{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T03:56:56Z","timestamp":1777262216177,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,14]],"date-time":"2020-10-14T00:00:00Z","timestamp":1602633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["Cooperative Agreement #UH7MC30773 (6\/2017\u20105\/2020)"],"award-info":[{"award-number":["Cooperative Agreement #UH7MC30773 (6\/2017\u20105\/2020)"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J of Med Genetics Pt A"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The national importance of telemedicine for safe and effective patient care has been highlighted by the current COVID\u201019 pandemic. Prior to the 2020 pandemic the Division of Genetics and Metabolism piloted a telemedicine program focused on initial and follow\u2010up visits in the patients' home. The goals were to increase access to care, decrease missed work, improve scheduling, and avoid the transport and exposure of medically fragile patients. Visits were conducted by physician medical geneticists, genetic counselors, and biochemical dietitians, together and separately. This allowed the program to develop detailed standard operating procedures. At the onset of the COVID\u201019 pandemic, this pilot\u2010program was deployed by the full team of 22 providers in one business day. Two physicians remained on\u2010site for patients requiring in\u2010person evaluations. This model optimized patient safety and workforce preservation while providing full access to patients during a pandemic. We provide initial data on visit numbers, types of diagnoses, and no\u2010show rates. Experience in this implementation before and during the pandemic has confirmed the effectiveness and value of telemedicine for a highly complex medical population. This program is a model that can and will be continued well\u2010beyond the current crisis.<\/jats:p>","DOI":"10.1002\/ajmg.a.61911","type":"journal-article","created":{"date-parts":[[2020,10,14]],"date-time":"2020-10-14T08:25:41Z","timestamp":1602663941000},"page":"68-72","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Rapid deployment of a telemedicine care model for genetics and metabolism during <scp>COVID<\/scp>\u201019"],"prefix":"10.1002","volume":"185","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1336-747X","authenticated-orcid":false,"given":"Natasha","family":"Shur","sequence":"first","affiliation":[{"name":"Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shireen M.","family":"Atabaki","sequence":"additional","affiliation":[{"name":"Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monisha S.","family":"Kisling","sequence":"additional","affiliation":[{"name":"Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abir","family":"Tabarani","sequence":"additional","affiliation":[{"name":"Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clarence","family":"Williams","sequence":"additional","affiliation":[{"name":"Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie L.","family":"Fraser","sequence":"additional","affiliation":[{"name":"Children's National Hospital  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra","family":"S. 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