Practices should create a procedure for handling these patients with the following recommendations:
- Determine whether the practice will continue with telehealth following the National Emergency, and advise patients upfront what the plan will be.
- Maintain a log of all out-of-state telehealth patients.
- Inquire from each patient if they have a primary care provider (PCP).
- Transition care back to PCP at end of crisis.
- If PCP available, provide copy of medical record with patient’s permission. If PCP unavailable, have patient identify a healthcare provider within their state to whom medical record can be shared.
- Consider a disclaimer to share with patients such as the following: “After the National Emergency is over, we anticipate state laws will be revised as it relates to telehealth. However, this is a fluid situation that can change with each state. Therefore, your care will need to be transitioned to a healthcare provider within your state unless laws are changed.”
All Curi recommendations are based on current CDC criteria at the time of publication. CDC guidance for SARS-CoV-2 infection may, or may not, be adopted by state and local health departments to respond to rapidly changing local circumstances. Providers should always check with their local health department to see if the CDC’s guidance on any given topic has been modified (particularly if more restrictive) from the CDC’s recommended guidelines. Follow this link https://www.cdc.gov/publichealthgateway/healthdirectories/index.html for contact information to your state/local health department. If local recommendations vary from those of the CDC, and you are unsure what recommendations to follow, then it is safer to follow the more restrictive guidelines/recommendations.