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Oregon OT Telehealth
Standards of Practice for Telehealth
"Telehealth" is defined as the use of interactive audio and video, in real time telecommunication technology or store-and-forward technology, to deliver health care services when the occupational therapist and patient/client are not at the same physical location. Its uses include diagnosis, consultation, treatment, prevention, transfer of health or medical data, and continuing education.
Telehealth is considered the same as Telepractice for Occupational Therapists working in education settings; and Teletherapy and Telerehab in other settings.
Requirements to Provide Services via Telehealth
In order to provide occupational therapy services via telehealth to a patient/client in Oregon, the occupational therapist providing services to a patient/client must have a valid and current license issued by the Oregon OT Licensing Board. Oregon licensed Occupational Therapists using telehealth technology with a patient/client in another state may also be required to be licensed in the state in which the patient/client receives those services and must adhere to those state licensure laws.
Occupational therapists shall obtain informed consent of the delivery of service via telehealth from the patient/client prior to initiation of occupational therapy services via telehealth and maintain documentation in the patient's or client's health record.
Occupational therapists shall secure and maintain the confidentiality of medical information of the patient/client as required by HIPAA and state and federal law.
When providing occupational therapy services via telehealth, an occupational therapist shall determine whether an in-person evaluation is necessary and make every attempt to ensure that a therapist is available if an on-site visit is required.
In making the determination whether an in-person evaluation or intervention are necessary, an occupational therapist shall consider at a minimum:
An occupational therapist or occupational therapy assistant providing occupational therapy services via telehealth must:
Supervision of an Occupational Therapy Assistant for routine and general supervision, can be done through telehealth, but cannot be done when close supervision is required.
An Occupational Therapist who is supervising a fieldwork student must follow the ACOTE standards and other accreditation requirements.