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Vatsana Xaymountry

on 7 March 2016

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Reduces hardship, travel time and costs
Clinician shortages and mal distribution of providers
Improves access to rural and under served areas
Distant Site

The use of electronic information and communication technologies to provide and support healthcare when distance separates the participants

Clinical Guidelines
Claimants who become acutely violent or unstable with poor impulse control
Signs of cognitive disturbance and/or become uncomfortable with the telehealth process
Claimants unwilling or unable to participate in a meaningful way
Actively psychotic and unable to participate secondary to the nature of their illness
Claimants with psychotic disorders that may be exacerbated through use of the technology

The transmission of health-related services or information over telecommunication infrastructure including both clinical (telemedicine) and non-clinical elements (educational services and administrative support) of healthcare
Reduces barriers to access
Increase efficiencies for providers
Improves quality of service
Reduces overall costs
Where the claimant is located during the telehealth consult
Other terms - spoke site, claimant site, remote site, and rural site

Originating Site

1. Explain the way a telemedicine visit works to the claimant and any chaperone present
2. Obtain consents
3. Equipment set up and confirm connectivity
4. Introduce the claimant and any one present to the remote clinician

Where the clinician or provider is located
Other terms - hub site, provider/clinician site, consulting site or referral site

1. Ensure equipment is functioning properly
2. Confirm camera presets
3. Explanation of procedures, limitations, emergency protocols, and termination of session
Clinical Presenter
Exlusionary Factors

Inability to effectively verbalize/express information
Inability to effectively communicate secondary to:
Hearing impairment
Language barrier
Memory deficit
Jurisdicational Mental Health Laws
Obtaining written and verbal consents
Hold current license in the state from which the claimant participates in the examination
Knowledge and familiarity with the originating site's emergency protocol/procedures
Provider and claimant introductions and verification
Obtain consents
Explanation of procedures
Verification of expectations and emergency protocol
Key topics include confidentiality, emergency and technical failure protocol

Maintain a professional environment that respects the claimant's privacy and confidentiality
Avoid wearing bright colors; muted and solid colors are best for videoconferencing
Avoid accessories that jingle since microphones can pick up the sounds
Close drapes or blinds, as daylight may interfere with interior lighting
Maintain a normal speaking voice
Act as you would in an in-person consult: be attentive, don't eat, use your cell phone, work on other materials, or involve yourself in any activity not associated with the consult
Answer any questions and address concerns
Turn off and secure equipment
Complete data collection
Telemental Health Clinician Standards
Hold current license(s)

Demonstrate knowledge of the guidelines set forth by the American Telemedicine Association and American Psychiatry/Pschology Associations for telemedicine

Demonstrate knowledge of the rules, laws and guidelines of the originating and distant sites

Maintaining Skills and Knowledge
Demonstrate interest and commitment in ongoing study, continuing education, and industry best practices for telehealth

Routine practice with equipment and connectivity
Telemental Health
Full transcript