
Also, 17 of 50 VVT physicians (34%) rated their ability to deliver a comparable level of care to in-person consultation as excellent, with the remaining 33 of 50 (66%) rating it as very good. In a matched cohort of patients, the median ED length of stay (EDLOS) for VVT patients was 1.9 hours compared with 4.2 hours for patients cared for in the typical main ED workflow ( P <. Stanford met its resource investment break-even point of 12 patients seen during an 8-hour shift on day 6, but this patient volume was not sustained until 7.5 months into the program this volume has remained constant since then. In the first 11 months, 2,232 patients received care through the VVT. The physician is supported by virtual visit–enabling hardware, software, workflow development, and training, as well as by VVT-trained support staff. In the VVT, a remote physician provided care to lower-acuity patients who presented at either of the two sites, the pediatric ED or the adult ED. This was done to speed the ability to evaluate lower-acuity patients in more than one ED with a single physician located at a satellite location. For both adult and pediatric EDs, Stanford extended this model into the emergency care environment by converting its existing Fast Track care unit into a Virtual Visit Track (VVT). Challenges posed by the Covid-19 pandemic accelerated the launch in December 2020 of an already-developed and approved plan to integrate virtual visits into clinical care at Stanford.

It will end 1 minute later.ED patients with lower-acuity care needs often have long wait times for evaluation because of higher-acuity patients receiving priority for available beds. Note : Once audio logging has been running for 59 minutes, an alert will show on the main display that troubleshooting mode is ending.
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