title: Pediatric Teleneurology: A Model of Epilepsy Care for Rural Populations.
abstract: Approximately 2.7 million individuals in the United States are affected by epilepsy. It is the fourth most common neurological disorder and affects people of all ages, races, and economic backgrounds. In many rural states, the few pediatric neurologists commonly practice in the metropolitan areas. The inadequate resources present challenges for families residing in rural areas or with limited transportation resources. One remedy for this situation is to deliver pediatric neurology services to rural areas through videoconferencing.
  
  
  
  The University of Kansas Center for Telemedicine and Telehealth has been providing telemedicine consultations in various clinical specialties for 25 years, including mental health and teleneurology. On the basis of the telemedicine models provided at the University of Kansas Center for Telemedicine and Telehealth and other programs, we explain how to provide teleneurology services to rural communities while maintaining high quality care, including direction for assessing need, technology, privacy, administrative and clinical support, credentialing and legality, and sustainability.
  
  
  
  We provide a protocol for teleneurology development, outlining examples of needed staff, and measures to ensure a smooth implementation and execution, ending with an example of the current teleneurology clinic provided at the University of Kansas Center for Telemedicine and Telehealth.
authors.affiliation: KU Center for Telemedicine and Telehealth, University of Kansas Medical Center, Kansas. Electronic address: svelasquez@kumc.edu.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Velasquez
authors.affiliation: Department of Pediatrics, University of Kansas Medical Center, Kansas.
authors.forename: Enrique
authors.initials: E
authors.lastname: Chaves-Carballo
authors.affiliation: KU Center for Telemedicine and Telehealth, University of Kansas Medical Center, Kansas.
authors.forename: Eve-Lynn
authors.initials: EL
authors.lastname: Nelson
mesh_terms: D002648:Child; D004827:Epilepsy / Q000628:therapy*; D006282:Health Personnel; D006801:Humans; D010372:Pediatrics / Q000379:methods; D012424:Rural Population; D017216:Telemedicine / Q000379:methods; D049269:Videoconferencing
keywords: pediatric epilepsy; pediatric neurology; rural; telemedicine; teleneurology; videoconferencing