Original StudyRestructuring Electrophysiology During the COVID-19 Pandemic: A Practical Guide From a New York City Hospital NetworkRubin, Geoffrey A. MD*; Wan, Elaine Y. MD*; Saluja, Deepak MD*; Thomas, George MD†; Slotwiner, David J. MD‡; Goldbarg, Seth MD‡; Chaudhary, Salma MD§; Turitto, Gioia MD§; Dizon, Jose MD*; Yarmohammadi, Hirad MD*; Ehlert, Frederick MD*; Rubin, David A. MD*; Morrow, John P. MD*; Waase, Marc MD, PhD*; Berman, Jeremy MD*; Kushnir, Alexander MD*; Abrams, Mark P. MD*; Halik, Carolyn MPH†; Kumaraiah, Deepa MD, MBA*; Schwartz, Allan MD*; Kirtane, Ajay MD, SM*; Kodali, Susheel MD*; Goldenthal, Isaac MS*; Garan, Hasan MD*; Biviano, Angelo MD, MPH*Author Information From the *NewYork-Presbyterian/Columbia University Irving Medical Center, New York, NY †NewYork-Presbyterian/Weill Cornell Medical Center, New York, NY ‡NewYork-Presbyterian Queens, Flushing, NY §NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY. Received for publication April 17, 2020; accepted April 17, 2020. S.K. reports institutional research grants from Edwards Lifesciences, Medtronic, and Abbott, consulting fees from Abbott, Admedus, and Meril Lifesciences, and equity options from Biotrace Medical and Thubrikar Aortic Valve Inc. A.K. reports Institutional funding to Columbia University and/or Cardiovascular Research Foundation from Medtronic, Boston Scientific, Abbott Vascular, Abiomed, CSI, Philips, ReCor Medical. Personal: CME program honoraria and travel/meal reimbursements only. A.B reports serving as a medical advisory board member for Boston Scientific and Biosense Webster. Reprints: Angelo Biviano, MD, MPH, 177 Fort Washington Avenue, Milstein Building No. 5-435F, New York, NY 10032. E-mail: email@example.com Critical Pathways in Cardiology: September 2020 - Volume 19 - Issue 3 - p 105-111 doi: 10.1097/HPC.0000000000000225 Buy Metrics Abstract The coronavirus disease 2019 crisis is a global pandemic of a novel infectious disease with far-ranging public health implications. With regard to cardiac electrophysiology (EP) services, we discuss the “real-world” challenges and solutions that have been essential for efficient and successful (1) ramping down of standard clinical practice patterns and (2) pivoting of workflow processes to meet the demands of this pandemic. The aims of these recommendations are to outline: (1) essential practical steps to approaching procedures, as well as outpatient and inpatient care of EP patients, with relevant examples, (2) successful strategies to minimize exposure risk to patients and clinical staff while also balancing resource utilization, (3) challenges related to redeployment and restructuring of clinical and support staff, and (4) considerations regarding continued collaboration with clinical and administrative colleagues to implement these changes. While process changes will vary across practices and hospital systems, we believe that these experiences from 4 different EP sections in a large New York City hospital network currently based in the global epicenter of the coronavirus disease 2019 pandemic will prove useful for other EP practices adapting their own practices in preparation for local surges. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.