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April 2021; 11 (2) Research

Quality and Safety Analysis of 2,999 Telemedicine Encounters During the COVID-19 Pandemic

Charuta N. Joshi, Michele L. Yang, Krista Eschbach, Suhong Tong, Mona P. Jacobson, Chelsey Stillman, Annmarie E. Kropp, Stephanie A. Shea, Gerard M. Frunzi, J. Fred Thomas, Christina A. Olson
First published December 3, 2020, DOI: https://doi.org/10.1212/CPJ.0000000000001025
Charuta N. Joshi
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
MBBS
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Michele L. Yang
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
MD
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Krista Eschbach
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
MD
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Suhong Tong
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
MS
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Mona P. Jacobson
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
MSN, CPNP
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Chelsey Stillman
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
PA-C
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Annmarie E. Kropp
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
DNP
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Stephanie A. Shea
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
BS, MPAS, PA-C
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Gerard M. Frunzi
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
MBA
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J. Fred Thomas
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
PhD
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Christina A. Olson
Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
MD
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Full PDF
Citation
Quality and Safety Analysis of 2,999 Telemedicine Encounters During the COVID-19 Pandemic
Charuta N. Joshi, Michele L. Yang, Krista Eschbach, Suhong Tong, Mona P. Jacobson, Chelsey Stillman, Annmarie E. Kropp, Stephanie A. Shea, Gerard M. Frunzi, J. Fred Thomas, Christina A. Olson
Neurol Clin Pract Apr 2021, 11 (2) e73-e82; DOI: 10.1212/CPJ.0000000000001025

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Article Information

vol. 11 no. 2 e73-e82
DOI: 
https://doi.org/10.1212/CPJ.0000000000001025

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • Received July 28, 2020
  • Accepted October 29, 2020
  • First Published December 3, 2020.

Article Versions

  • Previous version (December 3, 2020 - 12:45).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2020 American Academy of Neurology

Author Disclosures

    1. Charuta N. Joshi, MBBS,
    2. Michele L. Yang, MD,
    3. Krista Eschbach, MD,
    4. Suhong Tong, MS,
    5. Mona P. Jacobson, MSN, CPNP,
    6. Chelsey Stillman, PA-C,
    7. Annmarie E. Kropp, DNP,
    8. Stephanie A. Shea, BS, MPAS, PA-C,
    9. Gerard M. Frunzi, MBA,
    10. J. Fred Thomas, PhD and
    11. Christina A. Olson, MD
  1. Charuta N. Joshi, MBBS,
  2. Scientific Advisory Boards:
    1. I serve on the medical advisory board for Zogenix Inc One time consultant for Aquestives

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. Patent on use of Epidiolex in FIRES

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other activities:
    1. Unrestricted educational grant from Zogenix Inc to study Doose syndrome through a Delphi procedure

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Michele L. Yang, MD,
  4. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. 1) DHHS/CDC/CDPHE;5U01DD000191-04/10FHA0062; co- investigator; 11/2009-present 2) ARRA; 4R01NR011051-03; co-investigator; 12/2009-present 3) Colorado Clinical Science and Translational Institute (internal grant); PI; 2013-2014

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Krista Eschbach, MD,
  6. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. ECHO Colorado, small honoraria for educational talk on seizures for school RNs

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. Suhong Tong, MS,
  8. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Mona P. Jacobson, MSN, CPNP,
  10. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. Chelsey Stillman, PA-C,
  12. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. Annmarie E. Kropp, DNP,
  14. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  15. Stephanie A. Shea, BS, MPAS, PA-C,
  16. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  17. Gerard M. Frunzi, MBA,
  18. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  19. J. Fred Thomas, PhD and
  20. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  21. Christina A. Olson, MD
  22. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. American Academy of Pediatrics

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. National Institutes of Health, Grant #1U01TR002626-01, Co- Principal Investigator, 2019-2024

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. Division of Pediatric Neurology (CNJ, MLY, KE, MPJ, CS, AEK, SAS), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; Department of Pediatrics (ST), Children's Hospital Colorado, Aurora; Department of Biostatistics and Informatics (ST), Colorado School of Public Health, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora; Department of Pediatrics (JFT, CAO), University of Colorado School of Medicine, Anschutz Medical Campus, Children's Hospital Colorado, Aurora; and Telehealth Department (GMF, JFT, CAO), Children's Hospital Colorado, Aurora.
  1. Correspondence
    Dr. Joshi charuta.joshi{at}childrenscolorado.org

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