laws & regulations surrounding the evolution of telemedicine
DESCRIPTION
Brief overview of the legalities surrounding the adoption of telemedicine and electronic medical records for MCDM Law Com 558 class. Twitter feed: #com558.TRANSCRIPT
![Page 1: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/1.jpg)
Laws & regulations surrounding the evolution of
Telemedicine
Presented by Lynne Watanabe
![Page 2: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/2.jpg)
Story of my 77 yr old awesome mom!
The rising elderly population 140 million have chronic disease.80% have 2 or more chronic diseases
![Page 3: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/3.jpg)
Benefits to Telemedicine
• Improved Access• Cost Efficiencies
• Patient Demand ‐ Using telemedicine technologies reduces travel time and related stresses to the patient.
![Page 4: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/4.jpg)
Components of telemetry
Sensor
Transmission
Computer
Display
Sensors are regulated by the FDATransmission is regulated by the FCC
![Page 5: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/5.jpg)
Convergence of technologies
• Smartphones• Mobile Apps• Different networks:
Sensors with networks (Zigbee)WBAN & BAN (wireless) Body Area
Networks• Cloud computing for EMRs
![Page 6: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/6.jpg)
FCC regulates healthcare bandwidthGood!
And provides MBAN dedicated bandwidth
![Page 7: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/7.jpg)
Good!
![Page 8: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/8.jpg)
FCC.gov
Benefits of a Broadband Healthcare Network
-Clinical care -Consumer and professional health education -Public health -Health administration Research- Electronic health records
![Page 9: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/9.jpg)
ATA Smack Down of FCC’s Rural Health Care Pilot Program
BAD!
Promised $400 million annually, but only received 80 million this year.
www.fcc.gov/our-work.
![Page 10: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/10.jpg)
FDA regulates devices…
• The FDA regulates drugs & medical devices• But thousands of devices go through an
expedited review because they are considered similar to older devices that are already on the market.
• Institute of Medicine, an arm of the National Academy of Sciences, recommended that the system be abolished and new procedures established.
![Page 11: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/11.jpg)
FCC and FDA to work on effective mHealth regulation
• The FCC wants FDA to collaboratively work on regulatory clarifications with mobile health apps, smartphone remote monitoring apps, and wearable, wireless biometric sensors.
![Page 12: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/12.jpg)
“People need to be assured that their health records are secure and private.
I feel equally strongly that conversion to electronic health records may be one of the most transformative issues in the delivery of health care, lowering medical errors, reducing costs and helping to improve the quality of outcomes.”
- Kathleen Sebelius, Secretary of Health and Human Services
![Page 13: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/13.jpg)
Privacy, confidentiality & security
HIPAA was created to streamline electronic medical records (EMR) while protecting patients. (1996)
![Page 14: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/14.jpg)
Who must follow HIPAA?
Health Plans
Health Care Providers
Health Care Clearinghouses
![Page 15: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/15.jpg)
First Civil penalty levied under the HIPPA Law: 41 patients could not access files
• The civil rights office fined a Maryland health plan, Cignet Health, $4.3 million, saying that it had denied patients the right to see their own records in violation of HIPAA provisions.
![Page 16: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/16.jpg)
“People say they are afraid that if their private information becomes known, they may not be able to get health insurance.”
- Dr. Farzad Mostashari, National Coordinator for Health Information Technology
On the road to adoption of EMR…
![Page 17: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/17.jpg)
Who Is Not Required to Follow HIPAA Laws
• life insurers• employers• workers compensation carriers• many schools & school districts• many state agencies like child protective
service agencies• many law enforcement agencies• many municipal offices
![Page 18: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/18.jpg)
Are you worried about LULZSec or Anonymous coming after your health stats; hacking the Cloud?
![Page 19: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/19.jpg)
No!
Don’t blame the Cloud
look at the FACTS.
![Page 20: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/20.jpg)
“Wall of Shame” – HHS.gov(HITECH Act)
281 HIPAA violations that affected more than 500 individuals ( June 9, 2011)
![Page 21: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/21.jpg)
![Page 22: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/22.jpg)
Docs love eHealth apps…but
Within the past 2 years, personal health information of 1.9 million patients has been exposed - Office of Civil Rights
116 data breaches of over 500 records due to the
theft of loss of mobile devices. AirStrip Technologies'
AirStrip Cardiology
![Page 23: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/23.jpg)
Regulatory Issues
• Cross-border/Interstate telemetry litigation
If CARE is determined to occur at the LOCATION OF THE PROVIDER, how does the patient know WHERE and how to SEEK RECOURSE in the event of SUBSTANDARD CARE or MALPRACTICE
![Page 24: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/24.jpg)
Telemedicine challenges state registration/license of practitioners
Washington state has no rules or laws on telemedicine…
but they have general guidelines
![Page 25: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/25.jpg)
Do you feel safer and are you willing to risk your personal health records for convenience?
![Page 26: Laws & regulations surrounding the evolution of Telemedicine](https://reader034.vdocuments.net/reader034/viewer/2022051211/554e3a76b4c905f4478b4c31/html5/thumbnails/26.jpg)
Credits• Slide #5 & #11: http://arstechnica.com/science/news/2011/08/temporary-tattoo-electronics-flexible-
ultrathin-measurement-devices.ars• Slide #6: http://www.engadget.com/2011/01/21/health-care-and-aeronautics-industries-agree-that-fcc-
should-set/• Slide #7: 17th Meeting of the American Health Information Community (AHIC) November 13, 2007• Slide #8: http://www.mobilemarketingwatch.com/mobile-devices-increase-need-to-protect-phi-17248/• Slide #9: www.fcc.gov/our-work.• Slide #12: http://en.wikipedia.org/wiki/Kathleen_Sebelius• Slide #14: http://www.flickr.com/photos/clevercupcakes/4576733748/sizes/m/in/photostream/• Slide #16: http://healthit.hhs.gov/portal/server.pt/community/organizational_description_/1249/
farzad_mostashari,_md,_scm/18220• Slide #18: http://www.softwareadvice.com/articles/medical/hipaa-violations-arent-in-the-cloud-1062011/• Slide #19: Sad Cloud by Nicole Cox• Slide #20: HHS.gov• Slide #21:
http://www.softwareadvice.com/articles/medical/hipaa-violations-arent-in-the-cloud-1062011/#ixzz1UxtsenB6
• Slide #22: Airstrip Technologies• Slide #23: http://www.flickr.com/photos/europedistrict/3899824475/sizes/z/in/photostream/
Lynne Watanabe UW MCDM studenthttp://twitter.com/telehealth_mom
http://telehealth4family.wordpress.com/