Health Questions and Answers

What should the plan include to start practicing telemedicine?

First, consider the financial issues and make a budget. The rules concerning reimbursement for telemedicine are changing rapidly and will vary depending on your circumstances. Second, do a needs assessment, in which you will select the right technology and decide who will manage and run the system. Third, decide about daily operational issues, and write a policy and procedures manual. Finally, determine when an evaluation to improve the system would be appropriate.


  1. Zollo S, Kienzle M, Loeffelholz P, et al: Telemedicine to Iowa’s correctional facilities: Initial clinical experience and assessment of program costs. Telemed J 5:291-301, 1999.
  2. Wright D, Chestnutt L: Telemedicine in the twenty-first century: Report of a workshop. J Telemed Telecare 6:120-123, 2000.

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