FOR THE PSYCHIATRIC-MENTAL HEALTH NURSE
PRACTITIONER -Q&A
Terms in this set (70)
In 2018, the American Psychiatric best practices for providing videoconferencing-based
Association (APA), in conjunction with telepsychiatric care-
guidelines inform the technical considerations and
the American Telemedicine
Association (ATA) developed: administrative requirements needed to provide these
services
best practices for providing -Use of a designated technology platform. Telesessions
videoconferencing-based telepsychiatric should not be
conducted using alternate platforms; however, an alternate
care:
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 Confidential space
provider and client locations should be
treated as a
During telepsychiatry sessions, -the discussion cannot be overheard by other-adequate
provisions must be taken to ensure: 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
Telepsychiatry Legal and Regulatory -Malpractice insurance-Licensure requirements-Federal and
Considerations: Best practices state prescribing guidelines -Reimbursement
Telepsychiatry Legal and Regulatory Malpractice insurance is required and some policies
Considerations: Malpractice insurance require additional policies for telehealth.
, Telepsychiatry Legal and Regulatory Licensure requirements differ from in-person practice.-
Considerations: Licensure Providers must hold a license to practice in the state
requirements where the client resides.-The PMHNP is
responsible for following standards for the state in which
they are practicing.
Telepsychiatry Legal and Regulatory Federal and state prescribing guidelines differ for
Considerations: Federal and state telepsychiatry.-The Ryan Haight Online Pharmacy
prescribing guidelines 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 -Reimbursement varies by state and insurance provider.•
Considerations: Billing and Currently, 48 states
provide Medicaid reimbursement for telepsychiatry
Reimbursement
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 -cognitive capacity of the client-client history and medical
appropriateness of telepsychiatry status -geographic distance to emergency facilities -
services include consideration of the client support system
following:
Best practices related to special -follow applicable standards of consent in terms of client's
populations: Forensic and Correctional legal status and rights -develop clear, site-specific
protocols
Telemental health Children and should facilitate the assessment by providing an adequate
Adolescents: environment room size, furniture arrangement, toys, and activities that
allow the youth to engage with the
accompanying parent, presenter, and provider and
demonstrate age- appropriate skills
best practices related to special follow the same guidelines presented for adults•modify
populations: Children and Adolescents 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