Standard of Care Guidelines

Based on the telehealth guidelines provided by AOA and AAO.

Standard Overview 01

  • The standard of care provided to the patient must stay the same.
  • Patients must be made aware of the limitation of telehealth services and should be given the option of in-person care.
  • Eye doctors must abide by state licensure laws and regulations when delivering telehealth services.

Eye Care Provider Checklist 2

LIVEonDemand doctors need to ensure they review this checklist to get ready for consultation:

  • Consider a patient’s clinical & cognitive status – can the patient effectively participate?
  • Is parent/guardian permission required? If so, obtain it.
  • In the case of minors, determine where the adult will be within the location.
  • Discuss the potential risks/benefits of telehealth sessions with the patient(s) whenever
    necessary.
  • Verify the patient’s identity.
  • Ensure the patient is comfortable with conducting the exam if there are any other
    individual(s) in the room.
  • Ensure the room is well lit and you are able to review the eyes for an accurate diagnosis.
  • Ensure to review the chief complaints prior to the call.

Live Consultation Checklist

  • Ensure to ask all relevant questions based on the chief complaint.
  • Verify Medical & Ocular history.
  • Review any current or past medications/ Allergies.
  • Capture images when necessary (with appropriate consent.)
  • Determine the type of consultation (Triage or Virtual Treatment)

Optimal Documentation Checklist

Every successful encounter needs to have the documentation finalized within 24 hours of the virtual appointment’s completion. Any missing documentation will get flagged in the system and/or will be addressed during internal audits.

  • Complete patient information
  • Acknowledged Telehealth limitation consent
  • CC
  • ROS
  • HPI
  • Past medical/ocular history
  • Family history
  • Exam
  • SPEED test review (when applicable)
  • Imp & plan
  • Photos/videos (when applicable)
  • E-prescribe (when applicable)

Criteria for Potential Exclusions from Care**

  • Minors without adult supervision
  • Patient with impaired cognitive abilities
  • Patient with any vision-threatening injury or sudden visual loss who will need in-office care
  • Patients who have chronic eye conditions, like glaucoma, who haven’t seen an eye doctor for more than two years.
  • Patients who are not comfortable with telehealth services after understanding the limitations.

**Telehealth platforms play an important role in triaging and determining the urgency of a condition, these are simply potential criteria that doctors should be conscious of. Due to restrictions and state laws, we trust doctors to make the best decision on each case-to-case basis.