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* 1. Has your organization identified specific types
of patients or clinical needs that may benefit
from using telehealth?

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* 2. Do providers affiliated with your organization routinely travel over 30 minutes from their primary location to provide services in other locations?

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* 3. Is the leadership team committed to telehealth development efforts?

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* 4. Has your leadership team had past successes with instituting programs that required complex change processes, such as quality improvement initiatives or electronic health record implementations?

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* 5. Has your organization considered how it will fund any capital costs (e.g., equipment, software, licensing) needed to start a telehealth program?

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* 6. Has your organization examined the telehealth services reimbursement policies for major insurers (Medicare/Medicaid, and private insurance)?

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* 7. Has your organization determined the staff responsibilities required to support telehealth patients and providers?

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* 8. Has your organization considered how administrative workflows (scheduling, billing, patient documentation, communication between staff) will need to change to incorporate telehealth?

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* 9. Has your practice considered how clinical workflows (e.g., taking vital signs, ordering labs, writing prescriptions) will need to change to incorporate telehealth services?

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* 10. Has your organization considered what the “success factors” for telehealth are such as cost effectiveness, patient/provider satisfaction, improved patient outcomes? If so, please specify in the box below.

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