Editorial Staff and Acknowledgements

I. INTRODUCTION

A. Overview
B. History and Charge to the JWGT
C. Structure of the JWGT
D. Work Plan of the JWGT

II EVALUATION

A. Overview
B. The Federal Telemedicine Gateway and Inventory of Healthcare Delivery Projects
C. Summary of the Gateway and Inventory
D. The Federal Evaluation Framework
E. Other Evaluation Activities by JWGT Agencies
F. The Institute of Medicine Report
G. The ORHP/Abt Report
H. Lessons Learned
I. Next Steps

III. LEGAL ISSUES-Licensure and Telemedicine

A. Overview
B. The Current Licensure System
C. The Legal Foundation to the U.S. Licensure System
D. Alternative Approaches to Licensure
E. Legal and Regulatory Issues Raised by These Models
F. Specific Reform Proposals
G. Other Legal Issues - Professional Liability
H. Next Steps

VI. PAYMENT ISSUES

A. Overview
B. Medicare and Medicaid
C. Private Sector
D. Next Steps

V. SAFETY AND STANDARDS

A. Overview
B. The FDA Regulatory Role
C. A Shared Role
D. Next Steps

VI. TELECOMMUNICATIONS INFRASTRUCTURE

A. Overview
B. Cost /Benefit Trade Off
C. Telecommunications Act of 1996
D. Next Steps

VII. PRIVACY, SECURITY AND CONFIDENTIALITY

A. Overview
B. General Privacy, Confidentiality, and Security Issues
C. Emerging Privacy, Confidentiality and Security Concerns for Telemedicine
D. Next Steps

VIII. CONCLUSION

APPENDICES

A. Joint Working Group on Telemedicine Membership List

B. Telemedicine Funding for JWGT Agencies

C. Federal Register Comments on Licensure
(available in hard copy version only)

D. Background Licensure Paper from the Center for Telemedicine Law
(available in hard copy version only)

E. World Wide Web Address References for Background Papers and Materials

A limited number of hard copies of this report is available by calling 202-482-3999 (e-mail mwallach@ntia.doc.gov). For further information, please contact jkumekawa@ntia.doc.gov