Ethical Considerations in Telehealth: Ensuring Provider Competence and Patient Well-Being
Explore the crucial ethical foundations and principles guiding telehealth practice, highlighting the intersection of behavioral health ethics and telehealth considerations. Understand the ethical responsibilities related to client confidentiality, client welfare, professional competence, and more in telehealth settings.
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Arizona State University Behavioral Health Integration ECHO Behavioral Health Integration ECHO addressing COVID-19 Adrienne White, MS Director, ASU ECHO Adrienne.R.White@asu.edu Lesley Manson, Pys.D Content Expert, BHI ECHO Lesley.Manson@asu.edu Cathy Hudgins, PhD, LPC, LMFT Content Expert, BHI ECHO Cathy.Hudgins@outlook.com April 8th, 2020
attendance attendance PLEASEADDINTOTHECHATBOX first & last name credentials
agenda agenda WHATDOESTHENEXTHOURLOOKLIKE? attendance telehealth: ethics & the COVID-19 response telehealth: lessons learned? telehealth: virtual platforms & billing resources what do YOU need to stay safe?
telehealth ethics COVID COVID- -19 response 19 response CATHY M. HUDGINS, PHD, LMFT, LPC
Ethical Foundations Autonomy goal of promoting the independence of those we serve and not taking any actions that would increase their dependence on us Beneficence duty to do good and help others Nonmalfeasance obligation to minimize harm in all actions we take as professionals Justice obligation to afford all individuals the opportunity for equal access to the same high- quality treatment
Intersecting Behavioral Health Ethics Protect client confidentiality Place priority on welfare and rights of clients & society/do no harm Help clients reach self-determined goals/autonomy Practice only within one s competency Maintain awareness of own values, biases Pursue ongoing professional development Prohibit exploitative and/or intimate dual relationships Confront colleagues demonstrating unethical, illegal, incompetent practice Attain informed consent for treatment
Telehealth Ethical Considerations Provider Competence Training Technology Patient Characteristics Match to delivery mode Benefits and risks Diagnosis and disabilities Safety Capacity to participate Equity/access to technology Financial Cultural Patient preference Provisions for new patients
Telehealth Ethical Considerations Informed Consent Patient s ability to consent Informed consent form -- all telehealth risks and relevant considerations included Limitations (ability to sign the consent, confidentiality, privacy, ability to respond to crisis, breaks in the connection, therapy modes) Confidentiality Privacy and patient safety Patient and provider s location Exclusions Crisis planning Emergency contact information Technology and Data Security Secured platform HIPAA compliance re: storing information
Recommendations Slow down! Identify provider training needs and train up quickly Identify super users Develop a buddy system between providers Create a living procedural document including all contingencies Share and update regularly Identify at least two secure platforms that will accommodate as many patients as possible Attempt to use the EHR telehealth portal if possible Offer alternative, secure alternatives Create a telehealth room on-site for patients without access to technology if possible
telehealth telehealth lessons learned? lessons learned?
telehealth platforms telehealth platforms and billing resources and billing resources
are you able to protect yourself? are you able to protect yourself? how? Share to support! how? Share to support! WHATAREYOURNEEDS? what resources do you need to protect yourself and others in your clinics? be specific! be specific! list your immediate needs in the chat box
