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Telemedicine: Best Practices to Avoid Liability

By Marcella C. Ducca
September 02, 2015

Telemedicine, telehealth and mobile health (collectively referred to herein as “telemedicine”) are delivery methods of remote clinical services using technology. While the concept of telemedicine has been around for decades, new and improved technology is making it more ubiquitous. Telemedicine methods include videoconference, teleconference, transmission of still images, patient portals, web-based e-health patient service sites, wireless applications, e-mail, virtual consultation online, and other forms of telecommunications technology.

New Methods

New methods for telemedicine are constantly being developed. For example:

  • The design company Teague has developed a concept for a “doctor in a box.” The patient buys an affordable kit at a drug store, and then has a doctor visit teleconferenced into the privacy of the patient's home. The kit contains a smart stethoscope, capable of hearing heart and lungs, seeing into the ear, and taking high-definition images. The kit also contains a teleconferencing camera that beams video of the patient to the doctor and tracks movement, heart rate and temperature.
  • The company HealthSpot has developed a free-standing virtual healthcare kiosk. An in-person attendant checks a patient's height, weight, blood pressure, temperature and other metrics and provides that data to the physician. The patient then consults with a physician face-to-face via video screen in the kiosk. The physician can have the patient use various tools in the kiosk to gather more information about his or her condition (e.g., an otoscope to see into a patient's ear), and the data from the various tools is immediately transmitted to the physician. The latter can then dispense an electronic prescription. The station is cleaned between visits.

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