Here is the Cleveland Clinic Link. It will also be in the slide deck that we will share.
For all participants, please feel free to type in comments and questions at any time.
Marie C Weil
I would welcome the presenters' thoughts about suggestions for implementation of something very similar for a very rural area with only a small practice of N=1 psychologist....and perhaps a focus on older adults (Medicare beneficiaries)
Hi Marie, great question! We actually have an Open Source Wellness site in rural Washington state. There are certainly challenges to overcome (e.g., availability of high-speed internet, particular community relationships, etc.), but I think the basic concept of virtual group medical visits, particularly transdiagnostic groups, sometimes work even better in a rural setting. The ability to bring people together across distance is a real strength. Happy to answer more at the end if you have follow-ups.
Marie C Weil
please discuss financial resources for this model...if one is not a nonprofit or grant funded. Thank you.
Agree that you might consider what service you want to provide. Is it to help with isolation? Encourage movement? Stress reduction? Or more of those? That helps you consider content and the team that can help you. Given the chance, groups often have ideas about what they find useful. So the groups that continue to meet inform the content over time.
Do you know if you are seeing the same improvements over Zoom
Hi Joy, good question - we haven’t run those data yet, so we can’t say for sure. There are a number of questions we have about the trajectory of patients during the pandemic. In addition to the shift from in-person to virtual, there’s also so many increased physical and mental health stressors that I would expect that simply holding steady during the time of pandemic would be a huge win. This is where we really need more research, and we’re currently partnering with UCSF and Stanford to do that.
Marie - hopefully this answers your question on funding. If not, please follow up
Consider something that you are asked a lot. Perhaps about Covid-19. You could offer a group information visit periodically. People would get together and ask questions. Everyone gets great information. This would not be directly billable, but think of the staff time it saves! The other options are as Dr. Markle described - creating a community is so powerful.
Could you speak about people who are too embarrassed or too unwell to move?
You mentioned most providers bill a level 3 E&M. Can you explain the billing methodology? If the group is 2 hours long and there are a total of 12 patients, how does the provider reach the required amount of time to code a level 3 for each patient?
psychological based groups for addiction, mental health diagnoses and wellness have been very successful. Again, individuals must choose to participate. Some early data suggest some feel more relaxed in the virtual environment - more control to turn that video off for a time is one example.