Telehealth, the use of electronic communication to remotely provide health care information and services, is gaining more and more attention as providers, patients, and payers all seek more effective and cost-efficient ways to deliver care. Physical therapy is no exception, and while those services have developed mostly in rural areas to accommodate the long distances between patients and providers, telehealth in physical therapy is being considered in other geographic and clinical settings.
This isn't to say that you should jump right in and begin providing services via telehealth. You'll first need to consider federal and state legislation and regulations that govern your practice, risk management implications, billing and coding issues, and hardware/software requirements. The resources below aren't meant to give you detailed instructions on developing and using telehealth in your practice, but they identify areas most important for you to investigate and consider.
Telehealth and the FiRST Council
Telehealth is part of APTA's Frontiers in Rehabilitation, Science, and Technology (FiRST) Council. FiRST grew out of identification of high priority areas to advance science and innovation that our profession needs to understand and incorporate into our practice, education, and research.
FiRST is intended to serve as a community for interested stakeholders. Ideas generated by the council may be implemented by participants' stakeholder groups (sections, academies, external groups, APTA, etc) at the discretion of each entity's governing body.
Why Use Telehealth
The complex US health care system is under a tremendous amount of pressure. Many traditional health care business models are designed to allow high-volume, low-cost procedures to offset the costs of low- volume, high-cost procedures. An upward shift in the aging population is projected to result in a large increase in demand for health care, and new legislation such as the Affordable Care Act has added uncertainty to the future of health care business models and payment. Telehealth is projected to grow worldwide to 1.8 million users by 2017, according to the World Market of Telehealth.
In physical therapy, our patients/clients are asking for more time-efficient and less costly care models. Their busy lifestyles also can make it difficult for them to attend traditional appointments.
Applications of telehealth in physical therapy already have roots that expand throughout patient/client care and consultation, as it allows PTs to better communicate with patients/clients and provide more flexible care. Telehealth will not replace traditional clinical care. However, it will give PTs and PTAs the flexibility to provide services in a greater capacity. Examples:
- Patients typically in clinical or hospital settings could be managed from their homes
- Quicker screening, assessment, and referrals can improve care coordination within collaborative delivery models such as accountable care organizations or patient-centered medical homes
- Telehealth can facilitate consultation between providers or in clinical education
Increasing Access to Physical Therapist Services: Research on Telerehabilitation (.pdf)
This issue brief contains information on studies that demonstrate the potential for cost-savings, improved outcomes, increased access, and higher patient satisfaction through the use of telerehabilitation.
Telehealth in Action: Physical Therapists Share Their Stories (.pdf)
Get first-hand accounts of how PTs are providing physical therapist services via telehealth to clients and patients.
Before You Begin Practicing Via Telehealth
Investigate and consider the issues within the following areas as you make decisions on whether or not to use telehealth in your practice. In addition, become familiar with some of the commonly used terms in telehealth.
HIPAA and Telehealth
A free APTA Learning Center webinar that discusses what physical therapists need to know to ensure compliance with regulations established by HIPAA and the APTA Code of Ethics when using telehealth and mobile health technology. This webinar is not intended to cover every legal, ethical, or practice consideration. To learn more, check out the additional resources below as well as those offered by APTA's HPA the Catalyst Technology Special Interest Group and American Telemedicine Association.
Telehealth Ethics, Best Practice, and the Law: What You Need to Know
Blog highlighting ethics, best practice, and law considerations for practicing Telehealth.
Telehealth and Physical Therapy: Merging of Practice and Technology in the New Frontier
Purchase this course to learn what you need to know in order to implement telehealth into your practice. This course is co-sponsored by HPA the Catalyst.
APTA Position Paper on CONNECT for Health Act (.pdf)
APTA supports the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 (H.R. 4932/S. 2741), legislation that would expand the use of telehealth services and ease restrictions on telehealth coverage under the Medicare program.
Telehealth in Physical Therapy: CSM 2014 Video Interview