Operational structure helps ensure the success of telehealth services.  Planning for this structure should consider the unique issues and culture of the organization.   Key issues to be considered, include:         

1.      Where will your telehealth services be based?

a.      A centralized telehealth department/service area that schedules, implements and monitors programming.     

b.      Individual departments with independent management of systems and resources.

c.      Combination (eg:  equipment dispersed throughout the organization with centralized scheduling and monitoring).

2.      Who will head telehealth services?

a.      Specialized and/or dedicated staff 

b.      Dispersed responsibility as part of various position accountabilities

3.      What resources will be necessary for the telehealth program?

a.       Technical infrastructure and support

b.       Equipment

c.        Scheduling and monitoring systems

d.       Programming

b.        Human resources

4.      What structures need to be developed and/or revised?

a.      Policies and procedures

b.      Protocols for various applications

c.      Credentialing and privileging

d.      Cultural modeling (eg:  Leadership enforcement of telehealth utilization)

e.       Training and competency documentation

f.         Compliance with accrediting and licensing agencies

5.      What business and financial planning needs to take place?

a.       Strategic planning

b.       Pro forma 

b.      Revenue streams

c.        Return on investment

6.      What other part of your organization that telehealth may affect?