{"pk":13921,"title":"Telehealth Solutions for In-hospital Communication with Patients Under Isolation During COVID-19","subtitle":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic is a public health crisis that has quickly overwhelmed our healthcare system. It has led to significant shortages in personal protective equipment (PPE), ventilators, and intensive care unit beds across the nation. As the initial entry point for patients with suspected COVID illness, emergency departments (ED) have had to adapt quickly to prioritize the safety of patients and providers while still delivering optimal, timely patient care. COVID-19 has presented many challenges for the ED that also extend to all inpatient services. Some of these key challenges are the fundamental tasks of communicating with patients in respiratory isolation while minimizing PPE usage and enabling all patients who have been affected by hospitals’ visitor restrictions to connect with their families. We discuss the design principles behind implementing a robust in-hospital telehealth system for patient-provider and patient-family communication, provide a review of the strengths and weaknesses of potential videoconferencing options, and deliver concise, step-by-step guides for setting up a secure, low-cost, user-friendly solution that can be rapidly deployed.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Telemedicine"},{"word":"Telehealth"},{"word":"palliative care"},{"word":"COVID-19"},{"word":"Pandemic"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0nb053tn","frozenauthors":[{"first_name":"Jennifer","middle_name":"","last_name":"Fang","name_suffix":"","institution":"Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California","department":"None"},{"first_name":"Yiju","middle_name":"T.","last_name":"Liu","name_suffix":"","institution":"Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California\nUniversity of California, Los Angeles, Department of Emergency Medicine, Los Angeles, California\nThe Lundquist Institute for Biomedical Innovation, Torrance, California","department":"None"},{"first_name":"Ernest","middle_name":"Y.","last_name":"Lee","name_suffix":"","institution":"University of California, Los Angeles, Department of Bioengineering, Los Angeles, California\nUniversity of California, Los Angeles, Department of Medicine, Division of Dermatology, Los Angeles, California\nDavid Geffen School of Medicine at UCLA, UCLA-Caltech Medical Scientist Training Program, Los Angeles, California","department":"None"},{"first_name":"Kabir","middle_name":"","last_name":"Yadav","name_suffix":"","institution":"Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California\nUniversity of California, Los Angeles, Department of Emergency Medicine, Los Angeles, California\nThe Lundquist Institute for Biomedical Innovation, Torrance, California","department":"None"}],"date_submitted":"2020-05-12T22:32:03Z","date_accepted":"2020-05-12T22:32:03Z","date_published":"2020-06-24T01:26:57Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13921/galley/7235/download/"}]}