During the system's four years of operation, just one accidental breach of confidentiality has occurred, according to Armstrong. When a patient was mistakenly connected with a business conference, it was immediately apparent that a mistake had been made. Clinicians who initiate client treatment using the Montana system are responsible for maintaining client records and are liable for their treatment decisions, Armstrong noted. Mental health sessions conducted on the Montana system may not be taped. Soltys's sessions are sometimes taped.
Patients sign a consent form after they have shown they understand how tapes are being used.
They are stored with the same attention to security given other health care records, according to Soltys. You have to ask, you have to negotiate with carriers and advocate for services. Recent state legislation indicates growing use and acceptance of telehealth technology. According to a fact sheet on the legislation, existing regulations on confidentiality and maintenance of health records apply under the law. An analysis of the legislation from its sponsor's office notes that the cost effectiveness and value of telemedicine is still being assessed.