Telemedicine: Licensing and other legal issues

Otolaryngologic Clinics of North America

Volumn 44, Issue 6, 2011, Pages 1375-1384

  Siegal, Gil ^a,b,c  

^a UNIVERSITY OF VIRGINIA SCHOOL OF LAW   (United States)

^b Tel Hashomer Hospital   (Israel)

^c Kiryat Ono College   (Israel)

Author keywords

Access to care; Confidentiality; EMR; Informed consent; Licensure; Malpractice; Telemedicine

Indexed keywords

ACCREDITATION; CONFIDENTIALITY; DIAGNOSTIC IMAGING; ETHICS; FOOD AND DRUG ADMINISTRATION; HEALTH CARE; HEALTH CARE DELIVERY; HEALTH CARE MANAGEMENT; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH EDUCATION; HEALTH INSURANCE; HUMAN; INFORMATION TECHNOLOGY; INFORMED CONSENT; LAW; LEGAL ASPECT; LICENSING; MALPRACTICE; MEDICAL DOCUMENTATION; MEDICAL PRACTICE; MEDICAL RECORD; MEDICAL SOCIETY; OCCUPATIONAL HEALTH; OFFENDER; PATIENT EDUCATION; PATIENT SAFETY; PRACTICE GUIDELINE; PRIVACY; PROFESSIONAL STANDARD; QUALITY CONTROL; REIMBURSEMENT; REVIEW; SOCIAL SECURITY; TELEMEDICINE; UNITED STATES;

CONFIDENTIALITY; FEMALE; HUMANS; INSURANCE, HEALTH, REIMBURSEMENT; LICENSURE; MALE; SAFETY MANAGEMENT; TELECOMMUNICATIONS; TELEMEDICINE; UNITED STATES;

EID: 82455188278     PISSN: 00306665     EISSN: 15578259     Source Type: Journal    
DOI: 10.1016/j.otc.2011.08.011     Document Type: Review

References (34)

1. 2001 Report to US Congress on telemedicine. Available at: Accessed July 19, 2010. http://www.hrsa.gov/telehealth/pubs/report2001.htm.
2. A 2004 federal report estimated (at that time) a $380 million telemedicine market, with projected annual growth rates of 15% to 20%. See US Office of Technology Policy. Innovation, demand, and investment in telehealth February 2004, Department of Commerce, Washington, DC, [cited in Singh SN, Wachter RM. Perspectives on medical outsourcing and telemedicine-rough edges in a flat world? N Eng J Med 2008;358:1622-7].
3. Holzhauser v. State Med. Bd., No. 06AP-1031, 2007 WL 5003 (Ohio Ct. App. Sept. 25, 2007). Golob v. Arizona Medical Bd. of State, 176 P.3d 703 (Ariz. Ct. App. 2008). In re Div. of Mental Health Servs., No. A-2966-07T2, 2009 N.J. Super. Unpub. LEXIS 1573 (App.Div. June 17, 2009).
4. Terry N.P. Physician and patients who " friend or tweet": constructing a legal framework for social networking in a highly regulated domain. Indiana Law Rev 2010, 43:266.
5. See American Medical Association, Physician Licensure: an update of trends. Available at: Accessed July 19, 2010. An up-to-date compilation of states' regulation and licensure requirements in respect to TM. Available at: Accessed July 19, 2010. http://www.telehealthlawcenter.org/%3Fc=118.
6. Available at: Accessed July 19, 2010. http://www.fsmb.org/pdf/2002_grpol_License_Portability.pdf.
7. Milstein A., Smith M. America's new refugees - seeking affordable surgery offshore. N Engl J Med 2006, 355:1637-1640.
8. For a legal analysis of federalism, Congress's powers and states' sovereignty see United States v. Lopez, 514 U.S. 549 (1995).
9. 401-432 of the Health Care Quality Improvement Act of 1986, Pub. L. 99-660, 100 Stat. 3784-3794, as amended by section 402 of Pub. L. 100-177, 101 Stat. 1007-1008 (42 U.S.C. 11101-11152). Available at: Accessed July 19, 2010. http://www.npdb-hipdb.hrsa.gov/legislation.html.
10. Department of Commerce. Report to Congress on Telemedicine (official document on file with author). 1997.
11. For the complete list of those 24 states. Available at: Accessed July 19, 2010. https://www.ncsbn.org/158.htm.
12. Burkett L. Medical tourism. Concerns, benefits, and the American legal perspective. J Leg Med 2007, 28:223-245.
13. Venable S.S. A call to action: Georgia must adopt new standard of care, licensure, reimbursement, and privacy laws for telemedicine. Emory Law J 2005, 54:1183.
14. Gupta A, Sao D. The unconstitutionality of current legal barriers to telemedicine in the US: analysis and future directions of its relationship to national and international health care reform. 2010. Available at: Accessed July 19, 2010. http://works.bepress.com/deth_sao/2.
15. Perminov V., Antciperov V., Nikitov D., et al. Preventing unauthorized access to user accounts in a telemedicine consultation system. J Comm Tech Electron 2009, 54:1319-1321.
16. Bellazzi R., Montani S., Riva A., et al. Web-based telemedicine systems for home-care: technical issues and experiences. Comput Methods Programs Biomed 2001, 64:175-187.
17. Dickens B.M., Cook R.J. Legal and ethical issues in telemedicine and robotics. Int J Gynaecol Obstet 2006, 94:73-78.
18. Clifford R.D. Computer and cyber law: cases and materials 1999, Carolina Academic Press Law Casebook Series, Durham (NC).
19. Zawadski P. International outsourcing plus inexpensive, quality healthcare: binding arbitration makes this telemedical dream a reality. Health Matrix Clevel 2008, 18:137-179.
20. Blum J.D. Internet medicine and the evolving legal status of the physician-patient relationship. J Leg Med 2003, 24:413-455.
21. Derse A.R., Miller T.E. Net effect: professional and ethical challenges of medicine online. Camb Q Healthc Ethics 2008, 17:453-464.
22. Goldstein M.M. Health information technology and the idea of informed consent. J Law Med Ethics 2010, 38:27-35.
23. Available at: Accessed July 19, 2010. http://www.dialogmedical.com/default.htm.
24. 42 USCA § 1320d-2.
25. Annas G.J. HIPAA regulations - a new era of medical-record privacy?. N Engl J Med 2003, 348:1486-1490.
26. See Health Information Security and Privacy Collaboration (HISPC), initiated by the Department of HHS. Available at: Accessed July 19, 2010. http://healthit.hhs.gov/portal/server.pt%3Fopen=512%26objID=1240%26parentname=CommunityPage%26parentid=2%26mode=2.
27. Hodge J.G., Gostin L.O., Jacobson P.D. Legal issues concerning electronic health information: privacy, quality, and liability. JAMA 1999, 282:1466-1471.
28. Recently, international standards have been developed by ISO. See ISO/TS 21547:2010, Health informatics - Security requirements for archiving of electronic health records - Principles; ISO/TR 21548:2010, Health informatics - Security requirements for archiving of electronic health records - Guidelines. Available at: Accessed July 19, 2010. http://www.iso.org/iso/catalogue_detail%3Fcsnumber=44479.
29. McLean T.R. The future of telemedicine & its Faustian reliance on regulatory trade barriers for protection health matrix. J Law Med 2006, 16:443-510.
30. A friendly text from the AAO-HNS Professional Liability Committee: The Professional Liability Handbook is available at: Accessed July 19, 2010. http://www.entnet.org/Practice/loader.cfm%3FcsModule=security%252fgetfile%26pageid=11105.
31. Available at: Accessed July 19, 2010. http://www.americantelemed.org/files/public/standards/CoreStandards_withCOVER.pdf.
32. Available at: Accessed July 19, 2010. http://www.aad.org/forms/policies/Uploads/PS/PS-Telemedicine%25206-15-07.pdf.
33. Available at: Accessed July 19, 2010. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/guidelines/med_phys/electronic_practice.aspx.
34. Available at: Accessed July 19, 2010. http://www.americantelemed.org/files/public/standards/PracticeGuidelinesforVideoconferencing-Based%2520TelementalHealth.pdf.