Implementation of telemedicine 
In response to state and federal guidance related to the COVID-19 pandemic, and utilizing social distancing measures adopted in our region, we transitioned to the use of telemedicine visits for all outpatient pulmonary care beginning March 24, 2020.  Prior to the pandemic, our practice offered no telemedicine services and thus procedures needed to be developed using the EPIC electronic health record system, which had been used for clinical documentation by the division for over 10 years. Specific templates for documentation were developed for various visit types by our telemedicine task force. Providers were trained to perform telemedicine visits through job aids created by the telemedicine task force. Providers conducted telemedicine video visits through the EHR application on their hospital-issued iPhone or iPad, and patients were provided instructions to download and log onto the associated patient portal application.