Telehealth for Reproductive Health Care Resources
Telehealth services have emerged as an important tool for expanding access and availability of patient-centered reproductive health care, including contraception, abortion, and early pregnancy loss care. While telehealth will not remove all barriers and enhance equity for all, it is one important option that RHAP is prepared to support health care workers to implement and sustain even after the COVID-19 pandemic. Below are resources compiled from RHAP, partners, and outside entities that can support your work as telehealth reproductive health care providers. Some resources may reflect needs pertinent to the COVID-19 pandemic, but they still offer key considerations for providing telehealth reproductive health care.
If you have a resource that you would like us to include or create, or if you have questions or resources that you are looking for, please reach out to us at email@example.com. Please feel free to use and adapt RHAP resources according to our copyright.
Birth Control: Providing Telehealth Care
- Patients pick up sub-q depo (104mg) to inject at home, a slightly different formulation than what is used in the office.
- Pfizer’s labeling guide also includes instructions/illustrations.
- How to give yourself a hormone injection: patient instructions
- NFPRHA clinical protocol template for implementing self-administration
Electronic Health Record for Contraception Care Visit: Contraceptive Pearl with template
Abortion: Providing Telehealth Care
- Upadhyay UD, Raymond EG, Koenig LR, et al. Outcomes and Safety of History-Based Screening for Medication Abortion: A Retrospective Multicenter Cohort Study. JAMA Intern Med. Published online March 21, 2022. doi:10.1001/jamainternmed.2022.0217
- Chong E, Shochet T, Raymond E, et al. Expansion of a direct-to-patient telemedicine abortion service in the United States and experience during the COVID-19 pandemic. Contraception. 2021;104(1):43-48. doi:10.1016/j.contraception.2021.03.019
Telephone Follow-up for Medication Abortion and Evidence
- Chen MJ, Rounds KM, Creinin MD, Cansino C, Hou MY. Comparing office and telephone follow-up after medical abortion. Contraception. 2016.
- Perriera LK, Reeves MF, Chen BA, Hohmann HL, Hayes J, Creinin MD. Feasibility of telephone follow-up after medical abortion. Contraception. 2010.
Guidance for Providers Offering Misoprostol-Alone for Abortion Amidst COVID-19: A resource developed by Gynuity Health Projects and CEDES, in collaboration with ASAP, CLACAI, REDAAS and Women Help Women
Guttmacher Institute: State Bans on Medication Abortion
National Health Law Program: Asynchronous telehealth in states that cover abortions for Medicaid beneficiaries
Early Pregnancy Loss: Providing Telehealth Care
Ectopic Pregnancy: Providing Telehealth Care
Billing for Telehealth Visits
Center for Connected Health Policy – Telehealth Coverage Policies in the Time of COVID-19
AAFP: A Virtual Visit Algorithm: how to differentiate and code telehealth visits, e-visits, and virtual check-ins
ACOG: Billing for Remote and Telehealth Services
Other Resources for Clinicians
Association of Clinicians for the Underserved’s publication on the effects of virtual care delivery on health center clinician engagement and burnout
Intimate Partner Violence (IPV) and Telehealth
Telemedicine Resources & Best Practices
Hollander J, Carr BG. Perspective: Virtually Perfect? Telemedicine for COVID-19. New England Journal of Medicine. March 2020.
Weigel G, Frederiksen B, Ranji U, Salganicoff A. Telemedicine in Sexual and Reproductive Health. KFF. November 2019.
National Consortium of Telehealth Resource Centers: offers free technical assistance
Essential Health Access: Expanding Delivery of Sexual and Reproductive Health Care through Telehealth
American Medical Association: Equity in Telehealth Issue Brief
Center for Connected Health Policy: Audio-Only Telehealth Policy
Additional Resource Pages from Partners
Bedsider’s “Where to Get It”: search engine to find reproductive health services, including online prescription and delivery for birth control
Beyond the Pill Contraceptive Care During COVID-19, Telehealth Resources & Best Practices
EMAA: Telehealth Equity & Medication Abortion Care Overview & Advocacy Guide
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