11 - Telehealth, remote pharmacy, and Internet pharmacy Flashcards
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
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
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
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
Define:
Domain of TELEMEDECINE that includes:
store-and-forward // interactive video images
tele-
radiology / dermatology / psychiatry
TO SEE IMAGES
VIDEO-Telemedicine
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
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
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
State Regulations of TELEPHARMACY
- *VARY** on:
- *Setting / Staffing / Recordkeeping**
States generally permit telepharmacy practice via:
automated dispensing devices
remote dispensing
State-licensed online pharmacy
•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
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/
