CTP Telehealth Service Delivery Models 2 — Questions and Answers
Question 1: Which telehealth model involves a patient at a rural clinic being evaluated by a distant specialist via real-time video?
- Store-and-forward teledermatology
- Hub-and-spoke synchronous consultation (Correct answer)
- Remote patient monitoring
- Asynchronous e-consult
Correct answer: Hub-and-spoke synchronous consultation
The hub-and-spoke synchronous model connects originating-site patients with distant hub specialists in real time.
Question 2: A school nurse uses a tablet to transmit a student's ear photos to a remote pediatrician for later review. This best describes:
- Synchronous teleconsultation
- Store-and-forward (asynchronous) telemedicine (Correct answer)
- Direct-to-consumer telehealth
- Remote therapeutic monitoring
Correct answer: Store-and-forward (asynchronous) telemedicine
Store-and-forward telemedicine captures and transmits clinical data for later review by a remote clinician without real-time interaction.
Question 3: Which service delivery model is MOST appropriate when a patient in a medically underserved area needs urgent mental health crisis intervention?
- Asynchronous e-consult with 48-hour response
- Automated chatbot triage only
- Synchronous video or telephone session (Correct answer)
- Wearable sensor data review
Correct answer: Synchronous video or telephone session
Urgent mental health crises require immediate real-time communication, making synchronous video or telephone the appropriate model.
Question 4: Telestroke programs primarily use which delivery model to minimize time-to-treatment?
- Asynchronous image review
- Store-and-forward MRI analysis
- Real-time synchronous video consultation (Correct answer)
- Remote patient monitoring only
Correct answer: Real-time synchronous video consultation
Telestroke relies on real-time synchronous video so neurologists can rapidly assess patients and authorize thrombolytics within treatment windows.
Question 5: In a direct-to-consumer (DTC) telehealth model, the patient typically:
- Visits a spoke clinic to connect to a hub specialist
- Uploads imaging for overnight radiologist review
- Connects directly to a clinician from home without an originating-site facilitator (Correct answer)
- Wears a biosensor monitored by a hospital team
Correct answer: Connects directly to a clinician from home without an originating-site facilitator
DTC telehealth removes the originating-site intermediary, allowing patients to access clinicians directly from personal devices at home.
Question 6: An endocrinologist reviews a patient's 90-day continuous glucose monitor (CGM) data between visits and adjusts insulin doses. This exemplifies:
- Synchronous televisit
- Store-and-forward telemetry
- Remote patient monitoring with asynchronous review (Correct answer)
- Direct-to-consumer urgent care
Correct answer: Remote patient monitoring with asynchronous review
Remote patient monitoring collects physiological data over time, which the clinician reviews asynchronously to guide ongoing management.
Question 7: Which factor most distinguishes a telehealth 'store-and-forward' model from a 'remote patient monitoring' model?
- Store-and-forward uses live video; RPM does not
- RPM involves continuous or periodic device-collected data; store-and-forward involves clinician-captured discrete data packets (Correct answer)
- Store-and-forward requires HIPAA compliance; RPM does not
- RPM is only used in dermatology; store-and-forward spans all specialties
Correct answer: RPM involves continuous or periodic device-collected data; store-and-forward involves clinician-captured discrete data packets
RPM continuously or periodically collects physiologic device data, whereas store-and-forward typically involves discrete snapshots (images, notes) captured by a clinician and transmitted for later review.
CTP Telehealth Service Delivery Models 2
Which telehealth model involves a patient at a rural clinic being evaluated by a distant specialist via real-time video?