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The TeleSpecialists Advantage

Access to healthcare continues to be a challenge across the US. This affects hospitals and facilities of all sizes and is seen in primary as well as specialty care. Physician shortages have been widely described for nearly 20 years. As a result, telehealth is widely accepted as a valuable tool to enhance access to care in any community.

The demands for specialty care have been escalating, compounded by the recent pandemic. Let TeleSpecialists help you:

  • Bring a new specialty to your hospital
  • Cover gaps in specialty coverage
  • Offer clinical leadership in program oversight

As a lean organization, TeleSpecialists’ physicians are committed to efficient, high quality patient care by:

  • Eliminating costly transfers
  • Optimizing clinical workflows
  • Utilizing evidence-based protocols to optimize outcomes and reduce readmissions

Our commitment to quality is setting the telehealth industry standard. This is demonstrated by:

High levels of patient satisfaction have been repeatedly demonstrated with telemedicine technology. We aid that with:

  • Timely evaluations
  • Collaborative encounters with families and care teams
  • Avoiding inconvenient and costly transfers

TeleCare

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How TeleCare Can Help Your Facility:

  • HIPAA compliant
  • No additional cost to your facility
  • Real-time quality metrics for process improvement
  • Reduced physician response times
  • Easy-to-access reports and case reviews for authorized users
  • Real-time quality tracking
  • Standardized platform and data capturing
  • Data governance
  • Better timestamping and tracking
  • Faster upload of notes to EMR
  • Streamlined communication during emergent cases
  • Increased process transparency
  • Cloud-based, compatible with any system

About TeleCare:

TeleCare was developed by TeleSpecialists to optimize communication and support quality metric review. Its functionality supports our Rapid Response Center (RRC) staff to optimally route urgent requests to available physicians, aids in data management by our physicians and generates valuable reports for our hospital partners to gauge the effective responsiveness of the TeleSpecialists team.

With TeleCare, TeleSpecialists partner hospitals have access to customizable dashboards with target metrics developed in collaboration between hospital stakeholders and the TeleSpecialists Quality Program Specialist (QPS) team.

Our proprietary TeleCare software is provided exclusively to our partner hospitals at no additional charge.

What Makes TeleCare Exceptional:

  • Electronic alert capability for fastest TeleSpecialists’ notification
  • Integration of RRC, Physician and Quality team data
  • Real-time data review available
  • Hospital-specific dashboards and accounts
  • Process Improvement Tools, including Root Cause Analysis Generator, Fishbone Diagrams and Metric Outlier Identifiers

TeleSpecialists Quality Team also monitors quality metrics closely in TeleCare. Our Quality Program Specialists assess outliers to quickly address issues. TeleSpecialists’ response times, typically less than 4 minutes, are much quicker than the industry standard; however, we are always looking for ways to help our hospital partners improve workflow processes.

Credentialing and Licensing

TeleSpecialists Credentialing and Licensing department has a robust team of credentialing and licensing specialists with state-of-the-art processes for seamless enrollment. The experienced Team ensures that all TeleSpecialists physicians are well qualified to practice as per each state’s requirements. They also assist physicians in gathering the materials necessary for all credentialing requirements to guarantee accurate and timely distribution to the medical facility.

Implementation and Onboarding

TeleSpecialists can provide your hospital with a road map to help you implement a comprehensive telemedicine program from the ground up, that works for your system. Our Implementation and Onboarding Team begins with a strategy to build your clinical program, then tailors your telemedicine program within your existing infrastructure.

Our Implementation Plan consists of four distinct phases:

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Planning and Analysis:

  • Team members identified
  • Informal meetings and introduction
  • Review of current workflows, data gathering, and accreditation goals
  • Culminates in a Kick-off Call to review the implementation plan and timeline

Design:

  • Implementation team members identified for routine follow-up
  • Weekly meetings to gauge status of implementation steps
  • Additional ad hoc meetings are scheduled as needed to address clinical, operational, or technical questions or concerns
  • Planning for lean transformation event with agendas and participant list generated

Lean Transformation:

  • Half or whole day on-site collaborative event
  • Rapid Improvement Workshop to map out optimal future state workflow
  • Optional education and training of clinical staff
  • Workflow optimization, standard work finalized in subsequent days
  • Support for staff education
  • Mock drill completion prior to go live

Monitoring and Support:

  • Post-go live hand off from Implementation Team to Quality Team
  • Quality metric and dashboard development
  • Routine meetings to review data and program performance
  • Review of outlier cases and process improvement planning as needed

Rapid Response Center

TeleSpecialists has a Rapid Response Center (RRC) to take calls from TeleSpecialists’ clients. A designated hotline number will be assigned to your medical facility.

By keeping our call center in-house, TeleSpecialists manages the quality and speed in which our partner’s calls are taken. For emergent cases, such as Stroke Alerts, the team in the RRC answers the call, records the information in TeleCare, and dispatches a physician directly. This process contributes to TeleSpecialists leading the industry in on-screen physician response time, averaging less than 4 minutes. The call times are stamped, and the data is readily available for quality review by clients. Quality metrics, including our internal response metrics, are reported on every patient, regardless of outlier status.

For non-emergent cases, such as rounding, the RRC and hospital communicate to schedule time for the TeleNeuroHospitalist and the hospital’s nurse navigator to round on patients (via telemedicine cart.) Scheduling in advance allows the physician time to review and prepare for rounds.

Each shift also has a call center Nurse Manager that manages the RRC team on shift and is available to evaluate Stat Consults (non-Stroke Alerts) before assigning a TeleNeurologist.

The Medical Staff

TeleSpecialists has a Chief Medical Officer for each specialty and an entire Medical Staff Division working behind the scenes to ensure our physicians are meeting educational and CME requirements.

Due to the vast number of hospitals that we serve, each physician undergoes intensive preparation to learn the systems and workflows of each of the hospitals where they will be seeing patients.

Physician quality performance is closely monitored with processes including visual audits, chart audits, peer-reviewed cases, and a monthly scorecard measuring specific stroke metrics. As a practice accredited by The Joint Commission, we conduct Focused Professional Practice Evaluations (FPPE) as well as Ongoing Professional Practice Evaluations (OPPE). In this way, our Medical Director and their team can closely monitor the quality of every TeleSpecialists physician and ensure their clinical performance meets the high expectations set by our organization.

TeleSpecialists also provides formal didactic as well as practical in-person training sessions targeted for medical staff and allied staff who will be working with us to ensure a smooth transition to all TeleNeurology services.

Quality Services Beyond the Emergency Room

Our partnership to improve quality starts on day one – every facility is assigned a personal Quality Program Specialist (QPS) to support Process Improvement initiatives that work with your hospital to obtain top-performing results.

Additional resources include a Vice President and Director with over 35 years of quality experience together.

TeleSpecialists Benefits

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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