The world has been drastically impacted by the emergence of the novel coronavirus known as COVID-19. Coronavirus disease 2019 has now made its way around the globe to the United States and to New York. Whatever the nature of your medical practice, no one is untouched by the COVID-19 outbreak. The challenges associated with providing the best care and treatment to your patients—as a result of COVID-19 or otherwise—are enormous.
PRI recognizes the gravity of the changing clinical world caused by the rapidly evolving COVID-19 pandemic. Medical professionals possess the ability to think critically with expert clinical judgment and decision-making skills, and it is this skillset that is essential during this pandemic. Thank you for your continued and heightened service and commitment to your patients and communities in this time of crisis.
We Are Here for You
While our medical professionals and facilities are facing intense disruptions in supplies, services, and staff, we would like to assure you that PRI is fully operational and available to you as a resource. At the outset of the COVID-19 outbreak, PRI developed contingency plans to ensure that our operations remain intact and uninterrupted should New York become affected. From our underwriters to our claims representatives, and everyone in between, PRI is at your service. For our policyholders facing disruptions to their practice and potential financial hardship, PRI is here to assist you. Please contact PRI’s Underwriting Department (800) 632-6040 ext. 4334 or email@example.com so we may identify solutions that work best for you.
COVID-19 Physician Peer Support
PRI’s Physician Peer Support program is always available for you. Your colleagues have been finding it immensely valuable during this COVID-19 crisis to know that they are not alone in dealing with the stresses of the profession which can often leave you feeling exhausted, isolated and frightened. Fearfulness knows no bounds for your patients’ safety, your safety, and the safety of your loved ones when you return home after a seemingly unending day. By calling (516) 277-4329, you can be connected to a physician peer to share a private and confidential conversation, just the two of you. If you prefer to be in a larger setting, PRI has a Virtual Support Group on Coping with COVID-19 every Monday evening at 8PM which your fellow physicians have been utilizing and finding great comfort and support from. The call is led by thought leader and mindfulness expert, Mick Krasner, MD. By day, Dr. Krasner is a practicing internist at The University of Rochester amidst the ongoing coronavirus pandemic. By night, he offers an amazing level of strength to our physicians through our Virtual Support Group.
For information visit: Virtual Event – Practicing Within The Context Of The Covid-19 Pandemic. To register, call (516) 277-4327.
Key Links to COVID-19 Resources
COVID-19 Special Topics
Telemedicine and PRI Policy in the COVID-19 Pandemic
Malpractice claims arising from medical services related to the use of telemedicine are covered under policyholders’ policies subject to the terms, conditions, and exclusions identified in the policy.
Telemedicine and COVID-19 – Risks, Guidance, and Strategies
New York physicians are facing systemic challenges in responding effectively to the needs of their patients, communities and practices amidst this disruptive public health crisis. Many are turning to telemedicine as a means of forward triage, maintaining continuity of care, reducing exposure potential, and “flattening the curve”.
Some practices may be accustomed to using telehealth while a sizable number may be new to telemedicine. While the latter population may have more risks to consider, those who already use telemedicine may be under pressure to apply telemedicine to novel patient situations.
As healthcare providers seek to employ telemedicine technologies, it is important to consider the potential risks of telemedicine as well as strategies to reduce risk.
Risks of telemedicine include:
- The same standards of care which apply to in-person patient encounters are applied to physicians practicing telemedicine.
- Delays in medical evaluation and treatment due to failures of technology, such as a disconnected phone call.
- Lost information due to technical failures.
- Vulnerabilities of patients’ personal health information (PHI)
- A lack of access to complete medical information leading to adverse drug interactions, allergic reactions, or other judgment errors.
- An inability to have direct, physical contact with patients, reducing the thoroughness of patient assessment.
Guidance and strategies for reducing telemedicine risk include:
- Be aware that when using telemedicine to treat patients in New York, most requirements of an office visit apply.
- Practice within the scope of your specialty.
- Educate patients on the limitations imposed by telemedicine as part of the telemedicine informed consent discussion with the patient.
- Follow-up care may need to be equitable or more frequent for telemedicine encounters when compared to in-person patient care.
- Be cognizant that providing professional advice or treatment via telemedicine, even if gratuitous, will be considered the establishment of a physician-patient relationship, and physicians will be beholden to all the obligations associated with a physician-patient relationship.
- Have a plan in place to advise patients on appropriate courses of action should it be determined that the telemedicine encounter is inadequate for the patient’s medical needs.
- Ensure staff is adequately trained to support the practice’s use of telemedicine.
- Establish patient’s location at time of virtual visit to ensure that the patient is in a jurisdiction where the physician/provider is licensed. Additionally, stay abreast of changes to state licensure requirements as they are changed throughout the COVID-19 Pandemic and thereafter.
- Carefully advise patients as to the care plan and ensure that the plan is understood by the patient.
- Ensure that the environment for both patient and provider is professional and does not compromise patient confidentiality.
- Thoroughly document each encounter and ensure that documentation is integrated into the patient’s formal record.
- When using telehealth for screening potential COVID-19 cases, document denial of key symptoms, exposure to others with symptoms or confirmed diagnosis. Document advice given to the patient if symptoms fail to improve or if new or escalating symptoms appear.
- Establish a contingency plan with the patient should the telemedicine encounter get disconnected.
- Ensure that services provided by means of telehealth are in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and all other relevant laws and regulations governing confidentiality, privacy, and consent (including, but not limited to 45 CFR Parts 160 and 164 [HIPAA Security Rules]; 42 CFR, Part 2; PHL Article 27-F; and MHL Section 33.13).
- Ensure that your telemedicine service is in compliance with federal and state laws governing healthcare translation services.
As always, we are here to support you and to answer any questions you have during this rapidly changing healthcare event. For questions please contact the Underwriting Department at (800) 632-6040 ext. 4334 or email us at firstname.lastname@example.org.
THIS MATERIAL IS PROVIDED FOR INFORMATIONAL PURPOSES AND IS NOT TO BE CONSTRUED AS DICTATING THE PRACTICE OF MEDICINE.