communication, secure interactive and non-interactive web-based communication, and secure asyn- chronous information exchange, to transmit patient medical information, including diagnostic-quality digital images and laboratory results for medical interpretation and diagnosis, for the purpose of delivering enhanced health care services and information while a patient is at an originating site and the radiologist is at a distant site. Standard telephone contacts, facsimile transmissions, or e-mail texts, in combination or by themselves, do not constitute a telehealth service for the purposes of this paragraph. Source: HI Revised Statutes Sec. 453-2. (Accessed Sept. 2019). Consent No reference found. Online Prescribing Prescribing providers must have a provider-patient relationship prior to prescribing. This includes: • A face-to-face history and appropriate physical exam to make a diagnosis and therapeutic plan; • Discussion of diagnosis or treatment with the patient; • Ensure the availability of appropriate follow-up care. Source: HI Revised Statutes § 329-1. (Accessed Sept. 2019). Treatment recommendations made via telehealth, including issuing a prescription via electronic means, shall be held to the same standards of practice as traditional settings that do not include a face-to-face visit but in which prescribing is appropriate. Issuing a prescription based solely on an online questionnaire is prohibited. A physician-patient relationship may be established via telehealth if the patient is referred to the telehealth provider by another health care provider who has conducted an in-person consultation and has provided all pertinent patient information to the telehealth provider. For the purposes of prescribing opiates or medical cannabis, a physician-patient relationship shall only be established after an in-person consultation between the prescribing physician and the pa- tient. Source: HI Revised Statutes § 453-1.3. (Accessed Sept. 2019). For purposes of prescribing medical cannabis, a bona fide physician-patient relationship may be es - tablished via telehealth, and a nurse-patient relationship can be established via telehealth; provided that treatment recommendations that certify a patient for the medical use of cannabis via telehealth shall be allowed only after an initial in-person consultation between the certifying physician or ad- vanced practice registered nurse and the patient. Source: HI Revised Statutes § 329-126 (HB 2729 - 2018). (Accessed Sept. 2019).
© 2019 Public Health Institute / Center for Connected Health Policy HAWAII / 7 Professional Regulation/Health & Safety Cross-State Licensing A licensed out-of-state practitioner of medicine or surgery can utilize telemedicine to consult with a Hawaii licensed physician or osteopathic physician as long as they don’t open an office or meet with patients in the state; the HI licensed provider retains control of the patient; and the laws and rules relating to contagious diseases are not violated.
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