11 - Telehealth, remote pharmacy, and Internet pharmacy Flashcards Preview

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1

Define:

use of 
electronic information & communications technology
to provide & support health care when
distance seperates the participants

TELEMEDICINE
also

the use of medical information 
exchanged from one site to another
via electronic communications
to improve a patient's clinical health status

2

Define:

broader term to incorporate
tele- medicine / pharmacy / dentistry

the 
use of electronic information & telecommunications technology
to support & promote
long-distance clinical health care

TELEHEALTH

3

Barriers of Telemedicine

Jurisdictional issues
professional licensure / medical liablities

Lack of sufficient STANDARDS of care
and technologies / guidelines / limited interoperability

Prescriber INCONVENIENCE + RESISTANCE
to change

limited INSURANCE

4

Synchronous vs A-Synchronous
Telehealth Applications

REAL TIME / INTERACTIVE
is synchronous

vs

Computer Technology // Store-and-forward
A-synchronised:
internet / remote devices / streaming media
call centers / interactive videos

5

Define:

Domain of TELEMEDECINE that includes:
store-and-forward // interactive video images

tele-
radiology / dermatology / psychiatry

TO SEE IMAGES

VIDEO-Telemedicine

6

Define:

the provision of pharm. care by pharmacists
through the use of
telecommunications + technologies
to patients 
at a distance / located within US Jurisdiction

TELEPHARMACY

provides much needed consultation for patients living in
remote areas
single pharmacist --> multiple areas
via
Video / phone conferencing

7

Define:

a pharmacy that is staffed by a pharm/intern/CpT
electronically linked to a
central pharmacy via computer and video-auditory communication system

REMOTE PHARMACY

8

Define:

 site located within an institutional facility or outpatient clinic
that utilizes an
automated pharmacy system and that is electronically linked to the

coordinating pharmacy via a computer system and/or a video-auditory communication system

•Does not need the staffing component
but IDEALLY we want staffing

REMOTE DISPENSING SITE

9

State Regulations of TELEPHARMACY

VARY on:
Setting / Staffing / Recordkeeping

States generally permit telepharmacy practice via:
automated dispensing devices
remote dispensing
State-licensed online pharmacy

10

•Ryan Haight Act 
enacted Oct 15, 2008 and effective April 13, 2009

•Act makes it illegal to
deliver, distribute, or dispense   CONTROLLED SUBSTANCES by means of the Internet, except as authorized by [the Act]”

•FDA attempts to regulate foreign-based online pharmacies, which pose greatest challenge

•ICE, DEA, U.S. Customs, and FDA also partner with state pharmacy boards

11

Identifying legitimate online pharmacies

NABP has established programs to evaluate / accredit Internet pharmacies

VIPPS
Verified Internet Pharmacy Practice Sites
only 62 in april 2018

NABP now OWNS / OPERATES = .Pharmacy

•http://www.legitscript.com/​

12