This document provides frequently asked questions (FAQs) on telemedicine practice guidelines from both patient and registered medical practitioner (RMP) perspectives. Some key points addressed include:
- Patients can contact any RMP registered with a medical council for a telemedicine consultation with mutual consent. Nurses can consult on behalf of patients with patient consent.
- RMPs have the right to refuse or discontinue a teleconsultation. Prescriptions provided via teleconsultation must contain the RMP's registration number and digital signature.
- RMPs are authorized to charge fees for teleconsultations and must maintain records of interactions like phone/video logs and prescriptions. They can advise to the best of
BOARD OF GOVERNORS In supersession of the Medical Council of India
Telemedicine Practice Guidelines Enabling Registered Medical Practitioners to Provide Healthcare Using Telemedicine
These Guidelines have been prepared in partnership with NITI Aayog
Telehealth medico legal aspects by dr alka mukherjee nagpur ms indiaalka mukherjee
The term telehealth includes a broad range of technologies and services to provide patient care and improve the healthcare delivery system as a whole. Telehealth is different from telemedicine because it refers to a broader scope of remote healthcare services than telemedicine. While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services. According to the World Health Organization, telehealth includes, “Surveillance, health promotion and public health functions.”
Telemedicine involves the use of electronic communications and software to provide clinical services to patients without an in-person visit. Telemedicine technology is frequently used for follow-up visits, management of chronic conditions, medication management, specialist consultation and a host of other clinical services that can be provided remotely via secure video and audio connections.
Health Care delivery system is the skeleton of meeting healthcare needs of enormous population of every country.
In order to have a clear view of community medicine, it is essential to know about different health care systems in order to fulfill learning objectives of students.
BOARD OF GOVERNORS In supersession of the Medical Council of India
Telemedicine Practice Guidelines Enabling Registered Medical Practitioners to Provide Healthcare Using Telemedicine
These Guidelines have been prepared in partnership with NITI Aayog
Telehealth medico legal aspects by dr alka mukherjee nagpur ms indiaalka mukherjee
The term telehealth includes a broad range of technologies and services to provide patient care and improve the healthcare delivery system as a whole. Telehealth is different from telemedicine because it refers to a broader scope of remote healthcare services than telemedicine. While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services. According to the World Health Organization, telehealth includes, “Surveillance, health promotion and public health functions.”
Telemedicine involves the use of electronic communications and software to provide clinical services to patients without an in-person visit. Telemedicine technology is frequently used for follow-up visits, management of chronic conditions, medication management, specialist consultation and a host of other clinical services that can be provided remotely via secure video and audio connections.
Health Care delivery system is the skeleton of meeting healthcare needs of enormous population of every country.
In order to have a clear view of community medicine, it is essential to know about different health care systems in order to fulfill learning objectives of students.
ICT BASED TELEMEDICINE FOR THE EGYPTIAN SOCIETYcsandit
The One of the most challenging problems that encounter the Egyptian society is the lack of
significant health care in the rural areas. This problem leads to more severe problems that face
the society; the patients from the different rural areas needs to travel to the Egyptian capital
where the most experienced physicians are available. This will make overhead not only on the
patient budget but on the country budget since the focus on the capital makes a severe traffic
problem which threaten most of the economic sectors. The telemedicine is considered one of the
most important solutions that could mitigate the accumulated problems of lack of experienced
physicians in the Egyptian rural areas. The application of the telemedicine encounters several
challenges in Egypt; the lack in the experience in dealing with the telemedicine in these areas
and the problem of insufficient medical experts that could fulfil the gab. In this paper, a new
ICT-based telemedicine system is proposed to serve the Egyptian society. The portal is already
released and snapshots are included
Telecommunication systems applied to telemedicineShazia Iqbal
Telemedicine allows health care professionals to evaluate, diagnose and treat patients at a distance using telecommunications technology.
The approach has been through a striking evolution in the last decade and it is becoming an increasingly important.
This is a presentation on the Health care and hospital management.The topic cover on this presentation is Introduction of health, Health Care provider, Components of healthcare delivery system, Levels of health care, Rural Health care system in India, Hospital management system, Type, Introduction of automation management, Problem definition, Advantages of computerized hospital management system, Requirement specification, User interface, Screen shorts of software etc.
Slides used to deliver presentation on Korean healthcare system overview. Main topics are: payer, healthcare delivery system, regulation, stakeholders.
Information system to enhance medical services quality in IndonesiaIJECEIAES
The consequence of disproportionate distribution and placement of Doctor in Indonesia is affecting people who live in rural area. Patient have to travel to city to receive medical treatment and must encounter another different problem such as: patients often have to wait a long time in the doctor's office even sometimes do not get the service because of holiday or rejected because the queue is full. Medical record in some cases may lost due in Indonesia mostly medical record recorded manually (paper based). Therefore doctor treatment is not optimal because doctor can no longer inspect patient illness history and any treatment that have been conducted before. This research proposes a new concept to help people who live in rural area to get better medical treatment. People could register and monitor doctor service queue via smart phone. System expanded with medical record management facilities to improve service quality of patient. Research object was doctor service in Sulawesi, Indonesia. This research indicates system could increase time efficiency, energy, and cost efficiency for patient and also the doctor. Additionally current system will be optimal if supported with stable internet network.
The health-care system has considerably improved over time. However, with today's technology, it is
possible to link medical services with internet systems to make the lives of patients easier. Our software,
LifeCare will assist a patient in locating a specialized doctor based on their requirements, availability,
distance, and consulting fees. .
The implementation of BPJS health program At public health center martapura i...IJRES Journal
Improving the quality of health services at the primary level is very important to reduce the burden of services which will be covered hospital when the BPJS program applied. The aimed of this study is to describe the implementation of the program of BPJS in Public Health Center (PHC) Martapura. This study was a qualitative research with case study design. The informants are the head of PHC and manager program were taken by purposive sampling. Data were collected through interviews using in-depth interview guide. Result of this study was since the enactment BPJS January 1, 2014, Banjar Regency Health Office only once to disseminate ie in March 2014. This makes the health center to get the barriers in the field of the sustainability of the information obtained from the health department with the information captured on the official website BPJS. Another barriers was the disbursement claims that have not been implemented which should have been right to health centers for services provided. Support from the health department and BPJS needed to inform about the national health insurance program regularly to health centers so that health centers do not confusion in implementing the program.
In the time of social distancing, telemedicine has emerged as the preferred means of seeking quality healthcare in the country. India’s telemedicine guidelines issued in March 2020 have clarified regulations for startups and investors. With the government’s new guidelines unlocking the prospects for the telemedicine industry, there have been numerous startups that are establishing and announcing their ventures in the segment.
This session provided clarity on the revised guidelines for the telemedicine industry, new prospects to improve access to healthcare at the grass-root level, and global business opportunities.
Guidelines for practicing Telemedicine have been released on 25th March 2020 by MOHFW. Telemedicine has come to lime light due to COVID-19 Pandemic.This presentation covers those guidelines, the need of Telemedicine, advantages of Telemedicine, some success stories of Telemedicine and the challanges ahead.
ICT BASED TELEMEDICINE FOR THE EGYPTIAN SOCIETYcsandit
The One of the most challenging problems that encounter the Egyptian society is the lack of
significant health care in the rural areas. This problem leads to more severe problems that face
the society; the patients from the different rural areas needs to travel to the Egyptian capital
where the most experienced physicians are available. This will make overhead not only on the
patient budget but on the country budget since the focus on the capital makes a severe traffic
problem which threaten most of the economic sectors. The telemedicine is considered one of the
most important solutions that could mitigate the accumulated problems of lack of experienced
physicians in the Egyptian rural areas. The application of the telemedicine encounters several
challenges in Egypt; the lack in the experience in dealing with the telemedicine in these areas
and the problem of insufficient medical experts that could fulfil the gab. In this paper, a new
ICT-based telemedicine system is proposed to serve the Egyptian society. The portal is already
released and snapshots are included
Telecommunication systems applied to telemedicineShazia Iqbal
Telemedicine allows health care professionals to evaluate, diagnose and treat patients at a distance using telecommunications technology.
The approach has been through a striking evolution in the last decade and it is becoming an increasingly important.
This is a presentation on the Health care and hospital management.The topic cover on this presentation is Introduction of health, Health Care provider, Components of healthcare delivery system, Levels of health care, Rural Health care system in India, Hospital management system, Type, Introduction of automation management, Problem definition, Advantages of computerized hospital management system, Requirement specification, User interface, Screen shorts of software etc.
Slides used to deliver presentation on Korean healthcare system overview. Main topics are: payer, healthcare delivery system, regulation, stakeholders.
Information system to enhance medical services quality in IndonesiaIJECEIAES
The consequence of disproportionate distribution and placement of Doctor in Indonesia is affecting people who live in rural area. Patient have to travel to city to receive medical treatment and must encounter another different problem such as: patients often have to wait a long time in the doctor's office even sometimes do not get the service because of holiday or rejected because the queue is full. Medical record in some cases may lost due in Indonesia mostly medical record recorded manually (paper based). Therefore doctor treatment is not optimal because doctor can no longer inspect patient illness history and any treatment that have been conducted before. This research proposes a new concept to help people who live in rural area to get better medical treatment. People could register and monitor doctor service queue via smart phone. System expanded with medical record management facilities to improve service quality of patient. Research object was doctor service in Sulawesi, Indonesia. This research indicates system could increase time efficiency, energy, and cost efficiency for patient and also the doctor. Additionally current system will be optimal if supported with stable internet network.
The health-care system has considerably improved over time. However, with today's technology, it is
possible to link medical services with internet systems to make the lives of patients easier. Our software,
LifeCare will assist a patient in locating a specialized doctor based on their requirements, availability,
distance, and consulting fees. .
The implementation of BPJS health program At public health center martapura i...IJRES Journal
Improving the quality of health services at the primary level is very important to reduce the burden of services which will be covered hospital when the BPJS program applied. The aimed of this study is to describe the implementation of the program of BPJS in Public Health Center (PHC) Martapura. This study was a qualitative research with case study design. The informants are the head of PHC and manager program were taken by purposive sampling. Data were collected through interviews using in-depth interview guide. Result of this study was since the enactment BPJS January 1, 2014, Banjar Regency Health Office only once to disseminate ie in March 2014. This makes the health center to get the barriers in the field of the sustainability of the information obtained from the health department with the information captured on the official website BPJS. Another barriers was the disbursement claims that have not been implemented which should have been right to health centers for services provided. Support from the health department and BPJS needed to inform about the national health insurance program regularly to health centers so that health centers do not confusion in implementing the program.
In the time of social distancing, telemedicine has emerged as the preferred means of seeking quality healthcare in the country. India’s telemedicine guidelines issued in March 2020 have clarified regulations for startups and investors. With the government’s new guidelines unlocking the prospects for the telemedicine industry, there have been numerous startups that are establishing and announcing their ventures in the segment.
This session provided clarity on the revised guidelines for the telemedicine industry, new prospects to improve access to healthcare at the grass-root level, and global business opportunities.
Guidelines for practicing Telemedicine have been released on 25th March 2020 by MOHFW. Telemedicine has come to lime light due to COVID-19 Pandemic.This presentation covers those guidelines, the need of Telemedicine, advantages of Telemedicine, some success stories of Telemedicine and the challanges ahead.
The 2017 Texas Legislature adopted a new definition and a new approach to telemedicine and the remote delivery of health care. Two health care lawyers prepared this deck to help Texas physicians understand the new law, how it came about, and what it could mean for the practice of medicine in Texas.
"Telemedicine and Digital Health: New Texas Law, Opportunities, and Challenges" was presented at the Texas Medical Association 2017 Fall Conference, Sept. 16, 2017, as the Philip R. Overton Annual Lectureship in Medicine and the Law.
A workshop for the South Warwickshire GP Federation, exploring the details of the 10 High Impact Actions to release time for care, and the ways in which practices locally wish to use them.
ReferencesConclusionThe capacity to adapt is crucial.docxlorent8
References
Conclusion
The capacity to adapt is crucial in an era of rapid change. Today’s politically astute nurses have many opportunities to shape public policy, by working in coalition together and with other health professionals and consumers, and to advocate for state and federal health policies and regulations that will allow the public greater access to affordable, quality health care. The window of opportunity that opened with the enactment of the comprehensive ACA will look somewhat different as we move forward. It is essential for nurses and APRNs to develop skills to capitalize on the chaos present in the healthcare and political environments and to create opportunities to advance the profession as a whole. Familiarity with the regulatory process will give nurses and APRNs the tools needed to navigate this dynamic environment with confidence. Knowing how to monitor the status of critical issues involving scopes of practice, licensure, and reimbursement will allow APRNs to influence the outcomes of debates on those issues. Participation in specialty professional nurse organizations is especially advantageous. Participation builds a membership base, providing the foundation for strong coalition building and a power base from which to effect change in the political and regulatory arenas. Participation also gives members ready access to a network of colleagues, legislative affairs information, and professional and educational opportunities. Although supporting the profession through participation is central, it is equally important to remember that each professional nurse has the ability to make a difference.
Discussion Points
Compare and contrast the legislative and regulatory processes. Describe the major methods of credentialing. List the benefits and weaknesses of each method from the standpoint of public protection and protection of the professional scope of practice. Discuss the role of state BONs in regulating professional practice. Obtain a copy of a proposed or recently promulgated regulation. Using the questions in Exhibit 4-1, analyze the regulation for its impact on nursing practice. Describe the federal government’s role in the regulation of health professions. To what extent do you believe this role will increase or decrease over time? Explain your rationale. Analyze the pros and cons of multistate regulation (choose multistate regulation of RNs, APRNs, or a combination). Based on your analysis, develop and defend a position either for or against multistate regulation. Prepare written testimony for a public hearing defending or opposing the need for a second license for APRNs. Contrast the BON and the national or state nurses association vis-à-vis mission, membership, authority, functions, and source of funding. Identify a proposed regulation. Discuss the current phase of the process, identify methods for offering comments, and submit written comments to the administrative agency. Evaluate the APRN section of the nu.
Telemedicine in the Healthcare Delivery SystemVSee
For more information of the presentation such as recording and transcript, please visit:
https://goo.gl/yiQNAA
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Informed Consent in Telemedicine
How can we explain to the patient informed consent in telemedicine
Security Measures
APA & ATA Guidelines
Advantages and Disadvantages of Informed Consent in Telemedicine
The Risks of Informed Consent in Telemedicine
This guide is designed to help health and social care professionals understand and implement the law relating to advance decisions to refuse treatment (ADRT) contained in the Mental Capacity Act (2005).
This 2013 version replaces that published in September 2008 and covers:
How to make an advance decision to refuse treatment, who can make an advance decision, when a decision should be reviewed and how it can changed or withdrawn
What should be included
Rules applying to advance decisions to refuse life sustaining treatment and how they relate to other rules about decision-making
How to decide on the existence, validity and applicability of advance decisions and what healthcare professionals should do if an advance decision is not valid or applicable
The implications for healthcare professionals of advance care decisions, including situations where a healthcare professional has a conscientious objection to stopping or providing life-sustaining treatment
What happens if there is a disagreement about an advance decision.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Assessing Employees’ Understanding of Liability Protections for .docxfestockton
Assessing Employees’ Understanding of Liability Protections for Physicians and Facility
A case of Three Mountains Regional Hospital
Keri King
Deliverable 2
Physician Liability Protection Question 1
In case no fee is charged, does the responsibility of the malpractice carrier change?
In the event a fee is not charged, the responsibility of the malpractice carrier does not change. The reason is that the practitioner would be deemed to have executed the procedure in question. In the context, the expectation would be that the physician endeavors to meet the highest standards of care. If the responsibility was to change, however, the notion would be that the practitioner is motivated by pay to adhere to practice guidelines, which should not be the case.
2
Physician Liability Protection Question 2
Do Good Samaritan laws present an effect of a physician’s protection from legal action?
Good Samaritan laws have an effect of protection of healthcare professionals from legal actions in certain specific circumstances. One such circumstance is during provision of care in emergency circumstances. In legal context, emergency situations may involve the element of confusion and the physician may, therefore, engage in a malpractice against their wish (Bertoli & Grembi, 2018). The laws mentioned previously, however, do not offer protection to physicians in all other circumstances of offering care and physicians should, therefore, exercise caution.
3
Physician Liability Protection Question 3
What is the nature of liability incurred by a physician as a result of diagnosing a patient and recommending treatment without usual diagnostic tests?
Diagnosing a patient without a usual test amounts to neglect of the duty of care to decide the treatment to give to a sufferer. The reason is that a range of ailments can feature similar symptoms and would, therefore, be inappropriate for a medic to settle on treatment without confirmed laboratory results. In like manner, the physician in question would also be liable for breaching the duty of care in administration of treatment. The breach of duties would grant a patient the right of action for negligence.
4
Physician Liability Protection Question 4
In case treatment will be unavailable owing to the patient being uninsured, what would be the use of diagnostic testing?
Usually, treatment is not available to patients that are not insured. In the context, however, diagnostic tests may still be available to the patients despite the absence of insurance, the rationale being that test results may be applied for treatment of the patient in the facility if payment is availed (Schneider, 2017). In a similar manner, the results may be used in another medical facility where a client could be having a cover. In both cases, prior testing saves a client from potential danger of escalation of their problem without knowledge of the disorder they are suffering from.
5
Physician Liability Pr ...
Presentation during MedicinMan Anup Soan's "How to create winning Sales Organization' conference on 20th Dec 2017 At Mumbai
Workshop Leader :Deep Bhandri
Section : Understanding Territories and Deployment
Topic : How to Deploy Field force,Segmentation and targeting of customers and key performance indicators.
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
Up the Ratios Bylaws - a Comprehensive Process of Our Organizationuptheratios
Up the Ratios is a non-profit organization dedicated to bridging the gap in STEM education for underprivileged students by providing free, high-quality learning opportunities in robotics and other STEM fields. Our mission is to empower the next generation of innovators, thinkers, and problem-solvers by offering a range of educational programs that foster curiosity, creativity, and critical thinking.
At Up the Ratios, we believe that every student, regardless of their socio-economic background, should have access to the tools and knowledge needed to succeed in today's technology-driven world. To achieve this, we host a variety of free classes, workshops, summer camps, and live lectures tailored to students from underserved communities. Our programs are designed to be engaging and hands-on, allowing students to explore the exciting world of robotics and STEM through practical, real-world applications.
Our free classes cover fundamental concepts in robotics, coding, and engineering, providing students with a strong foundation in these critical areas. Through our interactive workshops, students can dive deeper into specific topics, working on projects that challenge them to apply what they've learned and think creatively. Our summer camps offer an immersive experience where students can collaborate on larger projects, develop their teamwork skills, and gain confidence in their abilities.
In addition to our local programs, Up the Ratios is committed to making a global impact. We take donations of new and gently used robotics parts, which we then distribute to students and educational institutions in other countries. These donations help ensure that young learners worldwide have the resources they need to explore and excel in STEM fields. By supporting education in this way, we aim to nurture a global community of future leaders and innovators.
Our live lectures feature guest speakers from various STEM disciplines, including engineers, scientists, and industry professionals who share their knowledge and experiences with our students. These lectures provide valuable insights into potential career paths and inspire students to pursue their passions in STEM.
Up the Ratios relies on the generosity of donors and volunteers to continue our work. Contributions of time, expertise, and financial support are crucial to sustaining our programs and expanding our reach. Whether you're an individual passionate about education, a professional in the STEM field, or a company looking to give back to the community, there are many ways to get involved and make a difference.
We are proud of the positive impact we've had on the lives of countless students, many of whom have gone on to pursue higher education and careers in STEM. By providing these young minds with the tools and opportunities they need to succeed, we are not only changing their futures but also contributing to the advancement of technology and innovation on a broader scale.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
1. Page 1 of 10
BOARD OF GOVERNORS
In supersession of the Medical Council of India
Frequently Asked Questions [FAQs]
on
Telemedicine Practice Guidelines
April, 2020
Note: The Telemedicine Practice Guidelines is an integral part of the Indian
Medical Council (Professional Conduct, Etiquette and Ethics)
Regulations, 2002, popularly known as the Code of Medical Ethics.
Hence, the principles enunciated therein are ipso facto applicable to the
practice of Telemedicine. FAQs are indicative only , not exhaustive.
2. Page 2 of 10
FAQs on Telemedicine Practice Guidelines
FromPatients/ Care-seekers’ point of view
1. How can I know whom to contact or how to get in touch with the
doctor (Registered Medical Practitioner, RMP) on telemedicine?
Patient can contact any RMP of modern medicine duly registered with
MCI/State Medical Councils; and if he/she agrees to provide a
telemedicine consult, then it means mutual consent has been given.
2. I am old and unable to physically visit a hospital and I have a nurse
taking care of my clinical condition. Can I ask my nurse to consult on
my behalf and how can she enable me for a better consultation?
Definitely. Your nurse ( duly trained and registered in Nursing Council )
can consult on your behalf if you record your consent with the RMP for
the same during tele-consultation. The RMP can request your Nurse to do
routine clinical examination (for which nurse is duly trained) and provide
requisite information, and then RMP can provide health care advice,
counselling and prescribe appropriate medications.
3. In case of an emergency, can I call any RMP for an immediate
advice?
Yes, you may call any RMP for an advice for a medical emergency, but
you cannot insist for an advice if the RMP chooses not to reply or give
any specific advice.
4. How would teleconsultation be useful in an emergency?
In case alternative care is not immediately feasible, tele-consultation
might be the only way to provide timely care. In such situations, RMPs
may provide consultation to their best judgement. Such services might be
limited to first aid, life-saving measure, counselling and advice on
referral. However, telemedicine should be avoided for emergency care to
the possible extent specially when alternative in-person care is available.
3. Page 3 of 10
5. Would a RMP be entitled for fee for his/her consultation through
telemedicine also?
As per the guidelines, an RMP is authorized to charge a fee for a
consultation and provide a receipt for the same.
6. Can a RMP refuse or discontinue tele-consultation at any point of
time?
The guidelines allow a RMP to refuse or discontinue a teleconsultation,
with due notice to the patient , during any time of the consultation
process. Similar liberty has also been provided to the patients.
7. Are the prescriptions provided via teleconsultation legally valid and
how do I ensure that the RMP is qualified for the prescription?
It is mandated in the guidelines that for all teleconsultations, the RMP
should identify him/herself and also mention/ display his/her MCI/State
Medical Council registration number. It is also mandatory that the RMP
issues prescription as per the specified format, which should have his/her
digital signature and the Registration number. The Registration of the
RMP can always be counter checked, if desired on the websites of
relevant Medical Councils.
8. How do we know that our privacy is not breached by tele-
consultation?
The Guidelines have laid down strict norms for the RMPs not to breach
the privacy of the patients in any form. However, the RMP cannot be held
responsible if there is a reasonable evidence to believe that patient’s
privacy and confidentiality has been compromised by a technology
breach or by a person other than RMP.
9. If I am on a follow-up care for a Chronic condition (say Diabetes), for
how long can I continue to request for refill for my medications to my
RMP?
The Guidelines define follow-up consultation for a maximum period of 6
months. After this period, an in-person consultation is mandatory.
4. Page 4 of 10
10.We are a group of Technology Platform providers for enabling
teleconsultations on behalf of patients with RMPs. How does the
guideline enable us?
Section 5 of the Tele medicine Guidelines have laid down specific
guidelines for the same and may please be referred to.
From RMP/ Care-givers’ point of view
1. Who are entitled to provide telemedicine consultation?
As on date all Registered Medical Practitioners (RMP) under IMC Act,
1956 can provide telemedicine consultations but only after they qualify
the prerequisites.
2. What are the prerequisites to be for doing a telemedicine
consultation?
The MCI is in process of developing an online telemedicine course for
ensuring uniformity. Once the course is developed, it will be mandatory
for all RMPs to undertake this course within three years of its
notification. Thereafter, it will be compulsory for all RMPs who wish to
tele-consult to have undergone such a course.
As on date, all RMPs can tele-consult, provided they follow the
Telemedicine Practice Guidelines notified under IMC Act, 1956.
3. Can a Health Worker and Care givers do teleconsultation for a
patient?
Yes a health worker such as Auxiliary Nurse Mid-wife (ANM)/Nurse etc.
can do tele-consultation for a given patient. The guidelines mention the
framework for such a scenario.
4. In case I feel the patient requires a physical examination, how do I
ensure that?
The RMP has the right to pause his/her tele-consultation and recommend
an in-patient consultation. Besides, if during the teleconsultation it
appears that a physical examination is mandatory but not feasible on the
mode being used for the consultation, the tele-consultation should be
aborted and the patient referred for an in-person review.
5. Page 5 of 10
5. Do I need to keep screenshots and records to safeguard myself?
Yes. It is specified in guidelines. It is incumbent on the RMP to maintain
the following records/ documents for the period, as prescribed from time
to time. These include Log or record of Telemedicine interaction (e.g.
Phone logs, email records, chat/ text record, video interaction logs etc.).
The RMP should retain patient records, reports, documents, images,
diagnostics, data (Digital or non-Digital) etc. utilized in the telemedicine
consultation. Specifically, in case a prescription is shared with the
patient, the RMP is required to maintain the prescription records as
required for in-person consultations.
6. Recently, I have heard in legal disputes that judgement has been
given that doctors are not supposed to communicate on WhatsApp.
What is the status after these guidelines?
With the notification of Telemedicine Practice Guidelines under the IMC
Act, 1956 RMPs under IMC Act, 1956 are now empowered and legally
protected to provide teleconsultation by any mode, for various settings, as
specified in the document.
7. What are the legal effects of inadequate management as perceived by
a patient?
The Telemedicine Guidelines comprehensively provides various settings
under which different modes of teleconsultation can be undertaken and
also enunciates steps to be undertaken to prevent any miscommunication
between the patient and RMP. Besides, it also mentions steps to be taken
to ensure documentation and thereby avoid legal issues. If despite these
measures, the patient still perceives inadequate management, which can
also happen in an in-person consultation, the legal issues need to be dealt
in a similar way.
8. What happens if a doctor does not want or wishes not to attend to a
request made by phone or WhatsApp?
The Telemedicine Guidelines mention that a RMP has the liberty not to
attend a teleconsultation request made by a patient.
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9. What if a patient calls at an odd time like midnight when the RMP is
not on duty?
The RMP can choose either to attend the call or not. The RMP can also
choose not to provide consultation to the patient (if it does not suit the
RMP) during on duty hours also.
10.In trauma and in acute emergency, if the RMP asks for immediate
referral to a hospital and a patient insists for tele-management, what
to do?
The doctor should record his/her statement about the advice given
regarding referral for in-person consult (as specified in the guide lines)
and referral. In case the patient insists, the best possible care that can be
given on tele-consult in the form of advice, counselling, first-aid
measures to enable immediate relief should be provided. In case the
consultation is through a Health Worker of another RMP, advice on
medications, as specified in the guidelines can be given.
11.In case of problems with internet connectivity, the resultant
telephonic consult may be of poor quality. What should be done in
this context?
If the issue of connectivity is in the beginning of the consult, the RMP
may choose not to proceed with the consultation, citing the reasons. If the
issue of poor connectivity happens during the course of the
communication, the same can be recorded and kept as a proof.
12.Will the prescription sent online as an image or scan be honoured by
the local chemist?
Yes, the following are specified in the guidelines:
If the RMP has prescribed medicines, RMP shall issue a prescription as
per the Indian Medical Council (Professional Conduct, Etiquette and
Ethics) Regulations and shall not contravene the provisions of the Drugs
and Cosmetics Act and Rules. A sample format is suggested in Annexure
2 of the document. RMP shall provide photo, scan, digital copy of a
signed prescription or e-Prescription to the patient via email or any
messaging platform. In case the RMP is transmitting the prescription
directly to a pharmacy, he/ she must ensure explicit consent of the patient
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that entitles him/her to get the medicines dispensed from any pharmacy of
his/ her choice
13.Do I need a print out of the prescription?
No, an e-prescription as specified in the guidelines will be sufficient.
However, it should comply with the guidelines as mentioned.
14.For that matter if some investigations are needed and doctor asks for
them through tele communication, will the Pathology Lab/Imaging
Centre etc. honour it?
Yes, the labs or centres etc. will honour it. The Telemedicine guidelines
clearly mention that counselling a patient may also involve ordering new
investigations, if deemed necessary by the RMP.
15.How to tackle issue of payment of fees to an RMP, as a patient may
be reluctant to pay as physical examination is not possible?
For the purpose of fees in telemedicine consultation, the guidelines
specify that Telemedicine consultations should be treated the same way
as in-person consultations from a fee perspective and an RMP may
charge an appropriate fee for the Telemedicine consultation provided.
The very fact that the tele-consultation has been initiated, it means that
both patient and doctor have mutually consented for the same. These are
specified in the flowcharts accompanying the Guidelines.
16.The RMP may advise beyond his jurisdiction, for which he may not
have specialization. How to take care of this issue?
Once a tele-consultation has been initiated on a mutual consent between a
patient and a consulting RMP, then the RMP can advise on the health
issues to the best of his knowledge. All RMPs can practice modern
medicine and are also aware of the jurisdiction of their specialization.
17.Can schedule H class of Drugs be prescribed by tele-consultation?
Which classes of drugs have been enabled by the guidelines for tele-
prescription?
The drug prescription in Telemedicine guidelines is based on the clinical
scenario, judgement of the RMP and the mode of consultation, as
specified in the framework. Hence, specific nomenclatures such as
Schedule H etc. classes of drugs have been avoided.
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The classification of list of drugs provided in the document is based on
practical clinical pathways.
A prohibited list of drugs is also given and this is specified as to include
Schedule X of Drug and Cosmetic Act and Narcotic, Psychotropic
substances. As such these lists of drugs mentioned in guidelines can be
amended from time to time based on directions of the MCI and MoHFW.
18.Can I prescribe antibiotics on tele-consultation?
Antibiotics can be prescribed by the RMP, if he/she is strongly convinced
about the same based on the type and mode of tele-consultation. As such,
all tele-consultations mandate a clear documentation of provisional
diagnosis and reasons for prescription of particular drug. This is as well
applicable for antibiotics. As in all scenarios, the RMP will be
responsible for his/her prescriptions.
19.Can I prescribe injectable medications on tele-consultation?
Prescriptions for injectable medicines can only be given if the
consultation is between an RMP with another RMP. In certain
circumstances, it may be prescribed to a Health Worker for
administration to a given patient. In such a scenario, the RMP must be
confident of the setting of the facility and the technical expertise of the
Health Worker. The exceptions to these would be prescribing some
follow-up medications which are available only as injections such as
Insulin, Low Molecular Weight Heparin, Vaccines etc.
20.I run a busy OPD and cannot attend to many patients at the same
time. Can I record a tele-consultation through my allied healthcare
professional on video and then, prescribe medications off-line to the
patient ?
No, this is absolutely not allowed in the guidelines. The very premise of
tele-consultation through a Health worker (as per the guidelines) dictates
that the RMP, Health worker and the patient introduce themselves to each
other and give mutual consent for the tele-consultation. The role of
Health worker is just to facilitate the process of tele-consultation to
enable RMP to take informed decisions during this process. These are
possible only on a live consultation. It would be highly unethical for an
offline consultation through a health worker.
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21.We are a group of RMPs who would like to start a ‘Telemedicine
Clinic’ to care for the needy patients who would approach us. How
do the guidelines help us do that?
Foremost, you have to decide the appropriateness of tele-medicine
consult and its mode for a given scenario, as specified in the guidelines.
You will have to record all tele-consultations and would be responsible
for all consultations provided by telemedicine.
Broadly, the following are the services your group could provide:
Health education
Guide patients for an appropriate in-patient consult
If it’s a follow-up consult for a patient whom you have seen, can
prescribe for medications for optimizing that particular medical
condition to the patient or care-giver
If it’s a new clinical condition which can be reasonably diagnosed
on a video-call (such as Dermatological lesions etc), then you can
prescribe medications to the patient or care-giver
If you are a group of specialists, then, can advise other RMPs
appropriately
If you have a Health Worker on the field with the patient, then you
can prescribe medications based on the Health Workers’ inputs-
provided these are as per norms of the guidelines.
In case of emergency clinical conditions, provide advice for
immediate relief, first-aid and guide/ facilitate appropriately for an
immediate in-patient consult.
22.Could you try to expand on the list of conditions by examples, which
you can advise on Video-call consultation?
Video consultation give an added advantage of visual perception
(provided it is of reasonable good quality) which is crucial for many
clinical conditions. For instance, a RMP can take suitable tele-
consultation pathways for conditions such as:
Pallor and Koilonychia: Prescribe Iron tablets on first-consultation
and advice further investigations
Jaundice/ Cyanosis: Advice for urgent referral for in-patient
consultation
Trauma: Can assist in Tele-triaging through a Health Worker
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Respiratory distress: Assess work of breathing and advice another
RMP/ Health Worker for appropriate intervention
Rheumatic conditions: Can assess range of motion of joints
through a health worker and can modify medications during a
follow-up consultation
Tele-radiology, Tele-ophthalmology, Tele-pathology can be
leveraged for discussion between two RMPs.