Standards of Practice for Telehealth
"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
Telehealth is considered the same as Telepractice for Occupational Therapists
working in education settings; and Teletherapy and Telerehab in other settings.
In order to provide occupational therapy services via telehealth to a
patient/client in Oregon, the occupational therapist providing services to a
patient/client must have a valid and current license issued by the Oregon OT
Licensing Board. Oregon licensed Occupational Therapists using telehealth
technology with a patient/client in another state may also be required to be
licensed in the state in which the patient/client receives those services and
must adhere to those state licensure laws.
Occupational therapists shall obtain informed consent of the delivery of
service via telehealth from the patient/client prior to initiation of
occupational therapy services via telehealth and maintain documentation in the
patient's or client's health record.
Occupational therapists shall secure and maintain the confidentiality of
medical information of the patient/client as required by HIPAA and state and
In making the determination whether an in-person evaluation or intervention are
necessary, an occupational therapist shall consider at a 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.
An occupational therapist or occupational therapy assistant providing occupational
therapy 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
Provide services consistent the AOTA Code of Ethics and Ethical Standards of
Practice; and comply with provisions of the Occupational Therapy Practice Act
and its regulations.
Supervision of Occupational Therapy Assistant under 339-010-0035 for routine
and general supervision, can be done through telehealth, but cannot be done
when close supervision as defined in 339-010-0005 is required. The same
considerations in (7)(A) through (F) must be considered in determining whether
telehealth should be used.
An Occupational Therapist who is supervising a fieldwork student must follow
the ACOTE standards and other accreditation requirements.
Failure to comply with these regulations shall be considered unprofessional
conduct under OAR 339-010-0020.