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NR548 Questions and Answers (100% Correct
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In 2018, the American Psychiatric Association (APA), in conjunction with
the American Telemedicine Association (ATA) developed: Ans: best
practices for providing videoconferencing-based telepsychiatric care-
guidelines inform the technical considerations and administrative
requirements needed to provide these services
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best practices for providing videoconferencing-based telepsychiatric
care: Ans: -Use of a designated technology platform. Telesessions should
not be conducted using alternate platforms; however, an alternate
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plan, such as a telephone call, may be used in case of technology
failure.
-Provisions for the verification of confidential and secure client
information. -Sufficient bandwidth to provide clear, appropriate video
and audio quality.
-Device compliance with Health Insurance Portability and Accountability
Act of 1996 (HIPAA) and state requirements.
During telepsychiatry sessions, both the provider and client locations
should be treated as a Ans: Confidential space
During telepsychiatry sessions, provisions must be taken to ensure: Ans: -
the discussion cannot be overheard by other-adequate lighting and
ambiance is provided that is appropriate to the session -place the
camera so that the eyes and face of the participants are visible
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Telepsychiatry Legal and Regulatory Considerations: Best practices Ans:
-Malpractice insurance-Licensure requirements-Federal and state
prescribing guidelines -Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice
insurance Ans: Malpractice insurance is required and some policies
require additional policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure
requirements Ans: Licensure requirements differ from in-person practice.-
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Providers must hold a license to practice in the state where the client
resides.-The PMHNP is responsible for following standards for the state in
which they are practicing.
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Telepsychiatry Legal and Regulatory Considerations: Federal and state
prescribing guidelines Ans: Federal and state prescribing guidelines
differ for telepsychiatry.-The Ryan Haight Online Pharmacy Consumer
Protection Act of 2008 governs the prescribing of controlled substances
via teleconferencing.• To safely prescribe, the provider must conduct an
in-person medical evaluation at least once every 24 months and comply
with all federal and state prescribing guidelines.
Telepsychiatry Legal and Regulatory Considerations: Billing and
Reimbursement Ans: -Reimbursement varies by state and insurance
provider.• Currently, 48 states provide Medicaid reimbursement for
telepsychiatry services.-pt made aware of any and all financial charges
that may arise from the services prior to the commencement of initial
services
Best practices for determining the appropriateness of telepsychiatry
services include consideration of the following: Ans: -cognitive capacity
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of the client-client history and medical status -geographic distance to
emergency facilities -client support system
Best practices related to special populations: Forensic and Correctional
Ans: -follow applicable standards of consent in terms of client's legal
status and rights -develop clear, site-specific protocols
Telemental health Children and Adolescents: environment Ans: should
facilitate the assessment by providing an adequate room size, furniture
arrangement, toys, and activities that allow the youth to engage with
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the accompanying parent, presenter, and provider and demonstrate
age-appropriate skills
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best practices related to special populations: Children and Adolescents
Ans: follow the same guidelines presented for adults•modify care based
on developmental status (motor functioning, speech and language
capabilities, relatedness, and relevant regulatory issues)-include family
as appropriate-Providers should consider how the presenter's
involvement can affect service delivery -Appropriateness for telemental
care shall consider safety of the youth, the availability of supportive
adults, the mental health status of those adults, and ability of the site to
respond to any urgent or emergent situations.
Best practices related to special populations: Geriatric Ans: -include
family as clinically appropriate-adapt care for cognitive or sensory
impairment
best practices related to special populations: Military and Veteran Ans: -
be familiar with federal and organizational structures and guidelines -be
familiar with military cultural competence