![]() The paid version, at $49 a month, offers additional features such as scheduling, consent forms, and credit card payments.ĭoximity is a service developed for hospital services and physicians. There is a free version that offers one-click video, a virtual waiting room, unlimited video calls, and HIPAA compliance via a BAA. The software can be integrated into an existing system with little or no coding, and it can be personalized (VSEE, 2022b). ![]() They wanted to offer a telehealth solution that would function even over very low bandwidths and that was easy to deploy. Milton Chan and Dr Erika Chuang as PhD students at Stanford (VSEE, 2022a). VSEE is a platform that was developed by Dr. There are also platforms that may not be as well-known. Webex also falls into this category (Webex, 2021). Google Workspace and Cloud Identity also report HIPAA compliance through acceptance of a Business Associate Agreement (Google, 2022). There are still some challenges to meeting security, but Zoom now offers a HIPAA-compliant option, which is available to users who upgrade to a Pro Plan and choose the Business Associate Agreement or BAA (Emerson, 2021). Users now have the capability to lock their meetings, and if anyone tries to enter the meeting who doesn’t have an encryption key (which is sent to all invited guests), everyone will know that something is wrong (Aver, 2021). So, Zoom has used E2EE since the fall of 2020, and meetings are much more secure. P2PE meant that the encryption keys for meetings were stored in such a way that they were accessible by outsiders, and meetings could be breached. For example, Zoom initially used point-to-point encryption (P2PE) as opposed to end-to-end encryption (E2EE). ![]() Those definitely worked in a pinch, but there were concerns about privacy. That means that the platform or service, such as Zoom or Google, is meant to include just the intended parties. ![]() On days when our own service provided challenges, we were provided with the instruction that we could use any non-public facing platform (HHS, 2020). At the beginning, we sometimes relied on outside services as we expanded our own capabilities. We had an in-house platform that grew from being wonky and slow to being a fairly reliable network. Initially, like a lot of people and places, my agency used a combination of what the agency could provide and what we had on hand. My agency did a lot of the heavy lifting for me. I’ve been very spoiled and very lucky throughout the very rapid evolution of providing telehealth services during the COVID-19 lockdown. The Usual Suspects: Platforms That You Know So, I’m going to attempt to put together a guide. But I don’t think there has been a lot written about the mechanics. When I set out to do research, I discovered that we’ve thought a lot about ethics and the ability to build a relationship with a client via video. I was hoping that I would find a fabulous guide that would make this very easy, but I don’t think most people are thinking of telehealth services in this way yet. So, thinking about how to write about this requires a bit of deconstruction. As a result, something that was viewed with a bit of skepticism and caution has now become as normal as tying our shoes. COVID lockdown forced many of us, myself included, to integrate video skills, software, and equipment into our lives quickly and organically. Providing services via video has become a part of my daily life, as it has for a lot of you. For my fall column, I’m writing about telehealth.
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