Which of the following activities to apply clinical risk management and patient safety
requirements to telemedicine services is false? - ANSWER Revising protocols to be less
stringent than those protocols in the hospital due to the ease of reviewing the patient's
case with technology.
Name the 3 basic technical risks of telemedicine. - ANSWER Few clinical reviews, no
analysis performed
Systems in use vary dramatically by device and methods
No standardization
Medicare reimbursement for telemedicine services is quite generous. - ANSWER False
List and discuss 4 administrative risks of telemedicine. - ANSWER Failure to obtain
consent - specialist prescribes treatment, treatment is carried out without any
documentation of consent from either party.
Failure to follow policies - can lead to inappropriate, incomplete, or no adhearance to
operational polices and procedures.
Medical Record: specialist prescribes prescription but issuance and patient use of that
prescription are not translated with the primary responsibility of the patient and medical
error.
Notification of adverse events: an event may be reported to one location and not the
other allowing the same problem to occur again.
, Explain how HIPAA requirements impact the practice of telemedicine. - ANSWER The
structure of HIPAA predominantly influences telemedicine regarding patients' data
privacy and security. Other major key points to consider are outlined as follows:
Data Security: HIPAA demands extensive security measures in telemedicine, including
encryption and control of access.
Patient Consent: It is about obtaining patient consent to receive telemedicine, informing
them of all associated risks and benefits.
Business Associate Agreements: Any third-party vendors that provide services in
delivery or any component of a telemedicine service will be required to have a BAA for
HIPAA compliance.
Cross-State Challenges: Performing telemedicine across state lines has some
complications in terms of compliance with each state law.
Audit Trails: HIPAA requires that for every telehealth transaction, there should be an
audit trail to ensure integrity of the data.
Incident Response: The response procedures regarding data breaches need to be
specific; notifications to the affected parties and the relevant authorities should be
included.
Training: Finally, training in HIPAA for staff involved in telehealth is absolutely
indispensable and should emphasize safe usage of technology and protection of patient
data.
Record Management: Retention and destruction policy, as described by HIPAA, also
pertains to telemedicine, where the electronic records are to be archived and destroyed
accordingly.
Failure to follow the set standards by HIPAA may lead to fines, litigation, and reputation
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