building telehealth capacity for …...slides & resources will be posted after the session after...
TRANSCRIPT
BUILDING TELEHEALTH CAPACITY
for BEHAVIORAL HEALTH
Telehealth Nuts & Bolts Kick-off
Northwest Mental Health Technology Transfer Center
Our Role:
Provide training and technical assistance (TA) in evidence-based practices (EBP) to behavioral health
and primary care providers, and school and social service staff whose work has the potential to improve
behavioral health outcomes for individuals with or at risk of developing serious mental illness in
SAMHSA’s Region 10 (Alaska, Idaho, Oregon, and Washington).
Our Goals:
• Ensure availability and delivery of free, publicly-available training and TA to Region 10 providers.
• Heighten awareness, knowledge, and skills of the workforce addressing the needs of individuals with mental illness.
• Accelerate adoption and implementation of mental health-related EBPs across Region 10.
• Foster alliances among culturally diverse mental health providers, policy makers, family members, and
clients.
www.mhttcnetwork.org/northwest
The MHTTC uses affirming language to promote the
promises of recovery by advancing evidence-based and
culturally informed practices.
5
CHAT Box > We’ll share info about logistics
> Let us know if you are having tech issues
> To you: from our training team
> From you: only visible to hosts/panelists
> NOT for content-related questions (see next slide)
6
1. Type question into Q&A Window
Questions – 2 options (participants are muted):
Click Raise Hand in the Webinar Controls.
The host will be notified that you've raised your hand.
Click Lower Hand to lower it if needed.
2. Raise hand (will be called on/unmuted in order)
7
> Will be shared in the chat box near the end & also emailed out
> Helps the presenters plan future sessions
There will NOT be certificates or CEUs for this series.
Slides & resources WILL be posted after the session
After today’s session Please complete the evaluation survey (LINK):
Today’s Presenters • Cara Towle MSN RN MA
Associate Director, Telepsychiatry University of Washington
• Brad Felker, MD VA Puget Sound Health Care System Professor, University of Washington Dept of Psychiatry & Behavioral Sciences
• Marc Avery, MD Principal Consultant, Health Management Associates Clinical Professor of Psychiatry, University of Washington
• Melody McKee, MS, SUDP Program Director, Behavioral Health Training, Workforce and Policy Innovation Center, Behavioral Health Institute
• Rande Gray, Senior Computer Specialist Telehealth Services, University of Washington
Behavioral Health Institute (BHI)
Training, Workforce and Policy Innovation Center
The Behavioral Health Institute (BHI) Is a Center of Excellence where
innovation, research and clinical practice come together to improve
mental health and addiction treatment. The BHI established initial
priority programs which include:
• Improving care for youth and young adults with early psychosis
• Behavioral Health Urgent Care Walk in Clinic
• Expanded Digital and Telehealth Services
• Behavioral Health Training, Workforce and Policy Innovation
Center
BUILDING TELEHEALTH CAPACITY
for BEHAVIORAL HEALTH
TELEHEALTH NUTS & BOLTS KICK-OFF
11
SESSION #1 OBJECTIVES
> Review the definitions of telehealth
> Review access to HCA laptops and Zoom accounts
> Review Zoom tips and functionality
> Review HIPAA regulations for telehealth
> Identify needs for further training and assistance
12
DISCLAIMER
> Any information provided in today’s talk is not to be regarded as legal advice. Today’s talk is purely for informational purposes.
> Always consult with legal counsel.
> Presentation is based on information available as of 4/15/2020.
13
> Agency for Healthcare Research and Quality (AHRQ) • Telehealth is the use of telecommunications technologies to deliver health-related services
and information that support patient care, administrative activities, and health education.
> American Telemedicine Association (ATA) • Telemedicine is the use of medical information exchanged from one site to another via
electronic communications to improve a patient’s clinical health status.
> Centers for Medicare & Medicaid Services (CMS) • A two-way, real- time interactive communication between a patient and a physician or
practitioner at a distant site through telecommunications equipment that includes, at a minimum, audio and visual equipment.
> State of Washington • WAC 182-531-1730 Telemedicine is when a health care practitioner uses HIPAA-
compliant, interactive, real-time audio and video telecommunications (including web-based applications) or store and forward technology to deliver covered services that are within his or her scope of practice to a client at a site other than the site where the provider is located. If the service is provided through store and forward technology, there must be an associated office visit between the patient and the referring health care provider.
Did not include the use of audio-only telephone, facsimile, or email.
> Covid19 Public Health Emergency variations
DEFINITIONS OF TELEHEALTH &
TELEMEDICINE
14
EQUIPMENT & SOFTWARE
> ACCESS TO HCA-SPONSORED LAPTOP • Eligibility
• Application: https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/request-laptop-telehealth-during
> HEADSETS
> ACCESS TO ZOOM ACCOUNT • Eligibility
• Application: https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/request-zoom-license-connect
15
ZOOM TIPS & FUNCTIONALITY
> Activate HCA Zoom account: https://www.hca.wa.gov/assets/billers-and-providers/zoom-telehealth-faq.pdf
> Recurring Meetings • Personal Meeting ID
> Patient Appointments
> Waiting Room Function
> Non-Clinical Uses of Zoom
16
Zoom Personal Meeting ID
17
Create a Recurring Meeting for Patient Appointments using your Zoom Personal Meeting ID
18
Create a Recurring Meeting for Patient Appointments using your Zoom Personal Meeting ID
19
Using the Waiting Room with your Recurring Meeting for Patient Appointments
20
Using the Waiting Room with your Recurring Meeting for Patient Appointments
21
Using the Waiting Room with your Recurring Meeting for Patient Appointments
22
Using Zoom for Non-Patient Meetings
BH Team Meeting
23
HIPAA & SECURITY
> OCR Waiver during Covid19 Public Health Emergency
• Enforcement discretion/not impose penalties for non-compliance with HIPAA requirements….good faith provision of telehealth.
• Can use any non-public-facing audio or video technology
• Applies even if the telehealth care is not related to diagnose or treat health conditions r/t Covid19.
https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-
preparedness/notification-enforcement-discretion-telehealth/index.html
24
HIPAA & SECURITY
> HCA Zoom licenses are HIPAA and 42 CFR compliant
> WA Medicaid: under the circumstances, Medicaid is covering a variety of technology modalities in lieu of in-person visits to support evaluation, assessment and treatment of clients. These modalities include:
• Telemedicine for HIPAA compliant, interactive, real-time audio and video telecommunications, which is already covered;
• Other forms of telehealth, such as online digital exchange through a patient portal; telephone calls, FaceTime; Skype; email. Texting may also be used, but the agency cautions as to the extent this should be used for doing assessments and providing treatment. .
https://www.hca.wa.gov/assets/billers-and-providers/behavioral-health-policy-and-billing-COVID-19.pdf
25
DOCUMENTING TELEMEDICINE CONSENT > Inform clients when using a non-HIPAA compliant technology
> Obtain patient consent via mail for written consent, electronic signature
> Verbal consent
• Document and date
• Obtain written or electronic signed consent asap
MAINTAIN PRIVACY and CONFIDENTIALITY
> Take precautions as you would for in-person care:
• Private setting
• Sound insulation, avoid background noise
• Avoid disruptions, background activities
26
DISCUSSION
> Poll: where are you with implementing telehealth?
> What barriers or challenges have you faced in getting started with Telehealth?
> What’s working well or not working well seeing patients from home?
> How can we best support you? – what training, tools, supports would be most helpful to help get you started?
Behavioral Health Institute (BHI)
Training, Workforce and Policy Innovation Center
BEHAVIORAL HEALTH TELEHEALTH RESOURCE
For more information including upcoming training
& additional resources:
Visit us online:
https://bhi-telehealthresource.uwmedicine.org/
Email us:
Your Feedback is Important:
• Please complete the anonymous evaluation by following the link in the chat box & you’ll get a reminder email also.
• Evaluation data is necessary for continued funding to offer programs
Post-event surveys are
critical to our work!
Your feedback helps us to improve and
develop future programing.
We greatly appreciate your feedback!
Get in Touch Visit us online:
www.mhttcnetwork.org/northwest
Find out about:
• Upcoming trainings
• New online trainings
• Resources and Research Updates
Email us:
Follow us on social media:
@NorthwestMHTTC
Thank You!