Publicly funded family planning providers, along with much of the health care sector, are rapidly expanding the use of telehealth to deliver family planning and sexual health care. Telehealth offers a wide array of potential benefits to providers and patients and also presents some unique challenges for ensuring equitable access to care, particularly for the most vulnerable patients. Common telehealth delivery modalities for family planning providers include direct-to-patient and from health center-to-health center.

NFPRHA’s Work

NFPRHA supports its members in developing and implementing telehealth service delivery with resources related to coding, patient and provider experience, implementation considerations, and more. NFPRHA also facilitates information sharing among members to share experiences, challenges, and strategies related to telehealth.

Made possible in part through the support of Bayer

 

This module expands upon the concepts addressed in NFPRHA’s Coding and Billing for Telehealth Services guide.

This sample workflow outlines a process for providing standard contraceptive initiation and management for a telehealth visit.

NFPRHA Resources

  • Telehealth Video 1: Provider Perspectives on Telehealth and Patient-Centered Family Planning Care: Five expert providers in the field of family planning and sexual health offer their perspectives on telehealth and patient-centered contraceptive care. This video aims to examine how telehealth can be used as a tool for providing access to patient-centered care in the family planning context. It provides practical tips and strategies to support telehealth delivery of patient-centered contraceptive care.

  • Telehealth Video 2: Tips for Providing Patient-Centered Contraceptive Care Using Telehealth: Four Case Studies: These four mock telehealth visits demonstrate key skills providers can use to provide patient-centered telehealth visits for contraceptive care.

  • Telehealth Visit with Curbside Pickup or Dropoff (PDF) outlines workflow steps for patients who, as a follow-up to their telehealth visit, come to a health center to drop off a self-collected sample or pickup a prescription, self-collection kit, or other supplies. Workflow steps utilize COVID-19 safety practices to minimize close contact between health center staff and patients. A powerpoint version is available here for those who would like to customize the process for their own health care setting.

  • Remote Sexually Transmitted Infection (STI) or Genital Tract Infection Screening and Treatment (PDF) maps out the steps for providing evidence-based STI and genital tract infection care to patients as a telehealth visit. A powerpoint version is available here for those who would like to customize the process for their own health care setting.

  • Point-of-Care Testing at Home (PDF) outlines the process for delivering post-of-care testing to telehealth patients who are eligible for and interested in self-administering their test. Patients can obtain their self-collection kits by mail, retail pharmacy, pickup inside the health center, or curbside pickup outside the health center. A powerpoint version is available here for those who would like to customize the process for their own health care setting.

  • Telehealth Visit with Curbside Collection (PDF) outlines the workflow steps for health centers to provide curbside specimen collection as part of a hybrid telehealth/in-person visit. Workflow steps utilize COVID-19 safety practices to minimize close contact between health center staff and patients. A powerpoint version is available here for those who would like to customize the process for their own health care setting.

  • NFPRHA Telehealth Workflow - Technology Set-Up (PDF) - By mapping out the best practice steps for telehealth technology set up, this workflow assists health centers to minimize the likelihood that patients will encounter technology issues during a telehealth visit, ultimately leading to a better patient experience of care and increased efficiency. Users who wish to customize the technology set-up process for their own settings may use the Powerpoint version of the workflow (PPT).

  • NFPRHA Telehealth Workflow - Patient Work Up (PDF) - This workflow outlines the steps involved with a telehealth-based patient work up (i.e., the collection of a patient’s administrative information and medical history). These steps may take place at a scheduled time in advance of or immediately prior to the patient’s telehealth visit. There is a Powerpoint version of the workflow (PPT) for users who wish to customize the patient work-up process in their own settings.

  • NFPRHA Telehealth Workflow - Connecting to Interpretation Services (PDF) - Connecting patients with interpretation services during telehealth visits may lead to disruptions in workflow, delays, and other technological issues. This workflow outlines steps that health centers may follow to streamline the process of connecting patients with interpretation services. Users who wish to customize the interpretation services connection process for their own settings may use the Powerpoint version of the workflow (PPT).

  • NFPRHA Telehealth Workflow - Contraceptive Initiation and Management (PDF) - This workflow outlines a process for providing standard contraceptive initiation and management services as a telehealth visit. There is a Powerpoint version of the workflow (PPT) for users who wish to customize the provision of contraceptive services in their own settings.

  • NFPRHA Member Telehealth Strategies (PDF) – NFPRHA members participating in a series of small group peer discussions in September 2020 shared challenges and strategies to implementing telehealth for family planning care. This document outlines common themes that arose and presents strategies that one or more members described utilizing to address challenges.

  • Telehealth Services and Obtaining Consent (PDF) – This guide provides an overview of general and informed consent as they relate to telehealth services, as well as links to helpful resources on state requirements and sample consent documents. It also presents strategies to consider for obtaining consent when providing telehealth services.

  • Patient Experience with Telehealth Services and Health Education (PDF) – A literature review to better understanding of how the use of telehealth technology impacts patient experience. This resource also explores strategies for improving patient experience with care when health services and health education are delivered using telehealth.

  • Initiating Telehealth in Response to COVID-19: Initial Considerations and Resources (PDF) — Use this guide to walk through important first steps for understanding how telehealth works in your state, including laws and reimbursement policies, modes of delivery to consider, strategies for dispensing medications, available platforms and vendors (some are free!), provider licensing, consent, and more. Resource links are provided throughout.

  • Initiating Telehealth in Response to COVID-19: Coding and Billing for Telehealth Services (PDF) — This guide will help you get up to speed on key terms and codes for telehealth coding and billing. It includes Coding-at-a-Glance for telehealth visits, a breakdown of visit types with the CPT/HCPCS codes you will need, information on modifiers and place of services codes, and documentation tips.

Additional Telehealth Resources:

COVID-19 Telehealth Information:

Support from SDI

NFPRHA is here to help. Please do not hesitate to reach out if you have questions, requests for additional resources, or would like to talk through operational or logistical issues for your health center(s) as you explore telehealth or other strategies. If you would like to talk to NFPRHA’s Service Delivery Improvement (SDI) team, email Callie Wise, Director of Service Delivery Improvement, at cwise@nfprha.org.

National Family Planning & Reproductive Health Association

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Phone: 202-293-3114  |  info@nfprha.org

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