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Emergency Management – Privileging Requirements When Providing Services via Telehealth Links During a Disaster

What is required in order to provide care via telehealth services in an emergency or disaster situation?

Any examples are for illustrative purposes only.
 
The applicable requirements that address disaster privileging are found in the Emergency Management (EM) chapter of the Hospital and Critical Access Hospital Accreditation Manuals at EM.12.02.03. NOTE: The disaster privileging option ONLY applies when the organization has implemented their emergency management plan. 

Physicians and other licensed practitioners CURRENTLY credentialed and privileged by the organization, who would now provide the same services via a telehealth link to patients, would not require any additional credentialing or privileging. The medical staff determines which services would be appropriate to be delivered via a telehealth link. There is no requirement that telehealth be delineated as a separate privilege.  

For volunteer physician and other licensed practitioners that are NOT currently credentialed and privileged by the organization, disaster privileges may be granted to volunteer physicians and other licensed practitioners by following the requirements outlined in the Emergency Management chapter of the accreditation manual.  Additional Resources FAQ:  Requirements for Granting Privileges During a Disaster.
Manual: Critical Access Hospital
Chapter: Emergency Management EM
New or updated requirements last added: June 13, 2022. New or updated requirements may be based on revisions to current accreditation requirements, regulatory changes, and/or an updated interpretation in response to industry changes. Substantive changes to accreditation requirements are also published in the Perspective Newsletter that is available to all Joint Commission accredited organizations.
Last reviewed by Standards Interpretation: June 13, 2022 Represents the most recent date that the FAQ was reviewed (e.g. annual review).
This page was last updated on June 13, 2022 with update notes of: Reflects new or updated requirements Types of changes and an explanation of change type: Editorial changes only: Format changes only. No changes to content. | Review only, FAQ is current: Periodic review completed, no changes to content. | Reflects new or updated requirements: Changes represent new or revised requirements.

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