Telepractice: An Overview and Best Practices

2014 ◽  
Vol 23 (1) ◽  
pp. 4-17 ◽  
Author(s):  
Jana Cason ◽  
Ellen R. Cohn

Telepractice is the use of telecommunications technology to deliver speech therapy and audiology services to a client who is in a different physical location than the practitioner. This article presents a general overview of telepractice, including terminology and definitions; ethical considerations; privacy and security; reimbursement policy and trends; considerations for client selection; and telepractice resources. It was written to provide foundational information about telepractice for practitioners who are engaged with alternative and augmentative communication (AAC).

ASHA Leader ◽  
2013 ◽  
Vol 18 (4) ◽  
pp. 16-17
Author(s):  
Billy Ogletree

Last June, autism expert Billy T. Ogletree chatted with participants from an ASHA online conference on partner instruction in alternative and augmentative communication. Here's what they said.


2020 ◽  
Vol 11 (05) ◽  
pp. 755-763
Author(s):  
Shibani Kanungo ◽  
Jayne Barr ◽  
Parker Crutchfield ◽  
Casey Fealko ◽  
Neelkamal Soares

Abstract Background Advances in technology and access to expanded genetic testing have resulted in more children and adolescents receiving genetic testing for diagnostic and prognostic purposes. With increased adoption of the electronic health record (EHR), genetic testing is increasingly resulted in the EHR. However, this leads to challenges in both storage and disclosure of genetic results, particularly when parental results are combined with child genetic results. Privacy and Ethical Considerations Accidental disclosure and erroneous documentation of genetic results can occur due to the nature of their presentation in the EHR and documentation processes by clinicians. Genetic information is both sensitive and identifying, and requires a considered approach to both timing and extent of disclosure to families and access to clinicians. Methods This article uses an interdisciplinary approach to explore ethical issues surrounding privacy, confidentiality of genetic data, and access to genetic results by health care providers and family members, and provides suggestions in a stakeholder format for best practices on this topic for clinicians and informaticians. Suggestions are made for clinicians on documenting and accessing genetic information in the EHR, and on collaborating with genetics specialists and disclosure of genetic results to families. Additional considerations for families including ethics around results of adolescents and special scenarios for blended families and foster minors are also provided. Finally, administrators and informaticians are provided best practices on both institutional processes and EHR architecture, including security and access control, with emphasis on the minimum necessary paradigm and parent/patient engagement and control of the use and disclosure of data. Conclusion The authors hope that these best practices energize specialty societies to craft practice guidelines on genetic information management in the EHR with interdisciplinary input that addresses all stakeholder needs.


Author(s):  
Juan José Andrés Gutiérrez ◽  
Esteban Pérez-Castrejón ◽  
Ana Isabel Calvo-Alcalde ◽  
Jesús Vegas ◽  
Miguel Ángel González

Chapter 26 describes the present situation of E-Health at home taking into account legal, privacy and security aspects. As a first step, some background and a general description of E-Health activities at home are presented. In order to have a general idea of the current status of this field, we analyze the general legal situation in terms of ICT for E-Health and several related issues on data mining privacy and information recovery aspects. The topics covered include the taxonomy for secondary uses of clinical data and a description of the role that controlled vocabularies play. Concerning the provision of E-Health at home, the chapter revises the current situation in the digital home evolution including topics on sensors and sanitary devices. Furthermore the challenge of digital identity at home and the differences between the domestic environment and the professional one are considered. Finally some ethical considerations under the "InfoEthics" concept and future lines of work are addressed.


2015 ◽  
Vol 20 (9) ◽  
pp. 2625-2630 ◽  
Author(s):  
Elizabeth Peter

Abstract A sound knowledge of the nature of qualitative research, along with an appreciation of some special ethical considerations, is needed for rigorous reviews to be conducted. The overall character of qualitative research is described with an emphasis on the tendency of qualitative researchers to explore sensitive topics using theoretically informed methods. A number of specific features of qualitative that require additional ethical attention and awareness are also examined including the following: 1) participants are frequently quite vulnerable and require protection because the data collection methods, such as in-depth interviews, can delve into personally and politically charged matters; 2) naturalistic observation can raise concerns regarding privacy and consent; 3) the potential for the identifiability of the results of this research may require extra efforts to maintain confidentiality. Ultimately, Reseach Ethics Committee members must be knowledgeable about qualitative approaches to be able to assess the potential harms and benefits in a protocol carefully. Without this knowledge gaining ethics approval can be overly difficult for researchers and the best practices for protecting human participants can be overlooked.


Author(s):  
Lara Khansa ◽  
Jonathan Forcade ◽  
Girivaraprasad Nambari ◽  
Saravanan Parasuraman ◽  
Patrick Cox

With the aging United States population, healthcare costs have considerably increased and are expected to keep rising in the foreseeable future. In this paper, the authors propose an intelligent cloud-based electronic health record (ICEHR) system that has the potential to reduce medical errors and improve patients’ quality of life, in addition to reducing costs and increasing the productivity of healthcare organizations. They developed a set of best practices that encompass end-user policies and regulations, identity and access management, network resilience and service level agreements, advanced computational power, “Big Data” mining abilities, and other operational/managerial controls that are meant to improve the privacy and security of the ICEHR, and make it inherently compliant to healthcare regulations. These best practices serve as a framework that offers a single interconnection agreement between the cloud host and healthcare entities, and streamlines access to private patient information based on a unified set of access principles.


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