One of the trends that have really taken off during the pandemic is the use of wearable devices, telehealth and other forms of at-home or remote care. Do you think this explosion in use or adoption could put patient safety at risk?

SCHABACKER: We have identified that as a key risk going forward.

The human factor associated with everything in telemedicine and some of the things that we are asking people to do — measuring your temperature, measuring your blood pressure, measuring your oxygen saturation — is of concern because these over the counter devices have even less rigor in being able to be marketed than regular medical devices. If you go on Amazon and look for pulse oximeter devices, you have 1,000 vendors. How do you know which one of those you can trust?

What we are really concerned about with this explosion in new ways of delivering care is that there are no standards, nothing. There are no proven pathways and no guidelines on how to do this right. You can’t put the genie back into the bottle — and I don’t think it’s necessary because I think home care is actually a good alternative — but we need to do a lot of catchup work.