CTP Telehealth Service Delivery Models 4 — Questions and Answers
Question 1: A health system deploys an automated symptom-checker app that triages patients to either telehealth or in-person care. This is best classified as:
- Remote patient monitoring
- Asynchronous provider-to-provider eConsult
- Digital health triage integrated with telehealth pathways (Correct answer)
- Synchronous hub-and-spoke consultation
Correct answer: Digital health triage integrated with telehealth pathways
Automated digital triage tools route patients to the most appropriate care modality and are considered an integrated component of the broader telehealth delivery ecosystem.
Question 2: In the context of telehealth delivery models, 'originating site' refers to:
- The location of the consulting specialist
- The server where patient data is stored
- The location where the patient is present during the telehealth encounter (Correct answer)
- The billing entity submitting the claim
Correct answer: The location where the patient is present during the telehealth encounter
The originating site is the geographic location of the patient at the time the telehealth service is furnished.
Question 3: Which model allows a hospitalist to consult a neurologist at another facility using a robot with a screen and camera that moves through the ICU?
- Store-and-forward telencephalography
- Asynchronous eConsult
- Tele-ICU remote monitoring only
- Synchronous robot-assisted telehealth (telemedicine robot) (Correct answer)
Correct answer: Synchronous robot-assisted telehealth (telemedicine robot)
Telemedicine robots enable synchronous real-time consultation where the remote clinician controls camera movement to conduct bedside assessments.
Question 4: A cardiologist monitors 150 patients' implantable device data through a centralized dashboard, receiving alerts for arrhythmias. Which model does this describe?
- Synchronous group teleconsultation
- Asynchronous store-and-forward cardiac imaging
- Remote cardiac device monitoring (a form of RPM) (Correct answer)
- Direct-to-consumer cardiology visit
Correct answer: Remote cardiac device monitoring (a form of RPM)
Remote cardiac device monitoring is a specialized form of RPM where implantable device data is transmitted to a clinician dashboard for continuous asynchronous review.
Question 5: Group video visits, where one provider conducts a telehealth session with multiple patients simultaneously, are most commonly used in:
- Telestroke emergency protocols
- Chronic disease self-management education and behavioral health (Correct answer)
- Store-and-forward dermatology
- Remote cardiac device monitoring
Correct answer: Chronic disease self-management education and behavioral health
Group video visits are well-suited for chronic disease education and behavioral health programs where shared learning and peer support enhance outcomes.
Question 6: When evaluating whether to use synchronous vs. asynchronous telehealth for a new specialty program, which clinical consideration is LEAST relevant?
- Need for real-time physical observation or interaction
- Clinical urgency of conditions served
- Color of the telehealth platform's user interface (Correct answer)
- Requirement for immediate diagnostic decision-making
Correct answer: Color of the telehealth platform's user interface
The platform's visual design is an administrative/vendor consideration, not a clinical determinant of the appropriate delivery model.
Question 7: Which telehealth model enables specialists in high-resource areas to provide ongoing mentorship and education to providers in underserved areas using case-based learning?
- ECHO (Extension for Community Healthcare Outcomes) model (Correct answer)
- Direct-to-consumer urgent care
- Remote patient monitoring dashboard
- Telepharmacy kiosk
Correct answer: ECHO (Extension for Community Healthcare Outcomes) model
The ECHO model uses synchronous video-based case consultations to build local provider capacity in underserved communities through guided practice and specialist mentorship.
CTP Telehealth Service Delivery Models 4
A health system deploys an automated symptom-checker app that triages patients to either telehealth or in-person care.
This is best classified as: