| 39 Addressing the Health Needs of an Aging America | 40 • National Medical Association: To ensure that HIT does not become a blunt instrument in the hands of untrained healthcare providers and regulators, NMA recommends: Discussions on standards, certification, and interoperability must be as robust as possible. • M. Hustey, R. M. Palmer (2010). An internet-based communication network for information transfer during patient transitions from skilled nursing facility to the emergency department. Journal of the American Geriatrics Society, 58(6), 1148-52 Telehealth and remote telemonitoring General • American Medical Association: Identifying technical solutions and requirements. Telemedicine technology also must facilitate easy information sharing and comply with Health Insurance Portability and Accountability Act (HIPAA) privacy and security requirements. The AMA is working with telemedicine stakeholders to identify solutions and establish technical standards. • American Medical Association: Both bills would allow telemedicine to be practiced across state lines by changing medical licensure laws. Under these bills, licensure would be based on the state in which the patient is located rather than on the state in which the physician is licensed to practice. • American Medical Association: To ensure proper diagnoses and follow-up care, the principles specify that a valid patient-physician relationship should exist before using telemedicine or the physician should meet the standard of care and other safeguards outlined in the AMA policy for establishing this relationship using appropriate telecommunication technologies. • Association of Asian Pacific Community Health Organizations: Telemedicine and Telehealth Communications We also recommend that organizations or agencies using an automated telephonic system be required to use dedicated language lines or, at a minimum, add voice prompts in multiple languages.