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Abstract
The COVID-19 pandemic caused a transformation in healthcare delivery at a pace never before experienced, including by the child psychiatry practice at Mayo Clinic Health System in Mankato, Minnesota. The aim of this study was to describe the outcomes of that practice’s transition from in-person to virtual care. This retrospective study comprised two groups of patients who received care in the child psychiatry practice at our institution: before COVID-19, 1 March 2019 to 28 February 2020; and after COVID-19, 1 March 2020 to 28 February 2021. We extracted data related to patient visits from the electronic health record and satisfaction data from a Medical Practice Survey given to patients after visits. Virtual visits increased by 306 per cent within a month of transitioning to virtual care and remain the main visit type for established patients. Findings from patient surveys showed substantial overall improvements in patient experiences with virtual visits, and no-show appointments decreased substantially (from up to 23 per cent to 1 per cent). This study provided data for an overview of how the COVID-19 pandemic affected a child psychiatry practice and of the positive outcomes of transitioning from 100 per cent in-person visits before the pandemic to more than 80 per cent virtual visits. The quick transition to virtual care delivery in the child psychiatry practice was a positive change for patients, families and the care team. We believe that other healthcare systems can learn from our experience.
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Author's Biography
Bipinchandra Hirisave Krishna , MD, is a consultant in the Department of Psychiatry and Psychology, Mayo Clinic Health System — Southwest Minnesota region. He has 10 years of service with the Mayo Clinic Health System and currently serves as regional vice chair of clinical practice and as regional chair of the Outpatient Practice Subcommittee. He is an instructor in psychiatry at the Mayo Clinic College of Medicine and Science. He holds certification both in child and adolescent psychiatry and in general psychiatry from the American Board of Psychiatry and Neurology. He is a member of the American Academy of Child and Adolescent Psychiatry, the Minnesota Medical Association and the Minnesota Society of Child and Adolescent Psychiatry. His special interests include anxiety disorders, attentiondeficit/ hyperactivity disorder, mood disorders (depression and bipolar disorders), obsessive-compulsive disorder, posttraumatic stress disorder and psychotic disorder.
Ryan Johnson , MBA, is a Regional Vice Chair of Administration supporting multiple medical specialty practices and overseeing the Department of Access Management in the Southwest Minnesota Region of Mayo Clinic Health System. He also oversees Admin Support Services, Southwest Minnesota Physician Leadership, Critical Care Neurology and Peripheral Nerve Neurology in the region. He is also an Instructor in Health Care Administration at the Mayo Clinic College of Medicine and Science. Ryan has had a 20-year career spanning multiple Mayo Clinic areas of administration in both Rochester, MN, and Mankato, MN. Ryan holds a Master of Business Administration (MBA) and is a Certified Public Accountant (CPA) in the state of Minnesota.
Gokhan Anil , MD, is a consultant in the Department of Obstetrics and Gynaecology, Mayo Clinic Health System — Southwest Minnesota region and an assistant professor of obstetrics and gynaecology at the Mayo Clinic College of Medicine and Science. He has 15 years of service with the Mayo Clinic Health System. In his role as regional chair of clinical practice, he oversees all aspects of the practice in the Southwest Minnesota region and leads integration and practice transformation efforts in alignment with Mayo Clinic strategies. He is also the medical director for Mayo Clinic Health System Digital Practice Enablement. He holds certification from the American Board of Obstetrics and Gynaecology and specialises in female pelvic medicine and reconstructive surgery.
Pawan Bhandari is a Principal Health Systems Engineer with Mayo Clinic’s Strategy Department in the Southwest Minnesota Region, where he provides business consultative and management engineering services from discovery to execution at various levels of the Mayo Clinic organization. He holds a BS and MS in manufacturing engineering technology from Minnesota State University and is also an Instructor in Health Care Systems Engineering with the Mayo Clinic College of Medicine and Science. He is a member of the American Society for Quality (ASQ), Association of Technology, Management and Applied Engineering (ATMAE), and Industrial Engineering & Operations Management Society (IEOM). He is an ASQ Certified Six Sigma Black Belt and ASQ Certified Quality Improvement Associate. His research interests are quality and process improvement, technology management, quality systems, performance improvement in healthcare, and business analytics.
Spencer Richards is a Senior Health Systems Engineer with Mayo Clinic’s Strategy Department in Rochester, Minnesota. He provides strategic and management consulting services to various levels of the organisation. He holds Master of Healthcare Administration (MHA), Master of Business Administration (MBA) and Bachelor of Arts degrees from the University of Utah. He is a Certified Lean Six Sigma Black Belt (CLSSBB) and a Certified Healthcare Financial Professional (CHFP).
Christine Johnson is an Operations Administrator for Mayo Clinic in Rochester, Minnesota, and supports the activities of the Mayo Clinic Care Network. She holds a Master of Business Administration (MBA) and is an Instructor in the Mayo Clinic College of Medicine and Science. Prior to her current role, Christine spent six years in practice administration in Mayo Clinic Health System, supporting the regional operations of the hospital and outpatient-based clinical areas, as well as administrative support departments.
Citation
Krishna, Bipinchandra Hirisave, Johnson, Ryan, Anil, Gokhan, Bhandari, Pawan, Richards, Spencer and Johnson, Christine (2022, September 1). Outcomes of transitioning from in-person to virtual appointments in a child psychiatry practice. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 7, Issue 1. https://doi.org/10.69554/BAWC7242.Publications LLP