Answers and setup for Telehealth

What kind of problems can I take care of on-line with Telehealth

Here is a good example: Your provider may see you for your chronic medical conditions 2-3 times per year.  We may determine that one of those visits can be done through telehealth.  This may be especially true if you live an some distance from our office.  Generally, we will send you the requisition for any lab tests you can get at your local hospital.  With these results sent to our office and your physiologic measurements you measure at home (such at your blood pressure and weight - see below for equipment), you can then have a visit which is very close to being right in the office.
Besides follow-up of regular medical problems we can sometimes see you for the following problems also:

Please note: Telehealth is not for emergencies. If you’re experiencing an emergency, call 911 immediately. Also, there will be times that we may ask you to come to the office if we feel you are better served with a direct face-to-face visit.

How can I have a Telehealth consultation with my clinician?

To take part in a Telehealth consultation with your Skyline Family Practice clinician, you must be signed up by our office.   You will need to sign a consent form in the office prior to participating with Telehealth.   our clinician will consider if this type of consultation is safe and suitable for you.

Do I have to participate in a Telehealth consultation?

No.   You are able to attend a face-to-face consultation with your family clinician if you prefer. A Telehealth consultation will only happen if your clinicians consider it safe and suitable and you are happy to participate.

Where are the Telehealth appointments held?

Usually you will be home (or if privacy can be arranged, at your place of work). This practice is Telehealth enabled with video conferencing equipment so you can participate with our clinicians.

Who will arrange the Telehealth consultation?

Our practice staff will arrange the Telehealth consultation with your clinician.   We may contact you through secure messaging (WebViewTM, see below).

What if I need to cancel my appointment?

Telehealth consultations require a lot of coordination at our end so please try to keep your appointment.  If you need to cancel, please let us know as soon as possible.

How should I prepare for a Telehealth appointment?

You can help get the best from a Telehealth consultation by following these simple steps:

What happens during the Telehealth appointment?

You and your clinician will be on a computer screen at each end of the video consultation.
At the start of the consultation, everyone will introduce themselves and the reason for the consultation will be explained. You may be asked some identifying questions such as your name, address and date of birth to make sure the right patient, correct health records and resources are present. (We usually won’t need this since we know you!)
We may have asked you to get laboratory work before hand and/or have some physiologic records available for review (like your weight and blood pressure measurements).
Your clinician will speak with you and ask you questions in the same way as they would at a face-to-face consultation.

Who will be present?

Apart from you and the clinician, nobody else will be present unless you agree to this in advance. It is your choice whether you agree to have other parties present. As with a face-to-face appointment, your spouse, partner, family or friend may be present with you if you wish (just let us know).

What if I want to have a private discussion with my clinician?

You may ask any one present on your end (or other people who may be present) to step out of the room at any time if you wish to have a private discussion with your clinician.  That is entirely up to you.

How private is the Telehealth consultation?

The same privacy and confidentiality requirements that apply to face-to-face consultations apply to video
consultations.  Since we use Skype as the mechanism for video conferencing, we can’t guarantee that the conference could be ‘hacked into’. Your consent recognizes this unlikely possibility.  However, this scenario is highly unlikely and no personal financial information is exchanged during the consultation.  If you change your mind (after the consent), that is OK.  We can just have your come to the office instead.

What if I need to be examined?

As an example, simple skin lesions or rashes may be able to be diagnosed via the video conference. However, the clinician may decide that the medical problem requires a visit to the office.  

Will the video consultation be recorded?

No. Our practice does not record Telehealth consultations and we do not give patients permission to make their own recordings of a Telehealth consultation. If your clinician decides it would be helpful for your treatment to record particular images during your consultation, they would first need to seek your written permission to do so and they would ask you to repeat your consent on camera.

What if I feel I am unable not continue?

Some patients feel a little nervous at the beginning of their first Telehealth consultation because it is a new way of seeing a doctor. However, most patients soon feel very comfortable with this kind of consultation.
It is very unlikely you will feel unable to continue with a video consultation, but if this does happen you can leave at any time, however, your consultation fees may still apply.

How much will it cost?

Generally, you will receive a bill for the Telehealth consultation - we are working out the details but may ask you to submit your payment via PayPal prior to the consultation.

Am I eligible for insurance reimbursement?

The insurance industry may offer reimbursement for a telehealth visit.  It will depend on your company.   However, we will require payment before the telehealth visit before the video conference starts.  We can help you submit any fees for the visit, if you need reimbursement from a health service account or your insurance company.

Do I need any equipment?

If you are using a desktop PC, you will need the following:

Make sure this is all working before the visit!  We can’t provide technical support for any of your equipment.
If you are using a smartphone or tablet, make sure you have internet connectivity and your camera and microphone are working. 

Monitoring equipment is very helpful and we recommend getting these and becoming familiar with them.  We recommend the equipment through iHealth Labs.  You can go to their website (at www.ihealthlabs.com - click the image to the right) or go to our website where we have their online store page linked.

Is the Telehealth visit different from Webview?

Yes, This is different from WebViewwhich is our web portal for communications and for you to have access to your chart.  We may use WebView to contact your about your Telehealth visit or to follow-up after the Telehealth visit.  Make sure you sign up for WebView at our office.  The requirements for this service is available at our office

How can I provide feedback on my video consultation?

We are keen to get your feedback so we can continue to improve our Telehealth services. Our reception staff can provide you with a patient feedback form, the contents of which you permit us to share with other health professionals, but only after being de-identified in order to preserve your privacy.

What if I have questions?

If you have any medical questions about whether a Telehealth consultation may be suitable for you, please
talk to your health care provider. If you have any general questions about how Telehealth consultations work, please feel free to call our office.

Where can I get more general information about video consultations?

For more information about Telehealth at Skyline Family Practice, please feel free to call us (540-636-7000) or go to our website at http://www.skylinefamilypractice.com