How does telehealth affect confidentiality and what are best practices to protect privacy?

• A. Telehealth introduces privacy risks; use secure platforms, private space, authentication, encryption, and obtain informed consent for telehealth.
• B. Telehealth eliminates confidentiality concerns.
• C. No special privacy measures are needed.
• D. Informed consent is not required for telehealth.

Answer: (A)

Telehealth carries privacy risks because information travels over networks and may be handled by multiple parties, including platform providers and intermediaries. To protect confidentiality, use secure, preferably HIPAA-compliant platforms with strong encryption for both video and data, and require robust authentication for both clinician and patient. Conduct sessions in a private, quiet space to prevent others from overhearing or viewing the encounter, and avoid saving or sharing recordings unless necessary and only with proper safeguards and consent. Obtain informed consent tailored to telehealth that explains the specific privacy risks, the protections in place, who may access records, and any limitations of remote care, and document this consent. These measures acknowledge that confidentiality must be maintained even when care is delivered remotely. Telehealth does not eliminate privacy concerns, nor would it be appropriate to skip privacy measures or consent, as electronic transmission introduces unique risks and responsibilities.