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With a telehealth visit, 95% of a patient’s time is spent face- 62%




                                                                                                                                   to-face with the doctor, compared with less than 20% of a     Of patients reported the quality of virtual
           Introduction                                                                                                            traditional visit, in which most time is spent traveling and   video visits was no different from

                                                                                                                                   waiting. With that said, it is not a surprise that physician practice
                                                                                                                                   models will continue to change dramatically as they move to   office visits.
                                                                                                                                   virtual care. The impact will likely minimize the use of exam
                                                                                                                                   rooms, MOBs will have high levels of vacancy, waiting rooms will
                                                                                                                                   become obsolete, and revenue streams historically controlled                         21%
                                                                                                                                   and enjoyed by health systems will suddenly become controlled
                                                                                                                                   virtually by providers and caregivers. Based on current COVID-19
                                                                                                                                   practices, several physicians interviewed believe they could   Of patients thought virtual visits’ overall
                                                                                                                                   optimally manage their patient panel with only two days in clinic                       quality was better.
                                                                                                                                   per week.
        The COVID-19 pandemic initiated a wave of telehealth and   Unless you currently provide a comprehensive approach to
        telemedicine usage worldwide. Organizations and practices that   population health like Oak Street, Iora Health, and ChenMed,   Thus, re-evaluation of your primary care clinics is a must-
        historically monopolized geographic regions with ambulatory   we anticipate the downsizing of both primary and specialty care   do-now initiative, including smaller clinic footprints, higher
        locations are now under tremendous pressure and will struggle   square footage and clinical staffing. These downsizings are in   rates of rotating staff sharing office and exam space, clinic   79%
        to stay competitive as markets reopen and geographic and   response to the cost pressure health systems face as they enter   consolidations, and reducing clinical and administrative support
        imposed market restrictions have disappeared. Those looking   the other side of this crisis with weakened balance sheets and   staff. Other new ideas such as developing a telehealth center of   Of patients felt that finding a convenient
        to grow their practice will find new opportunities — namely,   the mass adoption of more cost-efficient telehealth models.  excellence and branding home and clinic offices are becoming   time for a follow-up virtually was easier
        the ability to leverage their own telemedicine platforms to                                                                more prominent within re-imagined facility designs.
        consumers and provide virtual care to patients outside the                                                                                                                                than a traditional visit.
        “brick and mortar” and payer restrictions that existed yesterday.

                                                                                                                                                                                                 *Source: The American Journal of Managed Care, 2019
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