I’m not exactly sure when the State of Maryland is going to enact regulations for telepsychiatry, but I’ve finally put together a basic informed consent form for telepsychiatry for my practice. I tried to write it in fairly plain English, unlike my HIPAA form , which is so complicated that I don’t really understand half [...]
Tagged emergencies, face-to-face, HIPAA, informed consent, recording, skypeThe office for my practice and my office at home both get a little cluttered at time. I try to keep my practice office relatively organized because I think most patients feel better that way, and I try to keep my office at home less cluttered because I feel better that way. At work, I’ve [...]
Tagged background, clutter, home, shoji screen, skypeOver the weekend, I decided to switch to Google Voice. I put messages on all my phones (my cell, my practice office and my office at Hopkins) directing people to call me on my Google Voice number and have started the process of letting everyone like my bank and others know that my number has [...]
Tagged email, Google Voice, skype, Skype hours, voicemailI mentioned in my last post that I wasn’t recording any of my Skype sessions with patients. The reason is not the simple knee-jerk reaction of “protecting the patient’s privacy” but something else. The fact is, the privacy issue isn’t that hard to address. Lots of medical information is encrypted and encryption is the key [...]
Tagged digital records, HIPAA, privacy, recording, skypeMany years ago, I was attending an administrative meeting for clinical matters. As was the norm for these meetings, the leader of the meeting was going through new requirements for yet more senseless documentation. The intent was good, but everyone in the room (including the leader) knew that the need for increased record keeping wasn’t [...]
Tagged consent form, digital records, documentation, informed consent, medical records, privacy, recording, skypeI got a couple of emails last week regarding my “Managing the monitor real estate with Skype“ post in which I talked about my extremely low cost electronic medical record (EMR) system. Today’s post isn’t about telepsychiatry, but I think it is at least relevant. Basically, I use dokuwiki for the underlying system software. Dokuwiki [...]
Tagged dokuwiki, EMR, encryption, NationalERx, truecrypt, ubuntuI had interesting email interchange last week, and I wonder if I made the right decision. I have a website for my practice , and sometimes people make initial contact by email rather than calling on the phone. Anyway, a person emailed me, saying that she was very interested in treatment by telepsychiatry and asked [...]
Tagged agoraphobia, first visit, progressive exposureOne problem I still haven’t solved to my satisfaction is a good way to use Skype for telepsychiatry and take notes at the same time. If you just have paper records, then this issue isn’t problematic-—you use the computer monitor for Skype, and your regular paper notes. However, my record keeping system is on line, [...]
Tagged computer monitor, dokuwiki, EMR, medical records, skypeI mentioned in my Getting started with Skype for patients post that I was going to go out on Black Friday to see if I could find a couple of inexpensive webcams that I could lend out for patients to try. I wanting to make sure that if a webcam never came back, I wouldn’t [...]
Tagged inexpensive, skype, webcamI rent office space for my practice, and I’m not there some of the time (I usually work in my practice on Wednesdays and Thursdays, and in my other job on the other days). The office just sits there empty five out of seven days of the week, and I’ve often thought about how I [...]
Tagged emergencies, face-to-face, home office, office space, skype
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