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OB Telehealth

OB Telehealth
April 22, 2020RoweDocsBlog
With the recent changes in our day to day lives due to #COVID19 we have all had to level
Is Telemedicine approved by ACOG?
The American College of Obstetricians and Gynecologists makes the following recommendations and conclusions regarding telehealth:
  • Telehealth is increasingly used in nearly every aspect of obstetrics and gynecology. Obstetrician–gynecologists and other physicians should consider becoming familiar with and adept in this new technology.
  • In most states physicians, nurses, and other health care providers must be licensed in the state where the patient is located and also may need to be credentialed at the facility where the patient is located.
  • Insurance carriers should provide clear guidelines to physicians who provide telehealth to ensure appropriate health insurance coverage for telehealth encounters.
  • It is important that the patient–physician relationship is upheld and valued in the treatment plan, and physicians who provide telehealth should examine their state laws and medical board definitions closely to ensure that their practices are compliant.
  • Before choosing a liability insurer, physicians who provide telehealth should request proof in writing that the liability insurance policies cover telemedicine malpractice and that the coverage extends to other states in which they are practicing, if applicable.
  • Obstetrician–gynecologists and other physicians who provide telehealth should make certain that they have the necessary hardware, software, and a reliable, secure internet connection to ensure quality care and patient safety.
  • To implement a telehealth program effectively, participating sites should undergo resource assessments to evaluate equipment readiness.
  • Physicians who provide telehealth must comply with the Health Insurance Portability and Accountability Act (HIPAA) privacy and security rules and also should be aware of the unique security risks posed by virtual health care technology, which can be vulnerable to outside threats.

 

For more information visit Implementing Telehealth in Practice Committee Opinion #798, 2/2020
What is the best way to see a virtual doctor?
If you are more than 12 weeks pregnant, Dr Linda Burke believes ” a virtual exam is preferable over a telephone visit” because your doctor can visualize your feet, abdomen and other areas that can help them make determinations about your pregnancy.
What can be treated with a virtual visit?
Even though you are not physically in your doctors office a telemedicine visit is just like Face Time with your doctor. As shared by Dr Sharon Smith “Telemedicine can be used for the initial history intake, and for patients who have COVID 19 symptoms, telemedicine can also be used to provide education, medication management and emotional support”
Can the Doctor listen to my baby’s heart?
Not surprisingly, many patients have already purchased fetal dopplers and in the setting of COVID, this will become more common.Dr Burke recommends Wellue Baby Tone. It’s associated with an app and not only auscultates the FHT but displays the recording on Blue Tooth which can then be transferred to the doctor.
Will insurance companies pay for telemedicine OB visit?
Yes, most insurance companies already cover virtual visits and now even Medicaid patients have insurance coverage too. If you do not have insurance visits are only $100.
What if my doctor needs to check labs?
RoweDocs partners with labs all over the country where patients can walk in and have labs drawn which will then be sent to the doctor. In women on bedrest a home health nurse can draw labs and send them to the doctor. Also, many home lab testing kits are available from companies like My Lab Box.
Will my doctor need vital signs?
Blood pressure readings are very important during pregnancy to make sure you are not developing pre-eclampsia. If you are pregnant and plan to use telemedicine it is best to purchase a blood pressure monitor from your nearest pharmacy.
What if I am not pregnant but trying, can I use telemedicine?
Telemedicine is a great option to see a fertility specialist. Dr. Cindy Duke of RoweDocs accepts patients in the US and Nationwide. Your fertility specialist can discuss your options, order labs, and help you choose the best fertility treatment for you online.
 
If you have any other questions you can schedule an appointment today!

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