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Hospitals and healthcare organizations have taken the necessary move towards embracing telehealth services to provide care to existing and new patients amidst the COVID-19 pandemic. However, many are left wondering what this means for their existing risk/incident reporting processes – now and in the future. Currently the level of risk is already at an all-time high for both patients and healthcare organizations due to this crisis, which makes it vital that consistent procedures and protections are in place to assist with risk mitigation strategies. Whether you are thinking about or have expanded your telehealth services during the COVID-19 pandemic, you should strive to have processes in place to ensure any events that should occur are entered into your healthcare patient safety/risk management software systems. The only way to learn from incidents is to do analysis, and by utilizing a patient safety/risk management solution, such as Ventiv's Patient Safety event reporting tool, healthcare organizations and providers can be better prepared for the potential second COVID-19 wave. Below is a checklist with key tactics to assist with developing optimal telehealth strategies that minimize your risk and the patient's. By reporting and documenting events accordingly, hospitals can learn from their events and do incident analysis. Although this seems like an extra step (especially during a pandemic!) it is important to realize that having access to such data, will prepare you all the more for the next disaster. To get more information on risk management tactics contact Heather Annolino at Credentialing Ensure the facility providing the telemedicine practitioner complies with required credentialing standards. Consider the relevant licensing and regulatory requirements for APNs and PAs. Confirm nurse practitioners have a collaborative agreement and prescriptive authority. Require that both the hospital and the telemedicine provider have professional liability insurance at a specified coverage level. Check your state's standard of care for telemedicine rules about the session. Obtain licensure requirements guidance from the FSMB for license portability. Develop and maintain a list of telemedicine providers. In addition to clinical notes, ensure that your staff documents all other details of the session. Security, Privacy and Confidentiality during COVID-19 Develop backup and downtime procedures. Establish secure procedures for patient encounters. Create ease of access to existing medical records. Implement an effective method of patient authentication. Provide cyber security protections. Use OCR's suggested applications to provide telehealth. Informed Consent Check the informed consent requirements in your state. Require patient consent forms to be in accordance with state guidelines. Ensure physicians know the informed consent requirements for telemedicine. Define the scope of service for each type of telemedicine service provided. Criteria for patient selection. Process for managing patient-provided health information. Archiving and retrieval of video and images as applicable. Prescribing practices. CHECKLIST Minimizing Your Risk and the Patient's When Expanding Telehealth Services During COVID-19

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