Understanding Primary Care's Response to COVID-19

Explore how the Robert Graham Center and Kerr White are utilizing historic data to project future implications of primary care actions during the COVID-19 pandemic. Discover the shift towards telehealth services and the impact on in-person physician visits in primary care settings.

• Primary Care
• COVID-19 Response
• Telehealth Services
• Healthcare Data
• Physician Visits

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1. Primary Care and COVID-19 Response and Recovery Robert Graham Center

2. COVID-19 Response and Recovery Graham Center uses historic data to make future projections. What has primary care been doing? What does that mean for today? How to use what we know to create what we want? COVID-19 Response - COVID-19 Recovery The rest of primary care

3. Kerr White and PBRNs

4. Where do people go for their respiratory illness? Primary care, and hospital care for COVID-Like Illness 20,000,000 18,000,000 MEPS data for 2017 based on 16,000,000 14,000,000 12,000,000 10,000,000 8,000,000 6,000,000 4,000,000 2,000,000 0 URI LRI/Bronchitis Pneumonia Primary Care Hospital

5. Proportion of encounters amenable to telehealth Proportion of encounters amenable to telehealth Telehealth amenable encounters All Physicians Primary Care Physicians n % n % Yes 299,347,453 35 165,333,98442% No 551,348,168 65 228,884,017 58 Total 850,695,621 100 394,218,001 100 Source: Author s Analysis of the 2016 National Survey of Ambulatory Medical Care Survey weighted by patient weight. Notes: Telehealth amenable encounter was coded as `0 when at least one of the services required physical presence of the physician and `1 if physical presence was not required.

6. Proportion of Services Amenable to Telehealth 75 74 73 72 73% 71 Percent 70 69 68 67 66 65 All Office-based Visits (299 million services) Primary Care Visits (n=165 million services)

7. Proportion of encounters that require in-person visit Physician Presence Required All Physicians Primary Care Physicians n % n % Yes 580,027,034 69 258,431,199 66% No 266,748,176 31 134,797,218 34 Total 850,695,621 100 394,218,001 100 Source: National Ambulatory Medical Care Survey 2016

8. What if no one shows up? Primary care closure and furlough Projections with federal relief

9. Redeployment Capacity Results Table 1 Unique Sites of Practice Avg. Share of Each Type Among all Eval.&Mgmt. Services FM Share of FM Docs. Home Visits Assisted Living Nursing Home Emergency Dept. Office Clinic Physicians Hospital None One Two Three or More Totals 3,393 61,910 12,394 4,112 81,809 4.1% 75.7% 15.1% 5.0% 99.9% 0.0% 0.2% 1.1% 1.3% 0.0% 0.1% 1.4% 3.3% 0.0% 1.5% 9.4% 19.0% 0.0% 3.0% 3.7% 2.5% 0.0% 7.3% 27.5% 25.2% 0.0% 87.9% 56.9% 48.7%

10. Where are blood test and vaccines done?

13. PREVENTION DIAGNOSIS SUPPORTIVE CARE TRIAGE MANAGEMENT OF SEQUELAE REDEPLOYMENT

14. Projections Projections Reality Reality COVID COVID- -19 19 2020 2020