All it took was a pandemic and a government-mandated shutdown, but it looks like telemedicine — the modern version of the house call — is here to stay.
Dr. William Gallivan and his team at Orthopedic Institute of Santa Barbara were using telemedicine on a limited basis for years before COVID-19, primarily for out-of-town patients who wanted to discuss possible surgical procedures and for short, post-surgical follow-up appointments. So when the pandemic mandated physicians to digitize their health-care process in March — while lifting some privacy restrictions to allow virtual exams — his office was better prepared than most. Even with restrictions now eased, the Orthopedic Institute is managing more than one-third of patient visits via telehealth.
In order to train seniors and other non-digital natives in the process, Gallivan is a “heavy utilizer of scribes,” enlisting tech-savvy, pre-med students to work with patients in advance of their appointments to set up remote communication. There’s a learning curve. “Sometimes it’s three or four calls to connect,” said Gallivan. “And with the outliers, it takes me two days of calling them to actually get a connection to do the telehealth. But most of them, more than 90 percent now, are set up and engaged with the telemedicine portal.”