 Using a randomized trial design, the goal of this project is to prospectively compare outcomes from a telemedicine-based model of care to two cohorts: patients who receive in-person pediatric physiatrist medical direction the gold standard, and those who receive medical oversight from non-specialist community providers. This project will determine the impact of this new model of care using telemedicine on parentguardian satisfaction, adherence rates to an evidence-based hip surveillance program, and economic efficiency. 