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Telemedicine: Why and
How for Doctors
GPT Conference
March 26,2015
Savannah, Ga.
Jean R. Sumner M.D.
Associate Dean of Rural Health
Why Physicians
Why Physicians
Pharmacy Benefit
Managers
Approval Prior to Xrays
Credentialing
Affordable Care Act
Why Physicians
Patients Acceptance
Technology
Physician Extenders
Specialty
Consultation
Continuity
Quality of Life
Cost saving
Why Physicians
Quality
Safety
Compliance
License
How..By the Rules
Georgia Board of Medicine
Practice Through Electronic
Means
Physician Coverage
How: Practice through Electronic
Means…360-3-.07
* Georgia License
* History of the Patient
* Physician
* Physician Assistant
* Advance Practice Nurse
How: By the Rules
* Personally seen and examined and is
providing ongoing care OR
* Providing care at the request of a provider
who has personally seen and examined the
patient OR
* Is providing care at the request of a listed
agency and can examine the patient equal
to or superior to that done in person OR
* Is able to examine the patient equal to or
superior to an exam done in person
How : By the Rules
Must maintain records that document the
evaluation and treatment
Records must identify provider
Records must be sent to the referrring
provider if the patient is referred
If care is provided by a APRN or PA:
The responsible physician must certify
to the board that telemedicine is in his
scope and the extender has
demonstrated competence
HOW : By the Rules
Credentials
Emergency
Contact
Information
How: By the Rules
Clear
Emergency
Plan
How: By the Rules
Annual Examination
in Person
Rule does not apply
to established
doctor patient
relationship
How: By the Rules
No Rx for Pain
Diagnostic Testing
Same standard of
Care
Telemedicine: How and Why
Highest Standard of Care
Comply with Rules and
Laws
Integrate care into
Established Systems
Savannah gpt

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Savannah gpt

  • 1. Telemedicine: Why and How for Doctors GPT Conference March 26,2015 Savannah, Ga. Jean R. Sumner M.D. Associate Dean of Rural Health
  • 3. Why Physicians Pharmacy Benefit Managers Approval Prior to Xrays Credentialing Affordable Care Act
  • 4. Why Physicians Patients Acceptance Technology Physician Extenders Specialty Consultation Continuity Quality of Life Cost saving
  • 6. How..By the Rules Georgia Board of Medicine Practice Through Electronic Means Physician Coverage
  • 7. How: Practice through Electronic Means…360-3-.07 * Georgia License * History of the Patient * Physician * Physician Assistant * Advance Practice Nurse
  • 8. How: By the Rules * Personally seen and examined and is providing ongoing care OR * Providing care at the request of a provider who has personally seen and examined the patient OR * Is providing care at the request of a listed agency and can examine the patient equal to or superior to that done in person OR * Is able to examine the patient equal to or superior to an exam done in person
  • 9. How : By the Rules Must maintain records that document the evaluation and treatment Records must identify provider Records must be sent to the referrring provider if the patient is referred If care is provided by a APRN or PA: The responsible physician must certify to the board that telemedicine is in his scope and the extender has demonstrated competence
  • 10. HOW : By the Rules Credentials Emergency Contact Information
  • 11. How: By the Rules Clear Emergency Plan
  • 12. How: By the Rules Annual Examination in Person Rule does not apply to established doctor patient relationship
  • 13. How: By the Rules No Rx for Pain Diagnostic Testing Same standard of Care
  • 14. Telemedicine: How and Why Highest Standard of Care Comply with Rules and Laws Integrate care into Established Systems

Editor's Notes

  1. So often as physicians we sit back. We don’t take a stand for what is best for our patients. We camouflage ourselves behind our workload and reimbursement issues. When we should be vocal advocates for what is best for our patients. Recent study demonstrated that profession that lose trust become increasingly regulated and because of reluctance of practicing MDs to get involved we are losing trust.
  2. Long list: Reflect lack of physician Leadership Refusal to use generics Overutilization of imaging Credentialing ACA Layered bureaucracy : Developed by academics who had little patient care experience
  3. Patients like telehealth Technology available to give superior care, at the right time without Physician extenders Specialty consultation Continuity Physician Quality of Life Saves Money