Telehealth for Pediatric Cardiology Practitioners in the Time of COVID-19
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REVIEW ARTICLE
Telehealth for Pediatric Cardiology Practitioners in the Time of COVID‑19 Devyani Chowdhury1 · Kyle D. Hope2 · Lindsay C. Arthur3 · Sharon M. Weinberger4 · Christina Ronai5 · Jonathan N. Johnson6 · Christopher S. Snyder7 Received: 17 May 2020 / Accepted: 3 July 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Due to the COVID-19 pandemic, there has been an increased interest in telehealth as a means of providing care for children by a pediatric cardiologist. In this article, we provide an overview of telehealth utilization as an extension of current pediatric cardiology practices and provide some insight into the rapid shift made to quickly implement these telehealth services into our everyday practices due to COVID-19 personal distancing requirements. Our panel will review helpful tips into the selection of appropriate patient populations and specific cardiac diagnoses for telehealth that put patient and family safety concerns first. Numerous practical considerations in conducting a telehealth visit must be taken into account to ensure optimal use of this technology. The use of adapted staffing and billing models and expanded means of remote monitoring will aid in the incorporation of telehealth into more widespread pediatric cardiology practice. Future directions to sustain this platform include the refinement of telehealth care strategies, defining best practices, including telehealth in the fellowship curriculum and continuing advocacy for technology. Keywords Telehealth · Telemedicine · Remote monitoring · Pediatric cardiology
Introduction Devyani Chowdhury and Kyle D. Hope have contributed equally to this work. * Devyani Chowdhury [email protected] 1
Cardiology Care for Children, 1834 Oregon Pike, Ste 20, Lancaster, PA 17601, USA
2
Lille Frank Abercrombie Section of Cardiology, Department of Pediatrics, Texas Children’s Hospital, Baylor College of Medicine, Houston, TX, USA
3
Division of Pediatric Cardiology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
4
Nemours Cardiac Center, Nemours AI DuPont Children’s Hospital, Wilmington, DE, USA
5
Division of Pediatric Cardiology, Department of Pediatrics, Oregon Health & Sciences University, Portland, OR, USA
6
Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine, Mayo Clinic Children’s Center, Rochester, MN, USA
7
The Congenital Heart Collaborative, Case Western Reserve University School of Medicine, Cleveland, OH, USA
In late December 2019, a series of patients with pneumonia were reported in Wuhan, China [1]. Further investigation by the World Health Organization identified the cause of the pneumonia as a novel coronavirus belonging to the same family responsible for previous outbreaks such as severe acute respiratory syndrome (SARS) and Middle East Respiratory Syndrome (MERS). By mid-January, the disease had spread throughout the world, eventually meeting the criteria established b
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