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Table 6 VHR use within the healthcare continuum

From: Proactive integrated virtual healthcare resource use in primary care

  Pre-appointment Check-in/Check-out Medical Encounter Post-appointment Ongoing Health Management
Veteran Activities • Schedule medical visit
(2, 14, 16)
• List problems to be discussed at appointment
(3, 4, 14, 16)
• Complete Healthy Living Assessment (6)
• Identify symptoms and current treatments
(3, 14, 16, 22)
• Review and update personal information
(16, 20)
• Review and update insurance information
(16, 20)
• Check-in (20)
• Check-out (20)
• Schedule follow-up visit
(2, 14, 15, 16)
• Measure health indices
(9, 15, 22)
• Learn about condition (4, 10, 11, 14, 15, 16, 17, 19)
• Seeking information about condition and treatment plan
(3, 6, 8, 10, 11, 14, 15,16, 17, 19)
• Follow-up with providers
(2, 14, 15, 16)
• Self-management activities
(1, 6, 8, 10, 11,12, 22, 23)
• Monitoring health indices (1, 6, 8, 15, 16, 22)
• Managing personal health information
(3, 8)
• Identifying need for additional medical visits (2, 8, 14, 22, 23)
• Communicating with health care team
(1, 3, 14, 15, 16)
• Labs and test (9)
Primary Care Team Member Activities • Schedule medical visit
(14, 15, 16)
• Prepare Veteran for appointment (e.g., fast for labs, list concerns to be discussed)
(14, 15, 16)
• Stratify hospitalization risk (4)
• Coordinate with staff in preparation for appointment
(5, 13, 16, 18, 21, 23)
• Schedule follow-up visit
(14, 15, 16)
• Measure and document health indices
(5, 9, 14, 15, 16, 22)
• Obtain medical history
(3, 5, 7, 14, 15, 16, 21, 22)
• Physical examination
(15, 16)
• Documentation of assessment and plan
(5, 21)
• Coordinate care with other providers and services
(3, 5, 13, 18, 21)
• Educate patient on plan and conditions
(4, 10, 11, 14, 15, 16, 17, 19, 23)
• Prescribe medication (5)
• Send Veteran to Travel for reimbursement on appointment travel
(13, 16)
• Staff create registered nurse follow-up messages
(1, 13, 14, 18)
• Home health assessment for personal care needs and follow-up on resources
(5, 14, 15, 16)
• Communicating with health care team
(5, 13, 14, 15, 16, 21)
• Labs and test (5, 9)
• Medication reconciliation
(5, 12, 14, 15, 16, 17)
• Patient data reporting (4, 5, 21, 22)
• Educate patient
(10, 11, 14, 15, 16, 17, 19, 23)
Collaborative Activities • Discuss Advanced Directives
(5, 16)
• Prioritize discussion points
(14, 15, 16)
• Assist with review and update personal information
(16, 20)
• Assist with review and update insurance information
(16, 20)
• Assist with Check-in (20)
• Assist with Check-out (20)
• Measure health indices
(5, 9, 14, 15, 16, 22)
• Discuss concerns/symptoms/current treatment
(6, 8, 14, 15, 16)
• Labs and tests
(5, 9)
• Complete required forms
(5, 21)
• Consenting for procedures (5, 21)
• Collect data from journaling, Fitbit, etc.
(1, 3, 6, 8, 10, 11, 14, 15, 16, 22)
• Implement treatment plan
(1, 5, 8, 10, 11, 19, 22, 23)
• Revise treatment plan
(1, 5, 8, 10, 11, 22, 23)
  1. Legend: numbers 1–23 refer to the listed VHR in listed on the right side of Fig. 1