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.02.02.13. NOTE: The disaster privileging option ONLY applies when the organization has implemented their emergency management plan.

Licensed Independent Practitioners (LIP)  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 Licensed Independent Practitioners that are NOT currently credentialed and privileged by the organization, disaster privileges may be granted to volunteer LIPs by following the requirements outlined in the Emergency Management chapter of the accreditation manual. 

Additional Resources:
FAQ: Requirements for Granting Privileges During a Disaster. 
Last updated on July 26, 2021
Manual: Critical Access Hospital
Chapter: Emergency Management EM

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