Page 13 - Part 2 Introduction to Telemedicine

SVMIC Introduction to Telemedicine

In addition, when recordings are created or external data are
received, it is essential to incorporate them into the permanent

record.

Finally, while documenting follow-up plans and recommendations
is an expected part of good practice in any context, it is especially

important for telemedicine encounters. Treatment at a distance
requires particular attention to handoffs, transitions and continuity

of care.

Informed Consent Requirements

Some states have specific informed consent requirements
including disclosures of risks specifically associated with

telemedicine, such as equipment failure or privacy breach.

Consideration should also be given to what technology will be
used to record the patient’s agreement.

Prescription of Medications

Prescribing laws and rules have a special status within the
regulation of medical practice. These vary greatly among the states

and may have provisions that differ by drug, specialty and setting.

It is essential that practitioners who intend to prescribe or
dispense drugs for patients who are not seen in person—whether

in-state or out-of-state—fully inform themselves of the applicable
rules. Particularly for controlled substances, there may be specific

restrictions for initial prescriptions or managing prescriptions by

telemedicine. The high level of legal attention being focused on
fraud, abuse, diversion and inappropriate prescribing of scheduled

drugs, combined with a perception that electronic communication
may facilitate these risks, makes this an area of particular peril for

careless practitioners.

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