Many structural issues arise when an organization implements clinical telehealth.  Accrediting organizations such as The Joint Commission set forth standards that affect credentialing of practitioners, staff competencies, quality improvement processes and infection control practices.  Other organizations such as Centers for Medicare and Medicaid Serviced (CMS) have additional standards for compliance.

It’s not as difficult as it initially appears.  Many model telehealth programs have worked through these processes and are willing to share their expertise.  Follow the link for model processes from the Upper Peninsula Telehealth Network.