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Teleneurology & Telemedicine Services

What is TeleNeurology?

TeleNeurology is the technical term used for a neurological consultation or exam performed remotely via teleconferencing. This evolving branch of telemedicine and telehealth services replaces in-person neurological care and helps reduce wait times for neurological patients.

TeleStroke

Together, we build a state-of-the-art TeleStroke program within your hospital’s infrastructure, with our neurologists responding to Stroke Alerts and other STAT neurology consults.

TeleNeuroHospitalist Rounding

To complement our TeleStroke services, TeleSpecialists offers general TeleNeuroHospitalist Rounding to provide follow-up consults for retained stroke patients and routine, non-emergent neurological consults for admitted new patients.

TelePsychiatry

TeleSpecialists TelePsychiatrists work alongside your facility’s team to provide psychiatric assessments, create treatment plans and next level of care recommendations.

TeleEEG

By partnering with TeleSpecialists for your EEG reads, you will have access to experienced neurologists to analyze and interpret EEGs, helping your staff to manage internal capacity and achieve consistent EEG turnaround times.

Delegated Credentialing

In an effort to reduce turnaround time, drive consistent processing quality, and expedite service implementations, we created a streamlined and efficient Delegated Credentialing process for the provision of our telemedicine services.

Revenue Cycle Management

Entrusting TeleSpecialists with RCM linked to our consultation fees can take the burden off your team so you can focus on patient care. It can also reduce your telemedicine program cost.

To help solve the national shortage of neurologists, TeleSpecialists has a team of expert TeleNeurologists available 24 hours a day, 7 days a week. Our team of board-certified neurologists can consult with patients in your hospital’s setting. For emergent neurological cases, your patients will have access to an experienced, stroke trained TeleNeurologist within minutes with our TeleStroke service. For patients needing neurological follow up or scheduled rounding, TeleSpecialists offers TeleNeuroHospitalist rounding.

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TeleNeurology Effectiveness

Telemedicine allows a neurologist to examine or consult with an acute patient at a moment’s notice or easily access a neurologist in a NeuroHospitalist setting.

Because much of a neurological consult can be done with the help of a trained nurse and using visual tests or by reading and interpreting scans, hospitals and medical facilities can take advantage of TeleNeurology to better serve their patients. TeleSpecialists focuses on:

  • Emergent neurology – strokes and seizures.
  • Non-emergent neurology – rounding and follow-up exams in a hospital setting.
  • EEG reading and interpretation.

TeleSpecialists TeleNeurology benefits hospitals and patients:

  • TeleNeurology allows a board-certified neurologist to be bedside with a patient within 10 minutes of the stroke alert call. This is often faster than it takes a physician to walk across the hospital!
  • Our neurologists are available 24 hours a day, 7 days a week.
  • Our standardized workflow, developed with the help of the hospital team, allows TeleSpecialists to provide the same high-quality care at 2am or 2pm.
  • TeleNeurology allows physicians to concentrate on hospital services and other necessary hands-on work.

Managed TeleNeurology Services

The field of neurological medicine is struggling to keep up with the patient load. Burnout for Neurologists is the second-highest among medical specialties. The stress from the demand of a high patient load can be alleviated with a well-managed TeleNeurology team in place to supplement in-person care. Both physicians and patients are happier when healthcare services are administered quickly, financial burdens are lower, and stroke-program metrics are improved.

Emergent TeleNeurology Services

TeleSpecialists has emerged as a leader in Emergent TeleStroke and TeleNeurology services. A stroke patient needs emergency services immediately. While a neurologist may be elsewhere delaying patient care, a TeleSpecialists’ TeleNeurologist can be bed side, on screen using videoconferencing technology, in an average of five minutes. This quick reaction time can help improve patient outcome and saves lives. With their extensive clinical stroke experience, a TeleSpecialists TeleNeurologist’s interaction with patients is much the same as it is with an in-person physician.

Technology-Based Care-First Model

TeleSpecialists was founded and is lead by a group of neurologists. Our entire company focus is providing care to the patient as quickly and efficiently as possible. All TeleSpecialists neurologists are board-certified, fellowship-trained, and have clinical stroke experience. We are neither a technology company nor a “doc in a box”. We are a group of passionate medical professionals dedicated to quality patient interactions and metrics. Each of our hospitals receive a dedicated Quality Program Specialist (QPS) to work hand-in-hand with a hospital liaison (usually a Stroke Coordinator) to provide continued process improvement efforts, metric goals and case reviews.

Our team strives to remain on the cutting edge of telemedicine. We are constantly evolving by:

  • Requiring the continuing education of our physicians and QPS team.
  • Following American Heart Association guidelines.
  • Discussing and following current best practices in stroke care.
  • Constantly creating tools to help hospitals and physicians assess, diagnose, and treat stroke patients faster.

Telemedicine Technologies

While some telemedicine companies require the use of proprietary software to gain access to their doctors, TeleSpecialists is technology vendor-neutral. We have worked successfully with most major cart, video platform, and EMR systems. However, our broad experience with many technology platforms has been distilled into best practices and minimum specifications to drive operational efficiency. If the minimum specifications are in place, your hospital will have the option to use your existing cart and video platform with no specific software or carts to purchase from us or install. If your team is just starting out, we are happy to advise your team regarding technology selection.

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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