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. 2023 Sep 13;3:1205951. doi: 10.3389/frhs.2023.1205951

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© 2023 Mattocks, Kroll-Desrosiers, Crowley, Tuozzo, Rifkin, Moore, Walker and Bonegio.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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VA-based nephrology services and services provided by the telenephrology EWI. In-person nephrology specialty care is not offered at every VA facility and rural facilities often lack a VA nephrologist or depend on a single provider. The telenephrology EWI currently consists of three telenephrology hub sites in (1) Boston, (2) Connecticut, and (3) Indianapolis that provide services to originating spoke sites (solid lines) in VISN1 (Maine and New Hampshire), VISN10 (Chillicothe, OH), and VISN19 (Muskogee, OK, Grand Junction, CO, and Fort Harrison, MT). (a) A hub in Providence, RI will open in July of FY23 and negotiations are currently underway to expand the EWI in FY24 and FY25 to include west coast hubs in (b) Palo Alto, CA and (c) Long Beach, CA, with an aim to reach additional originating sites (dashed arrows).