Telemedicine – Claims Risk Management & Mitigation Strategies for Organisations

Telemedicine – Claims Risk Management & Mitigation Strategies for Organisations

Telemedicine – Claims Risk Management & Mitigation Strategies for Organisations

23 Jul 2020

Insurance Blog written by Dr Edwin Rajadurai about Risk Mitigation for Medical Professionals conducting Telemedicine work.

Telemedicine – Claims mitigation strategies for Organisations

As a Healthcare specialist, Servca are always exploring medical innovations, advancements and changes. Telemedicine and digital health has been scaling over the years, but the unexpected onset coronavirus has escalated it’s need drastically. The policies that we develop, construct and offer (with our expert insurers) are intended to protect organisations against claims that arise from telemedical and digital health specific exposures. Unlike conventional medical malpractice insurance, tele-medicine carries with it a host of accompanying exposures, that may ultimately give rise to a medical malpractice claim. I have previously discussed these exposure in my article: electronic and digital health exposures. In this article, we explore steps that can be taken to mitigate and manage the risks associated with telemedicine for organisations and practitioners alike. Whilst many of these suggestions are not mandatory by regulators, they can play a vital role in managing exposures. Implementing these points may help control the level of exposure that’s associated with telemedical services. This article is intended to act as advice and general information only. Please seek the correct legal and regulatory advice wherever its applicable.

1) Training and Education

By conducting frequent training sessions for management, administrative staff, medical practitioners and other employees, everyone within the organisation can be kept up to date with compliance policies, protocols, strategies and conduct. Providing these trainings and refreshers will ensure that the organisation is “singing from the same hymn sheet”. Updates to personnel can be effectively made through newsletters, memoranda communications and training sessions.

2) Use of clearly defined procedures and protocols

Ensuring that there are defined procedures and protocols in place (that follow the guidance offered by regulators) is important in the fluidity and continuity of treatments provided, especially amongst multiple care providers. This may include (but not limited to):Defining what constitutes as an emergency. Guidance on how to manage emergencies. Referral and follow-up processes. Prescribing protocols. This will provide a unified approach to care provided throughout the organisation and protects against errors occurring.

3) System and Platform Updates

The importance of regular system updates and maintenance cannot be understated. System updates are used to maintain and in some case strengthen the platforms, software’s and digital apparatus being used within telemedical organisations. Examples of these updates include (but are not limited to):Antivirus updates and scans. Software functionality testing. Static code analysis. Bug fixing. These updates can protect against cyber-attacks, system failures and fluid system functioning which could ultimately impact the experience or health of patients.

4) Auditing and Peer Reviews

Conducting diarised audits and peer reviews should be included within the compliance structure to ensure that there is a constant quality control measure within the organisation. Furthermore, for scenarios where less than satisfactory service or treatments levels have been identified, it gives the organisation an opportunity to fix, review and replace the contributory factors allowing for exceptional care standards.

5) Use of a compliance officer

By appointing a compliance officer that oversees and administers the organisations compliance and regulation curriculums, the enterprise will benefit from someone who can manage things like: Licensing arrangements, Organisation audits Physician-patient modalities, Reviewing organisational protocols, Updated prescribing protocols, Billings and reimbursements.*A compliance officer may not be limited to these suggestions.

6) Preserving patient notes and records

Preserving patient notes and records is vital within telemedicine. Furthermore, the finer details of consultations should be included so that a robust defence can be formed in the event of an allegation, complaint or claim. Records should be audited intermittently to ensure that the quality of notes is of a sufficient standard (which should be dictated and enforced by the organisation).Importantly, all follow up recommendations and advices are important in evidence that an appropriate level of care was provided.

Conclusion

Whilst there are a host of other measures that can be taken to mitigate risk, claims and allegations it is evident that organisations that will be successful within this evolving industry are those that have a well organised and structured strategy to mitigate risks. Although there is always a chance of a medical malpractice claim arising from a clinical negligence or misdiagnosis point of view, the non-clinical exposures are ones that can be effectively controlled and managed. To learn more about Servca’s involvement in the tele-medical industry, please get in touch with our expert medical malpractice team. Dr Edwin Rajadurai (MBBS)T: 020 7846 9010M: 074 742 46616E: erajadurai@servca.com

Telemedicine – Claims mitigation strategies for Organisations

As a Healthcare specialist, Servca are always exploring medical innovations, advancements and changes. Telemedicine and digital health has been scaling over the years, but the unexpected onset coronavirus has escalated it’s need drastically. The policies that we develop, construct and offer (with our expert insurers) are intended to protect organisations against claims that arise from telemedical and digital health specific exposures. Unlike conventional medical malpractice insurance, tele-medicine carries with it a host of accompanying exposures, that may ultimately give rise to a medical malpractice claim. I have previously discussed these exposure in my article: electronic and digital health exposures. In this article, we explore steps that can be taken to mitigate and manage the risks associated with telemedicine for organisations and practitioners alike. Whilst many of these suggestions are not mandatory by regulators, they can play a vital role in managing exposures. Implementing these points may help control the level of exposure that’s associated with telemedical services. This article is intended to act as advice and general information only. Please seek the correct legal and regulatory advice wherever its applicable.

1) Training and Education

By conducting frequent training sessions for management, administrative staff, medical practitioners and other employees, everyone within the organisation can be kept up to date with compliance policies, protocols, strategies and conduct. Providing these trainings and refreshers will ensure that the organisation is “singing from the same hymn sheet”. Updates to personnel can be effectively made through newsletters, memoranda communications and training sessions.

2) Use of clearly defined procedures and protocols

Ensuring that there are defined procedures and protocols in place (that follow the guidance offered by regulators) is important in the fluidity and continuity of treatments provided, especially amongst multiple care providers. This may include (but not limited to):Defining what constitutes as an emergency. Guidance on how to manage emergencies. Referral and follow-up processes. Prescribing protocols. This will provide a unified approach to care provided throughout the organisation and protects against errors occurring.

3) System and Platform Updates

The importance of regular system updates and maintenance cannot be understated. System updates are used to maintain and in some case strengthen the platforms, software’s and digital apparatus being used within telemedical organisations. Examples of these updates include (but are not limited to):Antivirus updates and scans. Software functionality testing. Static code analysis. Bug fixing. These updates can protect against cyber-attacks, system failures and fluid system functioning which could ultimately impact the experience or health of patients.

4) Auditing and Peer Reviews

Conducting diarised audits and peer reviews should be included within the compliance structure to ensure that there is a constant quality control measure within the organisation. Furthermore, for scenarios where less than satisfactory service or treatments levels have been identified, it gives the organisation an opportunity to fix, review and replace the contributory factors allowing for exceptional care standards.

5) Use of a compliance officer

By appointing a compliance officer that oversees and administers the organisations compliance and regulation curriculums, the enterprise will benefit from someone who can manage things like: Licensing arrangements, Organisation audits Physician-patient modalities, Reviewing organisational protocols, Updated prescribing protocols, Billings and reimbursements.*A compliance officer may not be limited to these suggestions.

6) Preserving patient notes and records

Preserving patient notes and records is vital within telemedicine. Furthermore, the finer details of consultations should be included so that a robust defence can be formed in the event of an allegation, complaint or claim. Records should be audited intermittently to ensure that the quality of notes is of a sufficient standard (which should be dictated and enforced by the organisation).Importantly, all follow up recommendations and advices are important in evidence that an appropriate level of care was provided.

Conclusion

Whilst there are a host of other measures that can be taken to mitigate risk, claims and allegations it is evident that organisations that will be successful within this evolving industry are those that have a well organised and structured strategy to mitigate risks. Although there is always a chance of a medical malpractice claim arising from a clinical negligence or misdiagnosis point of view, the non-clinical exposures are ones that can be effectively controlled and managed. To learn more about Servca’s involvement in the tele-medical industry, please get in touch with our expert medical malpractice team. Dr Edwin Rajadurai (MBBS)T: 020 7846 9010M: 074 742 46616E: erajadurai@servca.com

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48-60 High Street

Belfast

BT1 2BE



+44 (0) 2895582000

ni@servca.com


Broker at Lloyd’s SLM1389

© 2024 Servca


Servca Group Ltd is a private limited company registered in England and Wales; Registered Number: 7727494; Registered Office: Dukes House, 32-38 Dukes Place, 5th Floor, London, EC3A 7LP, United Kingdom. Authorised and regulated by the Financial Conduct Authority. Servca European Insurance Brokers Ltd (a private limited company incorporated in Malta and enrolled to act as an insurance broker); Tower Business Centre, Level 3, Tower Street, Swatar, BKR, 4013, Republic of Malta. UK branch office is registered in England and Wales, authorised and regulated by the Financial Conduct Authority. Servca Canada Insurance Group Inc, a private limited company incorporated at 40 King Street West, Suite 2100, Toronto, M5H 3C2, Canada. Servca group of companies are owned and operated by Servca Group Holdings Ltd, a private limited company registered in England & Wales.

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Cookies

Global Headquarters

Servca Group

Dukes House

32-38 Dukes Place

5th Floor

London, EC3A 7LP

United Kingdom


+44 (0) 207 2250000

info@servca.com


Broker at Lloyd’s SLM1389

European Office

Servca Europe

Dragonara Business Centre

Dragonara Road

5th Floor

St Julian’s, STJ 3141

Republic of Malta


+356 (20) 341690

eu@servca.com


Broker at Lloyd’s (Brussels) SLM1883

Canadian Office

Servca Canada Insurance Group Inc
40 King Street West
Suite 2100
Toronto
M5H 3C2
Canada


+1 (647) 846 5555

canada@servca.com


Non-regulated servicing company

Northern Ireland

Servca Northern Ireland
River House Belfast

48-60 High Street

Belfast

BT1 2BE



+44 (0) 2895582000

ni@servca.com


Broker at Lloyd’s SLM1389

© 2024 Servca


Servca Group Ltd is a private limited company registered in England and Wales; Registered Number: 7727494; Registered Office: Dukes House, 32-38 Dukes Place, 5th Floor, London, EC3A 7LP, United Kingdom. Authorised and regulated by the Financial Conduct Authority. Servca European Insurance Brokers Ltd (a private limited company incorporated in Malta and enrolled to act as an insurance broker); Tower Business Centre, Level 3, Tower Street, Swatar, BKR, 4013, Republic of Malta. UK branch office is registered in England and Wales, authorised and regulated by the Financial Conduct Authority. Servca Canada Insurance Group Inc, a private limited company incorporated at 40 King Street West, Suite 2100, Toronto, M5H 3C2, Canada. Servca group of companies are owned and operated by Servca Group Holdings Ltd, a private limited company registered in England & Wales.

Privacy Policy

Cookies

Global Headquarters

Servca Group

Dukes House

32-38 Dukes Place

5th Floor

London, EC3A 7LP

United Kingdom


+44 (0) 207 2250000

info@servca.com


Broker at Lloyd’s SLM1389

European Office

Servca Europe

Dragonara Business Centre

Dragonara Road

5th Floor

St Julian’s, STJ 3141

Republic of Malta


+356 (20) 341690

eu@servca.com


Broker at Lloyd’s (Brussels) SLM1883

Canadian Office

Servca Canada Insurance Group Inc
40 King Street West
Suite 2100
Toronto
M5H 3C2
Canada


+1 (647) 846 5555

canada@servca.com


Non-regulated servicing company

Northern Ireland

Servca Northern Ireland
River House Belfast

48-60 High Street

Belfast

BT1 2BE


+44 (0) 2895582000

ni@servca.com


Broker at Lloyd’s SLM1389

© 2024 Servca


Servca Group Ltd is a private limited company registered in England and Wales; Registered Number: 7727494; Registered Office: Dukes House, 32-38 Dukes Place, 5th Floor, London, EC3A 7LP, United Kingdom. Authorised and regulated by the Financial Conduct Authority. Servca European Insurance Brokers Ltd (a private limited company incorporated in Malta and enrolled to act as an insurance broker); Tower Business Centre, Level 3, Tower Street, Swatar, BKR, 4013, Republic of Malta. UK branch office is registered in England and Wales, authorised and regulated by the Financial Conduct Authority. Servca Canada Insurance Group Inc, a private limited company incorporated at 40 King Street West, Suite 2100, Toronto, M5H 3C2, Canada. Servca group of companies are owned and operated by Servca Group Holdings Ltd, a private limited company registered in England & Wales.

Privacy Policy

Cookies