遠程醫療定義
非同步存儲和轉發:
The transmission of a patient’s medical information from an originating site to the health care provider at a distant site without the presence of the patient. (Business and Professions Code section 2290.5(a)(1))
遠處地點:
A site where a health care provider who provides health care services is located while providing these services via a telecommunications system. (Business and Professions Code section 2290.5(a)(2))
電子諮詢服務:
Asynchronous health record consultation services that provide an assessment and management service in which the patient’s treating health care practitioner (i.e., attending or primary) requests the opinion and/or treatment advice of another health care practitioner (i.e., consultant) with specific specialty expertise to assist in the diagnosis and/or management of the patient’s health care needs without patient face-to-face contact with the consultant. E-consults between health care providers are designed to offer a coordinated multidisciplinary case reviews, advisory opinions, and recommendations of care. (Medi-Cal Provider Manual: Telehealth)
原始場地費用:
當以雙向、即時互動通訊或儲存轉寄方式提供服務時,以 HCPCS 代碼 Q3014 計費時,支付給發端網站的金額。 (加州醫療保險提供者手冊:遠程醫療)
醫療保健提供者:
根據《商業與專業法》第 2 部領有執照的人士、輔助婚姻與家庭治療師、合格的自閉症服務提供者或合格的自閉症服務專業人士、輔助臨床社工、輔助專業臨床顧問。 (Business and Professions Code section 2290.5(a)(3))
互動電信系統:
多媒體通訊設備,至少包括音訊與視訊設備,允許病患與遠端醫師或執業醫師進行雙向、即時的互動通訊。電話、傳真機和電子郵件系統不符合互動式電信系統的定義。 (聯邦法規第 42 篇,第 410.78 (a)(3) 部分)。
原始網站:
A site where a patient is located at the time health care services are provided via telehealth, including video or audio-only visits, or where the asynchronous store and forward service originates. (Business and Professions Code section 2290.5(a)(4))
同步互動:
病人與位於遠處的醫療保健提供者之間的即時互動。(商業及職業守則第 2290.5 (a) (5) 條) 同步互動可以是僅供音訊的同步互動或視訊同步互動:
僅音訊同步互動:
病人與醫療保健提供者之間的實時互動,僅通過音頻進行(例如,電話,無視頻)進行的互聯網通話。
視頻同步互動:
病人與醫療保健提供者之間的即時互動,透過包括音訊和視覺功能的互動技術平台進行。
遠程醫療:
The mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers. (Telehealth includes telemedicine.) (Business and Professions Code section 2290.5(a)(6))
傳輸費用:
透過音訊/視訊通訊提供遠距醫療服務所產生的傳輸費用,在以 HCPCS 代碼 T1014(遠距醫療傳輸,每分鐘,專業服務單獨記帳)記帳時可獲補償。 (加州醫療保險提供者手冊:遠程醫療)