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Dr. Maheu discusses risk management for professionals wishing to consider the many opportunities currently available through telemental health and telepractice. ...

Dr. Maheu discusses risk management for professionals wishing to consider the many opportunities currently available through telemental health and telepractice.

The above event is sponsored by the TeleMental Health Institute, Inc. We are the premier professional training site for professionals seeking training in telehealth. Our courses are offered in a state-of-the-art, 100% online learning environment that is fully mobile compatible. Professional training is now available from your desktop of mobile device, 24/7, at your home or office.

To receive our FREE monthly newsletter related to telemental health, telecounseling, online therapy, telepsychology or telepsychiatry and telenursing, send an email to: tmhinews@aweber.com You will also receive notices of our bonuses and discounts for professional training for CEUs and CMEs.

See other offerings at www.telehealth.org
Send questions or comments to us at www.support.telehealth.org
Contact Dr. Maheu to speak at your next workshop or conference at: www.support.telehealth.org

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  • How many of you are psychotherapists? Consider yourselves professional communicators?

Aucd 2012 dec 2.2012 Aucd 2012 dec 2.2012 Presentation Transcript

  • Risk Management inthe Face ofUnprecedentedOpportunityAUCDDecember 2, 2012Marlene M. Maheu, Ph.D. 1
  • We Are Re-toolingCopyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • Video Teleconferencing (VTC) Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • Virtual Worlds
  • AllExistingLegalandEthicalRulesApply
  • OCPM Step 3: Legal Issues Duty to Report / Duty to WarnCalifornia State Law• (v) Failing to comply with the child abuse reporting requirements of Section 11166 of the Penal Code.• (w) Failing to comply with the elder and adult dependent abuse reporting requirements of Section 15630 of the Welfare and Institutions Code. CA Business and Professions Code Sections 4989.54 (cont.)
  • Is Skypea GoodChoice?Copyright 2012 TeleMental Health Institute, Inc. All rights reserved .
  • Is SkypeReliable?• Tiles & pixelates• Audio gets tinny• Echoes• Consumers might see you and hear you, without your awareness• Can take still shots of you• No pan/zoom capabilities• Drops calls without . Copyright 2012 TeleMental Health Institute, Inc. All rights reserved
  • Security Threat: Skype does not provide an audit trail,which is a pivotal HIPAA requirement
  • Is Skype avideoplatform ora socialmediaplatform?Copyright 2012 TeleMental Health Institute, Inc. All rights reserved .
  • OCPM Step 3 Legal Issues: Which Technologies to Use?• No Guesswork Needed – HIPAA “compliant” or “compatible” – Practitioners need to be compliant, not technology – Look for documentation of compatibility with HIPAA standards
  • Internet-based, VTC Companies* Claiming HIPAA Compliance • Access Psychiatry • Interactive Care • Adobe Connect • iTel • Behavior Imaging Solutions • IVE (cloud) • Breakthrough • Lifesize (Logitech) • Brighter Day Health • MyTherapyNet • CaliforniaLiveVisit • Pass • CopeToday • Revation • Consult a Doctor • Secure Telehealth • Counsol.com • Secure Video Conference • EasyShare VC • Shepell fgi • eCounseling • Smart House Calls • E Mental Health Center • Soltrite • Forefront Telecare • Via3 • GEMS • VisHealth (Visual Telehealth) • GoToMeeting • VSee • iCouch• See more at www.telehealth.org/video• TMH Institute has partnered with some of these companies and will receive a referral fee if you mention TMHI. You may also get an added discount. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • Licensure Requirements• We need to be licensed in our state(s) to practice mental health• Common: We need to be licensed in the state of residency of the patient (e.g., Florida, Texas, Utah, Vermont )• Also Possible: Both laws may exist
  • Question• I’m ok if my malpractice carrier says they cover me online, right? Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • Malpractice• Do they cover you for both regulatory and civil infractions? – If not, why not?• Write to your malpractice carrier and ask them to clearly tell you what will happen if you get in trouble• Consider that a lawsuit can involve a year or two of your life, without pay
  • Existing TeleMental Health Guidelines• American Medical Association. (2000). Guidelines for Patient-Physician Electronic Mail• American Counseling Association. (1999) (2005). ACA Code of Ethics• American Mental Health Counselors Association. (2000). Code of Ethics of the American Mental Health CounselorsAssociation, Principle 14, Internet On-Line Counseling• American Psychological Association. (1997). APA Statement on Services by Telephone, Teleconferencing, and Internet, Astatement by the Ethics Committee of the American Psychological Association• American Psychological Association. (2010). Ethical principles of psychologists and code of conduct• American Telemedicine Association. (2009). Evidence-Based Practice for Telemental Health• American Telemedicine Association. (2009). Practice Guidelines for Videoconferencing-Based Telemental Health• Australian Psychological Society. (2004). Guidelines for Providing Psychological Services and Products on the Internet• British Psychological Society. (2009). The Provision of Psychological Services via the Internet and Other Non-direct Means• Canadian Psychological Association. (2006). Ethical Guidelines for Psychologists Providing Psychological Services viaElectronic Media• Federation of State Medical Boards of the United States, Inc., Report of the Special Committee on Professional Conduct andEthics. (2002) Model guidelines for the appropriate use of the Internet in medical practice• National Association of Social Workers. (1999) (2008). Code of Ethics• National Board for Certified Counselors and Center for Credentialing and Education, (2001). The Practice of InternetCounseling. (2001)• New Zealand Psychological Psychologists Board (2011). Draft Guidelines: Psychology services delivered via the internet andother electronic media• Ohio Psychological Association. (2010). Telepsychology Guidelines• Winkler, M., Flanagin, A., Chi-Lum, B., White, J., Andrews, K., Kennett, R., DeAngelis, C. & Musacchio, R. (2000). Guidelines formedical and health information sites on the Internet. Journal of the American Medical Association, March 22/29, 283(12), pp.1600-1606
  • Boundaries of CompetenceCopyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • American Psychological Association, Ethical Principles & Standards (2002)• Psychologists must be aware of multicultural and diversity issues.
  • OCPM: Online ClinicalPractice Model Online Clinical Practice Management (OCPM)Step 1: TrainingStep 2: ReferralsStep 3: Patient EducationStep 4: LegalitiesStep 5: AssessmentStep 6: Direct CareStep 7: Reimbursement
  • •Nursing Homes
  • Rural Hospitals
  • Hospitals
  • Home Health
  • CorrectionaFacilities
  • Military & Veteran’s Migration ModelAdministration
  • Australian Psychological Society (2011 revision of Internet Guidelines)• Research-based protocols – 1.6 “Psychologists using the internet to provide a psychological service should be aware of the extent to which therapeutic interventions via the internet are supported by research or may be contra-indicated ….” Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • Service to the Home: Migration Model• Start with your current clients• Select those who are reliable, have good support systems and with whom you have a good working relationship• Consider their diagnosis• Take the time to prepare them• Plan in-person sessions at regular intervals• Do not work through their secretaries or others
  • American Telemedicine AssociationVideoconferencing Guidelines – Emergencies (2009)• A patient site • Emergency protocols assessment shall be shall be created with undertaken, including clear explanation of obtaining information roles & responsibilities on local regulations & in emergencies emergency resources, and identification of potential local collaborators to help with emergencies
  • American Telemedicine AssociationVideoconferencing Guidelines – Emergencies (2009) • Determine outside • Be familiar with local emergency coverage civil commitment • Establish guidelines for regulations and have determining at what arrangements where point other staff and possible to work with resources should be local staff to recruited to help initiate/assist with civil manage emergencies commitments
  • American Telemedicine Association Videoconferencing Guidelines – Emergencies (2009)• Be aware of the impact • Be aware of safety issues of remote care on with patients displaying provider’s perception of strong affective or control (or lack thereof) behavioral states upon over the clinical conclusion of a session, interaction, and how and how patients may this might impact then interact with provider’s management. remote site inhabitants
  • Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • Smart Phone Explosion• Nearly half (46%) of American adults are smartphone owners as of February 2012, an increase of 11 percentage points over the 35% of Americans who owned a smartphone last May…• Smartphone owners are now more prevalent within the overall population than owners of more basic mobile phones. (PEW, 2012) Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • Apps: Selection Criteria• Usability• Privacy & confidentiality – Passwords and alerts – Does it transmit info?• Ratings• Evidence-Base – For underlying theory – For app itself
  • Questions?Marlene M. Maheu, Ph.D.TeleMental Health Institute, Inc.Phone: 619-255-2788Email: mmaheu@telehealth.ORG Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.