Telemedicine: ...
(Continued from page 5)
Technical Support
In addition to a data breach, employers need to consider the problems posed by
the technology itself. Telemedicine requires real-time communication between
the originating and distant site, and any interruption of service between the end
points could result in a host of problems. Equipment malfunction could result
in miscommunication or misdiagnosis, and if a third party is responsible for the
equipment or the transmission of data, servicing malfunctioning equipment could
result in delays that compound costs or even jeopardize patient
health.
Patient privacy
is of paramount concern for all
One of the best ways to mitigate this risk is to establish processes
health care providers, and telemedicine
that reduce the threat of technical problems or equipment failure:
makes that concern more important.
• Develop policies and processes for reviewing current technology
and for implementing new technology.
• Establish a maintenance schedule; regularly service technology as needed and
make sure that all software and hardware is functioning as it should be.
• Make sure all staff is properly trained and understands how to use the
equipment.
• Devise sufficient controls, like passwords and PIN numbers, to restrict access
to sensitive patient information.
only
Regulation and Licensure
Regulation is another major issue facing telemedicine providers. Traditionally,
state boards have been responsible for licensing doctors and health care
practitioners. So what happens when a health care provider practices telemedicine
across state lines?
Generally speaking, the scope of practice – the specific kinds of medical actions
that the practitioner is allowed to make – is usually determined by the location of
the patient. This can pose problems for practitioners, since laws can vary widely
from state to state. State regulations regarding licensure, online prescribing
requirements and informed consent requirements are varied and often conflict
with one another or with federal rules.
With so many – often contradictory – regulations to abide by, risk managers
recommend that health care providers consult with legal counsel. And, since
these regulations are changing rapidly in response to advances in technology and
increasing demand, it’s a good idea to continue working closely with counsel to
address new or developing risks as they emerge.
(See Telemedicine on page 7)
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