teledentistry in texas · teledent is a teledentistry software that securely stores patient...
TRANSCRIPT
Teledentistry in Texas
Amber Lovatos, R.D.H., B.S.D.H.
1. Texas LawsA closer look at Teledentistry in Texas
➔ Texas Dental Practice Act What can we legally do?
➔ Application of TeledentistryHow can we utilize teledentistry in Texas?
➔ Legal Considerations Other considerations for utilizing teledentistry.
Does a teledentistry exam done in Texas qualify as an exam? Yes, No, Maybe?
Texas
With Texas notoriously restrictive laws, the answer will not be surprising.
Texas Dental Practice ActTitle 22, Part 5, Chapter 108, Subchapter A, Rule 108.8
Records of the Dentist
(b)(2)(C) Documentation of the findings of a tactile and
visual examination of the soft and hard tissues of the oral
cavity…
A licensed dentist may delegate a service, task, or
procedure to a dental hygienist without having had an exam within
a year ifExemptions
-2 years experience
-service provided @-nursing facility-school-based healthcenter
-community health center
So what can WE do in Texas?
MORE THAN YOU THINK!!
NYU College of Dentistry,
incorporates Teledentistry technology into their curriculum.
Dental School Application
AEGD- Distance LearningNYU Lutheran of Dental Medicine, NY
Outreach ProgramsNYU College of Dentistry, NYU
Interprofessional Collaboration-speech therapists, pediatricians, nurses, physician assistants.
NYU College of Dentistry, NYU
Interprofessional
Consultation/Referrals
● Emergency Rooms
● Pediatricians
● Pregnancy Centers
● Nursing Homes
How can a Texas dentist apply this technology?
Imagination
Consultations &
Referrals
Collaboration
● Ortho- phase-1 interceptive care
● Minor Emergencies
Consultations & Referrals
● Endo.
● Oral Surgery
● Pathology
2. Legality By the end of this section, you will have a better understanding legal considerations in Teledentistry.
➔ LicensureIs there a license to practice teledentistry?
➔ HIPAA Major concern for safeguarding patient information.
➔ Legal Issues
What are the legal risks?
Licensure- dentists can only practice in states that you are licensed in.
There are TWENTY states with restrict laws,
TEXAS is one of them. FYI
There is no special license to utilize teledentistry.
HIPAA
Patient information must be stored
and shared through a secure server.
Electronic devices being used to
record or store patient information
should be encrypted and password
protected.
Teledent
Is a Teledentistry software that securely stores patient information.
Legal issues
“Dentists are at great legal risk when practicing teledentistry because one can be sued from anywhere Web-based information can be accessed.”
Malpractice
“As a general rule, the policy would protect you for professional activities that are considered to be normal and customary according to the rules and regulations of the state licensing board. “
Billing
In Texas, one cannot bill for an exam when accessing a patient through telecommunication.
Codes
● D9995-Synchronous ● D9996-Asynchronous
Through teledentistry we can REDUCE traditional barriers & foster EQUALITY of care.
Tip
Contact your legislator
ReferencesJampani, N. D., Nutalapati, R., Dontula, B. S. K., & Boyapati, R. (2011). Applications of
teledentistry: A literature review and update. Journal of International Society of Preventive & Community Dentistry, 1(2), 37–44. http://doi.org/10.4103/2231-0762.97695
Bharahit, P.M., Singh, A., Dwivedi, A., (2016). Utilization of teledentistry as a tool to screen for
dental caries among a 12-year old school children in a rural region of india. Journal of Public
Health Dentistry, 77(), 174-180. Retrieved from
http://resolver.ebscohost.com.libproxy.uthscsa.edu/ children
Queyroux, A., Saricassapian, B., Herzong, D., Muller, K., Herafa, I., Ducoux, D., Marin, B., Dantoine,
T., Preux, P.M., Tchalla, A., (2016). Accuracy of Teledentistry for Diagnosing Dental Pathology
Using Direct Examination as a Gold Standard: Results of the tele-e-dent Study of Older Adults
Living in Nursing Homes. Journal of American Medical Directors Association, 18(6), 528-532.
Retrieved from http://resolver.ebscohost.com.libproxy.uthscsa.edu/nursinghome
ReferencesEstai, M., Kangasingam, Y., Huang, B., Checker, H., Steeele L., Kruger E., Tennant M., (2016). The
efficacy of remote screening for dental caries by mid-level dental providers using a mobile
teledentistry model. Community Dentistry And Oral Epidemiology, 44(5), 435-441. Retrieved
from http://resolver.ebscohost.com.libproxy.uthscsa.edu/remotescreening
Estai, M., Kangasingam, Y., Huang, B., Checker, H., Steeele L., Kruger E., Tennant M., (2016). The
efficacy of remote screening for dental caries by mid-level dental providers using a mobile
teledentistry model. Community Dentistry And Oral Epidemiology, 44(5), 435-441. Retrieved
from http://resolver.ebscohost.com.libproxy.uthscsa.edu/remotescreening
Image 1: http://www.asdablog.com/the-ethics-of-teledentistry/
ReferencesEstai, M., Bunt, S., Kanagasingam, Y., Kruger, E., Tennant, M., (2016). Diagnostic accuracy of
teledentistry in the detection of dental caries: a systemic review. Journal of Evidence Based
Dental Pracitce, 16(3), 161-172. Retrieved from
http://resolver.ebscohost.com.libproxy.uthscsa.edu/ diagnostic
Martin, A.B., Nelson, J.D., Bhavsar, G.P., McElligott, J., Garr, D., Leite, R.S., (2016). Feasibility
assessment for using telehealth technology to improve access to dental care for rural and
underserved populations. Journal of Evidence Based Dental Practices, 15(4), 228-235. Retrieved
from https://www-scopus-com.libproxy.uthscsa.edu/Feasibility
Image 2: http://www.oralhealthworkforce.org/resources/variation-in-dental-hygiene-scope-
of-practice-by-state/
ContactAmber Lovatos, R.D.H., B.S.D.H.
Assistant Clinical Professor
Department of Periodontics & Dental Hygiene |7500 Cambridge | Suite 6488| Houston, TX 77054
281.253.0966 tel | 713.486.0410 fax | [email protected]