Table 2.
The National TeleNeurology Program clinical site adoption.
| NTNP site | US region |
First meeting date | Pre-implementation | Go live date adoption |
|---|---|---|---|---|
| 2 | Mid-Atlantic | 17 June 2020 | 124 | 19 October 2020 |
| 1 | Northwest | 13 July 2020 | 123 | 13 November 2020 |
| 4 | Mid-Atlantic | 7 October 2020 | 118 | 2 February 2021 |
| 3 | Mid-Atlantic | 16 November 2020 | 85 | 9 February 2021 |
| 5a | North | 19 January 2021 | 21 | 9 February 2021 |
| 6 | Mid-Atlantic | 23 December 2020 | 71 | 4 March 2021 |
| 7 | Southwest | 18 February 2021 | 49 | 8 April 2021 |
| 9 | Northeast | 10 November 2020 | 169 | 28 April 2021 |
| 8 | West | 24 February 2021 | 77 | 12 May 2021 |
| 10 | West | 20 April 2021 | 35 | 25 May 2021 |
| 11b | Southwest | 16 November 2020 | 197 | 1 June 2021 |
| 12 | Southeast | 22 June 2021 | 56 | 17 August 2021 |
| 13 | Midwest | 4 November 2021 | 75 | 18 January 2022 |
Average days to adopt NTNP = 92.3 (SD = 49.7), and range of days were between 21 and 197. Site 1 no longer had neurology access needs in FY22, and therefore TeleNeurology services were no longer utilized. All VAMCs adopted TeleNeurology in FY2021 with the exception of one VAMC. Site 13 adopted TeleNeurology in 2022.
a
They did not have activation meetings. One of NTNP's early team members was a former employee at Site 5 so they facilitated implementation through a series of emails over 2–3 weeks.
b
Site 11 had several start and stop moments, and they did not meet this entire time; there was likely high-level discussion outside of the activation meetings.