Name of the Procedure:

Telehealth Distant Site Service Furnished by a Rural Health Clinic or Federally Qualified Health Center (HCPCS Code: G2025).

Summary

Telehealth distant site services allow patients to receive medical care remotely from healthcare professionals in rural health clinics (RHCs) or federally qualified health centers (FQHCs) via telecommunications technology.

Purpose

Telehealth services address the need for accessible healthcare in rural and underserved areas. The goal is to provide timely, high-quality medical care without the patient having to travel long distances.

Indications

Telehealth services are warranted for:

• Patients living in remote or rural areas who lack local access to medical services.
• Individuals with chronic conditions needing regular monitoring.
• Patients requiring follow-up consultations or routine check-ups.
• Situations where in-person visits are not feasible due to mobility issues, public health concerns, or other barriers.

Preparation

Patients generally need to:

• Ensure they have a reliable internet connection and compatible device (like a smartphone, tablet, or computer with a camera).
• Complete any necessary diagnostic tests as instructed by their healthcare provider before the telehealth appointment.
• Prepare a list of symptoms, questions, and any medications they are currently taking.

Procedure Description

1. Schedule an appointment with the RHC or FQHC.
2. Connect to the telehealth platform using a secure link provided by the healthcare provider.
3. Engage in a live video consultation with a healthcare professional, who will discuss symptoms, perform visual examinations, and provide medical advice or treatment plans.
4. Any necessary follow-up actions or referrals will be discussed and arranged.

Tools, Equipment, and Technology Used:

• Computer, tablet, or smartphone with internet access and video capability.
• Secure telehealth software platform.

Anesthesia or Sedation Details: Not applicable.

Duration

A typical telehealth session lasts between 15 to 30 minutes, though it may vary based on the complexity of the medical issue.

Setting

The telehealth consultation takes place remotely, with the patient in their home or another private, comfortable location.

Personnel

• Primary healthcare providers, such as doctors or nurse practitioners.
• Medical assistants or administrative staff may help set up the telehealth system and handle scheduling.

Risks and Complications

• Technical issues such as poor internet connectivity can disrupt the consultation.
• The inability to perform a physical examination may limit diagnostic accuracy.
• Potential privacy concerns if the electronic communication is not properly secured.

Benefits

• Improved access to healthcare services in remote or underserved areas.
• Convenience and comfort of receiving care from home.
• Reduced need for travel, saving time and cost for the patient.

Recovery

• No physical recovery is necessary after a telehealth session.
• Adherence to any medical advice or treatment plans provided during the consultation.
• Scheduling of any necessary follow-up appointments as directed.

Alternatives

• In-person medical visits at a clinic, hospital, or healthcare facility.
• Visiting a local urgent care center for acute issues.
• Using telehealth services from other healthcare providers or platforms if available.

Pros and Cons of Alternatives:

• In-person visits allow for physical examinations but may require significant travel.
• Urgent care centers provide immediate care but may not have comprehensive patient history.
• Alternative telehealth services may offer similar convenience but vary in quality and accessibility.

Patient Experience

During the telehealth session, the patient can expect:

• A video conversation with their healthcare provider.
• To provide detailed descriptions of their symptoms and medical history.
• Minimal discomfort, as there are no physical examinations or procedures involved.

Pain management and comfort measures are generally not needed for a telehealth session.