Isotretinoin E-Visits Workflow Supplemental Figure
Description
In this study we hypothesized that asynchronous e-visits for isotretinoin could reduce interruptions in care. However, we found that e-visits had a similar interruption rate to synchronous video visits and in-person visits for isotretinoin. Upon further chart review review, we found that reminders were not consistently sent instructing patients to complete e-visits during the study period. This figure describes the workflow for isotretinoin e-visit during our study period (October 2019 – March 2021) and after the new process change (instituted in July 2021).
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Steps to reproduce
We utilized DataDirect to identify patients who had isotretinoin visits at the University of Michigan within the study period. We then conducted an in-depth chart review of these patients to determine interruption rate between the three isotretinoin visits subtypes (e-visits, video visits, in-person visits). An interruption in care was defined as >1 week without an isotretinoin prescription. A minor interruption was defined as <1 month and a major interruption was defined as >1 month without isotretinoin. We used SPSS (Statistical Package for the Social Sciences) for analysis.