Telehealth: Frequently Asked Questions
|
|
- Lizbeth Knight
- 6 years ago
- Views:
Transcription
1
2
3 Telehealth: Frequently Asked Questions WHAT IS TELEHEALTH? Telehealth is the use of electronic information and telecommunications technology to support: THE DELIVERY OF HEALTH CARE PATIENT AND PROFESSIONAL HEALTH EDUCATION PUBLIC HEALTH HEALTH ADMINISTRATION HOW IS TELEHEALTH DELIVERED? Telehealth is primarily delivered in four ways: VIDEOCONFERENCING (Synchronous): Live two way interaction between a patient/client and a health professional. Examples include telepsychiatry, telepractice (speech therapy), and tele-stroke. STORE AND FORWARD (Asynchronous): Transmission of pre-recorded digital information (images, pictures, video) through a HIPAA-secure electronic communications system to a health professional who uses the information to evaluate the case or render a service. Examples include tele-radiology, tele-dermatology, and diabetic retinopathy screening. REMOTE PATIENT MONITORING: Collection and wireless transmission of health and medical data ontact Information (e.g., blood pressure, glucose, weight, pulse, blood oxygen, peak flow) from an individual at one location to a health care provider or call center in a different location for use in patient care. Use cases include chronic disease management, patient engagement/education, and prevention of hospital readmissions within 30 days of discharge. MOBILE HEALTH (mhealth): Health care, education and public health practice supported by mobile apps and mobile communications devices such as cell phones and tablets. Applications can range from targeted text messages that promote healthy behavior (e.g., medication and appointment reminders) to wide-scale alerts about disease outbreaks to gamification of health to encourage healthy behaviors and practices (e.g., exercise, nutrition, tooth-brushing).
4 WHAT ARE THE DIFFERENT MODELS OF TELEHEALTH? Telehealth has been in existence for over 25 years, and models of telehealth have changed over time. Telehealth models fit into three broad categories: HUB AND SPOKE When telehealth first began, the model was predominantly hub and spoke and primarily involved specialty care consults between large tertiary care centers and smaller rural hospitals. The tertiary care center would be considered a hub. Specialists at the hub site would provide consultation to patients at one or more small rural hospitals called spokes. Examples of services provided using this model include tele-stroke, tele-burn, and tele-cardiology. NETWORK OF NETWORKS Over time, technology improved, bandwidth increased, and costs decreased. Health care systems also began to shift their priorities around health reform, with a focus on reducing costs, providing better care, and ultimately improving health outcomes. Coordination of care and the ability to manage chronic and life style diseases became a necessity. As a result, the promise of telehealth expanded its reach to include community health centers, private practices, school based health clinics, and other facilities (both traditional and nontraditional). Health care facilities began to connect to each other, creating a network of networks. For example, students in school based health clinics connected via telehealth to receive primary care from a clinician at a pediatric practice; patients at community health center connected to a psychiatrist in hospital; etc. FULLY DISTRIBUTED NETWORK Telehealth is in the midst of yet another transformation called the Direct to Consumer evolution. We are seeing telehealth expand its reach to wherever the patient may be, whether that is at their home or school or even while on vacation. Instead of requiring a patient to go to a location to receive health care services, those services are now going to the patient. This model is often referred to as virtual care or care anywhere.
5 IS TELEHEALTH CONSIDERED A SAFE WAY TO PROVIDE QUALITY HEALTH CARE? Telehealth is a tool for delivering health care and not a separate service in and of itself. Therefore, the safety and quality of care provided through telehealth is dependent on the clinical judgment, adherence to clinical practice standards and education/training of the clinician. CLINICAL JUDGMENT Developing and being able to apply good clinical judgment is essential for all health professionals. Clinical judgment comes from a combination of critical thinking skills, training, and experience. If a patient were to come into a clinician s office and his/her stethoscope were malfunctioning, one would expect the clinician not to use it as a tool for rendering a clinical assessment. Similarly, if a patient were being seen via telehealth and for whatever reason, the clinician is unable to see or hear the patient clearly; one would expect the clinician not to proceed with the telehealth encounter until the problem is resolved. If the issue cannot be resolved, then the clinician would need to ask the patient to make an inoffice visit. Ultimately, the health professional must make the determination regarding whether telehealth is or isn t appropriate for the service being rendered. STANDARDS AND GUIDELINES Over the years, there have been a number of standards, guidelines and best practices that have been developed to ensure the responsible use of telehealth technologies in patient care. In some instances, telehealth has actually become the standard of care. Examples of existing standards include: The Federation of State Medical Boards Model Policy for the Appropriate Use of Telemedicine Technologies in the Practice of Medicine American Telemedicine Association Telemedicine Practice Guidelines for: o Live, On Demand Primary and Urgent Care o Telepathology o TeleICU Operations o Core Operational Guidelines o Telemental Health and Video-Based Online Mental Health Services o Store and Forward and Live-Interactive Teledermatology o Videoconferencing-Based Telepresenting o Diabetic Retinopathy o Telerehabilitation o And more! American Psychological Association Guidelines for the Practice of Telepsychology American Academy of Ambulatory Care Nursing Telehealth Nursing Practice Scope & Standards of Practice
6 TRAINING, ACCREDITATION AND CERTIFICATION Training programs currently exist, both in the classroom, on-site and online. The American Telemedicine Association has a list of accredited training programs and also has an accreditation for online patient consultation. In addition, a variety of both online and classroom Certificate programs exist for telehealth coordinators, telemedicine clinical presenters, telestroke presenters and others. As telehealth continues to expand, more and more such programs will emerge. For example, the Center for Credentialing & Education developed a Board Certified-TeleMental Health (BC-TMH) Provider credential. WHAT ARE THE BENEFITS OF USING TELEHEALTH? There exists a large body of literature regarding the evidence for telehealth feasibility, quality, safety and cost-effectiveness. EVIDENCE BASE There are several places to find the body of literature on telehealth. These include: The Institute of Medicine publication The Role of Telehealth in an Evolving Health Care Environment. A recent (2016) technical brief prepared for the Agency for Healthcare Research and Quality entitled Telehealth: Mapping the Evidence for Patient Outcomes for Systematic Reviews that identified 1,494 citations about telehealth and found a number of areas where the evidence base is very strong and other areas where further research is still needed. The Center for Connected Health Policy (National Telehealth Policy Resource Center) Research Catalogues summarizing peer reviewed research in a number of telehealth-related areas. The Northeast Telehealth Resource Centers Resource Library. Here you will find a searchable database of publications related to clinical guidelines, outcomes research by specialty area and more. CASE STUDIES The American Telemedicine Association (ATA), Health Information and Management Systems Society (HIMSS) and Personal Connected Health Alliance have all been actively collecting and making available case studies to show how telehealth saves time, saves money, improves patient outcomes and otherwise demonstrates the value of telehealth. These case studies may be found at: Telemedicine Case Studies (ATA) mhealth Case Studies (HIMSS) Personal Connected Health Alliance Case Studies ASSESSMENT AND EVALUATION The National Quality Forum has developed a Framework to Support Measure Development for Telehealth as a way to assist researchers and analysts to advance quality measurement for telehealth. For more information about telehealth, visit Developed by the Mid-Atlantic Telehealth Resource Center ( Updated: February 2018
7 TELEHEALTH POLICY ISSUES September 2017 The ubiquitous adoption of telehealth continues to lag despite improved technology and increasing amounts of evidence of its ability to effectively provide health services. In the last few years, telehealth has received attention as a means to achieving the goals of the Triple Aim: increased efficiency, better health outcomes and better care. However, existing policy barriers on both federal and state levels contribute to the limited use of telehealth. Below are some of the major barriers that currently exist. REIMBURSEMENT Telehealth reimbursement policy varies greatly on the federal and state levels. Restrictions in the Medicare program include limitations on where telehealth services may take place, both geographically and facility-wise, the limited number of providers who may bill for services delivered via telehealth, a limited list of services that can be billed, and restricting, for the most part, to only allowing live video to be reimbursed. Each state dictates what their telehealth policies are which creates a patchwork quilt of telehealth laws and regulations across the nation, in both the private and public sectors. Over the last few years, states have also begun to pass legislation to either encourage or mandate private payers to reimburse for telehealth delivered services. These policies also vary across states and some contain their own limitations, depending on how the laws have been crafted. Additionally, the laws may also be written in such a way where there may be parity in coverage of services, but not necessarily parity in payment amount. In other words, a state law may require an insurer to pay for services if they are delivered via telehealth if those same services were covered if delivered in-person, but the law may not require the insurer to necessarily pay the same amount for that service in both cases. LICENSING/REGULATORY BOARDS Licensing is under the purview of states to control and regulate. The majority of states require a license from the state in order to provide services though a few exceptions exists in a handful of states. Various national groups have worked to ease some of these issues. The Nurses Licensing Compact allows a nurse with a license in a compact member state to practice in another compact member state without having to obtain another state license. The Federation of State Medical Boards offered their own type of solution for physicians by creating model language for an Interstate Medical Licensure Compact that would allow member states to create an expedited process to obtain a license in a member states. There is also a Psychologist Compact as well. In addition to the licensing issue, regulatory boards also hold key control over other aspects that impact telehealth policy. Increasingly, regulatory boards are looking to develop regulations, policies, or guidelines on how providers they regulate utilize telehealth in their practices. Some of these guidelines have mirrored what licensees would need to do if they had provided the services inperson, others have included additional requirements. CREDENTIALING/PRIVILEGING CMS approved regulations to allow hospitals and critical access hospitals (CAH) to credential by proxy which allows a clinic (the originating site) to contract with another hospital, CAH or telemedicine entity (the distant site) to provide services via telehealth and credential those providers by relying on the credentialing work done by the distant site, if certain conditions are met. This creates a faster, more cost effective method for clinics and hospitals to access needed specialty care. The Joint Commission created parallel guidelines to the federal regulations. Both are optional to use and a clinic or hospital may still utilize a full credentialing process.
8 HIPAA/PRIVACY/SECURITY The technology alone cannot make one HIPAA compliant. Human action is required in order to meet the necessary level of compliance that is required. HIPAA does not have specific requirements related to telehealth. Therefore, a telehealth provider must meet the same requirements of HIPAA as would be needed if the services were delivered in-person. However, to meet those requirements an entity may need to take different or additional steps that may not have been necessary if the service was delivered in-person. For example, a tech support person who would not be exposed to protected health information if a practice was strictly in-person may be in a different situation where telehealth is involved because that tech support person may be required to enter an exam room to help with the equipment. Additionally, states may have their own privacy and security laws with which providers must be familiar. HIPAA is a baseline to protecting health information and some states may actually have a higher bar a provider must meet in order to be compliant. Additionally, states may have specific internet vendor laws that may not be directed at health services, but nonetheless impact them because they are services sold via the Internet. If a provider is offering services in another state, it would be prudent to look into the state laws covering these areas. For more information, contact your Telehealth Resource Center at or the Center for Connected Health Policy ( The National Consortium of Telehealth Resource Centers (NCTRC) is an affiliation of the 14 Telehealth Resource Centers funded individually through a cooperative agreement from the Health Resources & Services Administration, Office for the Advancement of Telehealth under grant number G22RH The goal of the NCTRC is to work collaboratively to provide accurate, consistent information on telehealth while efficiently using federal funds. MALPRACTICE There have been few cases that involve telehealth and many have revolved around teleradiology. The low number of cases, however, is likely due to the low adoption of telehealth. Additionally, there have been a few negligence cases that involve the non-use of telehealth. Theoretically, telehealth malpractice cases are likely to increase the more it is widely used. However, one thing related to malpractice that providers should be aware of and which has become an issue to some providers is malpractice coverage. Not all carriers will cover for malpractice involving telehealth delivered services and not all coverage a provider has will be viable in another state. Additionally, some carriers will provide malpractice coverage, but may charge high premiums. Very little policy has been related to addressing these issues. Providers should ensure that their malpractice insurance does cover telehealth delivered services and that it is viable in any other states they wish to practice in. A provider may find he or she will need to purchase additional insurance. PRESCRIBING A relationship entirely built via telehealth may not be considered a valid means of establishing a relationship, limiting the ability of a provider to do so. The Ryan Haight Act dictates how telehealth (telemedicine is the term used in the Act) may be used to prescribed controlled substances. The Act provides specific scenarios on how the interaction between patient and provider must take place. States have control over how everything else is prescribed when telehealth is used and as mentioned in earlier sections, the policies vary across states. Some states have very specific rules for the use of telehealth in prescribing while others are vaguer or silent. Some of the rules center on whether telehealth is adequate to establish a patientprovider relationship which, again, vary across the states. This question of telehealth and prescribing has gained increasing attention in the last few years and will likely continue to be an area where states continue to develop their policies.
9
10
Telehealth Policy Barriers Fact Sheet
FACT SHEET Telehealth Policy Barriers Fact Sheet Introduction August 2016 Telehealth has existed for decades in some form or another, but it is only in the last few years it has received increasing attention
More informationI. LIVE INTERACTIVE TELEDERMATOLOGY
Position Statement on Teledermatology (Approved by the Board of Directors: February 22, 2002; Amended by the Board of Directors: May 22, 2004; November 9, 2013; August 9, 2014; May 16, 2015; March 7, 2016)
More informationTelehealth Legal and Compliance Issues. Nathaniel Lacktman, Anna Whites, Esq.
Telehealth Legal and Compliance Issues Nathaniel Lacktman, Esq. @Lacktman Anna Whites, Esq. Anna Whites Law Office Attorney Advertising Prior results do not guarantee a similar outcome Models used are
More informationChapter 7 Section 22.1
TRICARE Policy Manual 6010.57-M, February 1, 2008 Medicine Chapter 7 Section 22.1 Issue Date: April 17, 2003 Authority: 32 CFR 199.4 and 32 CFR 199.14 1.0 DESCRIPTION 1.1 refers to the use of information
More information9/21/2017. Telemedicine vs. Telehealth. Telemedicine vs. Telehealth. Telemedicine vs. Telehealth. Time is Money. Disruptive Technology
Telemedicine vs. Telehealth Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients health status. Telemedicine The Virtual Experience
More informationChapter 7 Section 22.1
Medicine Chapter 7 Section 22.1 Issue Date: April 17, 2003 Authority: 32 CFR 199.4 and 32 CFR 199.14 Copyright: CPT only 2006 American Medical Association (or such other date of publication of CPT). All
More informationATA STATE TELEMEDICINE TOOLKIT Working with Medical Boards: Ensuring Comparable Standards For the Practice of Medicine via Telemedicine
ATA STATE TELEMEDICINE TOOLKIT Working with Medical Boards: Ensuring Comparable Standards For the Practice of Medicine via Telemedicine Tens of millions Americans benefit from remote health services every
More informationTelehealth. Telehealth? 6/1/2016. A tool for enhancing health care, communication and information.
Telehealth June 2016 Telehealth? A tool for enhancing health care, public Providing/receiving health, and health education health delivery care services and support, at using a distance. electronic communication
More informationWhat is Telemedicine and How is It Being Used?
What is Telemedicine and How is It Being Used? March 14, 2018 Presented by: Attorney Karina P. Gonzalez Florida Healthcare Law Firm www.floridahealthcarelawfirm.com 2016 The Law Offices of Jeff Cohen,
More informationMISSOURI TELEHEALTH NETWORK TRAINING CONFERENCE January 31, 2018 CENTER FOR CONNECTED HEALTH POLICY POLICY DISCLAIMERS
LEGAL & REGULATORY ISSUES TO CONSIDER IN A TELE PROGRAM MISSOURI TELE NETWORK TRAINING CONFERENCE January 31, 2018 877-707-7172 cchpca.org Mei Wa Kwong, JD DISCLAIMERS Any information provided in today
More informationCorporate Reimbursement Policy Telehealth
Corporate Reimbursement Policy Telehealth File Name: Origination: Last Review Next Review: telehealth 11/1997 12/2017 12/2018 Description Telehealth is a potentially useful tool that, if employed appropriately,
More informationConflict of Interest Disclosure. Telemedicine: Credentialing And Best Practices. Learning Objectives. Learning Objectives. Telehealth.
Conflict of Interest Disclosure Telemedicine: Credentialing And s Catherine M. Ballard Partner Bricker & Eckler LLP 614-227-8806/cballard@bricker.com Use the following statement or disclose any relationships
More informationPractice Guidelines. Telemedicine & Telehealth Standards & Guidelines. Elizabeth A. Krupinski, PhD 10/9/2015
Telemedicine & Telehealth Standards & Guidelines Elizabeth A. Krupinski, PhD Practice Guidelines Supply health care professionals with needed support & information Improve health care quality & encourage
More informationTRANSFORMING HEALTH CARE WITH CONNECTED HEALTH TECHNOLOGY
TRANSFORMING CARE WITH CONNECTED TECHNOLOGY TELE STATE TRENDS Florida Telehealth Advisory Council April 21, 2017 877-707-7172 cchpca.org Mario Gutierrez We are part of the Public Health Institute, an independent,
More informationTelehealth: An Introduction to Implementation and Policy Considerations. Angela Evatt, M.A., M.P.P
Telehealth: An Introduction to Implementation and Policy Considerations Angela Evatt, M.A., M.P.P Overview What is telehealth, how can it be used in care delivery, and what does it aim to accomplish? Value
More informationTelehealth and Children With Special Health Care Needs. Improving Access to Care and Care Coordination
Telehealth and Children With Special Health Care Needs Improving Access to Care and Care Coordination Jacob Vigil, MSW Program Associate The Children s Partnership Mei Wa Kwong, JD Senior Policy Associate
More information19 th Annual Western Regional Conference Women in Government May 21, 2016 Seattle, WA
TELE TODAY 19 th Annual Western Regional Conference Women in Government May 21, 2016 Seattle, WA 877 707 7172 cchpca.org Mei Wa Kwong, JD Senior Policy Associate & Project Director DISCLAIMERS Any information
More informationWHITE PAPER #2: CASE STUDY ON FRONTIER TELEHEALTH
WHITE PAPER #2: CASE STUDY ON FRONTIER TELEHEALTH I. CURRENT LEGISLATION AND REGULATIONS Telehealth technology has the potential to improve access to a broader range of health care services in rural and
More informationBuilding a Successful Telemedicine Program
Building a Successful Telemedicine Program Part 1 Ronald S. Weinstein, MD Founding Director, Arizona Telemedicine Program First Telemedicine Case Massachusetts General Hospital April, 1968 Warren Street
More informationTelemedicine Compliance Maximizing Patient Care & ROI While Minimizing Legal Risks
Live tweet - #telehealth2016 Telemedicine Compliance Maximizing Patient Care & ROI While Minimizing Legal Risks Mei Wa Kwong, JD Senior Policy Associate & Project Director Center for Connected Health Policy
More informationMedicaid Program Administrator: Bureau for Medical Services, under the West Virginia Dept. of Health and Human Resources
West Virginia Medicaid Program: West Virginia Medicaid Medicaid Program Administrator: Bureau for Medical Services, under the West Virginia Dept. of Health and Human Resources Regional Telehealth Resource
More informationLegal Issues You Should Know April 25, 2018 In-House Counsel Conference
1 TELEMEDICINE Legal Issues You Should Know April 25, 2018 In-House Counsel Conference Disclaimer: These materials and presentation are intended to be a general and brief summary of the law. This is not
More informationProject: Telemedicine Engaging Your Providers in Your Telehealth Development and Program
Project: Engaging Your Providers in Your Telehealth Development and Program Presented by: James Dunnick, MD, FACC, CHCQM, CPC, CMDP - The Dunnick Group, LLC Learning Outcome Standard: This program is based
More informationTELEHEALTH: THE FUTURE IS HERE!
TELEHEALTH: THE FUTURE IS HERE! OPPORTUNITIES FOR CAPTIVES, TRADITIONAL INSURERS AND RISK MANAGEMENT PROFESSIONALS Paul Greve, J.D., RPLU Executive Vice President Willlis Healthcare Practice Gary Leonard
More informationu Telemedicine The Virtual Experience
Telemedicine The Virtual Experience April 2017 Telemedicine vs. Telehealth Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients
More informationCheryl A Skiffington, CCO & Interim CFO Columbia County Health System
Cheryl A Skiffington, CCO & Interim CFO Columbia County Health System Telemedicine is A mode of delivery The service provided is basically the same as if the patient and provider were face-to-face. A modifier
More informationTelehealth 101. Telehealth Summit May 24, 2018
Telehealth 101 Telehealth Summit May 24, 2018 Tim Bickel Telehealth Director, University of Louisville Deborah Burton, Telehealth Program Manager, KentuckyOne Health, Lexington; Chair, Kentucky Teleheath
More informationCreative Solutions to Challenging Access Issues. The State of Telehealth in Our Region
Creative Solutions to Challenging Access Issues The State of Telehealth in Our Region Nebraska Hospital Association - October 25, 2017 Telehealth: Telemedicine Remote Monitoring Store-and-Forward Direct-to-Consumer/Primary
More informationTelehealth in Alaska. Cindy Roleff, MS, BSN, RN-BC Telehealth Program Development Manager AFHCAN / ANTHC
Telehealth in Alaska Cindy Roleff, MS, BSN, RN-BC Telehealth Program Development Manager AFHCAN / ANTHC Why Telehealth? Patient Empowers them with additional choices Satisfaction Decreases disparities
More informationTelemedicine Credentialing and Privileging
Presenting a live 90-minute webinar with interactive Q&A Telemedicine Credentialing and Privileging Protecting Patient Privacy, Avoiding Fraud and Abuse Liability, Ensuring Quality of Care THURSDAY, AUGUST
More informationCenter for Health and Technology Telehealth Education Program. Executive Overview
Executive Overview 1. Technology-Enabled Health Understand the rationale for the use of advanced IT in healthcare Identify elements of a technology-enabled health care system Learn of the legal, regulatory
More informationTelemedicine and Fair Market Value What You Need to Know
Telemedicine and Fair Market Value What You Need to Know By Chris W. David, CPA/ABV, ASA August, 2017 Telemedicine (also known as telehealth) is a rapidly-evolving trend in the healthcare delivery space
More informationTelemedicine Guidance
Telemedicine Guidance GEORGIA DEPARTMENT OF COMMUNITY HEALTH DIVISION OF MEDICAID Revised: October 1, 2017 Policy Revisions Record Telemedicine Guidance 2017 REVISION DATE Oct. 1, 2017 SECTION REVISION
More informationCLOSING THE TELEHEALTH GAP. A survey of healthcare providers on the barriers and opportunities to emerging delivery models
CLOSING THE TELEHEALTH GAP A survey of healthcare providers on the barriers and opportunities to emerging delivery models INTRODUCTION Since the Affordable Care Act was signed into law in 2010, more than
More informationMaryland. Center for Connected Health Policy. Medicaid Program: MD Medical Assistance Program. Program Administrator: MD Dept. of Social Services
Maryland Medicaid Program: MD Medical Assistance Program Program Administrator: MD Dept. of Social Services Regional Telehealth Resource Center Mid-Atlantic Telehealth Resource Center PO Box 800711 Charlottesville,
More informationChapter 2. Telehealth Regulatory Requirements
Chapter 2 Telehealth Regulatory Requirements 2.1 Introduction Sometimes referred to as telehealth practice standards, the rules governing where and how telehealth may be used to deliver care are largely
More informationTelehealth. Clinical Applications 6/28/2011 TELEHEALTH UPDATE: MONTANA AND BEYOND
TELEHEALTH UPDATE: MONTANA AND BEYOND Telehealth Telehealth is the delivery of healthrelated services via telecommunications technologies Clinical Applications Allergy Cardiology * Dermatology Oncology
More informationThe Telemedicine Train is Leaving the Station: Don t be left behind
The heart and science of medicine. UVMHealth.org The Telemedicine Train is Leaving the Station: Don t be left behind Prepared by Norman Ward MD, Chief Medical Officer, OneCare Vermont Natasha Wither, DO,
More informationTelehealth Reimbursement Policy in
Telehealth Reimbursement Policy in New York State Greater New York Hospital Association Telehealth Webinar Series July 11, 2016 July 2016 2 Agenda Telehealth NY State Telehealth Parity Statutory Changes
More informationThe New Wave of Health Care: Telehealth. FHCC 2014 Annual National Conference April 22-23, 2014
The New Wave of Health Care: Telehealth FHCC 2014 Annual National Conference April 22-23, 2014 The New Wave of Health Care: Telehealth Plenary Session III Moderator: Ken Peach, Executive Director - Health
More informationUTILIZING TELEHEALTH FOR UNDERSERVED POPULATIONS
UTILIZING TELEHEALTH FOR UNDERSERVED POPULATIONS Carly McCord, Ph.D. Director of Clinical Services Telehealth Counseling Clinic Assistant Research Professor School of Public Health 2 Leon County Health
More informationExpanding School-Based Health Services with Telehealth
Expanding School-Based Health Services with Telehealth Welcome Thanks to Our Supporters Association of State and Territorial Health Officials Centers for Disease Control and Prevention Conrad N. Hilton
More informationTELEHEALTH & BEHAVIORAL HEALTH
TELE & BEHAVIORAL NATIONAL COUNCIL FOR BEHAVIORAL INSTITUTE October 2, 2017 877-707-7172 cchpca.org Mei Wa Kwong, JD Policy Advisor & Project Director DISCLAIMERS Any information provided in today s talk
More informationMEDICAL POLICY No R2 TELEMEDICINE
Summary of Changes Clarifications: Page 1, Section I. A 6, additional language added for clarification. Deletions: Additions Page 4, Section IV, Description, additional language added in regards to telemedicine.
More informationPresenting a live 90-minute webinar with interactive Q&A. Today s faculty features:
Presenting a live 90-minute webinar with interactive Q&A Telemedicine Credentialing and Privileging: Complying With the New CMS Rule Protecting Patient Privacy, Avoiding Fraud and Abuse Liability, Ensuring
More informationTHE TELEMEDICINE MARKET LANDSCAPE
How Telehealth is Changing the Care Provided to Patients Anne Cadwell, The Permanente Medical Group THE TELEMEDICINE MARKET LANDSCAPE Approximately 1 million virtual doctor visits in the U.S. in 2015 1
More informationTELEHEALTH INDEX: 2015 PHYSICIAN SURVEY
TELEHEALTH INDEX: 2015 PHYSICIAN SURVEY Overview Telehealth is accelerating in 2015. As many as 37% of hospital systems have at least one type of telemedicine solution to meet a variety of objectives,
More informationTelehealth 101: Key Concepts for Starting and Sustaining
Telehealth 101: Key Concepts for Starting and Sustaining Telehealth 101 Danielle Louder Program Director NETRC, MCD Public Health Andrew Solomon, MPH Project Manager NETRC Nina Antoniotti, PhD, MBA, RN
More informationTelehealth in Peritoneal Dialysis Patient Management
Telehealth in Peritoneal Dialysis Patient Management Susie Lew, MD George Washington University March 3, 2018 Disclosures CareFirst Foundation: grant ACT/ The App Association: Steering committee member
More informationUPMC Telehealth Program. Leveraging Advances in Technology to Transform Healthcare Delivery through New Models of Care
UPMC Telehealth Program Leveraging Advances in Technology to Transform Healthcare Delivery through New Models of Care UPMC s Telehealth Expansion Pediatric Specialty Inpatient Dermatology Pre & Post Operative
More information19/09/2017. Telehealth Legal and Regulatory Issues in Colorado and Beyond. Nathaniel Lacktman, October 2017
Telehealth Legal and Regulatory Issues in Colorado and Beyond Nathaniel Lacktman, Esq. @Lacktman October 2017 1 2 1 Licensing 3 Licensing Physician offering care via telemedicine is subject to licensure
More informationTELEMEDICINE. Risk Management Considerations
TELEMEDICINE Risk Management Considerations CONTRIBUTORS Editor Denise Russell, MJ, MHM, RN, CHRM, CPPS, FASHRM Associate Editors Sue Boisvert MHSA, BSN, CPHRM, FASHRM Douglas J. Borg, MHA, ARM, CPHRM,
More informationTELEHEALTH REIMBURSEMENT
FACT SHEET CENTER FOR CONNECTED HEALTH POLICY The Federally Designated National Telehealth Policy Resource Center Info@cchpca.org 877-707-7172 TELEHEALTH REIMBURSEMENT Telehealth is a well-established
More informationTelemedicine and Telehealth Services
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Telemedicine and Telehealth Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 4 8 P U B L I S H E D : J A N U A R Y 1
More informationSC Telehealth All 2017
SC Telehealth Alliance QUARTERLY REPORT 2017 QUARTER THREE PAGE 1 Executive Summary In the third quarter of 2017, the South Carolina Telehealth Alliance (SCTA) continued its work executing the tactics
More informationFACT SHEET Congressional Bill
HR 3306 - Telehealth Enhancement Act of 2013 Rep. Gregg Harper (R-MS) Purpose: To promote and expand the application of telehealth under Medicare and other Federal health care programs. Positive Incentives
More informationMARYLAND MEDICAID TELEHEALTH PROGRAM Telehealth Provider Manual
Telehealth Provider Manual Updated May 3, 2016 Table of Contents Table of Contents Scope Service Model Covered Services Program Eligibility Provider Registration Technical Requirements Reimbursement Confidentiality
More informationTelemedicine. Important Information. Telemedicine 5/6/2016. Lauren Prew
Telemedicine Lauren Prew Important Information This presentation is similar to any other seminar designed to provide general information on pertinent legal topics. The statements made and any materials
More informationTelehealth Landscape and Experience in Maine and Beyond
Telehealth Landscape and Experience in Maine and Beyond September 22, 2017 Danielle Louder Program Director Northeast Telehealth Resource Center Co-Director - MCD Public Health About Us www.mcdph.org
More informationChapter 7 Section 22.1
Medicine Chapter 7 Section 22.1 Issue Date: April 17, 2003 Authority: 32 CFR 199.4 and 32 CFR 199.14 Copyright: CPT only 2006 American Medical Association (or such other date of publication of CPT). All
More informationTRANSFORMING HEALTH CARE WITH TELEHEALTH
TRANSFORMING CARE WITH TELE STATE AND NATIONAL TELE TRENDS AND ISSUES NATIONAL CONFERENCE OF STATE LEGISLATURES December 10, 2015 877-707-7172 cchpca.org Mario Gutierrez We are an independent, public interest
More informationTELECOMMUNICATION SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL
TELECOMMUNICATION SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL NOVEMBER 2017 CSHCN PROVIDER PROCEDURES MANUAL NOVEMBER 2017 TELECOMMUNICATION SERVICES Table of Contents 38.1 Enrollment......................................................................
More informationTelemedicine: Protecting Patients, Expanding Access
Telemedicine: Protecting Patients, Expanding Access Lisa Robin Chief Advocacy Officer Federation of State Medical Boards July 11, 2017 2016 Federation of State Medical Boards About FSMB FSMB offices in
More informationElliott Wilson Manager, Telehealth and Mobility Programs
Elliott Wilson Manager, Telehealth and Mobility Programs 856-248-6575 exwilson@virtua.org THE TELEHEALTH JOURNEY Challenges and Opportunity Across the Continuum Agenda and Objectives Overview of Virtua
More informationKPMG Digital Health Pulse April 2017
KPMG Digital Health Pulse 2017 April 2017 Research purpose and design To identify key perceptions about the pace of digital health adoption and key challenges to implementing virtual care programs at hospitals
More informationTelehealth/Telemedicine Online Visit
Telehealth/Telemedicine Online Visit Blue Cross Blue Shield and Blue Care Network 1 Telemedicine Medical Policies The Blue Cross Blue Shield of Michigan and Blue Care Network Medical Policies are attached
More informationCorso di Informatica Medica
Università degli Studi di Trieste Corso di Laurea Magistrale in INGEGNERIA CLINICA CENNI DI TELEMEDICINA Corso di Informatica Medica Docente Sara Renata Francesca MARCEGLIA Dipartimento di Ingegneria e
More informationJonathan Linkous, Chief Executive Officer, American Telemedicine Association, Washington, DC
Jonathan Linkous, Chief Executive Officer, American Telemedicine Association, Washington, DC Jonathan Linkous: So all those things I talked about I'm really interested in it now. Thank you for the opportunity.
More informationTelemedicine and Surrogate Credentialing for Hospitals and Health Systems Robin Locke Nagele
Telemedicine and Surrogate Credentialing for Hospitals and Health Systems Robin Locke Nagele Outline of Presentation I. Telemedicine Overview and Trends II. Bylaws and Credentialing Requirements III. Telemedicine
More informationTelehealth in New Mexico: Need for Coordination and Collaboration in the New Age of Healthcare Transformation
NMDOH TELEHEALTH PROJECT-SUMMIT Telehealth in New Mexico: Need for Coordination and Collaboration in the New Age of Healthcare Transformation Dale C. Alverson, MD Medical Director, Center for Telehealth
More information3/27/2017. Historical Perspective. Innovative Model of Healthcare Delivery Using Telemedicine
Innovative Model of Healthcare Delivery Using Telemedicine Vinita Kamath MS RDN MHA Clinical Director, Nutrition Therapy Cincinnati Children s Hospital Medical Center CNM Conference March 20, 2017 Outline
More informationTelehealth and Telemedicine Policy Annual Approval Date
Policy Number Telehealth and Telemedicine Policy Annual Approval Date 04/12/2017 Approved By Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable to UnitedHealthcare
More informationDIVISION OF HEALTHCARE FINANCING CMS 1500 ICD-10. October 1, 2017
DIVISION OF HEALTHCARE FINANCING CMS 1500 ICD-10 October 1, 2017 General Information Overview Thank you for your willingness to serve clients of the Medicaid Program and other medical assistance programs
More information4/4/2018. Telehealth-Credentialing, Privileging and Quality Oversight. Washington Association of Medical Staff Services Vancouver, Washington
Washington Association of Medical Staff Services Vancouver, Washington Telehealth-Credentialing, Privileging and Quality Oversight Jon Burroughs, MD, MBA, FACHE, FAAPL April 19, 2018 Telemedicine: The
More informationTelehealth: Using technology in the delivery of healthcare
Telehealth: Using technology in the delivery of healthcare Using Telemedicine to Treat Chronic Disease in Rural Communities "Rural Americans face a unique combination of factors that create disparities
More informationTelehealth and Telemedicine Policy
Reimbursement Policy CMS 1500 Telehealth and Telemedicine Policy Policy Number 2018R0046B Annual Approval Date 7/12/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT
More informationKeeping Your Compliance Program in Pace with Rapidly Expanding TeleHealth Services
Keeping Your Compliance Program in Pace with Rapidly Expanding TeleHealth Services In April 1924, an imaginative cover for the magazine Radio News foreshadowed telemedicine in its depiction of a "radio
More informationWhy Telehealth, Why Now?
Promoting Access to Quality Care Through Technology and Innovation Why Telehealth, Why Now? Industry Webinar November 9, 2016 Panelists Bill Boling Owner/Principal Boling & Company bill@bolingandcompany.com
More informationTelehealth legal and policy challenges. University of Cincinnati National telehealth conference
Telehealth legal and policy challenges University of Cincinnati National telehealth conference March 19-20, 2015 HPIO Mission To provide the independent, unbiased and nonpartisan information and analysis
More informationMEDICAL POLICY No R1 TELEMEDICINE
Summary of Changes MEDICAL POLICY TELEMEDICINE Effective Date: March 1, 2016 Review Dates: 12/12, 12/13, 11/14, 11/15 Date Of Origin: December 12, 2012 Status: Current Clarifications: Deletions: Pg. 4,
More informationCruising Through Key Legal Compliance Issues in Telemedicine
April 12, 2018 Cruising Through Key Legal Compliance Issues in Telemedicine Presented by Cal Marshall 2018 Chambliss, Bahner & Stophel, P.C. All Rights Reserved. Chambliss, Bahner & Stophel, P.C. Liberty
More informationATTENTION PROVIDERS. This bulletin does not supersede any provider enrollment requirements
EqualityCareNews MAY 2007 ATTENTION PROVIDERS This bulletin does not supersede any provider enrollment requirements CMS-1500 Bulletin 07-002 Wyoming Medicaid will pay for telehealth services that meet
More informationOverview of the EHR Incentive Program Stage 2 Final Rule published August, 2012
I. Executive Summary and Overview (Pre-Publication Page 12) A. Executive Summary (Page 12) 1. Purpose of Regulatory Action (Page 12) a. Need for the Regulatory Action (Page 12) b. Legal Authority for the
More informationTELEHEALTH FOR HEALTH SYSTEMS: GUIDE TO BEST PRACTICES
TELEHEALTH FOR HEALTH SYSTEMS: GUIDE TO BEST PRACTICES Overview Telemedicine delivers care that s convenient and cost effective letting physicians and patients avoid unnecessary travel and wait time. Health
More informationREVISION DATE: FEBRUARY
Mary Ann Hodorowicz, MBA, RDN CDE, CEC, Owner, Mary Ann Hodorowicz Consulting LLC, Palos Heights, IL Coverage: In-Person Payable Places of Services Excluded Places for Part B Payment Excluded Places: 0
More informationExpanding Urologic Practice Through Telehealth
Expanding Urologic Practice Through Telehealth Great Lakes SUNA Chapter Spring Conference Chad Ellimoottil, MD, MS Assistant Professor of Urology Director of Telemedicine, Department of Urology ehealth
More informationTelemental Health Best Practices: Do's and Don'ts to Developing a Thriving Service
Telemental Health Best Practices: Do's and Don'ts to Developing a Thriving Service Disclaimer WHO I AM: I am a licensed psychologist, not an attorney, physician, marketing or information technology (IT)
More informationTelehealth and Telemedicine Policy
Telehealth and Telemedicine Policy Policy Number Annual Approval Date 7/11/2018 Approved By Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable to UnitedHealthcare
More informationSpecialty and Subspecialty Shortage and How This Impacts Strategy
Specialty and Subspecialty Shortage and How This Impacts Strategy Dennis Lund, MD Chief Medical Officer and Professor of Surgery, Lucile Packard Children s Hospital Stanford Associate Dean of the Faculty
More informationHR Telehealth Enhancement Act of 2015
HR 2066 - Telehealth Enhancement Act of 2015 Rep. Harper (R-MS), Rep. Thompson (D-CA), Rep. Black (R-TN) & Rep. Welch (D-VT) Author Intent: To promote and expand telehealth application under Medicare and
More informationOutpatient Hospital Facilities
Outpatient Hospital Facilities Chapter 6 Chapter Outline Introduce students to 1. Different outpatient facilities 2. Different departments involved in the reimbursement process 3. The Chargemaster 4. Terminology
More informationTelehealth's Applications for Preparedness and Response. Issue Brief
Issue Brief Telehealth's Applications for Preparedness and Response A Component of the Resilient and Ready: Healthcare's Impact in Emergency Preparedness Report Table of Contents Acknowledgments We would
More informationOklahoma Health Care Authority. Telemedicine
Oklahoma Health Care Authority Telemedicine Telemedicine Policy: OAC 317:30-3-27 Billing Technology 2 Telemedicine Applicability & Scope The purpose of the SoonerCare telemedicine is to improve access
More informationTexas Medicaid. Provider Procedures Manual. Provider Handbooks. Telecommunication Services Handbook
Texas Medicaid Provider Procedures Manual Provider Handbooks December 2017 Telecommunication Services Handbook The Texas Medicaid & Healthcare Partnership (TMHP) is the claims administrator for Texas Medicaid
More informationTelemedicine and Reimbursement
Telemedicine and Reimbursement Presented for : March 14 th 2018 About Acevedo Consulting Incorporated Acevedo Consulting Incorporated prides itself on not providing cookie-cutter programs, but a quality
More informationAN ACT authorizing the provision of health care services through telemedicine and telehealth, and supplementing various parts of the statutory law.
Title. Subtitle. Chapter. Article. (New) Telemedicine and Telehealth - - C.:- to :- - C.0:D-k - C.:S- C.:-.w C.:-..h - Note (CORRECTED COPY) P.L.0, CHAPTER, approved July, 0 Senate Substitute for Senate
More informationTelehealth. Administrative Process. Coverage. Indications that are covered
Telehealth These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information
More informationNavigating the Telehealth Landscape
Population Health Advisor Navigating the Telehealth Landscape Strategies for Financial Viability and Regulatory Compliance Michelle Seslar Senior Analyst, Population Health Advisor SeslarM@advisory.com
More informationAn Exploratory Study of the Use of Telehealth Services by Federally Qualified Health Centers and Hospitals in New York State
2015 An Exploratory Study of the Use of Telehealth Services by Federally Qualified Health Centers and Hospitals in New York State School of Public Health University at Albany, State University of New York
More informationJOHNS HOPKINS HEALTHCARE
Page 1 of 16 ACTION: New Policy Effective Date: 10/01/2013 Revising : Review Dates: 03/29/16, 06/29/17, Superseding 09/01/17, 12/01/17 Archiving Retiring Johns Hopkins HealthCare LLC (JHHC) provides a
More information