Value (Business Strategy and Financial Management)

Facilitated Roundtable Discussion

V-06 - Meeting the Quadruple Aim: Asynchronous On-Demand Urgent Care eVisits Provided by Nurse Practitioners

Sunday, April 29
4:15 PM - 4:40 PM
Location: Education Zone, Booth 2416, Zone 4

eVisits, an asynchronous technology based tool supports convenient, timely access to medical providers. In 2016, the Cleveland Clinic launched on-demand urgent care eVisits for 5 common medical complaints with Nurse Practitioners managing this innovative low cost alternative to traditional care. After completing over 2300 eVisits, cost, patient satisfaction, provider satisfaction and access to care were evaluated. In all areas eVisits provided an efficient, effective alternative to usual care.

Learning Objectives:

Jeffrey Arnovitz

Certified Nurse Practitioner
Cleveland Clinic

Jeffrey Arnovitz is a graduate of Kent State University, earning his BSN in 1983 and MSN in 1995. He is certified as an Adult Nurse Practitioner from the American Nurses Credentialing Center. He has 21 years’ experience as an Advanced Practice Nurse in solid organ transplant, Internal Medicine/Primary Care and Urgent Care, and has practiced the last 16 years at the Cleveland Clinic in Cleveland, Ohio.
In 2015 he joined the Telemedicine Service of the Cleveland Clinic and is now a Provider for Express Care Online. He presently manages and treats patients through the Clinic’s video on demand platform. He lives in Cleveland, Ohio and can be contacted at


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Kari Gali

Certified Nurse Practitioner
Cleveland Clinic

Kari Gali, DNP, APRN received her Doctorate of Nursing Practice (2014) and Master of Science in Nursing (1997) from Case Western Reserve University and her Bachelor of Science from Ursuline College (1984) and her CPHQ certification (2018). Dr. Gali completed a 2 year national quality improvement fellowship at the VA where she led a multi-site quality improvement program to minimize non-urgent ED visits. She also developed a resident quality improvement coaching toolkit which continues to be used in interprofessional resident training. Her current position is in Clinical Transformation at the Cleveland Clinic where she is practicing telemedicine, collaborating with the pediatric institute, piloting a school-based health initiative and leading quality improvement efforts. Dr. Gali is also an instructor at University of Illinois- Chicago in their Patient Safety Leadership program teaching their communication course. She is a PCORI ambassador and is a reviewer for PCORI and HRSA and is a quality improvement consultant for the American Academy of Pediatrics. Her interests are on patient-provider communication and interprofessional team communication with a focus on shared decision making, patient education and behavioral change.


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V-06 - Meeting the Quadruple Aim: Asynchronous On-Demand Urgent Care eVisits Provided by Nurse Practitioners

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