Oregon
Occupational Therapy	Physical Therapy
Telehealth/Telemedicine/Telecommunications Definition
“Telehealth” is defined as the use of interactive audio and video, in real time telecommunication technology or store-and-forward technology, to deliver health care services when the occupational therapist and patient/client are not at the same physical location. Its uses include diagnosis, consultation, treatment, prevention, transfer of health or medical data, and continuing education. Source:Or. Admin. R. 339-010-0006	“Telehealth Service” means a physical therapy intervention, including assessment or consultation that can be safely and effectively provided using synchronous two-way interactive video conferencing, or asynchronous video communication, in accordance with generally accepted healthcare practices and standards. For purposes of these rules, “Telehealth service” also means, or may be referred to, as “telepractice, teletherapy, or telerehab” Source:Or. Admin. R. 848-040-0100
Modality
Telehealth includes live video and audio or store-and-forward. Source:Or. Admin. R. 339-010-0006	Telehealth includes live video conferencing or store-and-forward video communication. Source:Or. Admin. R. 848-040-0100
Location- Type of site/Geography
No reference found.	No reference found.
Type of Service
Evaluation or intervention services are allowed as long as the provider considers whether or not the service can be delivered safely via telehealth or if it should take place in person. Source:OR Occupational Therapy Licensing Board, Telehealth FAQs (Aug. 2018)	Telehealth services must conform to the scope and standard of practice and documentation required in Statute and must be at least equivalent to the quality of services delivered in-person. Source:Or. Admin. R. 848-040-0180
Supervision
An occupational therapist may provide routine and general supervision via telehealth, but cannot use telehealth to provide close supervision. Source:Or. Admin. R. 339-010-0006	A physical therapist must be readily accessible in-person or via telecommunications at all times when a physical therapist assistant is providing physical therapy treatment. Source:Or. Admin. R. 848-015-0020
Informed Consent
Occupational therapists are required to obtain informed consent from the patient prior to initiation of occupational therapy services via telehealth and maintain the documentation in the patient’s health record. Source:Or. Admin. R. 339-010-0006	A patient’s consent must be obtained prior to the initiation of telehealth services. The consent may be verbal, written or recorded and must be documented in the patient’s permanent record. Source:Or. Admin. R. 848-040-0180
Patient-Provider-Relationship/In-Person Exam Required
If an in-person intervention is determined to be necessary, every attempt must be made to ensure that an on-site occupational therapist or occupational therapy assistant shall provide the appropriate interventions. In determining whether an in-person evaluation or intervention is necessary, an occupational therapist shall consider, at minimum: The complexity of the patient’s/client’s condition; His or her own knowledge skills and abilities; The patient’s/client’s context and environment; The nature and complexity of the intervention; The pragmatic requirements of the practice setting; and The capacity and quality of the technological interface. Source:Or. Admin. R. 339-010-0006	No reference found.
Licensing
To provide services to a client in Oregon, the Occupational Therapist must be licensed by the Oregon OT Licensing Board. Oregon licensed occupational therapists using telehealth to provide services to patients in another state must be licensed in that state. Source:Or. Admin. R. 339-010-0006	Oregon is part of the Physical Therapy Licensure Compact. Physical therapists licensed through the compact in other compact states may provide services in Oregon. Source:OR SB 1504 A licensed physical therapist may provide services via telehealth to a patient who is a resident of or who is physically present in the state of Oregon. A physical therapist providing services to a patient not located in Oregon may be required to possess additional licensing. Source:Or. Admin. R. 848-040-0180
Other
Telehealth is considered the same as “telepractice” for occupational therapists working in education settings and “teletherapy” and “telerehab” in other settings. An occupational therapist or occupational therapy assistant providing services via telehealth must: Exercise the same standard of care when providing occupational therapy services via telehealth as with any other mode of delivery of occupational therapy services; Provide services consistent with the Standards of Practice; and Comply with provisions of the Occupational Therapy Practice Act and its regulations. Source:Or. Admin. R. 339-010-0006	When providing telehealth services, the physical therapist must have procedures in place to address remote medical or clinical emergencies at the patient’s location. Technology used to provide telehealth services must meet all standards required by state and federal laws governing the privacy and security of a patient’s protected health information. Source:Or. Admin. R. 848-040-0180