Clinical Triaging Considerations for Telehealth: Difference between revisions
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* Patient informed decision making | * Patient informed decision making | ||
* Professional standards of care | * Professional standards of care | ||
== Triaging == | |||
If the patient has access to the available technologies then the following triaging should be considered to determine appropriateness. | |||
=== ● The patient’s clinical condition or presentation/ diagnosis === | |||
● The severity of the condition, pain, neurological deficits, or severe shortness of breath, how would this impact your decision | |||
● Potential or actual red flags. | |||
● The urgency to access care. Post-operative condition vs non-specific chronic low back pain. | |||
● Age of patient | |||
● Presence of other comorbidities or psychological factors | |||
● Mobility of the patient, physical risk | |||
● Language barriers | |||
● Cognition - ability to provide consent and follow instructions | |||
● What time point of patient care, assessment, review, treatment. Hybrid model is available, depending on the condition and the patient. | |||
● Patient’s physical location. Their house, friend, GP practice. Geographical location and influence of internet connection barriers. | |||
● Who is present during the consult. Advantage: assistance with tests, or supervision. Disadvantage: privacy and confidentiality. Privacy of the patient if you need to visualise areas of the patient’s body. Is it appropriate to ask about certain conditions with someone in the room. | |||
● Therapist skill to translate it to telehealth. | |||
● Ability to modify tests, ruling out red flags, do you need a local healthcare professional with the patient. | |||
● Scope of practice and registration within your state or country | |||
* Reimbursement for telehealth from the patient’s medical insurance or government insurance like medicare. | |||
Revision as of 13:52, 18 April 2020
Patients appropriate for Telehealth[edit | edit source]
This can be determined from case to case based on a number of factors using
- Clinical judgement
- Patient informed decision making
- Professional standards of care
Triaging[edit | edit source]
If the patient has access to the available technologies then the following triaging should be considered to determine appropriateness.
● The patient’s clinical condition or presentation/ diagnosis[edit | edit source]
● The severity of the condition, pain, neurological deficits, or severe shortness of breath, how would this impact your decision
● Potential or actual red flags.
● The urgency to access care. Post-operative condition vs non-specific chronic low back pain.
● Age of patient
● Presence of other comorbidities or psychological factors
● Mobility of the patient, physical risk
● Language barriers
● Cognition - ability to provide consent and follow instructions
● What time point of patient care, assessment, review, treatment. Hybrid model is available, depending on the condition and the patient.
● Patient’s physical location. Their house, friend, GP practice. Geographical location and influence of internet connection barriers.
● Who is present during the consult. Advantage: assistance with tests, or supervision. Disadvantage: privacy and confidentiality. Privacy of the patient if you need to visualise areas of the patient’s body. Is it appropriate to ask about certain conditions with someone in the room.
● Therapist skill to translate it to telehealth.
● Ability to modify tests, ruling out red flags, do you need a local healthcare professional with the patient.
● Scope of practice and registration within your state or country
- Reimbursement for telehealth from the patient’s medical insurance or government insurance like medicare.
