I am with a neurology and sleep practice.  We have cancelled all in lab sleep studies for the next 2 weeks and non-urgent office patients for this week.  Trying to figure out what do to going forward.  Looking into implementing Telemed.  Has anyone has good success with this?

We've closed our office a little earlier as some of our patients are canceling.  Shockingly, our older patients are arguing about coming in (they want to come in!) when we try to reschedule them out a month or so.  We are seeing urgent patients and trying to mitigate problems and keep certain things from presenting at ERs and Urgent Cares that we can handle/manage.  Some staff are "voluntarily" cutting their hours to be home to help kids with e-learning and we're trying to balance clinical needs with staff needs.  I have offered the billing office to take their computer towers home and work from home, thus far they've declined but it may come to that as in a physician's office they're the only ones that can truly work from home.  I sent a nurse home with a laptop to handle certain things by phone or electronic refills etc to alleviate that pain in the office.  CLEAN, CLEAN, WASH YOUR HANDS, CLEAN, WASH YOUR HANDS is our office mantra and we're wiping down surfaces much more than we ever have (even more than during "regular flu season").  We're all going to have to change our practice habits, telemedicine doesn't pay much but it may be the only way to keep our doors open (and healthy).  

We are only seeing emergent and urgent clinic appts and surgeries. I have set up staff to work remotely at home with what work I can give them and have a skeleton staff at office.

One MD is dong telehealth clinics via zoom and the other phone calls and sees patients as needed. The office staff set this all up and today we are trialing the receptionist doing the check in from her home whilst Dr does the telehealth from her home.So far so good!

Patients wait in their cars for actaul appointments and we bring them in when we are ready for them and do all paperwork/ cards etc in patient room to avoid check in desk and waiting room. 

Surgery scheduling done over the phone.

Last week and this week everyone still full time. We will review at end of week but already phone hardly rings and only 4 clinic patients this week and 2 surgeries!