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Bridging the Gap for Cost-Effective Neurology: How Teleneurology Complements In-Person Teams for Optimal Care

By: | Tags: , , , , , , , | November 25th, 2024

In today’s rapidly evolving healthcare environment, hospitals face increasing pressure to provide specialized care while managing costs effectively. One area that faces many challenges is neurology. Traditionally, in-person neurology teams play a crucial role in diagnosing and treating neurological conditions, but neurologists are a scarce resource, making it challenging for smaller or rural hospitals to attract and retain these specialists. Teleneurology programs offer a practical and complementary solution, providing remote access to expert neurologists without the overhead costs and, at times, limited availability associated with full-time, in-house teams. By investing in teleneurology, hospitals can expand access to specialized care and reduce operational expenses. This cost-saving approach is crucial as healthcare facilities strive to balance quality care with financial sustainability.

Facilities striving to maintain financial sustainability while delivering high-quality care must consider several factors when supporting in-person neurologists, including geographic limitations and competitive salaries.

SALARIES:

In-person neurologists often command higher salaries, generally north of $300,000, due in part to facility overhead and direct patient care responsibilities. However, teleneurology offers hospitals a powerful, cost-effective complement to their on-site neurology teams. With a teleneurology program, hospitals gain access to a nationwide pool of board-certified neurologists, allowing for flexible, around-the-clock coverage without the expense of hiring additional full-time, on-site physicians. This flexibility means hospitals can meet fluctuating patient needs more efficiently, with remote neurologists stepping in during peak hours, nights, or weekends when in-person teams may be stretched thin.

TRAVEL COSTS:

In-person neurology coverage for rural and underserved areas often requires considerable financial and logistical investments, straining budgets that may already be limited. Covering costs like transportation, lodging, and lost clinical hours for neurologists commuting to remote facilities can add up quickly. While some facilities rely on government funding or partnerships, many are turning to telemedicine as a cost-effective alternative to ensure access to specialized care. This is where teleneurology offers an increasingly viable alternative. By leveraging telemedicine, hospitals can bring specialized neurology care to patients without the ongoing travel and accommodation expenses, preserving funds that can be reinvested in other vital areas of patient care and facility improvements.

Rather than replacing in-person neurologists, teleneurology works alongside them, allowing hospitals to better allocate their on-site neurology resources for patients who need direct care while still ensuring timely, specialized treatment for those in remote or overflow situations. This integration of teleneurology offers a hybrid solution, allowing in-person neurologists to focus on complex cases and procedures that require hands-on presence while teleneurologists provide timely consults and manage emergent cases virtually.

GEOGRAPHIC LIMITATIONS:

Hospitals in rural or underserved areas often face unique challenges in recruiting and retaining neurology specialists. These regions may struggle due to limited resources and fewer economic incentives, leading to lower patient volumes and reduced access to advanced technology, which can deter many specialists who prefer the case diversity and lifestyle options that larger cities offer. Additionally, physician burnout is a significant concern, as neurologists in these areas often handle demanding caseloads without the benefit of a larger support team, placing even greater strain on their work-life balance. This shortage can delay diagnosis and treatment, putting patients at risk, even as telemedicine offers a partial solution.

The shortage of neurology care in these areas can delay critical diagnosis and treatment, putting stroke, epilepsy, and other acute neurology patients at higher risk of poor outcomes. Teleneurology steps in as a powerful support for hospitals and their in-person neurology teams, offering a cost-effective way to bridge these gaps in care. By integrating teleneurology services, hospitals can extend the reach of their neurology programs, enabling real-time access to neurology expertise 24/7.

This model doesn’t replace in-person neurologists but instead alleviates some of their workload and improves patient flow by addressing urgent cases and guiding initial treatment decisions promptly. For hospitals with small or overstretched neurology departments, this can significantly improve patient outcomes, increase satisfaction, and reduce costly transfers, all while supporting their in-house neurology teams in a sustainable way.

THE BOTTOM LINE:

Teleneurology can directly and positively impact a hospital’s bottom line by optimizing various cost factors and offering a robust, cost-effective support system that complements their in-person neurology teams.  Although upfront costs may be associated with implementing teleneurology systems, such as purchasing technology and staff training, these are often far less than the ongoing expenses of maintaining a full-time in-house neurology team. Teleneurology eliminates the need to recruit and retain highly specialized neurologists on-site, reducing long-term staffing costs and freeing resources for other critical areas while ensuring round-the-clock expertise in neurology.

Beyond direct staffing costs, teleneurology addresses hidden fees that can impact the hospital budget, like those linked to patient transfers, prolonged hospital stays, and delayed diagnoses. By integrating teleneurology, hospitals streamline care delivery and significantly enhance operational efficiency, helping them control both predictable and unexpected costs. For facilities in remote or underserved areas, teleneurology further ensures that patients receive timely, high-quality neurological care without the prohibitive expenses of staffing a full-time neurology team. The result is a comprehensive neurology program that aligns well with hospital budgets and maximizes the capabilities of in-person teams by providing critical backup and coverage during high-demand times.

TELESPECIALISTS AS A SOLUTION:

TeleSpecialists’ Joint Commission-certified teleneurology program offers hospitals a transformative way to improve operational efficiency and manage costs, especially in rural or underserved areas. By partnering with us, facilities eliminate travel expenses and geographic barriers, enabling quick, high-quality neurology consultations with board-certified specialists. This frees up resources, streamlines workflows, and supports existing in-person teams without the financial burden of maintaining a full in-house neurology department. Our customizable approach ensures that hospitals enhance their neurology services affordably and effectively, achieving substantial savings while improving care.

In addition to cost savings, our teleneurology services significantly elevate patient satisfaction by allowing patients to receive specialized care within the comfort of their local hospital. This reduces the need for transfers and minimizes treatment delays, a benefit that patients value highly. Research shows telehealth services contribute to high satisfaction levels, leading to improved Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. With the added assurance of Joint Commission certification, our program helps hospitals meet rigorous care standards, building patient trust and confidence. This combination of seamless, certified care and cost-effective operational support makes TeleSpecialists an ideal partner for enhancing both patient and provider satisfaction.

Nattasha Acevedo, MD

Dr. Acevedo received her medical degree from the Ponce School of Medicine in Puerto Rico and did her neurology residency at Montefiore Medical Center in New York. She went on to do a clinical neurophysiology fellowship at Emory School of Medicine in Atla nta, Georgia and then joined private practice in Fort Myers, Florida. She currently resides in San Juan, Puerto Rico. She likes running, paddle boarding and spending time with family.
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Bernadette Borte, MD

Dr. Borte received her medical degree from St. Matthew’s University School of Medicine in Grand Cayman. She completed her neurology residency at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. Her areas of interest include inpatient neurology and acute stroke. When not working, she enjoys spending time outdoors with her family. Dr. Borte joined the TeleSpecialist family in March of 2019.
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Mazen Almidani, MD

Dr. Almidani is board certified in pediatrics by the American Board of Pediatrics and board certified in epilepsy, as well as neurology with special  qualification in child neurology by the American Board of Psychiatry and Neurology.  Dr. Almidani is happily married with 4 children. His oldest son has autism and his daughter has complicated seizures; both were a drive for him to become a neurologist. Dr. Almidani enjoys soccer, running and spending time with his family. He is very involved with his sons’ therapy and helping with daily challenges. He is double board certified in Pediatric and Adult Neurology and Epilepsy. He sees children and adults. He also participates in charities for children in Syria who may be underprivileged and/or affected by the war. Dr. Almidani joined TeleSpecialists in August 2020.
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Amanda Cheshire, MD

Dr. Cheshire received her medical degree from the University of Louisville School of Medicine in Louisville, Kentucky. She completed her neurology residency at the University of Cincinnati Medical Center in Cincinnati, Ohio. She did a fellowship in neurophysiology at the University of Michigan Medical School in Ann Arbor, Michigan. Dr. Cheshire is double board certified in neurology and clinical neurophysiology. She enjoys traveling, reading and music. She currently resides in Viera, Florida.  Dr. Cheshire joined TeleSpecialists in June 2019.
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Jessica Floyd, MD

Dr. Floyd completed her neurology residency at Mayo Clinic in Jacksonville, Florida followed by fellowship training in clinical neurophysiology with focus in EEG and epilepsy at the Medical University of South Carolina in Charleston, South Carolina. She has particular interest in hospital neurology and patient education as well as the blossoming specialty of lifestyle medicine. She strives to take advantage of every encounter with patients and medical staff to empower them to do their own research into how daily thoughts, choices, and habits can add up to create greater and longer-lasting brain and neurologic health for ourselves and our loved ones. She lives in Florence, South Carolina with her awesome husband of 13 plus years and three beautiful children. She is an avid yogi, astrologer, and lover of food and all things neurology! Dr. Floyd joined the TeleSpecialist family in July 2017.
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Nancy Futrell, MD

Dr. Futrell received her medical degree from the University of Utah in Salt Lake City, Utah. She also did her neurology residency at the University of Utah as well as a research fellowship in cerebral vascular disease at Jackson Memorial Hospital in Miami, Florida. She currently resides in Salt Lake City, Utah. She has authored 2 books and 50 peer reviewed papers. 
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Rebecca Jimenez-Sanders, MD

Dr. Jimenez Sanders received her undergraduate degree from Emory University, and her medical degree from the San Juan Bautista School of Medicine in Puerto Rico. She completed her neurology residency at the University of South Florida in Tampa, Florida, where she also did a specialized headache medicine and facial pain fellowship. She currently resides in Tampa, Florida with her husband and her two daughters. She is also fluent in Spanish and Italian languages, and enjoys photography, baking, boating, and biking.
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Cory Lamar, MD

Dr. Lamar received his medical degree from Meharry Medical College in Nashville, Tennessee. He completed his internship and residency at Wake Forest Baptist Health in Winston Salem, North Carolina. Following residency, he completed a clinical fellowship in neurophysiology, with a concentration in epilepsy. He currently resides in Florida and enjoys outdoor activities.
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Clifford Meyers, MD

Dr. Meyers received his medical degree from Brown University in Providence, Rhode Island and his MBA from the Simon School of Business at the University of Rochester in Rochester, New York. He completed his neurology residency at the University of Rochester, where he also did a neurophysiology fellowship. Dr. Meyers resides in Webster, New York with his wife and daughter. When not doing teleneurology, he enjoys playing sports with his wife and daughter.
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Tao Tong, MD

Dr. Tong received her medical degree from the University of Miami School of Medicine in Miami, Florida. She completed her neurology residency at Jackson Memorial Hospital in Miami, Florida, where she also did a neuromuscular/EMG fellowship.  She currently resides in College Station, Texas. Dr. Tong is married with two boys. She enjoys spending time with her family, traveling and reading.
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Shubhangi Chumble, MD

Dr. Chumble attended BJ Medical School. She is a board certified neurologist with a subspeciality interest in sleep medicine. Dr. Chumble did her residency at Howard University in Washington DC and has practiced neurology since 2001 in private and corporate settings. She lives in Melbourne, Florida and loves the sunshine state. Her hobbies include yoga, meditation, cooking , traveling and meeting new people. She also loves to do stained glass, pottery and painting. She joined TeleSpecialists in June 2019.
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