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Implications for Telehealth in a Postpandemic FutureRegulatory and Privacy Issues

Educational Objective
To understand the privacy and regulatory issues posed by increased telehealth in the post-COVID world
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Article Information

Corresponding Author: Carmel Shachar, JD, MPH, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, 23 Everett St, Cambridge, MA 02138 (cshachar@law.harvard.edu).

Published Online: May 18, 2020. doi:10.1001/jama.2020.7943

Conflict of Interest Disclosures: Ms Shachar reported receiving a grant from the Collaborative Research Program for Biomedical Innovation Law, a scientifically independent collaborative research program supported by a Novo Nordisk Foundation grant (NNF17SA0027784). Dr Elwyn reported receiving active research grants from the Patient-Centered Outcomes Research Institute, Robert Wood Johnson Foundation, and Cystic Fibrosis Foundation and advising for EBSCO Health, PatientWisdom, Abridge AI, and Bind Insurance.

Additional Contributions: Some of the concepts and ideas incorporated in the article were based on discussion and interviews with Sanjeev Arora, MD, ECHO Institute; Elliot Fisher, MD, MPH, Dartmouth Institute for Health Policy and Clinical Practice; Matthew Handley, MD, Kaiser Permanente of Washington; Judd Hollander, MD, Sidney Kimmel Medical College at Thomas Jefferson University; Surena Matin, MD, MD Anderson Cancer Center; Lois Ramondetta, MD, MD Anderson Cancer Center; Robert Satcher, MD, PhD, MD Anderson Cancer Center; and Rahul Sharma, MD, MBA, New York Presbyterian–Weill Cornell Medical Center. None of these individuals were compensated for their participation.

References
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Noel  K , Messina  C , Hou  W , Schoenfeld  E , Kelly  G .  Tele-Transitions of Care (TTOC).   BMC Fam Pract. 2020;21(1):27. doi:10.1186/s12875-020-1094-5PubMedGoogle ScholarCrossref
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Kruse  CS , Krowski  N , Rodriguez  B , Tran  L , Vela  J , Brooks  M .  Telehealth and patient satisfaction.   BMJ Open. 2017;7(8):e016242.PubMedGoogle Scholar
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State Telehealth Laws and Reimbursement Policies Report. Center for Connected Health Policy. Published 2020. Accessed April 12, 2020. https://www.cchpca.org/telehealth-policy/state-telehealth-laws-and-reimbursement-policies-report
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Henry  BW , Block  DE , Ciesla  JR , McGowan  BA , Vozenilek  JA .  Clinician behaviors in telehealth care delivery.   Adv Health Sci Educ Theory Pract. 2017;22(4):869-888. doi:10.1007/s10459-016-9717-2PubMedGoogle ScholarCrossref
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COVID-19 telehealth coverage policies. Center for Connected Health Policy. Published 2020. Accessed April 12, 2020. https://www.cchpca.org/resources/covid-19-telehealth-coverage-policies
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Lonergan  PE , Washington  SL  III , Branagan  L ,  et al. Rapid utilization of telehealth in a comprehensive cancer center as a response to COVID-19. Health Informatics. Published online April 15, 2020. doi:10.1101/2020.04.10.20061259
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Office for Civil Rights (OCR). Notification of enforcement discretion for telehealth. HHS.gov. Published March 30, 2020. Accessed April 12, 2020. https://www.hhs.gov/hipaa/for-professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html
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Telehealth after visit summaries. Abridge for Clinicians. Accessed April 15, 2020. https://www.abridge.com/clinicians
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