“I started using telemedicine around 13 years ago as a geriatrician for the US Department of Veterans Affairs (VA). I used it mostly for following up with patients after discharge from a Geriatric Evaluation and Management (GEM) Unit, which served as a longer-term rehabilitation unit that we had in our hospital.
“I’ve seen how the VA has used telemedicine over the years, using numerous different platforms. They’ve used encrypted telephones that involved calling from a central location in a medical facility and video chat that required placement of equipment during a home visit.
“We’ve run the gamut from using basic landline telephones to HIPAA-secure video-conferencing programs. These days, we sometimes place tablets in the home when the patient does not have access to a smartphone.
“As more primary care is being shifted away from office visits during the COVID-19 pandemic, I’m now using my telemedicine experience and training as a geriatrician to help the VA use the 4Ms Framework for Age-Friendly Care to improve care for older adults.
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