and an easy way to disrupt the business operations A secure telemedicine network must be able to identify devices as they connect and apply security policies dynamically To meet with the HIPAA regulatory compliance and minimize data risk, it would be very beneficial to have healthcare professionals as part of the cyber security committee team Medical data availability and sharing through cloud applications is growing at a rapid pace, and even if desired, this evolution is unavoidable Reimbursement, Licensing, Credentialing, and Regulatory Issues in the United States Regulatory issues surrounding reimbursement, licensing, and credentialing for telemedicine remain as significant obstacles for widespread adoption of telemedicine for pediatric cardiology, particularly in the United States The large amount of data from pediatric cardiology, especially surrounding newborns with suspected heart defects, can be leveraged to make a strong case for a more favorable health care environment that supports broader acceptance of telemedicine The priorities of cost containment, quality and outcomes, patientcentered care, and optimal use of technology are best served by increased utilization of telemedicine Removal of reimbursement, licensure, and credentialing obstacles is needed to realize the full benefit that telemedicine can have for our pediatric cardiology patients Annotated References Satou GM, Rheuban K, Alverson D, et al Telemedicine in pediatric cardiology: a scientific statement from the American Heart Association Circulation 2017;135(11):e648–e678 This scientific statement provides a comprehensive summary of the current literature on telemedicine applications in pediatric cardiology Krishnan A, Fuska M, Dixon R, Sable CA The evolution of pediatric tele-echocardiography: 15 year experience of over 10,000 transmissions Telemed J E Health 2014;20(8):681–686 This is the largest single center report on utlization of pediatric tele-echocardiography Webb CL, Waugh CL, Grigsby J, et al Impact of telemedicine on hospital transport, length of stay, and medical outcomes in infants with suspected heart disease: a multicenter study J Am Soc Echocardiogr 2013;26(9):1090–1098 This is the only mutlicenter study on pediatric teleechocardiography and findings show that use of telemedicine results in decreased transports and shorter length of stay Finley JP, Human DG, Nanton MA, et al ... telemedicine remain as significant obstacles for widespread adoption of telemedicine for pediatric cardiology, particularly in the United States The large amount of data from pediatric cardiology, especially surrounding newborns with... credentialing obstacles is needed to realize the full benefit that telemedicine can have for our pediatric cardiology patients Annotated References Satou GM, Rheuban K, Alverson D, et al Telemedicine in pediatric cardiology: a scientific statement from the American Heart Association... summary of the current literature on telemedicine applications in pediatric cardiology Krishnan A, Fuska M, Dixon R, Sable CA The evolution of pediatric tele-echocardiography: 15 year experience of over 10,000 transmissions