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. 2021 Dec 10;73(12):1809–1814. doi: 10.1002/acr.24429

Table 2.

Strategies for telehealth implementation of rheumatoid arthritis (RA) disease activity and functional status measures by medium and potential barriers to implementation*

Medium Collection strategies Factors influencing feasibility and potential barriers
EMR Measures collected electronically by patient through patient portal before telehealth visit Depends on EMR and EMR support on implementation and ability of patient to log on and complete
Smartphone or web‐based application Measures completed through smartphone or web‐based application (e.g., ACR Clinical Practice Guidelines and Criteria App) and shared with provider Depends on ability of patient to install and use app as well as transfer of data to clinical staff for recording in EMR
Video or telephone encounter Provider collects measures from patient during synchronous telehealth encounter and records in EMR Depends on the time available to providers/staff to collect these during the encounter and familiarity of patients with these measures
Mailed paper forms Measures collected by patient at home on paper form and then mailed back or collected by clinical staff during telehealth visit Depends on anticipated response rate, availability of administrative support staff to mail forms, and ability to complete the form in advance
*

ACR = American College of Rheumatology; EMR = electronic medical record.

For all collection strategies, patient health literacy and language should be considered. Time to collect, interpret, and report the results may vary depending on the medium used and clinic workflows.