Licensees who have been given approval to provide their Outpatient Medical Service LHS via “Remote” MOSD must ensure that this is done in a proper, effective and safe manner, with adequate privacy.

A few ways that licensees can achieve this is to:

• establish and implement guidelines to assist medical practitioners in determining whether a particular medical condition may be managed remotely;

• ensure that the patient or caregiver is provided with alternative arrangements for the patient to receive medical care if the medical practitioner deems that the patient’s condition cannot be managed remotely in a proper, effective and safe manner;

• ensure that real-time, two-way interactive audio-visual communications is used when tele-consulting new patients accessing the licensee’s medical service for the first time (i.e., no prior patient records and medical history with the licensee);

• ensure that the mode of remote consultation used is proper, safe and effective when assessing an existing patient’s new symptoms or conditions, or exacerbations of existing conditions;

  ensure that telemedicine e-training as specified by MOH is completed by medical practitioners providing their service via remote MOSD. Licensees should keep records of the training for inspection by MOH.