Telebehavioral Health Resources for Hospitals and Health Systems

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Telebehavioral Health


While the demand for mental health services has long outpaced supply in the U.S., the coronavirus pandemic has widened that gap even further. A March 2020 poll conducted by Kaiser Family Foundation reports that nearly half of all U.S. adults reported their mental health was negatively affected due to worry and stress over the virus. At the same time, according to the National Institute of Mental Health only 43% of adults with mental illness receive treatment.

Telebehavioral health, a form of telehealth that utilizes virtual communication technologies to provide mental health and substance use services, represents an opportunity to close the gap – especially in rural and underserved communities. While we can all agree that the concept of providing telebehavioral health services makes sense, it can present challenges in practice. Questions may include:

  1. What telebehavioral health platforms are available for my facility?

  2. How much do these platforms cost?

  3. Are they HIPAA compliant?

  4. What resources are available for telebehavioral health training?

As part of HORNE Healthcare’s consulting service to clients, we have assembled this free resource for hospitals and health systems seeking information with regards to telebehavioral health services, including telepsychology, telepsychiatry, and additional telehealth services from licensed mental health practitioners.

Below you will find information about three of the most popular low-cost telebehavioral health platforms used, along with industry resources on general telebehavioral health, training opportunities, webinars, and other resources.

*The information below is current as of August 10, 2020 and is subject to change. Please use the links provided to access the most up-to-date information.

Currently used by over 700,00 providers from 136 countries.
Service Features  Cost  Security & HIPAA Compliance

All plans offer:

 - Unlimited video minutes and sessions
 - Personalized room URL
 - iOS + Android service
 - LD video

Upgraded (paid) plans offer additional services, including higher definition video and audio-call only options.

Various plans:

 - Free
 - Professional ($35/mo for individual providers)
 - Clinic (~$50/month per provider). Clinics must also pay a one-time clinic set-up fee.

All plans feature:

 - Secure data center
 End-to-end encryption
 - No patient data stores
 - Signed BAA
 - Breach insurance
 - Meets HIPAA requirements
 - Meets PIPEDA/PHIPA requirements
 - Meets GDPR requirements

Upgraded (paid) plans feature:

 - Custom BAA
 - Custom security review


Zoom for Healthcare
An upgraded version of Zoom that is HIPAA/PIPEDA compliant
Service Features  Cost  Security & HIPAA Compliance

HD video and audio even in low-bandwidth environments

Recorded session review:

 - Can be saved locally with HIPAA BAA for clinical applications
 - Can be saved in the cloud for non-clinical applications

Collaboration features:

 - Annotations and screen sharing
 - Allows multiple attendees in a HIPAA enabled setting, so doctors, patients, specialists, and/or family can be present

EHR and EMR integration:

 - Can launch visits directly through Epic telehealth workflows and update charts/records in real time
 - Other healthcare applications that can be integrated include Strmr, IntakeQ, and Practice Better

Accessibility features:

 - Closed captioning
 - Keyboard shortcuts

Medical device integrations:

 - Diagnostic cameras, digital stethoscopes, etc.

Starts at $200/month per account, which includes 10 hosts

1, 2, and 3 year pre-paid packages are available

Meets HIPAA requirements

Meets PIPEDA/PHIPA requirements

Signed BAA

Security certifications from SOC2, TrustArc, and EU-US Privacy Shield

Private patient waiting rooms that only allow providers to see who is in the waiting rooms

Zoom does not have access to identifiable PHI

 - All audio, video, and screen sharing is protected and encrypted

Meetings are not publicly listed and require a password and verified email address to enter

 - Hosts can lock meetings in progress and remove attendees


Microsoft Teams
Chat, video, voice, and more in a single HIPAA and HITECH compliant hub
Service Features  Cost  Security & HIPAA Compliance

Can be integrated with existed applications and EMR/EHR

Customers are able to schedule appointments through Bookings that links to calendars in Teams

Secure instant messaging

Central hub for communicating and collaborating on patient issues

Ability to establish information barriers between users and groups

Streamlines workflows and shifts

Additional security and collaboration features with premium plans

Ideal for users already implementing the Microsoft 365 ecosystem

Varies based on needs and organization size

 - Business plans start at $5 per user per month (max of 300 users)

 - Enterprise plans start at $10 per user per month (unlimited users)

Must be configured properly to be HIPAA compliant

Resources and support are offered by Microsoft

BAA is offered

Allows for secure instant messaging, including image capture and sharing, while remaining HIPAA compliant

Meets standards of HITRUST, SOC 1 and 2, and GDPR

Only 43% of adults with mental illness receive treatment.

Telebehavioral Health Resources

Training for Providers:

Telebehavioral Health Institute: - TBHI was founded in 2009 by Dr. Marlene Maheu with the mission to provide clinical, legal, ethical, and competency-based professional training, staffing, and consultation to advance the responsible use of technology in healthcare. TBHI is fully accredited to offer continuing education for counselors, psychologists, addiction professionals, physicians, physicians assistants, nurses, nurse practitioners and other medical staff. They also offer two designations, Board Certified Telehealth Professional, Levels I and II.

Mental Health Information and Resources:

National Alliance on Mental Illness:

National Institute of Mental Health:


We are not affiliatedassociated, authorized, endorsed by or in any way officially connected with any of the above companies, agencies or organizations. All product and company names are trademarks of their respective holders and are presented for information only. Use of them does not imply any affiliation with or endorsement by them.

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