Assessing the Impact of a Rapidly Scaled Virtual Urgent Care in New York City During the COVID-19 Pandemic

• Published in: The Journal of emergency medicine Vol. 59; no. 4; pp. 610 - 618
• Main Authors: Koziatek, Christian A., Rubin, Ada, Lakdawala, Viraj, Lee, David C., Swartz, Jordan, Auld, Elizabeth, Smith, Silas W., Reddy, Harita, Jamin, Catherine, Testa, Paul, Femia, Robert, Caspers, Christopher
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.10.2020
• Subjects: Adult; Aged; Aged, 80 and over; Ambulatory Care - methods; COVID-19; COVID-19 - epidemiology; Emergency Service, Hospital; Female; Humans; Male; Middle Aged; New York City; New York City - epidemiology; Pandemics; Patient Satisfaction; Public Health in Emergency Medicine; Retrospective Studies; SARS-CoV-2; telehealth; Telemedicine; urgent care; New York City; COVID-19; New York City; telemedicine; urgent care; telehealth
• ISSN: 0736-4679; 2352-5029; 0736-4679
• DOI: 10.1016/j.jemermed.2020.06.041

The coronavirus disease (COVID)-19 pandemic quickly challenged New York City health care systems. Telemedicine has been suggested to manage acute complaints and divert patients from in-person care. The objective of this study was to describe and assess the impact of a rapidly scaled virtual urgent care platform during the COVID-19 pandemic. This was a retrospective cohort study of all patients who presented to a virtual urgent care platform over 1 month during the COVID-19 pandemic surge. We described scaling our telemedicine urgent care capacity, described patient clinical characteristics, assessed for emergency department (ED) referrals, and analyzed postvisit surveys. During the study period, a total of 17,730 patients were seen via virtual urgent care; 454 (2.56%) were referred to an ED. The most frequent diagnoses were COVID-19 related or upper respiratory symptoms. Geospatial analysis indicated a wide catchment area. There were 251 providers onboarded to the platform; at peak, 62 providers supplied 364 h of coverage in 1 day. The average patient satisfaction score was 4.4/5. There were 2668 patients (15.05%) who responded to the postvisit survey; 1236 (49.35%) would have sought care in an ED (11.86%) or in-person urgent care (37.49%). A virtual urgent care platform was scaled to manage a volume of more than 800 patients a day across a large catchment area during the pandemic surge. About half of the patients would otherwise have presented to an ED or urgent care in person. Virtual urgent care is an option for appropriate patients while minimizing in-person visits during the COVID-19 pandemic.