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What is Telehealth?

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. 

TeleMental Health Law with Helen Oscislawski

Helen Oscislawski is the co-founder & frequent author of 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:

CARES Act

CARES Act

March 27, 2020, is the date that the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) was passed. The CARES Act is a $2 trillion stimulus package and designates emergency funding for topics such as healthcare, state funding, and overall relief. 

What immediate impact does the CARES Act have on healthcare during the period of the COVID-19 emergency?

COVID 19 Regulations For Telehealth, Interview with CCPH

Ray Barrett recently met with Mei Kwong, the Executive Director at CCHP, Center for Connected Health Policy to discuss recent regulation changes pertaining to the COVID-19 epidemic.

Cures Act Final Rule

ONC’s Cures Act Final Rule

March 2020 marked the release of the 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program Final Rule by the Department of Health and Human Services (HHS). This has been a five-year process and a promise for improvement and progress in the United States health care system.

In December 2016, the Office of the National Coordinator for Health IT (ONC’s) Cures Act was signed into law by Congress and has been under revision so that the newly issued Final Rule supports modern-day technology. The Cures Act is designed to accelerate medical product development, information innovation and advancements in access to patient information. A goal of the Cures Act is to establish the means by which the market takes the lead and drives development – to not wait on legislation and regulations in order to make improvements.

HIPAA Review of Technology Vendors

Ray Barrett interviewed Kelly Koch from Compliancy Group. In this informative conversation, Ray and Kelly delve into the steps required by healthcare providers to remain compliant with HIPAA law when working with third-party vendors. Kelly was able to help dispel much of the confusion surrounding this important topic and layout some clear “does and don’ts” when it comes to HIPAA and working with other organizations.

IMLC – Interstate Medical Licensure Compact

The Interstate Medical Licensure Compact (IMLC) allows physicians from 43 different Medical and Osteopathic boards to practice medicine across state lines. Interstate compacts exist so that governing agencies from different states or jurisdictions are able to define an agreement which allows for members of their respective regions to operate under a mutual set of regulations.

What is the Nursing Licensure Compact (NLC)?

The Nursing Licensure Compact (NLC) allows nurses to have one license to practice in multiple states. An interstate compact allows multiple states to join together and uniformly address common issues and establish guidelines that cross state boundaries to maintain regularity between governing agencies.