SLP Telepractice & Technology in SLP 2 — Questions and Answers
Question 1: Which federal law most directly governs privacy protections for patient health information transmitted during telepractice sessions?
- FERPA
- HIPAA (Correct answer)
- ADA
- IDEA
Correct answer: HIPAA
HIPAA (Health Insurance Portability and Accountability Act) governs the privacy and security of protected health information, including data transmitted during telepractice.
Question 2: An SLP is conducting a telepractice session with a child who has autism and becomes dysregulated. What is the BEST first step?
- Immediately end the session
- Contact the caregiver present in the room to assist with co-regulation (Correct answer)
- Continue therapy and ignore the behavior
- Increase screen brightness to redirect attention
Correct answer: Contact the caregiver present in the room to assist with co-regulation
When a child becomes dysregulated during telepractice, the caregiver co-present in the room should assist, as they can provide physical support the SLP cannot offer remotely.
Question 3: Which type of telepractice model involves a remote SLP directing a paraprofessional or assistant who is physically present with the client?
- Synchronous direct model
- Store-and-forward model
- Hub-and-spoke model (Correct answer)
- Asynchronous indirect model
Correct answer: Hub-and-spoke model
The hub-and-spoke (or facilitated) model involves a remote SLP supervising an on-site facilitator (often a paraprofessional) who assists the client during sessions.
Question 4: When obtaining informed consent for telepractice, which element is MOST important to include beyond standard consent?
- Client's insurance information
- Potential technology limitations and how they may affect service delivery (Correct answer)
- The SLP's years of experience
- The client's preferred session time
Correct answer: Potential technology limitations and how they may affect service delivery
Informed consent for telepractice must specifically address technology limitations, privacy risks, and how technical issues could impact service quality.
Question 5: A school-based SLP wants to provide telepractice services to students across state lines. What is the PRIMARY licensure consideration?
- The SLP only needs a license in the state where the student attends school
- The SLP must be licensed in the state where the client is physically located (Correct answer)
- A single ASHA certification is sufficient for all 50 states
- Telepractice requires no state licensure
Correct answer: The SLP must be licensed in the state where the client is physically located
Licensure for telepractice is typically governed by the state where the client is physically located at the time of service, so the SLP must hold a valid license in that state.
Question 6: Which assessment approach is most appropriate when standardized tests cannot be administered via telepractice due to copyright or technical limitations?
- Omit formal assessment entirely
- Use only parent-report measures
- Conduct dynamic assessment or criterion-referenced procedures (Correct answer)
- Administer the test verbally without visual stimuli
Correct answer: Conduct dynamic assessment or criterion-referenced procedures
Dynamic and criterion-referenced assessments are valid alternatives when standardized tools cannot be adapted for telepractice, and they provide ecologically relevant data.
Question 7: An SLP delivering telepractice notices significant audio lag during articulation therapy. What is the BEST immediate clinical adaptation?
- Discontinue the session immediately
- Switch to a text-based chat interface
- Increase use of visual feedback tools and reduce reliance on real-time auditory modeling (Correct answer)
- Ask the client to speak louder
Correct answer: Increase use of visual feedback tools and reduce reliance on real-time auditory modeling
When audio lag impairs real-time auditory feedback, SLPs should maximize visual supports (mirrors, video modeling, visual feedback apps) to compensate.
SLP Telepractice & Technology in SLP 2
Which federal law most directly governs privacy protections for patient health information transmitted during telepractice sessions?