Telepsychiatry : Promises and Pitfalls. Peter Della Bella, MD Clinical Assistant Professor, NYU School of Medicine Staff Psychiatrist, Acadia Hospital, Bangor, Maine Tuesday, April 29, 2014 2014 YAI International Conference New York Hilton Midtown, New York, NY.
Telepsychiatry:Promises and Pitfalls
Peter Della Bella, MD
Clinical Assistant Professor, NYU School of Medicine
Staff Psychiatrist, Acadia Hospital, Bangor, Maine
Tuesday, April 29, 2014
2014 YAI International Conference
New York Hilton Midtown, New York, NY
I have no conflicts of interest to report.
A specifically defined form of video conferencing that can provide psychiatric services to patients in remote locations or underserved areas. It can connect patients, psychiatrists, physicians, and other healthcare professionals through the use of cameras and microphones.
-American Psychiatric Association
Wall street journal – 1/14/2014For the Mentally Ill, Finding Treatment Grows HarderNew health-care law may add to crunch for enough treatment
How many of you work in or get services from an organization with:
How many of you are providers who engage directly in telehealth services?
How many of you would be willing to engage in tele-psychotherapy from home via encrypted communication, if it spared you a 30 minute commute?
1 hour commute?
2 hour commute?
Non-encrypted? (eg Skype or Facetime?)
STATE LAWS MANDATING TELEMEDICINE
National Conference of State Legislatures
2014 State Telemedicine Legislation Tracking (as of 4/25/2014)
American Telemedicine Association
❶ Do your homework
*Adapted from American Acad of Child and Adolescent Psychiatry Practice Parameters
❷ Establish need and feasibility
❸Establish your management controls
❹ Measure Quality, Utilization, Outcome
❺ Fine tuning
Relationship with staff at spoke site
The Centers for Medicare and Medicaid Services’ (CMS) final rule on credentialing and privileging requirements for telehealth practitioners was made effective on July 5, 2011.
Establishes a process for originating site hospitals (location of the patient) to rely on the credentialing and privileging decisions of the distant site hospital (location of the specialist) for telehealth practitioners.
…contractual arrangements, processes for ensuring quality