The healthcare industry is taking a simple and effective step in protecting its nurse workforce: listening to and allying with their needs. Groups like the National Council of State Boards of Nursing (NCSBN) have put pieces in place to enhance the work-life balance of advanced practice registered nurses (APRN). The APRN compact, influenced by a big legislative push from the NCSBN, is restructuring how patients are treated across the U.S. The compact has opened a new channel for multi-state practice for nurses licensed in a state that has signed the agreement.
The terms telehealth and telemedicine are often used interchangeably by the public, even though they describe distinct processes. In the most generic sense, telehealth and telemedicine involve conducting health care services remotely. The difference between the two terms arises when one examines the medical portion of telemedicine. The nuance isn’t just a lexicological typo, it ties a specific clinical component to the provided services.
Telehealth, on the other hand, is more inclusive. Non-clinical activities related to education, staff training, healthcare administration, professional conferences, or patient-provider clinical services all fall under the telehealth label. Three of the main telehealth modalities are live patient-provider video sessions, the store-and-forward technique—which collects clinical data and sends it to a separate location for evaluation—and off-site patient monitoring that studies clinical data as it elapses in real-time.
History of Telehealth Services
The telehealth revolution found its footing in a 1925 science fiction premise, which questioned the possibility of remote-based medical procedures. Matt Novak of Smithsonian Magazine pointed to entrepreneur and author, Hugo Gernsback, who imagined a world where doctors could interact with patients using radio waves—an insight that has helped clinicians grow their virtual presence and deliver patient-centered care over the internet.
How can I safely reopen my practice and offer face-to-face counseling sessions during a global pandemic? Many therapists are grappling with this question.
Counselors, psychologists and social workers quickly switched to Telemental Health sessions in March 2020 when the dangers of the deadly new coronavirus (SARS-CoV-2) hit home in America. Telemental Health has allowed us to continue offering much-needed therapy to clients during this national crisis without risk of exposing ourselves to the virus or spreading it to our clients.
Many of us are opting to keep using Telemental Health until a vaccine for the virus becomes available. The American Psychological Association recommends psychologists continue using telehealth if possible. The National Association of Social Workers (NASW) reminds social workers they are “not professionally or ethically required to provide in-person services.”
It’s not just behavioral health clinicians who have made the switch to distance counseling. The CDC recommends all healthcare providers keep using telehealth if possible to “provide necessary care to patients while minimizing the transmission risk of SARS-CoV-2, the virus that causes COVID-19, to healthcare personnel (HCP) and patients.”
But not all counseling clients are comfortable with Telemental Health, and it may not work at all for young children or clients with attention deficit and other mental health disorders.
Dr. Burton Tabaac has seen his fair share of emergencies as Medical Director of the Comprehensive Stroke Center in Reno, Nevada. Above all, he stresses the necessity of timely neurological evaluations as the difference-maker for stroke patients. Speaking with Ray Barrett, CEO of the Telehealth Certification Institute, Dr. Tabaac explains how the telehealth platform, TeleStroke, changes the way that patients receive emergency health services.
In severe neurological cases, every minute gone is a minute lost. TeleStroke connects experienced neurologists with patients who are undergoing the symptoms of a neurological crisis, cutting down the lag time when offering life-saving interventions. Dr. Tabaac describes TeleStroke as an exceptional off-site tool for neurologists.
Joel Miller and Angele Moss-Baker of the American Mental Health Counselors Association disclose details about the AMHCA’s newest publication—Beyond a Perfect Storm: How Racism, COVID-19, and Economic Meltdown Imperil our Mental Health—in a new interview with Ray Barrett. The authors integrated data from the US Census Bureau and the Center for Disease Control to emphasize the psychological, financial, and social repercussions of living through the COVID era. The AMHCA implores the behavioral health community to curtail the disruption fueled by COVID through local and federal advocacy efforts. With a flood of challenges washing into communities, the AMHCA suggests the best way forward: a cohesive, integrative approach to mental health service delivery.
When it comes to pediatric healthcare delivery, most parents and professionals would agree that in-office urgent care visits can be incompatible with daily demands.
Dr. Amy Wise, DNP, ARNP, CPNP-PC, a pediatric nurse practitioner with over six years of experience, knows that respecting a family’s daily schedule makes a difference in how her patients feel. Through her virtual healthcare startup, Kovvy Health, Dr. Wise has improved patient satisfaction by allowing families to remain in their homes while seeking pediatric services. Her person-centered approach emphasizes the uniqueness that each family brings with them to her virtual exam room.
Watch the lively conversation between Ray Barrett of Telehealth Certification Institute and Chanel Heermann about integrative care, technology, and marketing a private practice for integrative psychiatry.
If you look up a detailed definition of “Integrative Psychiatry”, you’ll find a lengthy entry. But Dr. Heermann condenses it to this simple statement: “Using What Works.” It’s looking at the whole person and combining the best of both traditional and holistic methods to design a treatment plan that works best for that person. In straddling the two worlds, integrative medicine bring people towards the center by finding the best blend for each individual.
Amy Hermes is a women’s health nurse practitioner and the Telehealth Director of Wise Health System in Texas. Telehealth services at Wise began with Stroke-Neuro Telemedicine (TeleStroke), in 2012. The success seen in TeleStroke (faster, better care and better patient outcomes) by 2016 brought Wise Health to expand the services offered, including the need for a director for the program. It has since expanded to TeleER, TeleNICU, TeleCCU, includes telespecialists, as well as both inpatient and outpatient telebehavioral health.
As a response to the recent uprise in racial trauma and police brutality, Telehealth Certification Institute hosted a free, live webinar titled, “Racial Justice & Community Restoration: A Trauma-Informed Response to a Nation in Crisis.” This webinar included free CE hours for mental health professionals and covered pertinent information such as developing cultural competence and meeting the needs of racial minority clients; participants were also able to interact with the speakers and participate in this important dialogue during a live Q&A. Over 1,000 attendees had the opportunity to learn from leading experts in the field of trauma, racial reconciliation, and mental health.
Helen Oscislawski is the co-founder & frequent author on the Legal Health Information Exchange, a rich resource of blog articles and a compliance resource library. She was elected in 2020 to the "Super Lawyers" issued by Thomson Reuters, for healthcare law in New Jersey.
Helen is known to many as a “go-to” attorney for legal guidance on HIPAA, HITECH, state privacy laws, and electronic Health Information Exchange (HIE) and is well-regarded for her work with the legal aspects of health information exchanges, HIPAA law, and 42 CFR Part Two for privacy and security law around healthcare information regarding substance abuse treatment. A trusted advisor, Helen now represents some of the most cutting edge and sophisticated HIEs, RHIOs and ACOs in the nation.
Helen and Ray Barrett met for one of our "Telehealth Facts Friday" sessions on Facebook Live. Watch the full interview for answers to frequently asked questions about the legal aspects of telehealth care, including: