Or. Admin. Code § 335-005-0016 - Tele-practice
(1) Audiologists
and speech-language pathologists who hold an Oregon license can provide
telepractice services through telephonic, electronic, or other means, including
diagnosis, consultation, treatment, transfer of health care information.
Telepractice, whether the service is rendered from Oregon or delivered to
Oregon, constitutes the practice of audiology or speech-language pathology and
shall require state licensure.
(2)
Services delivered via telecommunication technology must be equivalent to the
quality of services delivered face-toface (i.e. in-person).
(3) The telepractitioner is responsible for
assessing the client's candidacy for telepractice, including behavioral,
physical, and cognitive abilities to participate in services provided via
telecommunications.
(4)
Telepractice services must conform to professional standards including but not
limited to ethical practice, scope of practice, professional policy documents,
and other relevant federal, state, and institutional policies and
requirements.
(5) Telepractitioners
must have the knowledge and skills to competently deliver services via
telecommunication technology by virtue of education, training, and/or
experience.
(6) The use of
technology-e.g., equipment, connectivity, software, hardware must be
appropriate for the service being delivered and must be able to address the
unique needs of each client.
(7)
Audio and video quality shall be sufficient to deliver services that are
equivalent to in-person service delivery.
(8) Telepractice service delivery includes
the responsibility to ensure calibration of clinical instruments in accordance
with standard operating procedures and the manufacturer's
specifications.
(9) Prior to the
initiation of telehealth services, a Licensee shall obtain the patient/client
and if applicable, their parent or guardian's consent to receive the services
via telepractice. The consent may be verbal, written, or recorded and must be
documented in the patient/client's permanent record. The notification will
include, but not be limited to, the right to refuse telepractice services,
options for service delivery to the extent compliant with applicable Federal
laws and regulations, and instructions on filing and resolving
complaints.
(10) Telepractitioners
shall comply with all laws, rules, and regulations governing the maintenance of
client records, including but not limited to HIPAA and FERPA, and client
confidentiality requirements in the state where the client is receiving
services, regardless of the state where the records of any client within this
state are maintained.
(11)
Telepractice services may not be provided by correspondence only-e.g., mail,
e-mail, fax-although these may be used in connection with
telepractice.
(12) When providing
services via telepractice, the Licensee shall have procedures in place to
address remote medical or clinical emergences at the patient/client's
location.
Notes
Statutory/Other Authority: ORS 681
Statutes/Other Implemented: ORS 681.330, ORS 681.420, ORS 681.460
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