The COVID-19 public health emergency (PHE) raised important questions of how best to apply telehealth to enable delivery of timely, high-quality health care to medically vulnerable individuals who reside in long-term care facilities. Looking back to the PHE, there have been multiple studies that demonstrate how telehealth can be a tool to improve patient outcomes, for COVID-19 infection, as well as for many other medical conditions. 1 Shaver J. The state of telehealth before and after the COVID-19 Pandemic. PrimaryCare. 2022; 49: 517-530 Google Scholar , 2 Doraiswamy S. Abraham A. Mamtani R. Cheema S. Use of telehealth during the COVID-19 pandemic: scoping review. J Med Internet Res. 2020; 22e24087 Crossref PubMed Scopus (347) Google Scholar , 3 Weiner J.P. Bandeian S. Hatef E. Lans D. Liu A. Lemke K.W. In-person and telehealth ambulatory contacts and costs in a large US insured cohort before and during the COVID-19 pandemic. JAMA Netw Open. 2021; 4e212618 Crossref Scopus (119) Google Scholar , 4 Ulyte A. Mehrotra A. Wilcock A.D. SteelFisher G.K. Grabowski D.C. Barnett M.L. Telemedicine Visits in US skilled nursing facilities. JAMA Netw Open. 2023; 6e2329895 Crossref Scopus (1) Google Scholar , 5 Harris D.A. Archbald-Pannone L. Kaur J. et al. Rapid telehealth-centered Response to COVID-19 Outbreaks in Postacute and long-term care facilities. Telemed J e Health. 2021; 27: 102-106 Crossref PubMed Scopus (34) Google Scholar Telehealth has been shown to decrease unnecessary transfers and decrease overall medical costs. 6 Chess D. Whitman J.J. Croll D. Stefanacci R. Impact of after-hours telemedicine on hospitalizations in a skilled nursing facility. Am J Managed Care. 2018; 24: 385-388 PubMed Google Scholar ,7 Groom L.L. McCarthy M.M. Stimpfel A.W. Brody A.A. Telemedicine and telehealth in nursing homes: an integrative review. J Am Med Dir Assoc. 2021; 22: 1784-1801.e7 Abstract Full Text Full Text PDF PubMed Scopus (61) Google Scholar However, telehealth implementation and sustainability has remained challenging for many long-term care facilities. 8 Seifert A. Batsis J.A. Smith A.C. Telemedicine in long-term care facilities during and beyond COVID-19: challenges caused by the digital divide. Front Public Health. 2020; 8601595 Crossref PubMed Scopus (50) Google Scholar ,9 Konttila J. Siira H. Kyngäs H. et al. Healthcare professionals' competence in digitalisation: a systematic review. J Clin Nurs. 2019; 28: 745-761 Crossref Scopus (171) Google Scholar Therefore, our research team aimed to assess telehealth usage in the Commonwealth of Virginia before, during, and after the PHE, as well as the view of the anticipated and observed benefits and barriers of telehealth use among staff in congregate care facilities. The survey solicited information on anticipated (for those who did not use telehealth) and experienced (for those who used telehealth) benefits and barriers of telehealth.
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