Certified Telehealth Physician Program

To obtain the credential of Certified Telehealth Physician each of the courses must be completed:

  • Telehealth Professional Orientation
  • Telehealth Patient Practitioner Protocol
  • Telehealth Disclosure and Informed Consent
  • Telehealth Technology
  • Telehealth Legal Considerations and Compliance
  • Telehealth Crisis Management

 

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Telehealth is the use of electronic means or technology to provide medical and mental health services by any medical or mental health discipline. It is not a sperate medical or mental health services. It is simply a different means through which a practitioner can deliver services that have historically been delivered in person in the medical and mental health field. Telehealth is discipline neutral, meaning that all medical and mental health disciplines can use the technology modality to provide services.

The need for medical and mental health has dramatically increased and, with advances in technology and current health concerns, the use of patient care at a distance has also increased. All age groups and all diagnoses have shown an increase in the need of treatment. With the increased use of telehealth there is an increased need for education concerning legal considerations and compliance during a telehealth appointment.

The research into telehealth has consistently shown it to be an effective delivery system for medical and mental health services. Some studies have even found that telehealth services may actually be preferable to in-person care in certain populations and situations. Children and adolescents and veterans in particular, seem to especially benefit from the use of telehealth. Telehealth is NOT the be-all and end-all in the delivery of therapy. Nor is it for every patient or every practitioner. Clearly, there are limitations. The limitations may be driven by a particular practitioner’s level of skill or confidence in treating certain cases online. This certification course is to provide education concerning telehealth professional orientation, patient practitioner protocol, disclosure and informed consent, technology, legal considerations and compliance, and crisis management.

Learning Outcomes Telehealth Professional Orientation:

  • Distinguish between various technological modalities.
  • Use telehealth as part of an integrative approach.
  • Implement the disclosure process.
  • Use ethical guidelines with social media.
  • Apply ethical practices to manage practitioner values and biases.
  • Terminology relevant to telehealth.
  • Differences between telehealth and non telehealth practices.
  • The public need for telehealth.
  • The evolution of telehealth.
  • The different settings for telehealth practices.
  • The telehealth disclosure process.
  • The ethical responsibility within the disclosure process.
  • The ethical responsibilities toward ongoing training, knowledge, and supervision.

 

Learning Outcomes Telehealth Patient Practitioner Protocol:

  • Implement Screening for Suitability to Engage in telehealth
  • Use Ethically Sound Practices when Conducting Appropriate Screening and Intake
  • Ethics Related to Screening and Intake
  • Perform Ongoing Patient Risk Assessments
  • Risk Factors for Domestic Violence, Suicidality, Homicidally
  • Demonstrate Ethical Responsibility for Understanding How the Patient Self-Identifies
  • Conduct a General Patient Assessment
  • Apply Mental Health Theory and Interventions
  • Mental Health Theories
  • Conduct Assessment of the Patient’s Personal Resources and Abilities
  • Develop Rapport with Patients
  • Sustain Appropriate Practitioner Relationships and Boundaries
  • Obtain and Maintain Proper Documentation
  • Implement and Execute Setting of Expectations for Appointments
  • Evaluate Ongoing Effectiveness of telehealth
  • Contraindications for telehealth
  • Demonstrate How to Make Appropriate Referrals
  • Appropriate and Effective telehealth Interventions
  • Patient Community Resources in the Geographic Area in Which a Patient Lives
  • Ethics and Guidelines Regarding Practitioner Relationships and Boundaries
  • Proper Documentation
  • Ethics Regarding Documentation
  • Scope of Process of telehealth
  • National and Local Patient Resources
  • Ability to Elicit Information Regarding Patient Resources and Abilities in Relation to telehealth
  • Ability to Develop Rapport Including Recognition of Facial Expressions and Nonverbal Communication
  • Ability to Implement Assessments
  • Ability to Use Questions, Affirmations, Reflections, and Summaries Effectively
  • Ability to Facilitate Patient’s Cultural Self-Identification

 

Learning Outcomes Telehealth Disclosure and Informed Consent:

  • Patient Understanding of Disclosures and Providing Informed Consent
  • Aspects of Informed Consent Specific to telehealth
  • Protocol for Social Media
  • Protocol for Establishing Local Resources and Emergency Contact
  • Apply Procedures for Emergencies
  • Protocol for Verification of Patient Location
  • Establish Patient Location Prior to Appointment
  • Protocol for Verification of Patient Identity
  • Establish Patient Identity Prior to Appointment
  • Protocol for Verification of Patient Privacy
  • Establish Patient Privacy Prior to Appointment
  • Protocol for Verification of Patient Safety
  • Establish Patient Safety Prior to Appointment
  • Requirements Establish Patient Identity in telehealth
  • Protocol Management for Technical Difficulties
  • Unique Challenges and Risks of telehealth
  • Address Concerns of Patients Related to telehealth
  • Monitor Ongoing Informed Consent
  • Managing Disclosures in telehealth
  • Informed Consent Process in telehealth
  • Ethically Gathering Informed Consent
  • Appropriate Use of Social Media
  • Elements of a Patient Safety Plan
  • Resources Available to Troubleshoot telehealth Issues

 

Learning Outcomes Telehealth Technology:

  • Benefits and Risks of Modalities
  • Evaluate and Select Technologies
  • Different Platforms and Modalities
  • Implement Chosen Technology
  • Patient Set Up of Chosen Technology
  • Patient and Practitioner Etiquette
  • Technology Security Aspects and Protocols
  • Appropriate Storage, Rules, Regulations and Guidelines of Appointment Recordings and Documentation
  • Ethical Guidelines Regarding the Destruction of Appointment Recordings and Documentation.
  • Troubleshoot Technical Difficulties and Poor Quality of Communication
  • Ethical Responsibilities Regarding Technology
  • Ethical Responsibilities of Confidentiality
  • Terms Related to Technology
  • Hardware, Software, and Internet Connection Needs
  • Technology for People with Disabilities

 

Learning Outcomes Telehealth Legal Considerations and Compliance:

  • Apply privacy law requirements related to telehealth.
  • Apply state and federal laws directing telehealth practice.
  • Apply HIPAA compliance.
  • Apply the Privacy Rule.
  • Apply the limits of malpractice.
  • Demonstrate appropriate response to security breaches.
  • Demonstrate appropriate response to data loss.
  • Apply setting specified security needs.
  • Conduct technology risk assessments.
  • Understand privacy law requirements related to telehealth.
  • The order of authority between state level and federal regulations.
  • HIPAA understanding and telehealth.
  • HITECH understanding and telehealth.
  • Covered entities under HIPAA.
  • Protected health information definitions.
  • Who can and cannot access protected health information.
  • The role of a privacy officer.
  • The Patient’s Bill of Rights.
  • Understanding business associate agreements.
  • Risks of security breaches.
  • What constitutes a breach.
  • Understanding of the HIPAA security rule.
  • The types of safeguards including technological, administrative, and physical safeguards for risks and
    threats.
  • The consequences of non-compliance.
  • The ethical responsibility regarding scope of practice.

 

Learning Outcomes Telehealth Crisis Management:

  • Understanding and identifying a patient in crisis during a telehealth appointment.
  • Developing an emergency management plan.
  • The importance of a local emergency services listings at distant locations.
  • Establishing protocol bounds and responsibilities of practitioners.
  • Telehealth de-escalation strategies.
  • Identifying mental and medical health status during a telehealth appointment.
  • Understanding culturally appropriate crisis interventions.
  • Identifying the involuntary commitment process.
  • Identifying the signs of a patient in crisis.
  • Understanding the need and options for local patient support.
  • Appreciate the cultural contexts of the local area of the patient.
  • Identifying the mental status of a patient using telehealth.
  • Discussing the benefits and consequences of interventions.

 

Course Format Telehealth Professional Orientation:

Telehealth Professional Orientation Part 1

  • Evolution of Telehealth
  • Settings for Telehealth
  • Terminology Relevant to Telehealth
  • Technological Modalities

 

Telehealth Professional Orientation Part 2

  • Public Health Need
  • Primary Care Telehealth Growth Opportunities
  • Specialty Care Telehealth Growth Opportunities
  • Integrative Approach to Patient Care

 

Telehealth Professional Orientation Part 3

  • Disclosure Process
  • Differences of Telehealth and Non-Telehealth Practices
  • Social Media Ethical Guidelines
  • Apply Ethical Practices to Manage Practitioner Biases and Values
  • Ethical Responsibilities of Training, Knowledge, and Supervision

 

Course Format Telehealth Patient Practitioner Protocol:

Telehealth Patient – Practitioner Protocol Part 1

  • Establishing the Telehealth Patient – Practitioner Relationship
  • Implement Screening for Suitability to engage in Telehealth
  • Ethics Related to Sound Practices when Conducting Appropriate Screening and Intake
  • Perform Ongoing Patient Risk Assessments and Risk Factors

 

Telehealth Patient – Practitioner Protocol Part 2

  • Demonstrate Ethical Responsibility for Understanding How the Patient Self-Identifies
  • Conduct a General Telehealth Patient Assessment
  • Conduct Assessment of the Patient’s Personal Resources and Abilities

 

Telehealth Patient – Practitioner Protocol Part 3

  • Sustain Appropriate Practitioner Relationships and Boundaries
  • Implement and Execute Setting of Expectations for Appointments
  • Evaluate Ongoing Effectiveness and Contraindications
  • Demonstrate How to Make Appropriate Referrals

 

Telehealth Patient – Practitioner Protocol Part 4

  • Evaluation and Treatment of the Patient
  • Ethics and Guidelines Regarding Practitioner Relationships and Boundaries
  • Obtain and Maintain Proper Documentation
  • Ethics Regarding Documentation

 

Telehealth Patient – Practitioner Protocol Part 5

  • Telehealth with Pediatric and Geriatric Populations
  • Ability to Elicit Information Regarding Patient Resources and Abilities in Relation to Telehealth
  • Develop Rapport Including Recognition of Facial Expressions and Nonverbal Communication
  • Ability to Facilitate Patient’s Cultural Self-Identification

 

Course Format Telehealth Disclosure and Informed Consent:

Telehealth Disclosure and Informed Consent Part 1

  • Patient Understanding of Disclosures and Providing Informed Consent
  • Aspects of Informed Consent Specific to Telehealth
  • Protocol for Social Media
  • Protocol for Establishing Local Resources and Emergency Contact

 

Telehealth Disclosure and Informed Consent Part 2

  • Apply Procedures for Emergencies
  • Protocol for Verification of Patient Location
  • Establish Patient Location Prior to Appointment
  • Protocol for Verification of Patient Identity
  • Establish Patient Identity Prior to Appointment
  • Protocol for Verification of Patient Privacy
  • Establish Patient Privacy Prior to Appointment
  • Protocol for Verification of Patient Safety
  • Establish Patient Safety Prior to Appointment
  • Requirements Establish Patient Identity in Telehealth
  • Protocol Management for Technical Difficulties
  • Unique Challenges and Risks of Telehealth

 

Telehealth Disclosure and Informed Consent Part 3

  • Address Concerns of Patients Related to Telehealth
  • Monitor Ongoing Informed Consent
  • Managing Disclosures in Telehealth
  • Informed Consent Process in Telehealth

 

Telehealth Disclosure and Informed Consent Part 4

  • Ethically Gathering Informed Consent
  • Appropriate Use of Social Media
  • Elements of a Patient Safety Plan
  • Resources Available to Troubleshoot Telehealth Issues

 

Course Format Telehealth Technology:

Telehealth Technology Part 1

  • Benefits and Risks of Modalities
  • Evaluate and Select Technologies
  • Different Platforms and Modalities

 

Telehealth Technology Part 2

  • Implement Chosen Technology
  • Patient Set Up of Chosen Technology
  • Patient and Practitioner Etiquette
  • Technology Security Aspects and Protocols

 

Telehealth Technology Part 3

  • Appropriate Storage, Rules, Regulations and Guidelines of Appointment Recordings and Documentation
  • Ethical Guidelines Regarding the Destruction of Appointment Recordings and Documentation
  • Troubleshoot Technical Difficulties and Poor Quality of Communication
  • Ethical Responsibilities Regarding Technology
  • Ethical Responsibilities of Confidentiality

 

Telehealth Technology Part 4

  • Terms Related to Technology
  • Hardware, Software, and Internet Connection Needs
  • Technology for People with Disabilities

 

Course Format Telehealth Professional, Legal and Ethical Considerations and Compliance Standards:

Telehealth Professional, Legal and Ethical Considerations and Compliance Standards Part 1

  • Definition of HIPAA
  • Why is there a need for HIPAA?
  • HIPAA Rules
  • HIPAA Privacy Rule
  • HIPAA Privacy Rule Covered Entities
  • HIPAA Privacy Rule Breach Response
  • HIPAA Privacy Rule Laws Related to Telehealth
  • HIPAA Privacy Rule and Security Rule Training
  • HIPAA Security Rule Officers
  • HIPAA Security Rule Role of Compliance Officer
  • HIPAA Security Rule Role of Security Officer
  • HIPAA Security Rule Role of Privacy Officer

 

Telehealth Professional, Legal and Ethical Considerations and Compliance Standards Part 2

  • HIPAA Security Rule
  • HIPAA Security Rule Administrative Safeguards
  • HIPAA Security Rule Physical Safeguards
  • HIPAA Security Rule Technical Safeguards
  • HIPAA Security Rule Technology Risk Assessment

 

Telehealth Professional, Legal and Ethical Considerations and Compliance Standards Part 3

  • HIPAA Security Rule for Settings
  • HIPAA Omnibus Rule
  • HIPAA Omnibus Rule Business Associate Agreements
  • HIPAA Omnibus Rule Response to Security Breach
  • HIPAA Omnibus Rule HITECH Act
  • HIPAA Breach Notification Rule
  • HIPAA Breach Filing
  • HIPAA Enforcement Rule

 

Telehealth Professional, Legal and Ethical Considerations and Compliance Standards Part 4

  • Order of Authority for Telehealth
  • HIPAA Rules Consequences of Non-Compliance
  • State and Federal Laws in Telehealth
  • Malpractice and Telehealth
  • Patient’s Bill of Rights
  • Scope of Practice Ethical Responsibility

 

Course Format Telehealth Crisis Management:

Telehealth Crisis Management Part 1

  • Understanding the Signs of a Crisis
  • Mental and Medical Status of the Patient
  • Crisis Management
  • Emergency Management Plan

 

Telehealth Crisis Management Part 2

  • List of Active Patient – Local Emergency Services
  • Ongoing Verification of Local Emergency Services
  • Establish Practitioner Protocol, Bounds and Requirements During a Crisis
  • De-escalation Strategies in Crisis

 

Telehealth Crisis Management Part 3

  • Need and Options for Local Support
  • Best Practices in Culturally Appropriate Crisis Intervention

 

Learning Outcomes Condi2ons:
Complete self-paced certification in its entirety.
Pass all quizzes and final with 80% or better.

Education Hours:
You will receive a completion certificate with 11.0 AMA PRA Category 1 Credits from MedChi The Maryland
State Medical Society for this course when all Learning Outcomes Conditions have been met.

Approximate Learning Time: 11.0 – 13.0 hours
This certification course is online and should take approximately 11.0 – 13.0 hours to complete.