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Setting Up Your Video-
Based Office for
Telehealth
Lesson 4
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
• Backdrop (screens)
• Lighting
• Sound proofing
• Recording
• File storage
• Clocks
• Signs
• Cushions and curtains
Professional
Office Set-up
2
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
3
Video Teleconferencing
(VTC)
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
4
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
5
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
6
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
7
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
8
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
9
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
10
Privacy and
Confidentiality
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
D. Physical Environment
1. Both the professional and the patient’s room/environment should aim to provide comparable professional
specifications of a standard services room.
2. Efforts shall be made to ensure privacy so clinical discussion cannot be overheard by others outside of the
room where the service is provided. If other people are in either the patient or the professional’s room, both
the professional and patient shall be made aware of the other person and agree to their presence.
3. Seating and lighting should be tailored to allow maximum comfort to the participants. Both professional and
patient should maximize clarity and visibility of the person at the other end of the video services. For example,
patients receiving care in non-traditional settings should be informed of the importance of reducing light from
windows or light emanating from behind them. (p. 11)
ATA Practice Guidelines
11
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
12
Looking Professional Gives
a Clear Message
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
13
Opening Protocol
Set the Stage:
“My door is locked, no one else is here. I’ll show you
my room and would like you to do the same with me
using your camera.”
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
14
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
The room in which videoconferencing is used shall be well lit (150 ft candles at the patient is
recommended), preferably using light sources as close to day light as possible (i.e., fluorescent day-light or
full spectrum bulbs rather than incandescent).
The room shall be comfortably lit for the patient and lit well enough for the provider to see the patient
without shadows falling on the patient’s face or other areas where clinical data is being displayed (such as
lower extremities, hands, etc.).
The lighting of the provider’s space shall meet the same requirements in that the patient must be able to
see the face of the provider with no shadowing. Daylight is often the softest and more comfortable light for
the patient to view the clinician (pp. 15 - 16).
ATA Video Teleconferencing
Guidelines Room Lighting
15
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
Backdrops behind the patient and provider should be clean and plain in color and
not full of distractions such as office papers, book shelves, etc. Blue is an optimum
color for backdrops as blue neither reflects or absorbs light, is a calming color, and
helps to accentuate the area of interest (p. 16).
ATA Video Teleconferencing
Guidelines Backdrop
16
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
The comfort of the mental health professional undertaking the consultations should be
considered to prevent fatigue and computer vision syndrome problems common with
increased computer interactions.
Gaze Angle: Gaze angle is the angle between the near participant’s camera and where
the near participant looks at the onscreen far participant (eye contact).
The vertical location of the far participant on the screen will affect gaze angle. Gaze
angles of approximately 5 to 7 degrees are imperceptible to most persons. Gaze angle
should be as small as practical (p. 16).
ATA Video Teleconferencing
Guidelines Ergonomic Considerations
17
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
18
Office Set-up
• Backdrops
• Screens – photography stores
• Cloth or Frame?
• Green or blue screens
• Specific imagery
• TubeTape.com
• B&H – bhphotovideo.com
• Wooden – furniture stores
Where do you buy your equipment?
Online? Offline?
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
20
Lighting & Other A /
V Issues?
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
(if you have an admin)
• Read Telebehavioral Health Institute Coursework
• ATA Guidelines
• Ethical Guidelines for Your Association
• Answer their questions
• Have a few practice sessions with you
• Connect with other Study Group members now to see what they see in
your setting
• Practice how to train your admin
How to Train Your Admin
21
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
• 79% of breaches caused by employees
• 18% by a third-party partner
• The increasing use of mobile devices
2012 HIMSS Analytics Report
http://www.krollcybersecurity.com/white-papers/himss-2012-report.aspx
Sources of HIPAA Risks*
22
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
23
Your Computer is Your “Office”
Understand the features of your platform, lest you show the
wrong image
 White board
 functions
 Access desktop or web
 Functions
 Access to your camera
 Functions
©
1994-2022
Telebehavioral
Health
Institute,
LLC
All
Rights
Reserved.
24
Your Computer is Your “Office”
• Supervision
• Behavior Imaging Solutions
• Secured email
• Instant messaging
• Not secure
• Cloud storage, etc.
• Secure?
Telehealth.org
contact@telehealth.org
619-255-2788
Keep in touch! ☺

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