Dermatology Associates of Rochester: COVID-19 Updates

Patient Portal Telemedicine PDF Instructions: How to Login to Your TeleHealth Medical Appointment

Zoom Telemedicine PDF Instructions: How to Login to Your Virtual Consultation Appointment Using Zoom

___________________________

View Update as PDF

Included in this update:
  • Hours of Operation (Clinic, Skin Search, Phones)
  • Telemedicine (Dermatology Visits and Cosmetic Consults)
  • Biologic and Immunosuppression Recommendation Updated
To Our Valued Patients,
Firstly, we hope that you, your families and loved ones are doing well. This is a trying time and we know that people will experience a wide range of emotions. Rest assured, we are here to address your medical dermatology concerns.
As you are most likely aware, Governor Cuomo has tightened restrictions in an effort to reduce the spread of novel coronavirus SARS-CoV2 (COVID-19) and Rochester, it seems, is doing a wonderful job hitting the “pause” button on daily life and helping to flatten the curve.
As physicians, nurse practitioners, nurses, and medical support persons, we support this decision and will be doing our part to help reduce spread of infection and decrease utilization of emergency room and urgent care services for skin related concerns. Starting Monday, March 30th, 2020; we will be offering telemedicine secure virtual video appointments through our EMR (Modernizing Medicine), as well as a very limited number of medically indicated, in-office appointments. This week, our MD and NP providers are learning the new system, which we anticipate, will be an excellent interim solution for your skin related concerns. Patients with scheduled appointments will receive a phone call and specific instructions.
In-office appointments will be scheduled. We will perform screening phone calls, and kindly request patients wait in their vehicle prior to being brought directly back to an exam room. Enhanced cleaning protocols are in place and all social distancing recommendations will be followed. We thank you in advance for your understanding.
For real-time updates follow our social media accounts @DermRochester, @TatErase (instagram) and facebook.com/DermRochester – You can also visit our website www.DermRochester.com and COVID-19 blog.
Have questions? Don’t hesitate to reach out to info@dermrochester.com
Be Well,
Dr Lesley Loss, MD (President/Owner Dermatology Associates of Rochester)
Janice Loss, NP (President/Owner Skin Search & DermaSpa)

 

Clinical, Telemedicine and Phone Hours (03.30.2020 until 05.01.2020):
  • Dermatology Associates of Rochester (DAR)
    • Existing and New Patients (already scheduled)
    • Will receive detailed instructions for telemedicine vs. in-office vs. reschedule
  • Existing and New Patients (looking to schedule)
  • DAR Center for Aesthetics and Anti-Aging patient consults will be scheduled and take place digitally with our cosmetic care coordinator. We are going to waive the normal $75 consult fee; consults will be free.
    • To schedule on of these free virtual cosmetic consultations please call 585.272.0700 during the phone times listed below, or email info@dermrochester.com
      • Skin Search will be scheduling their patients in a limited capacity to insure delivery of necessary medication and to ensure trial protocols are not deviated from, until they receive notice otherwise from the FDA or Pharmaceutical Sponsor.
        • ALL Center for Aesthetics and Anti-Aging treatments (filler, botox, lasers, body contouring, etc) will be rescheduled
        • ALL DermaSpa clients will be rescheduled

    Dermatology Associates of Rochester Hours (03.25.2020 05.01.2020):

    • Monday
      • Phones: 8:00 am to 4:00 pm
      • Telemedicine Virtual Appointments: 8:00 am to 5:00 pm
    • Tuesday
      • Phones: 8:00 am to 4:00 pm
      • Telemedicine: 8:00 am to 5:00 pm
      • In-Office Appointments: 8:00 am to 5:00 pm
    • Wednesday
      • Phones: 8:00 am to 4:00 pm (phones)
      • Telemedicine: 8:00 am to 5:00 pm
    • Thursday
      • Phones: 8:00 am to 4:00 pm
      • Telemedicine: 8:00 am to 5:00 pm
      • In-Office Appointments: 8:00 am to 5:00 pm
    • Friday
      • Phones: 8:00 am to 4:00 pm
      • Telemedicine: 8:00 am to 5:00 pm

       

      Scheduling inquiries and Medication refill requests should ideally take place by email info@DermRochester.com or phone call to 585.272.0700. We will be handling these matters in as timely a fashion as possible.

       

      On-Call Provider Phone Number FOR PATIENT CARE MATTERS ONLY. We will not be taking medication refill requests or rescheduling patients who call this number. 585.750.4795

       

      Skin Search Clinical Care Hours (03.25.2020 until further notice):
      By appointment only; you will receive a call to schedule

       

      TELEMEDICINE:
      ESTABLISHED & NEW PATIENTS:
      • IF YOU ALREADY HAVE AN APPOINTMENT SCHEDULED:
        • Our team will be calling to confirm or reschedule your appointment
        • If your condition can be seen via video; they will provide instructions for how to proceed; instructions for using the patient portal for secure video telemedicine are available on our website here.
      • IF YOU WOULD LIKE TO SCHEDULE AN APPOINTMENT:

         

        FREQUENTLY ASKED QUESTIONS (FAQs):
        Q: Will my insurance cover this telemedicine encounter?
        A: MOST LIKELY YES;
        • Excellus (BC/BS) & MVP have agreed to cover video-based telemedicine encounters.
        • UNITED & Medicare have also agreed to cover video-based telemedicine encounters; however there may be a co-pay and/or shared patient responsibility. Please check with your carrier if you have questions.

         

        Q: Is there a co-pay for telemedicine?
        A: We will not be collecting a co-pay up front. Some insurances may require their members to pay a co-pay as part of the encounter; if you have questions, check with your carrier

         

        Q: If I need to be seen in-office, how does this work?
        A: Our providers will determine using video-based telemedicine if you need an in-office visit, which would then be scheduled ASAP based on our updated protocols.

         

        Q: What is going to be expected of me?
        A: Our clinical team (nurses/medical assistants) and providers will ask you questions, as if you were in the office, and they may ask you to either show them via video, or take pictures of any concerning areas/lesions (to be sent securely and included in your electronic record).

         

        Q: Is telemedicine HIPAA compliant/secure?
        A: We are using a secure, HIPAA compliant platform, for video and audio based telemedicine encounters for the duration of the COVID-19 Pandemic. As a back-up, should any issues arise, we can use ZOOM which has been approved for use.

         

        Q: How can I help in the process?
        A: Go onto our website: DermRochester.com and download the Video Telemedicine instructions and check your equipment ahead of your encounter to make sure your technology works appropriately. Also, visit the PATIENT PORTAL and access your online chart to FILL IN CLIPBOARD data that our clinical team will confirm the day of your appointment.

         

        BIOLOGIC AND IMMUNOSUPPRESSION QUESTIONS:

         

        Please note: We are NOT screening for coronavirus COVID-19; nor do we have the ability to order testing.

         

        The following is a summary of the recommendations by the American Academy of Dermatology (AAD), the American College of Rheumatology (ACR), and the American Academy of Asthma, Allergy, and Immunology (AAAAI).

         

        Statement from AAD:
        “Patients on biologics: Should I continue treatment?”
        With COVID-19 having the biggest impact on older patients and those with suppressed immune systems, you may wonder if continuing biologic treatment is a good idea. In a soon-to-be-published letter to the editor in JAAD evaluating this question, the authors concluded, We do not know if biologic therapies render patients more susceptible to coronavirus, but we know that in a pre-coronavirus era, respiratory infection rates were comparable to placebo. Conversely, discontinuation of some biologics can result in loss of response when treatments are reintroduced or even result in the formation of antibodies to the discontinued biologic. All of these factors must be considered when advising patients about continuing or discontinuing biologic therapies.

         

        Our Summary:
        • If you are on an immunosuppressive, immune-modulatory or biologic therapy, do not discontinue your therapy in the ABSENCE of any illness/infection.
        • It is strongly encouraged that you observe SOCIAL DISTANCING recommendations by the CDC as well as HAND HYGIENE and other BEST PRACTICES to minimize the risk of infection.
        • Should you develop any symptoms of infection, you should at that time notify your provider for further instructions, which will likely include discontinuation of therapy as would be indicated for any infection.
        • If you have contact with someone diagnosed with COVID-19 or exposure to a person with COVID-19, please contact the provider on-call to discuss further recommendations.

         

        OFFICE CLEANLINESS MEASURES:
          • At check-in, we will ask about your current state of health, recent travel outside of Rochester, and check your temperature (effective 3.17.2020)
          • We will not be offering seating in the waiting room unless absolutely necessary; patients will be brought directly from their mode of transportation to an exam room.
          • We use medical/hospital grade cleaning products that have been approved by academic institutions and demonstrated effective against the majority of infectious pathogens including COVID-19.
          • Our standard process involves wiping down all surfaces, tables, and chairs in patient rooms at the beginning of the day, after every patient encounter, and at the end of the day.
          • Our UPDATED process for COVID-19 will ALSO involve using medical/hospital grade cleaning materials and wiping down all surfaces and points of contact in our entire waiting room and office at least once an hour throughout the day and as needed/requested.
          • Public Restrooms are available and we recommend good hand hygiene (washing with soap and water for 20 seconds).
          • Hand Sanitizer will also be readily available in patient exam rooms and the waiting room.
          • We apologize for the inconvenience, but we have removed frequently handled items from our waiting rooms, such as magazines, brochures, cups and business cards. Patients may request these items from the desk and they should be taken with the patient or disposed of after their departure.
        Summary:
        We thank you so much for your understanding and patience as we seek to navigate all of the updated recommendations in real-time. We remain committed to you, our patients, and will provide updates to office-related and frequently asked questions as available.
        Feel free to follow our COVID-19 BLOG posts for the most up-to-date information from the office.
        If you have further questions, please do not hesitate to call us at (585.272.0700) or email us at INFO@DermRochester.com

        *END 3.25.20 Update*

        _________________________________________________________

        View Update As PDF

        NOVEL CORONAVIRUS (COVID-19)

        UPDATE 3.16.2020

        To Our Valued Patients,

        We sincerely apologize for the last minute change in plans, and hope you can appreciate that 1) this decision was not taken lightly and 2) this is a situation that continues to evolve by the minute and hour.

        Late last night (Sunday evening 3.15), we received a message from the Monroe County Medical Society recommending clinics reschedule all nonessential appointments. In speaking with colleagues in the community (well past midnight), it sounds as though specialty clinics are being rescheduled across the Rochester healthcare systems. We understand this is an enormous inconvenience, but ultimately want to protect the community as we all try to limit the spread of the novel coronavirus COVID-19.

        As a result, we have made the very difficult decision to reschedule the majority of (but not all) patients starting today (Monday), 3/16/2020. As of now, we anticipate a return to clinic 3/30/2020, sooner if recommended by the County.

        Our medical dermatology practice, The DermaSpa, Center for Aesthetics & Anti-Aging, and SkinSearch research division will be reaching out by phone to assist with rescheduling your appointment.

        This update is to help address some of the questions we have been hearing re: the current situation.

        Included in this update:

        • Our plan for 3.16.2020 through 3.30.2020
        • Clinical & Phone Hours of Operation
        • What is an Essential Appointment?
        • Biologic and Immunosuppression Questions
        • Office Cleanliness Measures
        • Conclusions

        OUR PLAN Effective Monday 3.16.2020 thru 3.30.2020:

        • ALL DermaSpa clients will be rescheduled
        • ALL Center for Aesthetics & Anti-Aging clients will be rescheduled
        • MANY (not all) Dermatology Associates of Rochester medical patients will be rescheduled(see details below under Essential v. Non-Essential – this will be by appointment only.)
        • Skin Searchwill be seeingpatients in a limited capacity to insure that trial protocols are not deviated from, until notice otherwise is received from the FDA or Pharmaceutical Sponsor.

        Dermatology Associates of Rochester & Skin Search CLINICAL & PHONE HOURS OF OPERATION:

        We will continue to see a very limited schedule of patients with essential medical needs, as outlined above. We will be calling you if you are already on our schedule to help reschedule your appointment. If you have what is considered an essential need for patient care, but wish to reschedule, we will help accommodate your request.

        Until notified otherwise by the county or state, our medical practice and SkinSearch will remain open for essential patient encounters by appointment only (see below) on Tuesday and Thursday 9 am – 3 pm.

        • Tuesday (3.17) 9 am – 3 pm
        • Thursday (3.19) 9 am – 3 pm
        • Tuesday (3.24) 9 am – 3 pm
        • Thursday (3.26) 9 am – 3 pm

        TODAY (Monday, 3/16/20) our Call Center will remain open until 4 pm to assist with rescheduling your appointment. Beginning tomorrow (3/17/20) phone hours for patients to call and be assisted will include the above times on Tuesday and Thursday; as well as Monday, Wednesday, and Friday from 9 am to 1 pm.

        Scheduling inquiries and Medication refill requests should ideally take place by email info@DermRochester.com or phone call to 585.272.0700. We will handle these matters in as timely a fashion as possible.

        On-Call Provider Phone Number FOR URGENT PATIENT CARE MATTERS ONLY. We will not take medication refill requests or appointment reschedule requests at this number – 585.750.4795

        ESSENTIAL vs. NONESSENTIAL:

        The below list of appointments are presently classified as essential. This is open to the clinical judgment of a provider, if you have a clinical concern you feel is essential, we encourage you to call and speak with a provider. Please understand that our call volumes are very high and it may take us time to get back to you. You can email as well info@DermRochester.com and we will answer questions as quickly as possible.

        ESSENTIAL APPOINTMENT CLASSES:

        • Diagnostic Biopsies (If you were scheduled to receive results of a recent biopsy)
        • Suture Removals
        • Melanoma and some Skin Cancer Surgeries
        • Isotretinoin (counseling and review of blood work can be handled over the phone; patient can be advised we will call and should not be taken off the schedule)
        • Painful Rashes new patients, never before seen please call to speak with a clinical team member
        • Any other inquiries patients have re: essential v. nonessential will be reviewed by an MD or NP provider

        All other appointments would be nonessential, however, if you have a specific concern, we will address it on a case-by-case basis. These essential appointments apply to existing patients; new patients not yet seen in the practice will unfortunately need to be rescheduled.

        Please note that at present we are NOT able to provide medical advice, diagnosis, or treatment recommendations by email or phone. Any requests to do so will be scheduled for an appointment based on current essential vs. nonessential criteria and return to clinic dates outlined above.

        BIOLOGIC AND IMMUNOSUPPRESSION QUESTIONS:

        Please note: We are NOT screening for coronavirus COVID-19; nor do we have the ability to order testing.

        The following is a recommendation from the American Academy of Dermatology (AAD) for patients on biologics:

        “Patients on biologics: Should I continue treatment?

        With COVID-19 having the biggest impact on older patients and those with suppressed immune systems, you may wonder if continuing biologic treatment is a good idea. In a soon-to-be-published letter to the editor in JAAD evaluating this question, the authors concluded, “We do not know if biologic therapies render patients more susceptible to coronavirus, but we know that in a pre-coronavirus era, respiratory infection rates were comparable to placebo. Conversely, discontinuation of some biologics can result in loss of response when treatments are reintroduced or even result in the formation of antibodies to the discontinued biologic. All of these factors must be considered when advising patients about continuing or discontinuing biologic therapies.”

        If you are on an immunosuppressive, immune-modulatory or biologic therapy, it is strongly encouraged that you observe SOCIAL DISTANCING recommendations by the CDC as well as HAND HYGIENE and other BEST PRACTICES to minimize the risk of infection. Should you develop any symptoms of infection, you should at that time notify your provider for further instructions, which will likely include discontinuation of therapy as would be indicated for any infection. If you have contact with someone diagnosed with COVID-19 or exposure to a person with COVID-19, please contact the provider on-call to discuss further recommendations.

        OFFICE CLEANLINESS MEASURES:

          • At check-in, we will ask about your current state of health, recent travel outside of Rochester, and check your temperature (effective 3.17.2020)

         

          • We will be limiting seating in the waiting room to maintain a distance of 6 feet in between patients

         

          • We use medical/hospital grade cleaning products that have been demonstrated effective against the majority of infectious pathogens.

         

          • Our standard process involves wiping down all surfaces, tables, and chairs in patient rooms at the beginning of the day, after every patient encounter, and at the end of the day.

         

          • Our UPDATED process for COVID-19 will ALSO involve using medical/hospital grade cleaning materials and wiping down all surfaces and points of contact in our entire waiting room and office at least once an hour throughout the day and as needed/requested.

         

          • Public Restrooms are available and we recommend good hand hygiene (washing with soap and water for 20 seconds).

         

          • Hand Sanitizer will also be readily available in patient exam rooms and the waiting room.

         

          • We apologize for the inconvenience, but we have removed frequently handled items from our waiting rooms, such as magazines, brochures, cups and business cards. Patients may request these items from the desk and they should be taken with the patient or disposed of after their departure.

         

        CONCLUSIONS:

        We thank you so much for your understanding and patience as we seek to navigate these new county and medical society recommendations in real-time. We remain committed to you, our patients, and will provide updates to office-related and frequently asked questions as available.

        Feel free to follow our COVID-19 BLOG posts for the most up-to-date information from the office.

        If you have further questions, please do not hesitate to call us at (585.272.0700) or email us at INFO@DermRochester.com

        Sincerely,

         

        Dr Lesley Loss, MD (President/Owner Dermatology Associates of Rochester)

        Janice Loss, NP (President/Owner SkinSearch & DermaSpa)

         

         

        ____________________________________________________________

        View As PDF

        NOVEL CORONAVIRUS (COVID-19)

        UPDATE 3.13.2020

        To Our Patients,

        This update is to help address some of the questions we have been hearing re: the current situation.  

        As a healthcare office and healthcare providers, we will continue to see patients, and provide care to the community.  We remain vigilant in our monitoring of notifications and updates by local, state, and federal authorities and will post updates on our website COVID-19 BLOG page.  All patient updates will be available chronologically there and we will also be sure to update our social media accounts as appropriate (Facebook/Instagram:  @DermRochester).  

        Here are some of the frequently asked questions we are receiving.  Topics include:

                    • Office Cleaning Process
                    • Immunosuppressive Medications/Autoimmune Diseases
                    • Lab monitoring for Isotretinoin/Accutane
                    • COVID-19 and Skin 
                    • Rescheduling of office appointments (due to recent travel/illness)
                    • Our hours of operation for the upcoming week(s)
                    • Scheduled Appointments/Procedures

        Re:  Office Cleaning Process

                    • We use medical/hospital grade cleaning products that have been demonstrated effective against the majority of infectious pathogens.
                    • Our standard process involves wiping down all surfaces, tables, and chairs in patient rooms at the beginning of the day, after every patient encounter, and at the end of the day.
                    • Our UPDATED process for COVID-19 will ALSO involve using medical/hospital grade cleaning materials and wiping down all surfaces and points of contact in our entire waiting room and office at least once an hour throughout the day and as needed/requested.
                    • Public Restrooms are available and we recommend good hand hygiene (washing with soap and water for 20 seconds). 
                    • Hand Sanitizer will also be readily available in patient exam rooms and the waiting room. 
                    • We apologize for the inconvenience, but we have removed frequently handled items from our waiting rooms, such as magazines, brochures, cups and business cards. Patients may request these items from the desk and they should be taken with the patient or disposed of after their departure.

        Re:  Immunosuppressive Medications/Autoimmune Disease:

                    • Any patients with compromised immune systems or at higher risk for infection, be it from medication or an underlying systemic condition should take EXTRA care and heed the recommendations posted by the CDC (follow this link).
                    • Many patients are on medications that affect the immune system – like Cyclosporine, Biologics (Humira, Skyrizi, Stelara, etc), Otezla, Prednisone, Methotrexate, CellCept, and others
                    • Presently, there are no data on the influence of these medications on COVID-19, and no generalized recommendations for stopping therapy in the ABSENCE of infection
                    • Existing guidelines typically recommend discontinuation of therapy if symptoms of illness arise, and holding these medications until fully improved.
                    • We would advise that if patients are on these medicines and have questions, they contact the office and speak with a provider.
                    • Similarly, if patients are on these medications and develop ANY symptoms of infection (fever, chills, sweats, cough, sneezing, etc) they contact the office and speak with a provider.

        Re:  Lab Monitoring for Isotretinoin/Accutane: 

                    • If you are a student and patient of ours, and are not local to Rochester and/or will be displaced outside of Rochester by the mandate resulting in early closure of academic centers of learning we recommend the following:
                    • Contact the office by email – Info@DermRochester.com; or call us 585.272.0700.  Email is preferred as call volumes we are experiencing are higher than normal.
                    • We will follow-up to emails within 1 business day with a phone call and provide specific instructions based on your situation/needs. 

        Re:  COVID-19 and Skin

                    • Presently there are no known cutaneous (skin) manifestations of the COVID-19 novel coronavirus infection
                    • We are not seeing or screening patients for the COVID-19 infection as these individuals are not known to present with symptoms requiring a dermatologic evaluation

        Re:  Rescheduling of Appointments

                    • If you feel ILL for ANY REASON – please be courteous and call to reschedule your appointment (585.272.0700) – we do not want to risk spread of infection to other patients or our clinical staff.
                    • If you have traveled recently and are feeling ill; we recommend you contact your primary care physician or the Monroe County Department of Public Health for further screening.  

        Re:  Our Hours of Operation for the Week of March 16th-20th, 2020

                    • At present, we will maintain normal office hours and will be seeing patients Monday through Friday as scheduled.

        Re:  Scheduled Appointments / Procedures

                    • At present ALL scheduled appointments remain UNCHANGED 
                    • At present ALL scheduled surgeries remain UNCHANGED
                    • If you wish to change/reschedule your appointment, please provide as much advance notice as possible so we may accommodate other patients
                    • If you have any signs or symptoms of illness (and ESPECIALLY if you have traveled recently) – please call the office to reschedule

        We thank you so much for your understanding and patience as we seek to navigate the ever-expanding body of information.

        We remain committed to you, our patients, and will provide updates to office-related and frequently asked questions as available.

        Feel free to follow our COVID-19 BLOG posts for the most up-to-date information from the office.  

        If you have further questions, please do not hesitate to call us at (585.272.0700) or email us at INFO@DermRochester.com

         

        Sincerely,

        Dr Lesley Loss, MD (President/Owner – Dermatology Associates of Rochester)

        Janice Loss, NP (President/Owner – SkinSearch & DermaSpa)

         

        _______________________________________________________________________

        View As a PDF

        Important Information About COVID-19 from Dermatology Associates of Rochester, DermaSpa and SkinSearch
        Thursday, March 12, 2020

        To all of our valued patients at Dermatology Associates of Rochester, Skin Search and The DermaSpa:

        We would like to assure you that we are taking every measure to keep our facility safe in regards to the Coronavirus (COVID-19).

        * We will continue to practice meticulous hygiene, including hand-washing before and after each patient/client visit and use of medical grade gloves for patient contact.
        * We will limit physical contact to only when necessary for treatments or for medically-indicated examinations, please do not be offended if we do not shake hands as a greeting.
        * We will continue to thoroughly clean and disinfect contact surfaces in exam and treatment rooms after each patient/client visit, and throughout the day in common areas.

        We also kindly ask that you, our patients, help us in this endeavor.

        If you have symptoms of a fever, cough, shortness of breath, body aches, or if you have had close contact with someone who has the COVID-19 virus, we respectfully ask that you not come into our office for your scheduled appointment, but instead call your Primary Care Physician. In addition, if you have recently traveled to an area that has had an ongoing spread of COVID-19, we ask that you postpone your visit to our office for at least 14 days and call your Primary Care Physician for more information on precautions and next steps.

        Below are a few important considerations we can all take to decrease the spread of this, and other, viruses:

        * Wash your hands with soap and water for at least 20 seconds (e.g. singing the Happy Birthday Song 2 times slowly, or 3 times fast) after blowing your nose, coughing or sneezing, before eating food, and after using the restroom.
        * Cover your cough or sneeze with a tissue, throw the tissue in the trash immediately. If you do not have a tissue, cough or sneeze into your upper sleeve, not your hands, and then wash hands as described above.
        * Avoid touching your eyes, nose, and mouth with unwashed hands.
        * Stay home if you are, or feel, sick.
        Our greatest concern is for the health and safety of our patients and staff. If you find that you need to reschedule your appointment, please call 585-272-0700.  We will gladly reschedule your appointment so that you have the appropriate time to recover.

        Thank you in advance for your understanding.

        Sincerely,

        Lesley Loss, MD (President/Owner – Dermatology Associates of Rochester);
        Janice Loss, NP (President/Owner – Skin Search & DermaSpa)

        View As a PDF

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