The document discusses the initial design process for implementing virtual visits at Arrowhead Medical Center. It involves assessing clinical operations and workflows, information technology readiness, revenue cycles, and health information management. Implementation follows an overall workflow that was planned. Virtual clinics have expanded significantly from 2020 to 2021, with more clinics, sessions, and minutes, as well as additions to county detention centers and skilled nursing facilities. The document also references stories about COVID-19 in the pediatric population.