{"id":27522,"date":"2020-05-29T13:27:06","date_gmt":"2020-05-29T13:27:06","guid":{"rendered":"https:\/\/dev.mtelehealth.com\/?p=27522"},"modified":"2020-05-29T13:27:06","modified_gmt":"2020-05-29T13:27:06","slug":"how-to-obtain-consent-for-telehealth","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/how-to-obtain-consent-for-telehealth\/","title":{"rendered":"How to Obtain Consent for Telehealth"},"content":{"rendered":"\n<p>The purpose of consent forms is to document that a discussion took place and that the patient was informed and was able to understand the information provided.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Before the consent discussion<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Mail or use your patient portal to send the form in advance, so patients can review it ahead of time.<\/li><li>Arrange for a qualified interpreter if your patient does not speak English very well. Use the interpreter for the entire consent discussion.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">During the consent discussion<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Use the consent form as a checklist to make sure you discussed all the information required by informed consent rules.<\/li><li>Use easy-to-understand language.<\/li><li><a href=\"https:\/\/www.ahrq.gov\/health-literacy\/quality-resources\/tools\/literacy-toolkit\/healthlittoolkit2-tool5.html\">Use the teach-back method<\/a>&nbsp;to confirm patient understanding.<ul><li>Document teach-back with the&nbsp;<a href=\"https:\/\/www.ahrq.gov\/health-literacy\/obtain-consent-telehealth.html#telehealth\">Telehealth Consent Teach-back Documentation sheet<\/a>&nbsp;(<a href=\"https:\/\/www.ahrq.gov\/sites\/default\/files\/wysiwyg\/telehealth-consent-teach-back-documentation.docx\">Word<\/a>, 19 KB).<\/li><li>Start with a phrase like, \u201cIt\u2019s my job to explain things clearly. To make sure I\u2019m doing a good job, I ask every patient to tell me what you understand about telehealth and how it might help you.\u201d<\/li><li>&#8220;Chunk and Check.&#8221; Don&#8217;t wait until the end to start teach-back. Chunk out information into small segments and have your patient teach it back. For example, ask patients, \u201cCould you tell me in your own words what will happen to you if you decide you don\u2019t want a telehealth visit?\u201d Repeat several times during the discussion.<\/li><li>Clarify and check again. If teach-back uncovers a misunderstanding, explain things again using a different approach. Ask patients to teach-back again until they are able to correctly describe the information in their own words. If they parrot your words or read the form back to you, they may not have understood.<\/li><\/ul><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Before asking patients if they agree to a telehealth visit<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Ask patients if they have questions. You could say, \u201cWe covered so much information, I\u2019m sure you have questions. What would you like to hear more about?\u201d<\/li><li>Avoid asking questions that will elicit yes and no answers, such as, &#8220;Do you have any questions?&#8221; and &#8220;Do you understand?&#8221;<\/li><li>Offer to read the form aloud to all patients. For example, you could say, &#8220;I\u2019d like to read aloud a summary of our talk about telehealth.&#8221;<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">After the consent discussion, document it<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Document patients\u2019 ability to teach the information back correctly in the medical record.<\/li><li>If patients do not consent, note it in their medical records.<\/li><li>If patients consent:<ul><li>Mail them a copy of the consent form to keep.<\/li><li>Obtain patients\u2019 consent verbally and note it in the medical record. If you need a signed form, use your patient portal or the mail to get a signature.<ul><li>If patients can sign the consent form in your patient portal, ask whether they are able to access the portal. If they are, direct them to staff who can walk them through how to consent online.<\/li><li>If patients can\u2019t use the patient portal, mail consent forms (one to sign and return, one to keep) and a stamped return envelope, and ask patients to sign and mail back the form.<\/li><li>You do not need to wait to get a consent form signed. You can have telehealth visits with your patients based on their giving their consent verbally.<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Telehealth Consent Teach-back Documentation<\/h2>\n\n\n\n<p><strong>Name of Patient:<\/strong>&nbsp;_____________________________________________ Date: _____________<\/p>\n\n\n\n<p><strong>Name of Clinician:<\/strong>&nbsp;_____________________________________________________________<\/p>\n\n\n\n<p><strong>Name of Interpreter:<\/strong>&nbsp;___________________________________________________________<\/p>\n\n\n\n<p>(If patient does not speak English&nbsp;<strong>very<\/strong>&nbsp;well, use an interpreter)<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"290\" src=\"https:\/\/mtelehealth.com\/wp-content\/uploads\/2020\/05\/image-3-1024x290.png\" alt=\"\" class=\"wp-image-27523\" srcset=\"https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2020\/05\/image-3-1024x290.png 1024w, https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2020\/05\/image-3-300x85.png 300w, https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2020\/05\/image-3-768x217.png 768w, https:\/\/drmiltie.com\/at-home-testing\/wp-content\/uploads\/2020\/05\/image-3.png 1251w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th>&nbsp;<\/th><th>Was the patient able to teach-back the information in their own words?<\/th><\/tr><\/thead><tbody><tr><td>&nbsp;<\/td><td><strong>1<sup>st<\/sup>&nbsp;attempt<\/strong><\/td><td><strong>2<sup>nd<\/sup>&nbsp;attempt<\/strong><\/td><td><strong>3<sup>rd<\/sup>&nbsp;attempt<\/strong><\/td><td><strong>4<sup>th<\/sup>&nbsp;attempt<\/strong><\/td><\/tr><tr><td>What telehealth is<\/td><td>&nbsp;Yes&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><\/tr><tr><td>How telehealth could help (benefits)<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><\/tr><tr><td>How telehealth could be bad (harms and risks)<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><\/tr><tr><td>Privacy of telehealth (risks)<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><\/tr><tr><td>Alternative of office visit (options)<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><\/tr><tr><td>Ability to withdraw consent (no penalty)<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><\/tr><tr><td>Cost<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><\/tr><tr><td>Obligation to sign (voluntariness)<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><td>&nbsp;Yes&nbsp;&nbsp;No<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>The purpose of consent forms is to document that a discussion took place and that [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":27524,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[49,14,159],"tags":[],"class_list":["post-27522","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agency-for-healthcare-research-and-quality","category-blog","category-telehealth"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to Obtain Consent for Telehealth &#183; Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"The purpose of consent forms is to document that a discussion took place and that the patient was informed and was able to understand the information\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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