As used in this part:
- (1) “Distant site” means the location of the licensee delivering services through telemedicine at the time the services are provided;
- (2) “Healthcare professional” has the same meaning as in Arkansas Code § 17-80-402(2) of the Telemedicine Act, Arkansas Code § 17-80-401 et seq.;
- (3) “Licensee” means a physical therapist or physical therapist assistant licensed by the Arkansas State Board of Physical Therapy;
(4)
- (A) “Originating site” means a site at which a patient is located at the time healthcare services are provided to him or her by means of telehealth.
- (B) “Originating site” includes the home of a patient;
(5) “Professional relationship” means at a minimum a relationship established between a licensee and a patient when:
- (A) The licensee has previously conducted an in-person examination of the patient and is available to provide appropriate follow-up care, when necessary, at medically necessary intervals;
- (B) The licensee personally knows the patient and the patient's relevant health status through an ongoing personal or professional relationship and is available to provide appropriate follow-up care, when necessary, at medically necessary intervals;
(C) The treatment is provided by a licensee in consultation with, or upon referral by, another healthcare professional who has:
- (i) An ongoing professional relationship with the patient; and
- (ii) Agreed to supervise the patient's treatment, including follow-up care;
- (D) An on-call or cross-coverage arrangement exists with the patient's regular treating healthcare professional or another healthcare professional who has established a professional relationship with the patient;
- (E) A relationship exists in other circumstances as defined by rule of the Arkansas State Medical Board for healthcare professionals under its jurisdiction and their patients; or
(F)
- (i) The licensee has access to a patient's personal health record maintained by a licensee and uses any technology deemed appropriate by the licensee, including the telephone, with a patient located in Arkansas to diagnose and treat the patient.
- (ii) For purposes of this part, a health record may be created with the use of telehealth and consists of relevant clinical information required to treat a patient, and is reviewed by the licensee who meets the same standard of care for a telehealth visit as an in-person visit;
- (6) “Remote patient monitoring” means the use of synchronous or asynchronous electronic information and communication technology to collect personal health information and medical data from a patient at an originating site that is transmitted to a licensee at a distant site for use in the treatment and management of medical conditions that require frequent monitoring;
- (7) “Store-and-forward technology” means the asynchronous transmission of a patient's medical information from a healthcare professional at an originating site to a healthcare professional at a distant site; and
(8)
- (A) “Telehealth” means the use of electronic information and communication technology to deliver healthcare services, including without limitation the assessment, diagnosis, consultation, treatment, education, care management, and self-management of a patient.
- (B) “Telehealth” includes store-and-forward technology and remote patient monitoring.