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1122, 1444, 1834], 'choose': [287], 'work': [289], 'purely': [290], 'via': [291, 1438, 2356], 'telemedicine.': [292], 'is': [294, 539, 602, 798, 1151, 1261, 1279, 1522, 1649, 1807], 'an': [295, 1031, 1383, 1523, 1650, 2133, 2253, 2297], 'approach': [296, 1651], 'offering': [300], 'many': [301, 605, 801], 'pillars': [302], 'including': [307, 454, 719, 776, 1536, 1557, 1590], 'clinical': [308, 915, 1198, 1266, 1317, 1398, 1459, 1684, 1722], 'administrative': [310, 1244, 1467], 'leadership,': [311, 334, 1724], 'education,': [312, 335, 1041, 1725], 'research,': [313, 336, 1341, 1727], 'quality': [314, 330, 337, 674, 1297, 1472, 1917], 'improvement,': [315, 338], 'advocacy,': [316], 'community': [318, 709, 1084, 1697], 'outreach': [319, 1130], '(Figure).Download': [320], 'figureDownload': [321], 'PowerPointFigure.': [322], 'Spoke': [323, 810], 'hub/telestroke': [325], 'teams': [326, 389, 1005], 'contribute': [327], 'equitable,': [329], 'advocacy.Telestroke': [340], 'Network': [341], 'Leadership': [342, 1695], 'ExcellenceComprehensive': [344], 'requires': [347, 385, 434, 447, 972], 'coordinated': [348], 'effort': [349, 384], 'among': [350, 387, 590, 2056, 2236], 'emergency': [351, 741, 777], 'services,': [353, 1254], 'multiple': [354, 375], 'specialties,': [356], 'interprofessional': [358, 713], 'staff:': [359], 'principle': [361], 'extends': [362], 'into': [363, 427, 1391, 2132], 'telestroke.': [364, 1530], 'Rather': [365], 'than': [366, 2310], 'within': [367, 547, 695, 1210, 1728], 'one': [368, 603, 799], 'hospital': [369, 376, 548, 1465], 'infrastructure,': [370], 'must': [372, 518, 885, 985, 1395], 'coordinate': [373], 'between': [374, 764, 1054, 1136], 'systems,': [377, 549, 586], 'with': [378, 445, 472, 869, 896, 953, 1001, 1071, 1655, 2158], 'individual': [379, 1384], 'protocols': [380], 'values.': [382], 'synergy': [386], 'providers.': [392], 'Teams': [393], 'include': [395, 860, 1508], 'personnel': [396], 'committed': [397], 'site': [399, 660, 942], 'engagement': [400, 1698], 'data': [402, 1245], 'quality,': [403, 788], 'coordinator': [407], 'director': [409], 'separate': [410], 'from': [411, 846, 904, 959, 1489, 1566, 1928], 'coordinators': [414], 'directors.': [416], 'can': [419, 544, 593, 677, 807, 859, 906, 956, 1205, 1241, 1303, 1314, 1483, 1496, 1507, 1545, 1610, 1632, 1736], 'extend': [420], 'comprehensive': [421], 'beyond': [424, 497, 1658], '"doc-in-a-box"': [426], 'community.Initiating': [429], 'maintaining': [431], 'network': [433, 511, 533, 856, 1009, 1213], 'understanding': [435, 581, 1712], 'liability,': [437], 'compliance,': [438], 'privacy,': [439], 'documentation,': [440], 'billing,': [441, 1987], 'connectivity.': [443], 'Working': [444], 'spokes': [446, 503, 833, 897], 'sensitivity': [448], 'mission': [451], 'resources,': [453, 861], 'imaging': [456], 'transport': [458], 'capabilities.': [459], 'Changeable': [460], 'policies': [461], 'regulations': [463], 'state': [465, 1601], 'national': [467, 887, 960, 1576], 'levels': [468], 'necessitate': [469], 'staying': [470], 'up-to-date': [471], 'legislation.': [473], 'study': [476], 'Centers': [478], 'for': [479, 566, 652, 689, 729, 771, 821, 1083, 1197, 1218, 1276, 1296, 1353, 1364, 1375, 1433, 1520, 1612, 1689, 1925, 2265, 2272], 'Medicare': [480], 'Medicaid': [482], 'Services': [483], 'billing': [484, 496, 1992], 'practices': [485], 'significant': [487], 'service': [489, 1412], 'underbilling,': [490], 'even': [491, 1492], 'after': [492, 1106], '2018': [493], 'legislation': [494], 'broadening': [495], 'sites.3': [499], 'providers': [501, 665, 831, 1082, 1291], 'agree': [504], 'on': [505, 619, 786, 1358, 1639, 1904, 1909, 2191, 2341], 'reimbursement': [506], 'contractually': [507], 'maintain': [509], 'whole': [510], 'financial': [512], 'viability': [513], 'program': [515], 'sustainability.': [516], 'Networks': [517, 607, 1609], 'decide': [519, 835], 'which': [520], 'entity': [521], 'will': [522, 535, 834, 1416, 1429, 2314, 2332], 'bill': [523], 'patients,': [524], 'if': [526, 948], 'pay-per-consult': [527], 'subscription': [529], 'models': [530, 555], 'apply.Scrutinizing': [531], 'how': [532, 993, 1178, 1418], 'growth': [534], 'best': [536], 'serve': [537, 1132], 'patients': [538, 1002, 1278, 1521, 2131], 'not': [540, 949, 1023, 1828, 2262, 2281, 2294, 2301], 'intuitive.': [541], 'be': [545, 2307, 2316, 2333, 2348], 'created': [546], 'based': [551], 'upon': [552], 'other': [553, 1547], 'business': [554], 'established': [557], 'relationships.': [558], 'Incorporating': [559], 'sites': [560], 'while': [561, 1502], 'attuned': [562], 'resources': [565], 'follow-up': [567], 'secondary': [569], 'prevention': [570, 621], 'address': [572], 'readmission': [573], 'rates': [574], 'mitigate': [576, 781], 'disparities.': [578, 1232], 'regional': [580, 1453], 'remote': [583, 2128], 'health': [584, 773, 1183, 1253, 1258, 1347, 1548, 1646, 1731], 'appreciating': [587], 'specific': [588], 'needs': [589], 'different': [591, 1211], 'communities,': [592], 'optimize': [594], 'network.': [596, 697], 'classic': [598], '"hub-and-spoke"': [599], 'model': [601], 'models.': [606], 'need': [609, 755, 1372, 1430], 'adapt': [611], 'as': [612, 1514, 1570, 1677, 2337], 'treatments': [615], 'develop,': [616], 'depending': [618], 'rehabilitation': [623], 'resources.With': [624], 'shortage': [626], 'trained': [628], 'vascular': [629], 'early': [631, 663, 951, 1511], 'neurologists': [633, 1428, 1513, 1636], 'recruited': [635], 'soon': [636], 'out': [637, 1487], 'training': [639, 648, 676, 756, 828, 924, 979, 1064, 2019], 'manage': [641], 'networks.': [643], 'Early': [644, 1238, 1426, 1618, 1733], 'exposure': [646, 1038, 1619], 'increases': [649], 'task': [650], 'fluency': [651], 'new': [653, 989, 1330], 'graduates,': [654], 'improving': [655, 1640, 1714], 'experience': [657, 2240], 'engagement.': [661], 'For': [662], 'interested': [666, 1666], 'operating': [668], 'these': [669, 1743], 'networks,': [670], 'additional': [671, 978], 'leadership': [672, 691, 816], 'improvement': [675, 1069, 1260], 'lead': [678], 'effectiveness': [680], 'helm': [683], 'programs.Telestroke': [686], 'EducationAmple': [687], 'opportunity': [688], 'educational': [690, 870, 894, 938, 1124], 'exists': [694], 'Neurologists': [698], 'involved': [699], 'education': [702, 805, 820, 883, 889, 930, 971, 1089, 1116, 1475], 'should': [703, 873, 2250, 2306, 2347], 'seek': [704, 977], 'integration': [707], 'engagement,': [710], 'interdisciplinary': [711], 'development,': [714], 'innovative': [716], 'teaching': [717], 'methods': [718, 1250], 'distance-based': [720], 'experiential': [722], 'learning.': [723], 'adopt': [727], 'responsibility': [728], 'educating': [730], 'prehospital': [731], 'providers,': [732], 'nurses,': [734], 'physicians,': [735, 1078], 'advanced': [737], 'practitioners': [738], 'room,': [742], 'inpatient': [743], 'units,': [744, 1443], 'intensive': [746], 'units.': [748], 'Professionals': [749], 'assisting': [750], 'examination': [753, 759], 'neurological': [758, 1014], 'nuances.': [760], 'This': [761, 2366], 'occur': [763], 'shifts': [765], 'asynchronously.': [767], 'Recurrent': [768], 'didactics': [770], 'non-neurologist': [772], 'professionals,': [775], 'room': [778], 'teams,': [779], 'effects': [782], 'staff': [784], 'turnover': [785], 're-affirm': [790], 'standards': [793], 'settings': [795], 'where': [796], 'emergencies.': [803], 'Continuing': [804], 'credits': [806], 'incentivize': [808], 'education.': [809], 'also': [813], 'ask': [814, 1076], 'provide': [818, 945, 1087, 1596], 'learners': [823], 'own': [826, 1114], 'programs.': [829], 'when': [836], 'interface': [838], 'virtually': [839], 'versus': [840, 1403, 1407, 1413], 'in-person.': [841], 'Building': [842], 'virtual': [844, 919, 1036, 1055, 1440], 'relationship': [845], 'initial': [847], 'intermittent': [849], 'trainings': [851], 'foster': [853], 'deeper': [855], 'relationship:': [857], 'limitations': [858, 1624], 'travel': [862], 'time,': [863], 'cost.For': [865], 'programs': [867, 884], 'affiliated': [868], 'institutions,': [871], 'curricula': [872, 936], 'tailor': [874], 'learner': [877], 'level.': [878, 1387], 'Undergraduate': [879], 'graduate': [881], 'navigate': [886], 'governing': [890], 'body': [891], 'requirements,': [892], 'agreements': [895], 'establishing': [898], 'faculty': [899, 905, 974], 'supervision': [900, 903], 'arrangements.': [901], 'Graduated': [902], 'safely': [907], 'help': [908], 'trainees': [909], 'learn': [910], 'apply': [912], 'skills': [917], 'settings.': [920], 'Insertion': [921], 'telemedicine': [923, 1490, 1581, 2234], 'any': [926], 'level': [927], 'entails': [931], 'respecting': [932], 'institutional': [933], 'program-specific': [935], 'philosophies.': [939], 'Trainee': [940], 'credentialing': [943], 'logistical': [946], 'challenge,': [947], 'initiated': [950], 'expertise.': [954], 'Educators': [955], 'find': [957, 1044, 1293], 'guidance': [958], 'organizations': [961, 1348, 1568, 1595], 'available': [963, 1352], 'literature.4': [964], 'Implementation': [965], 'revision': [967], 'effective': [969], 'dedicated': [973, 1710], 'who': [975, 1061], 'curriculum': [981], 'development': [982, 1745], 'delivery.Leadership': [984], 'assure': [986], 'that': [987], 'physicians': [988, 1042], 'know': [992], 'use': [995, 1242, 2235, 2274], 'technology': [996, 1560], 'equipment,': [998], 'establish': [999], 'rapport': [1000], 'remotely,': [1006], 'allocate': [1008], 'system': [1011, 1185], 'resources.': [1012], 'exam,': [1015], 'taking': [1016], 'years': [1017], 'perfect': [1019], 'bedside,': [1021], 'does': [1022], 'easily': [1024], 'translate': [1025], 'over': [1026, 1661], 'small': [1028], 'screen': [1029], 'setting.': [1033], 'Given': [1034], 'limited': [1035, 2321], 'during': [1039], 'translating': [1045], 'bedside': [1046], '"webside"': [1048], 'counter-intuitive,': [1049], 'despite': [1050], 'equal': [1051], 'metric': [1052], 'expectations': [1053, 1105], 'care.': [1058, 1159, 1181, 1425], 'Even': [1059], 'those': [1060, 1830], 'completed': [1063], 'continue': [1065, 1673], 'improve': [1067, 1606, 1737], 'stroke-quality': [1068], 'metrics': [1070], 'each': [1072], 'encounter.5Spokes': [1074], 'often': [1079], 'hospitals,': [1085], 'community-members': [1092], 'regarding': [1093, 1401], 'symptom': [1095], 'recognition,': [1096], 'seeking': [1097], 'preventative': [1100], 'managing': [1103], 'stroke.': [1108], 'Individual': [1109], 'communities': [1110], 'requests,': [1117], 'addressing': [1118], 'community-specific': [1119], 'risk': [1120], 'factors': [1121], 'adapting': [1123], 'materials.': [1125], 'Stroke': [1126, 1810, 1901, 1933, 2094, 2156, 2195], 'support': [1127, 1484], 'groups': [1128], 'events': [1131], 'build': [1134], 'relationships': [1135], 'educators': [1137], 'communities.Research': [1139], 'Quality:': [1141], 'Better,': [1142], 'Farther,': [1143], 'FasterWide': [1144], 'dissemination': [1145], 'proven': [1147], 'therapies': [1150], 'crucial': [1152], 'reduce': [1154], 'disparities': [1155, 1535], 'barriers': [1157], 'While': [1160], 'improved': [1163, 1447], 'usage': [1165], 'increased': [1167, 1984], 'coverage': [1169], 'resource-poor': [1171], 'regions,': [1172], 'much': [1173], 'remains': [1174], 'understand': [1176, 1252], 'about': [1177], 'deliver': [1180], 'Researching': [1182], 'optimization': [1186], 'meets': [1187], 'National': [1189, 1777, 1801], 'Institutes': [1190, 1778, 1802], 'definition': [1193], 'translational': [1195], 'research': [1196, 1249, 1299, 1480], 'implementation': [1199], 'public': [1201, 1257], 'health.': [1202], 'Research': [1203], 'questions': [1204, 1234], 'explore': [1206], 'delivery': [1207, 1271], 'models,': [1214], 'triage': [1215], 'transportation': [1217], 'large': [1219, 1243, 1322], 'vessel': [1220], 'occlusion': [1221], 'hemorrhage': [1224], 'cases,': [1225], 'resource': [1226, 1616], 'utilization': [1227], 'efficiency,': [1228], 'These': [1233, 1594], 'require': [1235], 'interinstitutional': [1236], 'collaboration.': [1237], 'investigators': [1240], 'sets': [1246], 'mixed': [1248], 'epidemiology,': [1255], 'needs.Quality': [1259], 'integral': [1262], 'providing': [1264, 2266], 'excellent': [1265], 'answering': [1269], 'questions.': [1272], 'Maintaining': [1273], 'registry': [1275], 'important': [1280, 1524], 'monitor': [1282], 'physician': [1283], 'performance': [1284], 'spoke-specific': [1286], 'metrics.': [1287], 'Spokes': [1288], 'registries': [1294, 1302], 'useful': [1295], 'purposes.': [1300], 'Multicenter': [1301], 'evaluate': [1304], 'broader': [1305], 'trends': [1308], 'guide': [1311, 1417], 'policy.6': [1312], 'aid': [1315, 1497], 'trial': [1318, 1327], 'enrollment': [1319, 2129], 'outside': [1320, 1493], 'academic': [1323, 1456], 'centers,': [1324], 'thereby': [1325], 'reducing': [1326, 1334], 'costs,': [1328], 'speeding': [1329], 'treatment': [1331], 'discovery,': [1332], 'geographic': [1335, 1539], 'disparities,': [1336], 'generalizability': [1338], 'results.7National': [1340], 'telemedicine,': [1342], 'neurology,': [1343, 1495, 1579], 'stroke-specific,': [1344], 'made': [1350], 'funding': [1351, 1805], 'projects': [1354], 'illuminating': [1355], 'impact': [1357], 'healthcare': [1359, 1926], 'outcomes.Advocacy': [1363], 'Local': [1365], 'Space': [1367], 'Access': [1369, 2153, 2192], 'ExpansionNeurologists': [1370], 'advocate': [1374, 1432, 1611], 'focus': [1378, 1638], 'telestroke,': [1380, 1626], 'both': [1381], 'division': [1386, 1420], 'Integration': [1388], 'neurology': [1393], 'department': [1394], 'consider': [1396], 'preexisting': [1397], 'structures.': [1399], 'Decisions': [1400], 'day': [1402], 'night': [1404], 'schedules,': [1405], 'partial': [1406], 'full-time': [1408], 'equivalent': [1409], 'work,': [1410], 'moonlighting': [1414], 'coverage,': [1415], 'provides': [1421], '24/7': [1422], 'time': [1434, 2055], 'effort,': [1436], 'whether': [1437], 'adjusted': [1439], 'relative': [1441], 'value': [1442], 'demonstrating': [1446, 1458], 'referral': [1450], 'base,': [1451], 'reputation.': [1454], 'In': [1455, 2360], 'settings,': [1457], 'reach': [1460, 1751], '(geographic': [1461], 'range,': [1462], 'volumes),': [1466], 'duties': [1468], '(leadership,': [1469], 'protocol': [1470], 'measure': [1473], 'development),': [1474], '(medical': [1476], 'staff,': [1477], 'trainees),': [1478], '(publication,': [1481], 'grants)': [1482], 'promotion.': [1485], 'Seeking': [1486], 'mentorship': [1488, 1509, 1518], 'champions,': [1491], 'reaching': [1499], 'goals,': [1501], 'well-established': [1503], 'professionals': [1506, 1927], 'part': [1515, 1678], 'portfolio.Advocating': [1519], 'pillar': [1525], 'mitigates': [1532], 'inequity': [1537], 'demographic': [1541], 'access.8-9': [1542], 'Yet,': [1543], 'exacerbate': [1546], 'inequities': [1550], 'determined': [1551], 'structural': [1553], 'determinants': [1554], 'health,': [1556, 1578], 'internet': [1558], 'access,': [1561], 'communication': [1563], 'barriers.10': [1564], 'Advocacy': [1565], 'professional': [1567], 'such': [1569], 'American': [1572, 1784, 1837, 1898, 1930, 2384], 'Heart': [1573, 1785, 1838, 1899, 1931, 2385], 'Association,': [1574, 2386], 'organizations,': [1582], 'resulted': [1584], 'our': [1586], 'current': [1587, 1641], 'legislative': [1588], 'landscape': [1589], 'federal': [1591, 1603], 'reimbursement.': [1593], 'formal': [1597], 'opportunities': [1598, 1720], 'lobby': [1600], 'government': [1604], 'regulations.': [1608], 'more': [1613], 'equitable': [1614], 'technological': [1615], 'allocation.': [1617], 'capabilities': [1622], 'inspire': [1633], 'budding': [1634], 'equity.ConclusionsTelestroke': [1648], 'implications': [1656], 'extending': [1657], 'thrombolysis': [1659], 'recommendation': [1660], 'robot.': [1663], 'New': [1664], 'graduates': [1665], 'careers': [1669], 'desire': [1671], 'full': [1681], 'spectrum': [1682], 'practice': [1685], 'allow': [1688], 'flexibility': [1690], 'later': [1691], 'increase': [1700], 'meaningfulness': [1701], 'fulfillment': [1703], 'leads': [1717], 'exciting': [1719], 'excellence,': [1723], 'larger': [1730], 'system.': [1732], 'involvement': [1735], "neurologists'": [1739], 'ability': [1740], 'grasp': [1742], 'avenues': [1746], 'further': [1748], 'expand': [1749], 'care.Article': [1755], 'InformationSources': [1756], 'FundingNone.Disclosures': [1758], 'Dr': [1759, 1798], 'provided': [1761, 1776, 1800], 'ABPN': [1762], 'Faculty': [1763], 'Innovation': [1764], 'Education': [1766], 'Award,': [1767], 'Neurology:': [1768], 'Clinical': [1769], 'Practice': [1770], 'Associate': [1771, 1811], 'Editor': [1772, 1812], '(paid).': [1773], 'Health/NINDS': [1780, 1804], 'funding,': [1781], 'Genentech': [1782], 'funding-TIMELESS,': [1783], 'Association': [1786, 1900], '(AHA)/ASA': [1787], 'Media': [1788], 'Section': [1789], 'Co-Editor,': [1790], 'Paid': [1791], 'consultant:': [1792], 'Kandu,': [1793], 'recovery': [1795], 'app/navigator': [1796], 'tool.': [1797], 'paid': [1808], 'AHA/ASA': [1809, 2342, 2352], 'UpToDate': [1814], 'reviewer.Footnotes*A.L.': [1815], 'A.M.': [1818], 'contributed': [1820], 'equally.The': [1821], 'opinions': [1822], 'expressed': [1823], 'article': [1826, 2254, 2327], 'necessarily': [1829], 'editors': [1833], 'Association.For': [1839], 'Sources': [1840], 'Funding': [1842], 'Disclosures,': [1844], 'see': [1845], 'page': [1846], 'e223.Correspondence': [1847], '[email protected].': [1875], 'Wechsler': [1876], 'LR,': [1877], 'Demaerschalk': [1878], 'BM,': [1879], 'Schwamm': [1880, 1944, 1969], 'LH,': [1881, 1945, 1970], 'Adeoye': [1882], 'OM,': [1883], 'Audebert': [1884], 'HJ,': [1885], 'Fanale': [1886], 'CV,': [1887], 'Hess': [1888], 'DC,': [1889], 'JJ,': [1891, 1978, 2009], 'Nystrom': [1892], 'KV,': [1893], 'Reeves': [1894], 'MJ,': [1895, 2171], 'et': [1896, 2125, 2230], 'al;': [1897], 'Council;': [1902], 'Council': [1903, 1908], 'Epidemiology': [1905], 'Prevention;': [1907], 'Quality': [1910], 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