CTP Telehealth Service Delivery Models 5 — Questions and Answers
Question 1: A military base uses telehealth so deployed personnel can access behavioral health services securely. The primary delivery model used is:
- Store-and-forward imaging
- Asynchronous psychiatric eConsult only
- Synchronous encrypted video telehealth (Correct answer)
- Remote physiologic device monitoring
Correct answer: Synchronous encrypted video telehealth
Behavioral health services for deployed military personnel rely on synchronous encrypted video to enable real-time counseling while meeting Department of Defense security requirements.
Question 2: In a 'store-and-forward' ophthalmology program for diabetic retinopathy screening, what is the PRIMARY advantage over synchronous teleconsultation?
- Immediate specialist feedback
- Lower image quality acceptable
- Asynchronous review allows specialists to read images on their own schedule, increasing efficiency (Correct answer)
- Patients must attend a live video call
Correct answer: Asynchronous review allows specialists to read images on their own schedule, increasing efficiency
Asynchronous image review allows specialists to batch-read retinal photos efficiently without scheduling simultaneous patient and provider availability.
Question 3: A post-surgical patient sends daily wound photos through a secure patient portal for nurse review. This most closely represents:
- Synchronous televisit follow-up
- Remote patient monitoring with continuous biosensor
- Asynchronous store-and-forward wound care monitoring (Correct answer)
- Provider-to-provider eConsult
Correct answer: Asynchronous store-and-forward wound care monitoring
Patient-submitted photos reviewed asynchronously by a clinician is a store-and-forward application used in wound care and other visual-assessment follow-up scenarios.
Question 4: Which statement BEST describes the advantage of the hub-and-spoke telehealth model for rural health systems?
- It eliminates the need for any in-person staff at rural sites
- It allows patients to self-diagnose using AI tools
- It leverages specialist resources at hub sites to serve multiple geographically dispersed spoke sites (Correct answer)
- It removes the need for originating-site facilitators
Correct answer: It leverages specialist resources at hub sites to serve multiple geographically dispersed spoke sites
The hub-and-spoke model efficiently extends specialist expertise from a central hub to multiple rural spoke sites, improving access without duplicating specialist resources.
Question 5: Tele-ICU programs that use centralized monitoring of multiple ICU patients across several hospitals represent which delivery model?
- Direct-to-consumer urgent care
- Store-and-forward imaging only
- Centralized asynchronous RPM with synchronous escalation capability (Correct answer)
- Provider-to-provider eConsult without monitoring
Correct answer: Centralized asynchronous RPM with synchronous escalation capability
Tele-ICU combines continuous remote monitoring (RPM) with the ability to escalate to real-time synchronous interaction when patient status changes.
Question 6: A telehealth program for home-based palliative care primarily uses video visits to assess patient comfort and coordinate family goals-of-care conversations. This model prioritizes:
- High-volume asynchronous throughput
- Continuous biosensor data streaming
- Synchronous relationship-centered communication for complex emotional and clinical needs (Correct answer)
- Store-and-forward symptom documentation
Correct answer: Synchronous relationship-centered communication for complex emotional and clinical needs
Goals-of-care and palliative discussions require real-time synchronous video to support nuanced emotional communication, nonverbal cues, and family inclusion.
Question 7: Which scenario represents an inappropriate use of asynchronous telehealth?
- Dermatology review of a stable rash photo
- Following up on routine lab results via secure message
- Responding to a patient reporting active chest pain and diaphoresis (Correct answer)
- Reviewing a patient's food diary for dietary counseling
Correct answer: Responding to a patient reporting active chest pain and diaphoresis
Active chest pain with diaphoresis is a potential cardiac emergency requiring immediate evaluation, making asynchronous messaging dangerous and inappropriate.
CTP Telehealth Service Delivery Models 5
A military base uses telehealth so deployed personnel can access behavioral health services securely.
The primary delivery model used is: