Telemedicine and Medical Licensure — Potential Paths for Reform

Mehrotra, Ateev; Nimgaonkar, Alok; Richman, Barak D.

doi:10.1056/nejmp2031608

Cited by 51 publications

(56 citation statements)

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“…The recent challenging times in the context of the Covid-19 pandemic have highlighted the continued importance of solid human relationships, leading to telehealth's rapid growth to minimize interruption of vital clinical services [11,19]. A survey of US physicians in 2020 revealed that about half of the physicians are treating patients using virtual visits [20].…”

Section: Leverage Technological Advancements To Enhance Patient and Family Engagementmentioning

confidence: 99%

“…However, there are few hurdles in telehealth's path to a sustainable healthcare delivery model. Firstly, the lack of a global framework to license healthcare workers and protect patient data privacy allowing cross-state or cross-country telehealth consultations [19,22]. Secondly, an area of increasing concern is to ensure that telehealth services are equitable and accessible by all the communities, patient groups, and ethnicities [22,23].…”

Section: Leverage Technological Advancements To Enhance Patient and Family Engagementmentioning

confidence: 99%

“…Finally, the telehealth services' payment structure needs to be devised. This can be radically different across jurisdictions [7,19,22]. In order to increase the use of telehealth services in the post-pandemic era with the recovery of the normal daily processes or 'new normal,' the healthcare organizations, providers, and frontline staffs need to embrace telehealth technologies using data-driven guidelines of the patient-andfamily-centered care for a sustainable and scalable implementation of telehealth into the routine clinical care [7,22].…”

Section: Leverage Technological Advancements To Enhance Patient and Family Engagementmentioning

confidence: 99%

“…The adoption of telehealth and removal of multiple medical licensures related hurdles through temporary declarations and waivers for out-of-state medical licenses of clinicians at the level of various US states and at the federal level by the Centers for Medicare and Medicaid Services early during the Covid-19 pandemic provides a prime example of the significant role that health policy and regulatory framework play to improve access to medical care and patient-centered care [19]. The whole concept of de-regulation and pan-national medical licensing has to be balanced with overarching safety for the protection of the citizens/public when credentialing.…”

Section: Leverage Health Policy and Regulatory Framework For Rapid Adaptation Of Patient And Family Engagement Strategiesmentioning

confidence: 99%

“…Health policy across the globe should continue its pivotal role in ensuring a framework to provide healthcare 'a fundamental human right' for all [33]. Continued support for telehealth incentives and a matching payment model by the health policymakers and regulators is vital to enhance shared-decision making, patient and family engagement, and genuine co-production to help patients live healthier lives [19,34,35]. Secondly, there is an urgent need to move the care out of the hospitals and closer to communities in home-based settings to avoid unnecessary emergency department visits and hospitalizations by providing acute care in the home or helping older adults safely "age in place" [34,35].…”

Section: Leverage Health Policy and Regulatory Framework For Rapid Adaptation Of Patient And Family Engagement Strategiesmentioning

confidence: 99%

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Patient and Family Engagement During Challenging Times: What Works and What Does Not?

Abid¹,

Abid²,

Shahid³

et al. 2021

Cureus

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A paradigm shift towards enhanced strategies to effectively engage patients and families in delivering safe and high-quality healthcare services was observed during recent times, particularly in the last decade. Immediately prior to the coronavirus disease 2019 (Covid-19) pandemic, the tri-institutional global healthcare quality reports from the National Academies of Sciences, Engineering, and Medicine, World Bank Group, and Lancet Global Health Commission reported the patient and family engagement measures used globally, highlighting the variations across the regions of the world. Through a pandemic for more than a year now, we aim to present the key lessons learned from practices and strategies to proactively engage patients and families. These strategies may continue to be implemented in the post-Covid-19 pandemic era to improve patient and family-centered care.

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Section: Leverage Technological Advancements To Enhance Patient and Family Engagementmentioning

confidence: 99%

Section: Leverage Technological Advancements To Enhance Patient and Family Engagementmentioning

confidence: 99%

Section: Leverage Technological Advancements To Enhance Patient and Family Engagementmentioning

confidence: 99%

Section: Leverage Health Policy and Regulatory Framework For Rapid Adaptation Of Patient And Family Engagement Strategiesmentioning

confidence: 99%

Section: Leverage Health Policy and Regulatory Framework For Rapid Adaptation Of Patient And Family Engagement Strategiesmentioning

confidence: 99%

See 3 more Smart Citations

Patient and Family Engagement During Challenging Times: What Works and What Does Not?

Abid¹,

Abid²,

Shahid³

et al. 2021

Cureus

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Providing Responsible Health Care for Out-of-State Patients

Shachar¹,

Richman

Mehrotra

2023

JAMA

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Modernizing Medical Licensure to Facilitate Telemedicine Delivery After the COVID-19 Pandemic

Shachar¹,

Gupta

Katznelson

2021

JAMA Health Forum

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During the COVID-19 pandemic, telemedicine has been a substantial tool in promoting resilience in the health care system. Beyond the pandemic, telemedicine has potential to expand access to care and save costs for patients and systems. 1,2 However, many of the pandemic-inspired changes to licensing regulations are set to expire when the public health emergency ends. Physicians who are seeking a national or multistate telemedicine practice may again face a problematic patchwork of state regulations, licensure applications, and onerous fees. The US federal government should take advantage of pandemic-inspired momentum to promote telehealth via regulatory leadership. State-Based Medical Licensure: Problematic PatchworkHistorically, each state has been responsible for licensing the practice of medicine and may require special purpose licenses, telemedicine licenses, telemedicine certificates, or full licenses to practice telemedicine within its jurisdiction. The Interstate Medical Licensure Compact (IMLC) emerged to facilitate the process of obtaining medical licensure in multiple states while ensuring that states remain responsible for professional licensure.Once physicians are licensed by a state board, they must generally adhere to the laws of the state where the patient is located. States differ in their legal definition of the patient-clinician relationship, informed consent through telemedicine, and the prescribing powers of telemedicine physicians. 3 For example, the Table compares 2 states on key points associated with the delivery of telehealth care.Physicians who fail to adhere to state laws where a patient is located may face malpractice suits in the patient's state. For example, in Indiana, out-of-state physicians are subject to the jurisdiction of Indiana's courts and its substantive and procedural laws regarding medical claims. Forcing disciplinary action to follow the patient can discourage telemedicine because physicians will be reluctant to face liability in unfamiliar forums.Author affiliations and article information are listed at the end of this article.

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Telemedicine and Medical Licensure — Potential Paths for Reform

Cited by 51 publications

References 0 publications

Patient and Family Engagement During Challenging Times: What Works and What Does Not?

Patient and Family Engagement During Challenging Times: What Works and What Does Not?

Providing Responsible Health Care for Out-of-State Patients

Modernizing Medical Licensure to Facilitate Telemedicine Delivery After the COVID-19 Pandemic

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