technology: https://www.americantelemed.org/.

Stephanie Crossen, MD, MPH
Pediatric Endocrinology & Diabetes
University of California, Davis

------------------------------
Stephanie Crossen
SACRAMENTO CA

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------

Outpatient: almost 100% phone or video calls. Video rvu reimbursement is much higher than phone calls. We are using Epic apps Haiku (iphone) or Canto (ipad)- most providers are working from home.

Inpatient: almost exclusively virtual visits with review of glucose levels and remote adjustments in insulin regiments.

------------------------------
Marc a Vengrove DO, FACP
LEHIGH VALLEY HEALTH NTWRK
ALLENTOWN PA
------------------------------

Original Message:
Sent: 03-24-2020 21:28
From: Mark Harmel
Subject: Using Telemedicine in the time of novel coronavirus

How are you using telemedicine in this new post-coronavirus time? We shifted from the occasional use to 50% last week to 90% the past two days and in the future. How are you all managing? What advice do you have for other practices?

------------------------------
Mark Harmel, MPH/CDCES (CDE)
Clinical Research Coordinator
USC Westside Center for Diabetes
Los Angeles
------------------------------