Medical Staff Bylaws - Arkansas Children's Hospital

8.9 TelemedicineDefinitionsTelemedicine is defined as the use of medical information exchanged from one site to another viaelectronic communications.Originating site: The site where the patient is located at the time the service is provided.Distant site: The site where the Practitioner providing the service is located.8.9.1 If the Telemedicine Practitioner at the distant site prescribes, diagnoses, provides clinicaltreatment, or consults for patients at ACH, he/she must be credentialed and privileged to do so at theoriginating site through one of the following mechanisms:A. The originating site may fully privilege and credential the Practitioner according tothat Hospitals’ Bylaws.B. The originating site may use the credentialing and privileging information from thedistant site if all the following requirements are met:1. The distant site is a Medicare-participating hospital.2. The Practitioner is privileged at the distant site providing thetelemedicine services, which provides a current list of the distant-sitephysician’s or practitioner’s privileges at the distant-site hospital.3. The individual distant-site physician or practitioner holds a licenseissued or recognized by the State in which the hospital whose patientsare receiving the telemedicine services is located.4. The originating site has evidence of an internal review of thePractitioner’s performance of those privileges and sends to the distantsite information that is necessary to assess the Practitioner’s quality ofcare, treatment, and services for use in privileging and performanceimprovement. At a minimum, this information must include alladverse events that result from the telemedicine services provided bythe distant-site physician or practitioner and all complaints thehospital has received about the distant-site physician or practitioner.C. The originating site retains the responsibility for overseeing the safety and quality ofservices offered to its patients.8.10 Visiting Faculty/Physician8.10.1 Visiting Faculty/Physicians include Physicians who wish to participate in the care ofspecific ACH patients. Temporary privileges may be granted to a Visiting Faculty/Physician only:25