CTP Telehealth Service Delivery Models 3 — Questions and Answers
Question 1: A correctional facility uses telehealth to bring specialists into the prison without transporting inmates. Which model does this represent?
- Direct-to-consumer telehealth
- Correctional hub-and-spoke synchronous telehealth (Correct answer)
- Asynchronous store-and-forward only
- Remote therapeutic monitoring
Correct answer: Correctional hub-and-spoke synchronous telehealth
Correctional telehealth typically uses a hub-and-spoke synchronous model, with the prison as the originating site and the specialist facility as the hub.
Question 2: Which telehealth model best supports longitudinal chronic disease management between scheduled office visits?
- On-demand synchronous urgent care
- Store-and-forward teleconsultation
- Remote patient monitoring (Correct answer)
- Provider-to-provider e-consult
Correct answer: Remote patient monitoring
Remote patient monitoring continuously tracks physiological parameters between visits, enabling proactive management of chronic conditions.
Question 3: A primary care provider sends a patient's dermatology photos and notes to a dermatologist who responds within 72 hours. This is an example of:
- Synchronous teleconsultation
- eConsult (provider-to-provider asynchronous consultation) (Correct answer)
- Direct-to-consumer telehealth
- Telestroke protocol
Correct answer: eConsult (provider-to-provider asynchronous consultation)
An eConsult is a provider-to-provider asynchronous exchange where a specialist reviews case information and responds without seeing the patient directly in real time.
Question 4: Telehealth program designers choosing between synchronous and asynchronous models should FIRST consider:
- The vendor's pricing structure
- The clinical urgency and nature of the patient encounter (Correct answer)
- State licensure reciprocity agreements
- The number of available EHR integrations
Correct answer: The clinical urgency and nature of the patient encounter
Clinical urgency and encounter type determine whether real-time interaction or delayed review is appropriate for safe, effective care.
Question 5: Which scenario best illustrates the 'hybrid' telehealth delivery model?
- A patient uses only in-person visits with paper records
- A patient alternates between in-person exams and remote video follow-ups within the same care plan (Correct answer)
- A specialist reviews photos without ever seeing the patient
- A hospital uses only asynchronous messaging
Correct answer: A patient alternates between in-person exams and remote video follow-ups within the same care plan
A hybrid model combines in-person and telehealth encounters within a coordinated care plan, leveraging each modality's strengths.
Question 6: Telepharmacy programs that allow pharmacists to verify prescriptions at remote rural kiosks primarily rely on:
- Wearable biosensor streams
- Store-and-forward image capture only
- Synchronous video with robotic dispensing systems (Correct answer)
- Automated AI diagnosis
Correct answer: Synchronous video with robotic dispensing systems
Telepharmacy kiosks use synchronous video to allow licensed pharmacists to counsel patients and oversee automated or technician-assisted dispensing in real time.
Question 7: Which telehealth delivery model is typically used in telepsychiatry for court-ordered competency evaluations?
- Asynchronous text-based evaluation
- Store-and-forward psychiatric imaging
- Synchronous video evaluation with clinician and legal observer present (Correct answer)
- Remote wearable mood tracking
Correct answer: Synchronous video evaluation with clinician and legal observer present
Court-ordered competency evaluations require real-time synchronous video to allow direct interaction, observation, and documentation acceptable to the legal system.
CTP Telehealth Service Delivery Models 3
A correctional facility uses telehealth to bring specialists into the prison without transporting inmates.
Which model does this represent?