ABSTRACT
The COVID-19 pandemic caused a rapid expansion of telemedicine use in the outpatient setting. Although studies have proposed several workflows for implementing telemedicine visits, most have not considered integrating the traditional role of medical assistants and nurses in virtual office visits. We report the experience of implementing telemedicine visits in a large university-based primary care office in the United States during the pandemic, with particular emphasis on integrating “virtual rooming” into the telemedicine workflow. This chapter describes the implementation of a virtual rooming model, including a discussion on facilitators, challenges, and suggestions for best practices. We examine these issues from the point of view of primary care providers, medical assistants (MAs)/licensed vocational nurses (LVNs), and office administration staff. Since telemedicine is likely here to stay, there is a need to develop, refine, and test effective and efficient workflows to integrate these visits seamlessly into office workflows without compromising the quality of patient care. © 2022 Elsevier Inc. All rights reserved.