The swyMed Rapid Response workflow begins with a telephone call to a triage staff person.  These can be admins, Nurses, Physician’s Assistants, Medical Students, or Doctors assigned to triage.

Once the form is filled out and the Create Visit button pressed, emails are sent automatically to the Patient and the Provider

Dear {Patient Name},

You have been invited into a video visit with {Doctor Name} from {Health System}.

By clicking on the link to start the video visit below, I certify:
a. That I have read the INFORMED CONSENT TERMS FOR TELEHEALTH SERVICES in the email below,
b. That I fully understand its contents including the risks and benefits of the procedure(s), and
c. That I have been given ample opportunity to ask questions and that any questions have been answered to my satisfaction.
Please click on the following button to get started

If you have any difficulties starting the visit, please call us at
{Tech Support HelpDesk}.

INFORMED CONSENT TERMS FOR TELEHEALTH SERVICES

1. I understand that telehealth is the use of electronic information and communication technology to deliver health care services including, but not limited to, the assessment, diagnosis, consultation, treatment, education, care management and/or self-management of a patient, when the patient is located at a different site than the provider.
2. I understand that my health care provider wishes me to engage in a telehealth consultation.
3. My health care provider has explained to me how the electronic information and communication technology will be used during the consultation and will not be the same as a direct patient/health care provider visit due to the fact that I will not be in the same room as my health care provider.
4. I understand there are potential risks to this technology, including interruptions, unauthorized access and technical difficulties that may lead to an inability to obtain information sufficient for decision making about my health problem and that all reasonable precautions will be taken to minimize these risks. I understand that my health care provider or I can discontinue the telehealth consult/visit if it is felt that the videoconferencing connections are not adequate for the situation.
5. I have had the alternatives to a telehealth consultation explained to me. In choosing to participate in a telehealth consultation, I understand that some parts of the exam involving physical tests may be conducted by individuals at my location at the direction of the consulting health care provider.
6. I understand that my healthcare information may be shared with other individuals for treatment, payment or operations purposes, in accordance with State and Federal Privacy rules and the Notice of Privacy Practices. Others may also be present during the consultation other than my health care provider, and consulting health care provider, in order to operate the communication equipment. The above mentioned people will all maintain confidentiality of the information obtained. I further understand that I will be informed of their presence during the consultation and will have the right to request the following:a. omit specific details of my medical history/physical examination that are personally sensitive to me,

   b. ask non-medical personnel to leave the telehealth examination room, and/or

   c. terminate the consultation at any time.

7. My questions have been answered and the risks, benefits and any practical alternatives have been discussed with me in a language in which I understand.
8. I understand that I have the right to withhold or withdraw my consent to the use of telehealth in the course of my care at any time, without affecting my right to future care or treatment. I may revoke my consent orally or in writing at any time by contacting {Compliance Office Contact Information}.
9. I understand that I will be responsible for any co-payments or co-insurances that apply to my telehealth visit.
10. I understand that I have the right to have appropriately trained staff immediately available while receiving the telehealth service to attend to emergencies and other needs.
11. I understand that I have the right to select another provider and be notified that by selecting another provider, there could be a delay in service and the potential need to travel for a face-to-face visit.

Regards,

{Health System}

Dear {Provider Name},

Please join in a video visit with {Patient Name}.
The patient’s web form shows the following information:

Name: {Patient Name}

MRN: {Patient Identifier}

Reason for visit: {Reason for visit from Visit creation webform above}

Please click on the following button to get started

Regards,

{Health System Name}

Basic information about the encounter is saved into a secure database on your network:

• Time of meeting invitation
• Who was invited
• Time of entry into the call and Time of Departure from the call for each party
• Email of Each Party
• Other fields as desired (must also be added to the video visit setup field)

Reports can be extracted into .csv for compliance, billing and comparison with visit records in your EMR system.