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Delaware Telehealth 

Physical Therapy

Telehealth is the use of electronic communications to provide and deliver a host of health-related information and health-care services, including physical therapy and athletic training-related information and services, over large and small distances. Telehealth encompasses a variety of health care and health promotion activities, including education, advice, reminders, interventions, and monitoring of interventions.

The Physical Therapist, Athletic Trainer or Physical Therapist Assistant (referred to as "licensee") who provides treatment through telehealth shall meet the following requirements:

    • Location of patient during treatment through telehealth
    • The licensee shall have an active Delaware license in good standing to practice telehealth in the state of Delaware.
    • During the telehealth treatment session, the patient shall be located within the borders of the State of Delaware.

Informed Consent

Before services are provided through telehealth, the licensee shall obtain written, informed consent from the patient, or other appropriate person with authority to make health care treatment decisions for the patient. At minimum, the informed consent shall inform the patient and document acknowledgement of the risk and limitations of:

    • The use of electronic communications in the provision of care;
    • The potential breach of confidentiality, or inadvertent access, of protected health information using electronic communication in the provision of care; and
    • The potential disruption of electronic communication in the use of telehealth.

Confidentiality

The licensee shall ensure that the electronic communication is secure to maintain confidentiality of the patient's medical information as required by the Health Insurance Portability and Accountability Act (HIPAA) and other applicable Federal and State laws. Confidentiality shall be maintained through appropriate processes, practices and technology, including disposal of electronic equipment and data.

Competence and Scope of Practice

The licensee shall be responsible for determining and documenting that telehealth is an appropriate level of care for the patient.

The licensee shall comply with the Board's law and rules and regulations and all current standards of care requirements applicable to onsite care.

The licensee shall limit the practice of telehealth to the area of competence in which proficiency has been gained through education, training and experience.

All evaluations, including initial evaluations, and re-evaluations and scheduled discharges shall be performed face to face and not through telehealth.

Subject to the supervision requirements of subsection 1.2, every other supervisory visit may be performed via telehealth with the other alternating visit performed face to face.

The licensee shall document in the file or record which services were provided by telehealth.

Reference

29 Del.C. ยง2602(13)

Occupational Therapy

Telehealth is the use of electronic communications to provide and deliver a host of health-related information and health-care services including occupational therapy services.

The Occupational Therapist and Occupational Therapist Assistant (referred to as "licensee" for) who provides treatment through telehealth shall meet the following requirements:

    •  Location of patient during treatment through telehealth
    • An occupational therapy practitioner is required to be licensed in Delaware if the practitioner provides occupational therapy services to a client who is in Delaware.

Informed Consent

Before services are provided through telehealth, the licensee shall obtain written, informed consent from the patient, or other appropriate person with authority to make health care treatment decisions for the patient.

    • The use of electronic communications in the provision of care;
    • The potential breach of confidentiality, or inadvertent access, of protected health information using electronic communication in the provision of care.

Confidentiality

The licensee shall ensure that the electronic communication is secure to maintain confidentiality of the patient's medical information as required by the Health Insurance Portability and Accountability Act (HIPAA) and other applicable Federal and State laws. Confidentiality shall be maintained through appropriate processes, practices and technology, including disposal of electronic equipment and data.

Competence and Scope of Practice

The licensee shall be responsible for determining and documenting that telehealth is an appropriate level of care for the patient.

The licensee shall comply with the Board's law and rules and regulations and all current standards of care requirements applicable to onsite care.

The licensee shall limit the practice of telehealth to the area of competence in which proficiency has been gained through education, training and experience.

The occupational therapist who screens, evaluates, writes or implements the plan of care is responsible for determining the need for the physical presence of an occupational therapy practitioner during any interactions with clients.

Subject to the supervision requirements of Board, the occupational therapist will determine the amount and level of supervision needed during telehealth.

The licensee shall document in the file or record which services were provided by telehealth.

Reference

20 DE Reg. 821

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