Page 16 - Telemedicine - Essentials of Virtual Care Delivery Part Two

SVMIC Telemedicine: Essentials of Virtual Care Delivery

Based on the unique circumstances of your practice, including

applicable laws and regulations, consider creating a simple
laminated card containing these disclosures and questions,

as well as addressing possible confidentiality barriers (are
others in the room), and other unique risks to a virtual medicine

encounter. Having such a card available for each visit will help
provide consistency in your informed consent discussions, and

in disclosing and obtaining important information about the
visit.

In addition to the documentation considerations in the previous

section, it is also important to properly document elements of
the consent and disclosure process. Whether consent to treat

by telemedicine is obtained in writing, verbally, or preferably,
both, it is important to properly document the patient’s consent

along with any other disclosures made. Where appropriate,
macros can be developed to assist with the documentation,

but the documentation should be sufficiently unique for each
visit and, in every instance, accurately memorialize the nature

of any verbal communications. Many states have specific
documentation requirements such as affirmative verification

of the patient’s identity and location at the time of the visit and
the type of technology used for the visit. It is also important

to document who is present, both with the provider and
the patient, for the visit. Documentation should include the

discussion of risks prior to the receipt of care. Including that it
is in the discretion of the provider/physician to refer the patient

elsewhere.

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