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ACOG SMI & NYSDOH NYSPQC Webinar: Managing COVID-19+ Pregnant Patients - Shared screen with speaker view
Eva Pressman
31:41
You are not coming across clearly
Alexis Curtis
31:59
audio is breaking up
Eva Pressman
32:27
Please stop and fix the audio
Christa Christakis
32:42
audio is clear for me...
Dena Goffman
32:54
Breaking up a lot for me as well
Neila Hernandez
33:10
audio breaking up
theresa fay conte
33:12
audio is unclear
Daniel Skupski
33:20
Audio is clear for me
Christopher Kus
33:29
Audio is clear for me
Kristen Lawless
33:31
It sounds clear to me. Might be poor connections.
Kristin DeVries
33:40
My audio is clear as well. I believe this will be contingent upon your connection.
Kelly Edwards
33:47
Hi everyone! If you are having audio problems, we recommend re-calling in via phone or computer. It might be an internet connection problem, in which case we recommend calling in via phone!
Elena Lobatch
34:14
The audio is breaking up. Computer transmission is fine.
Kelly Edwards
34:38
To call by phone:• Dial: US: +1 929 205 6099or +1 669 9006 833;• Enter: Meeting ID: 996 3953 1036 and Password: 518 when prompted, using your dial pad• Note: if you have already joined the webinar via computer, you will have the option to enter your 2-digit participant ID to be associated with your computer. If you have not joined on your computer, simply press # again when prompted to enter your participant ID.
Veronica Jackson
34:41
Oh I didnt know that. She was my colleague
Veronica Jackson
35:42
the audio is braking up
Kristen Lawless
35:51
Please submit questions directed to “Everyone” through the chat.
Jeanne Boydston
36:08
Is it an ACOG recommendation that all labor patients be tested for COVID-19?
Kristin DeVries
41:01
For reference per Dr. Clare, you can find ACOG’s guidance on telehealth here - https://www.acog.org/clinical-information/physician-faqs/covid-19-faqs-for-ob-gyns-telehealth
Kristin DeVries
42:03
There is also some further guidance in the Obstetric FAQs here: https://www.acog.org/clinical-information/physician-faqs/covid-19-faqs-for-ob-gyns-obstetrics
Kristin DeVries
44:12
And finally, ACOG’s Committee Opinion #798 may be helpful to you all, although please note that it was issued in February 2020 prior to this pandemic: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/02/implementing-telehealth-in-practice
CAMILLE Clare
46:16
are you testing all patients prior to u/s?
Dena Goffman
46:53
We are screening prior to ultrasound (symptoms) but not NP swabbing prior to visit or ultrasound
CAMILLE Clare
47:31
cleaning techniques/practices in ultrasound units?
Dena Goffman
49:26
We have scheduled known positives at the end of the day and then done terminal cleaning.
loralei thornburg
52:35
Pick of our “barrier”
Jessica Spiegelman
53:07
If we need to culture the cells, the lab wants to know their covid status
Corey Greene
53:29
To call by phone:• Dial: US: +1 929 205 6099or +1 669 9006 833;• Enter: Meeting ID: 996 3953 1036 and Password: 518 when prompted, using your dial pad• Note: if you have already joined the webinar via computer, you will have the option to enter your 2-digit participant ID to be associated with your computer. If you have not joined on your computer, simply press # again when prompted to enter your participant ID.
CAMILLE Clare
54:37
how many patients have you had to develop the need for a covid clinic?
rebecca shiffman
58:13
are you ordering prophylactic anticoagulation on asymptomatic patients?
CAMILLE Clare
58:20
were they sent home with pulsox home monitoring?
Dena Goffman
58:38
We have had over 200 within our department since this started
Gloria Fluellen
59:02
How did you get around having multiple providers reaching out to the patient for covid followup protocols (PCP,OB,Peds providers)
CAMILLE Clare
01:00:31
can you speak to digital divide and access to technology for telehealth?
sandra mccalla
01:01:22
have you had any near misses?
Iffath Hoskins
01:06:26
How do you handle discussions about abnormal findings on u/s
Cassandra Henderson
01:08:03
We do discussions in person. Our patients prefer not to have the discussion on the phone or through email.
Marianna Lawrence
01:08:07
Do you provide a script for the home BP monitor? or is that covered by the patient?
loralei thornburg
01:08:20
yes, we are also doing all genetics via Telehealth as well
loralei thornburg
01:08:33
Yes, we provide a rx for BP cuffs
CAMILLE Clare
01:09:13
we didn't believe telehealth would be great, but have converts now
loralei thornburg
01:09:15
abnormals by US we are handling in person if new, and if found at a remote site— we are handling by zoom or telephone
whitney hall
01:09:16
in a post covid world what pieces of the telehealth prenatal visits are you anticipating keeping in the practice if any?
Anna Burgansky
01:09:32
we provide medeical need letter for BP cuff and fetal doppler, its part of initial package to introduce tele-health
Anna Burgansky
01:10:17
we're keeping 16wk, 24, 32, 35wk , 2wk PP visit fro low risk pts
CAMILLE Clare
01:10:26
can speak to acog and DOH advocacy to continuation for telehealth post covid
CAMILLE Clare
01:10:42
telehealth reimbursement?
Kristen Lawless
01:13:16
Thoughts on Telehealth and equity re: the points that Dr. Clare made - lack of access to Telehealth? How can we address this moving forward if we stick with Telehealth?
whitney hall
01:13:38
I also find telehealth very personal and nice for both providers and patients.
Anna Burgansky
01:17:16
Doximity app has secure video call function and it's very easy to use for pts adn providers. We've used it when our EMR platform failed
loralei thornburg
01:17:36
We are doing them w/ residents and fellows— and “watching” them as needed.
sandra mccalla
01:18:17
one of my concerns is quality control of the conversation between the provider and the patient? how have you monitored this ?
Patricia Heinrich
01:18:23
we have heard for pediatric f/u telehealth visits are solving some of the SDoH issues - don't need transportation, missed work day, etc.
CAMILLE Clare
01:19:20
what is meant by quality control?
CAMILLE Clare
01:19:34
we are looking at patient satisfaction in the form of a irb study
Tina Wells
01:21:18
there probably should be specific items/criteria documented in a telephone visit.
whitney hall
01:21:21
Is anyone doing telehealth with residents? What is the workflow? We just sit together and do the visit together but its awkward!
loralei thornburg
01:23:23
For residents— you can join the same call, with video off, watching them, and provide in real time feedback on questions, things to ask, as well as have the opportunity to really provide observational feedback on their communication skills
CAMILLE Clare
01:23:49
good advice Dr. Thornburg.
Edmund LaGamma
01:24:22
Are you seeing an increase in stillbirths below 28 weeks in COVID+ women vs baseline occurrence?
mehtai
01:24:31
role of lovenox in prophylaxis
Kristen Lawless
01:28:08
Dr. Sicuranza has noted that SMFM has an IT task force that is formulating support for telehealth initiatives.
Gloria Fluellen
01:30:11
is there a benefit to rescreen a covid + patient to check on status as she is returning to the office outside of quarantine time.
whitney hall
01:31:15
partner testing?
CAMILLE Clare
01:31:24
preadmission testing on site or offsite?
whitney hall
01:32:33
Our institution is testing partners in drive through sites before scheduled IOL/CS
loralei thornburg
01:32:49
yes- ours too
loralei thornburg
01:32:53
offsite
Kristen Lawless
01:33:05
Thank you, everyone! Feel free to send additional questions to NYSPQC@health.ny.gov.
Dena Goffman
01:33:10
Our preadmission testing is in one of our outpatient sites
loralei thornburg
01:33:23
Thank you all!
whitney hall
01:33:28
thanks so much.
Dena Goffman
01:33:30
Thank you!