TABLE 3. Facilitators and Barriers to Telehealth Service Provision at Health Department Clinics in State 1 and State 2 (N = 20 Interviewees)^a.

Facilitators of telehealth service provision

Policy/structural factors

Electronic infrastructure and technology

Medicaid reimbursement policy

Organizational factors

Patient education to utilize telehealth

Clinician and staff training for telehealth

Provider buy-in

Patient acceptance

COVID-19 pandemic

Barriers to telehealth service provision

Policy/structural factors

Limited infrastructure and technology

No policies or procedures for implementation

Telehealth billing for nurses

Inherent limitations to telehealth service provision

Organizational factors

Scheduling/staffing limitations

Provider comfort level

Patient factors (language barriers, Internet connectivity)

No barriers to telehealth service provision

^aSee Supplemental Digital Content Appendix 1, available at http://links.lww.com/JPHMP/A894, for representative quotes for each of the aforementioned factors from state 1 and/or state 2.