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A Department Approach to Teleneurology.
Meredith Spindler1, Dina Jacobs1, Kristy Yuan1
1Department of Neurology, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Summary
The COVID-19 pandemic accelerated telemedicine adoption in neurology, proving its value for patient care. This rapid implementation offers a template for establishing teleneurology programs, highlighting benefits and challenges.
Area of Science:
- Neurology
- Health Informatics
- Telehealth
Background:
- The COVID-19 pandemic necessitated rapid adoption of telemedicine in healthcare.
- Patients with neurological disorders are often suitable for remote video evaluations.
- Academic neurology departments needed to ensure continuity of care safely.
Purpose of the Study:
- To describe the rapid expansion of telemedicine services in a neurology department.
- To provide a template for establishing teleneurology programs.
- To illustrate challenges and barriers in telemedicine implementation.
Main Methods:
- Rapidly expanded telemedicine services with health system support.
- Coordinated multiple disciplines including faculty, residents, and IT staff.
- Developed provider and patient education, and experience surveys.
Main Results:
- Successfully expanded telemedicine services to meet patient needs during the pandemic.
- Established procedures for education and data collection on user experience.
- Demonstrated the significant role of teleneurology in ongoing neurological care.
Conclusions:
- Teleneurology is vital for neurological patient care beyond the pandemic.
- The Penn Neurology experience serves as a model for other institutions.
- Implementation requires interdisciplinary coordination and addressing specific challenges.

