We are a large safety-net hospital in Los Angeles county, providing Level 4 epilepsy care to patients who are uninsured/under-insured. Most are drug-resistant and have physical, social, and/or economic factors that limit their ability to receive healthcare, including epilepsy care. One main factor is that none can drive, and many have difficulties arriving to their in-person appointments due to limited transportation means (i.e. walking, public transportation). The current COVID-19 pandemic further limits their access to healthcare with reduced public services. However, the recent expanded access to teleneurology has been a significant change for this population by improving their access to healthcare and follow up. Regular follow up infers improved compliance leading to better quality of care.

We readily and aggressively implemented teleneurology services for our patients. Teleneurology appointments (including phone and video) for our patients began March 20, 2020 with all appointments prior to this date being in-person appointments only.