Figure 1.
The COVID Remote Care Program for Patients Discharged Home after Hospitalization for COVID-19 Illness. The Remote Care Coordinator receives patient referrals to the program from the inpatient teams and distributes patients to a team of Telehealth Guides. Telehealth Guides then make daily telephone calls to patients in their home following a structured protocol that includes flags that identify patients potentially at risk for readmission. The Escalation Doctor reviews patients that flag with the Telehealth Guides, and directly contact patients when indicated.