Texas Register
TITLE 22 EXAMINING BOARDS
PART 9TEXAS MEDICAL BOARD
CHAPTER 174TELEMEDICINE
RULE §174.6Delegation to and Supervision of Patient Site Presenters [Telepresenters]
ISSUE 10/02/2009
ACTION Proposed
Rule Withdrawn: 11/09/2009
Preamble Texas Admin Code Rule
(a)A distant site physician may delegate tasks and activities to a patient site presenter during a patient encounter. [telepresenter who is qualified by licensing, training or experience for the performance of the task or activity as long as the task or activity does not require the exercise of independent medical judgment for its performance;]

 (b)A distant site physician delegating tasks or activities to a patient site presenter [telepresenter ] shall ensure that the patient site presenter [telepresenter ] to whom delegation is made is adequately supervised during the patient encounter when telemedicine medical services are provided. The distant site physician may write orders for treatment after the patient encounter to only a licensed health care practitioner. [ qualified by licensure, training, or experience to perform the task or activity delegated;]

 (c)A patient site presenter must be at the patient site location throughout the patient encounter when the telemedicine medical service is provided. [physician delegating tasks or activities to a telepresenter shall ensure that the telepresenter to whom delegation is made is adequately supervised.]

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on September 21, 2009

TRD-200904192

Mari Robinson, J.D.

Interim Executive Director

Texas Medical Board

Earliest possible date of adoption: November 1, 2009

For further information, please call: (512) 305-7016

 

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