Legal Perspectives on Telemedicine Part 2: Telemedicine in the Intensive Care Unit and Medicolegal Risk | Zendy

C Becker | Zendy; Katherine Dandy | Zendy; Max Gaujean | Zendy; Maria Fusaro | Zendy; Corey Scurlock | Zendy

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Legal Perspectives on Telemedicine Part 2: Telemedicine in the Intensive Care Unit and Medicolegal Risk

Author(s) -

C Becker,

Katherine Dandy,

Max Gaujean,

Maria Fusaro,

Corey Scurlock

Publication year - 2019

Publication title -

the permanente journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.445

H-Index - 30

eISSN - 1552-5775

pISSN - 1552-5767

DOI - 10.7812/tpp/18.294

Subject(s) - telemedicine , medicine , license , reimbursement , software portability , risk analysis (engineering) , medical emergency , intensive care unit , investment (military) , risk management , unit (ring theory) , health insurance portability and accountability act , health care , computer security , intensive care medicine , business , finance , computer science , confidentiality , mathematics education , mathematics , politics , political science , law , economics , programming language , economic growth , operating system

Tele-intensive care unit (tele-ICU) implementation has been shown to improve clinical and financial outcomes. The expansion of this new care delivery model has outpaced the development of its accompanying regulatory framework. In the first part of this commentary we discussed legal and regulatory issues of telemedicine in general and expanded on tele-ICU implementation in particular. Major legal and regulatory barriers to expansion remain, including uncertainty regarding license portability and reimbursement. In this second part we discuss the effects of telemedicine implementation on the various aspects of medicolegal risk and risk mitigation, with a particular focus on tele-ICU. There is a paucity of legal data regarding the effect of tele-ICU implementation on medicolegal risk. We will therefore systematically discuss the effects of tele-ICU on the various root causes of medical error. Given the substantial capital and operational investment that must be undertaken to build and run a tele-ICU, any reduction in risk adds to the financial return on investment and further decreases barriers to implementation.

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