To demonstrate video visits increase access for patients and providers, while maintaining patient and provider satisfaction.

Patients with chronic neurological conditions experience unique barriers with accessing medical care can be an ongoing challenge due to their disabilities secondary to their disease process. The use of video visits allows neurology patients across all programs to be seen in an alternative venue at a cost effective and convenient manner.  Telemedicine demonstrates good outcomes among several disease processes within neurology. 

Neurologically stable patients were offered video visits at the University of California Los Angeles (UCLA) outpatient clinic. These patients were part of a pilot system wide launch.  All non-English speaking patients as well as these with developmental delay and no available caregivers were excluded.  Each patient was explained how to set up appropriate software and applications from staff.   Vidyo software was used in EPIC.  Post visit survey assessed patient’s perception with willingness, technical issues, and if expectations were met during video visit with their provider. We also assessed no show rates, cost, and distance. 

Most patients preferred video visits and saved on average $60.00 on gas and parking while the health system saved over $25.00 per person. Availability of video visits prevented visits to emergency room (ER) and tele-clinics had 0% no show rate.

The use of video visits provided an alternative method for neurology clinic visits. Patients who lived far away or those who suffered physical impairment found this option most useful. Video visits allowed acute issues to be seen on the outpatient basis and avoided ER visits.