TeleStroke Services

Board-Certified Stroke Specialists at Your Patient’s Bedside in Under 3 Minutes

Comprehensive Digital Healthcare Stroke Services Delivering Critical Interventions and Measurable Outcomes When Every Second Counts

Our board-certified neurologists reach your patient’s bedside within three minutes, delivering the immediate specialist expertise your emergency team relies on during critical moments. We integrate seamlessly with your existing workflows through direct EMR documentation, providing the specialized interventions that improve patient outcomes, strengthen your stroke program’s reputation, and support your operational goals.

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Emergency TeleStroke Response in Four Steps:
From EMS Alert to Treatment Decision in Minutes

1. Pre-Arrival Stroke Alert

EMS notifications activate our TeleCare platform, connecting an available board-certified stroke neurologist to the case within seconds.

2. Specialist at Bedside in Under 3 Minutes

The board-certified stroke neurologist joins your emergency team through secure digital healthcare technology the moment the patient arrives, ready to assess and guide treatment decisions.

3. Collaborative Assessment and Treatment Decision

Our neurologist collaborates directly with your ED team, completing stroke protocols, determining treatment pathways, and documenting the encounter in your EMR in real time.

4. Treatment Execution

Thrombolytic therapy and interventions proceed immediately, with your team executing the coordinated care that preserves brain tissue and improves patient outcomes.

Comprehensive Emergency Stroke Care Services for Hospitals

  • Acute ischemic stroke with immediate thrombolytic intervention assessment 
  • Hemorrhagic stroke consultation with neurosurgical coordination and treatment planning 
  • Large vessel occlusion assessment for mechanical thrombectomy candidacy
  • TIA evaluation and risk stratification through expert neurological consultation 
  • Status epilepticus management with 24/7 board-certified specialist availability
  • Acute encephalopathy assessment for complex neurological presentations
Proven Performance Metrics That Define Excellence

Your stroke program's reputation depends on consistent, measurable results. Our digital healthcare expertise integrates seamlessly into your existing workflows, delivering the outcomes that position your hospital as the regional stroke care destination.

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Clinical Excellence Metrics

Improved door-to-needle times that exceed national benchmarks

Enhanced patient throughput through streamlined emergency protocols

Reduced length of stay with efficient treatment pathways

Quality metric improvements that support accreditation goals

Operational Benefits

Market leadership through superior stroke care reputation

Patient retention and expanded regional market share

Technology integration with existing hospital systems

Comprehensive documentation that supports quality initiatives

Implementation and Team Integration 

Our decade of digital healthcare experience has refined implementation protocols built on lean management principles that minimize disruption while maximizing results. We don’t just provide technology—we build state-of-the-art stroke programs within your hospital’s existing infrastructure.

Why Hospitals Trust Us to Deliver Emergent Stroke Care

Our physician-owned model has spent over a decade perfecting emergency neurological services. We understand both the clinical complexity of stroke care and the operational demands of modern hospitals.

Our experience with major healthcare systems across the United States demonstrates consistent results: faster response times, improved patient outcomes, and enhanced stroke program performance that establishes market leadership. We deliver quality-focused, consistent, and data-driven stroke programs with expert neurology consultation.

Complete Neurological Care Ecosystem

Emergency stroke care requires comprehensive coverage that extends beyond initial intervention. TeleSpecialists delivers integrated neurology services that maintain performance standards throughout the entire patient journey.

TeleNeuroHospitalist Rounding

Continued inpatient neurological care with expert oversight from the emergency department through discharge, ensuring seamless specialist continuity.

Outpatient Neurology

Post-discharge follow-up consultations and ongoing management of chronic neurological conditions maintain care continuity and patient satisfaction.

TeleEEG

EEG reads with rapid, real-time interpretation by remote neurologists and epileptologists, eliminating uncertainty in critical neurological assessments.

Elevate Your Stroke Program Today

Transform your hospital’s stroke care capabilities with proven digital healthcare expertise that integrates seamlessly into your operations. Our board-certified specialists are ready to support your emergency department with the rapid response and clinical excellence your patients deserve.

Contact us today to enhance your neurological emergency capabilities with professional stroke services that deliver both immediate impact and long-term excellence.

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Performance Metrics That Drive Market Leadership

Your stroke program's reputation directly impacts both market position and revenue retention. Our digital healthcare platform delivers the documented outcomes that support accreditation, reduce regulatory risk, and establish your hospital as the regional stroke care destination. Seamless integration with existing infrastructure means measurable results without capital-intensive technology investments.

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Strategic Performance Outcomes

Market-Leading Door-to-Needle Times

Industry-best, 34-minute median supports accreditation and competitive positioning

Revenue Protection

Enhanced patient retention through superior stroke care eliminates transfers to competing facilities

Risk Mitigation

Streamlined protocols with comprehensive documentation reduce liability exposure

Accreditation Support

Quality metrics align with Joint Commission and DNV stroke certification requirements

Strategic Business Outcomes

Market Differentiation

Establish stroke care leadership that attracts patients and referring physicians across your service area

Revenue Growth

Retain high-acuity patients who would otherwise transfer, protecting neuroscience service line revenue

Competitive Positioning

Superior outcomes create the clinical reputation that drives market share expansion

Risk Management

Comprehensive specialist coverage reduces liability exposure from emergency care gaps

Proven Implementation Methodology That Minimizes Risk

Our decade of digital healthcare experience has refined implementation protocols that protect your operational continuity while delivering measurable results. We don’t require technology overhauls or workflow disruption. Instead, we integrate within your hospital’s existing infrastructure using lean management principles proven across 400+ partnerships.

Implementation success requires organizational alignment. We work directly with your executive team to ensure every stakeholder understands their role in stroke program optimization:

C-Suite Alignment

Regular performance reporting demonstrates ROI and program progress

Medical Staff Leadership

Physician champion development ensures clinical buy-in

Departmental Coordination

Cross-functional collaboration from EMS through discharge

Compliance and Risk Management

Documentation standards that support accreditation and reduce liability

We transform fragmented stroke care into a seamlessly coordinated program that delivers the clinical and financial outcomes your board expects.

Proven Partnership Delivering Strategic Results

Our physician-owned model has spent over a decade building stroke programs that deliver measurable clinical and financial outcomes. We understand that your stroke program affects multiple strategic priorities: patient safety, market position, financial performance, and regulatory compliance.

Our experience with major healthcare systems demonstrates consistent results: faster response times that support accreditation, improved patient outcomes that enhance reputation, and comprehensive specialist coverage that reduces liability risk. We deliver the quality-focused, data-driven stroke program performance that boards and executive teams expect.

Comprehensive Service Line Integration

Emergency stroke care represents one component of comprehensive neuroscience services. TeleSpecialists delivers integrated neurology coverage that maintains quality standards throughout the patient journey, protecting revenue across your entire neurology service line.

TeleNeuroHospitalist Rounding

Continued specialist oversight from emergency admission through discharge prevents unnecessary transfers and maintains revenue within your system while ensuring consistent quality care.

Outpatient Neurology

Post-discharge follow-up maintains care continuity and patient satisfaction while building long-term relationships that support your ambulatory neurology program.

TeleEEG

Rapid EEG interpretation eliminates diagnostic delays and supports clinical decision-making without requiring additional neurologist recruitment.

Transform Your Stroke Program Performance

Elevate your hospital’s stroke care capabilities with proven digital healthcare expertise that delivers measurable clinical and financial outcomes. Our board-certified specialists integrate seamlessly into your operations, providing the emergency neurology coverage that supports market leadership while reducing operational risk.

Schedule a strategic consultation to discuss how TeleSpecialists can enhance your stroke program performance and support your neuroscience service line goals.

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Clinical Outcomes That Elevate Your Team's Performance

Your expertise drives patient outcomes, and our specialists provide the immediate support that accelerates your clinical decisions. Seamless workflow integration means faster patient throughput, reduced ED boarding, and the quality metrics that reflect your team's commitment to excellence. We become an extension of your emergency department, delivering consistent specialist backup when every second matters.

Workflow and Quality Improvements

Faster Clinical Decisions

Sub-3-minute specialist response eliminates delays in critical treatment pathways

Reduced ED Congestion

Improved patient throughput decreases boarding times and optimizes bed management

Enhanced Care Coordination

Streamlined protocols ensure every team member knows their role during stroke alerts

Quality Recognition

Improved metrics support Magnet designation and stroke center certification

Supporting Your Team's Success

Immediate Specialist Backup

Eliminate the uncertainty of managing complex stroke patients without neurologist support

Workflow Optimization

Standardized protocols ensure coordinated team response during every stroke alert

Professional Development

Learn from board-certified specialists through real-time collaboration on complex cases

Quality Recognition

Performance improvements support your department's pursuit of stroke center designation

Seamless Integration That Supports Your Workflow

We understand that new systems often mean more work for frontline staff. Our implementation approach is different. Built on a decade of emergency department experience, our protocols integrate with your existing workflows rather than disrupting them. We work alongside your team to refine processes that make stroke care faster and more coordinated, not more complicated.

During implementation, we collaborate directly with the clinical staff who deliver stroke care every day:

ED Nursing Leadership

Protocol optimization that fits your triage and assessment workflows

Rapid Response Teams

Coordination strategies that ensure timely specialist access

Pharmacy and Lab Staff

Communication protocols for time-critical medication and diagnostic coordination

Radiology Technicians

Streamlined imaging interpretation and results communication

Stroke Coordinators

Case management integration from alert through follow-up

We become an extension of your emergency team, providing the specialist support that makes your job easier, not harder.

Emergency Teams Rely on Our Specialist Support

Our physician-owned model was built by clinicians who understand the reality of emergency stroke care. Board-certified neurologists who’ve practiced in emergency departments created our protocols, ensuring you receive the specialist backup you need without workflow complications.

Emergency departments across 400+ hospitals trust us because we deliver consistent specialist response when it matters most. We understand the pressure of managing complex neurological emergencies, and we provide the reliable support that allows your team to deliver the quality care your patients deserve.

Coordinated Care Throughout the Patient Journey

Emergency stroke intervention is just the beginning. Complete patient care requires specialist support from admission through discharge and beyond. TeleSpecialists provides the coordinated neurology coverage that maintains quality care at every stage.

TeleNeuroHospitalist Rounding

Seamless transition from emergency consultation to inpatient management ensures patients receive consistent specialist oversight throughout their hospital stay, supporting your discharge planning and care coordination efforts.

Outpatient Neurology

Post-discharge follow-up consultations maintain the care relationships you've established and ensure patients receive ongoing specialist management without gaps in coverage.

TeleEEG

High priority EEG interpretation provides the diagnostic clarity your clinical decisions require, eliminating uncertainty during critical neurological assessments.

Elevate Your Emergency Department's Stroke Care

Transform your stroke care capabilities with specialist support that integrates seamlessly into your workflow. Our board-certified neurologists provide the immediate backup your team needs during critical moments, delivering the quality outcomes your patients deserve.

Connect with our clinical team to learn how TeleSpecialists supports emergency departments like yours with rapid specialist response and coordinated stroke care protocols.

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Clinical Excellence Through Proven Digital Healthcare

Your clinical expertise makes a measurable difference. Our platform connects you with emergency patients in under three minutes, giving you the tools to deliver the rapid, evidence-based interventions that define quality stroke care. Work alongside board-certified colleagues who understand that superior outcomes stem from combining clinical judgment with sophisticated technology that enhances rather than limits your practice.

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Clinical Impact Metrics

Rapid Patient Access

Reach patients in under three minutes, delivering the immediate specialist assessment stroke care demands

Evidence-Based Outcomes

Door-to-needle times that exceed national benchmarks reflect the quality of care you deliver

Meaningful Interventions

20% improvement in thrombolytic administration demonstrates real clinical impact

Comprehensive Coverage

Support colleagues across the continuum from emergency intervention through discharge

Professional Practice Environment

Clinical Autonomy

Practice within evidence-based protocols while maintaining the clinical judgment that defines quality neurology

Diverse Case Experience

400+ hospital partnerships provide exposure to varied patient populations and clinical scenarios

Peer Collaboration

Work alongside experienced stroke neurologists who share your commitment to clinical excellence

Meaningful Impact

Deliver life-saving interventions that demonstrate the value of specialized neurological care

Collaborative Practice Model Built by Physicians

Our implementation reflects a physician-designed approach to emergency neurology. Board-certified specialists who understand the clinical demands of stroke care created our protocols, ensuring you have the tools and autonomy to practice quality medicine. During implementation, you’ll work alongside experienced stroke neurologists who provide mentorship and peer support as you integrate into the practice.

You’ll collaborate with clinical colleagues across the care continuum:

Emergency Physicians

Establish peer-to-peer relationships that support efficient consultation and treatment decisions

Staff Neurologists

Coordinate seamlessly with hospital-based neurology teams for continuity of care

Advanced Practice Providers

Support NP and PA colleagues with complex case guidance

Multidisciplinary Teams

Integrate with pharmacy, radiology, and nursing staff for coordinated patient management

Our physician-led model ensures you practice within a professional environment that values clinical expertise and maintains the collaborative relationships that define quality care.

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Physician-Owned, Physician-Led Since Day One

Our physician-owned model was created by neurologists who wanted to practice medicine on their terms while maintaining the clinical impact that defines meaningful work. We’ve spent over a decade perfecting emergency neurological services because we understand what matters to practicing physicians: clinical autonomy, professional respect, and the ability to make real differences in patient outcomes.

Board-certified stroke neurologists across our practice trust us because we maintain the professional standards and clinical rigor that define quality neurology. We’re not a technology company providing medical services—we’re physicians using sophisticated technology to extend our clinical reach.

Comprehensive Practice Across the Care Continuum

Your stroke expertise extends beyond emergency intervention. TeleSpecialists offers practice opportunities across the complete spectrum of neurological care, allowing you to leverage your clinical skills throughout the patient journey.

TeleNeuroHospitalist Rounding

Provide continued specialist care from emergency admission through discharge, maintaining clinical relationships and ensuring comprehensive patient management that reflects quality neurology practice.

Outpatient Neurology

Offer post-discharge consultations and chronic disease management, building the longitudinal patient relationships that define meaningful clinical practice.

TeleEEG

Apply your neurophysiology expertise through rapid EEG interpretation, delivering the diagnostic insights that support colleagues' clinical decisions.

Practice Stroke Neurology with Purpose and Flexibility

Join board-certified colleagues who deliver meaningful stroke care through a physician-owned practice that values clinical autonomy and professional excellence. Shape telemedicine’s evolution while maintaining the clinical impact that defines quality neurology.

Connect with our physician recruitment team to explore practice opportunities that align with your career goals and clinical interests.

Explore Practice Opportunities
Measurable ROI Through Optimized Operations and Proven Integration

Your stroke program requires predictable costs, minimal operational complexity, and quantifiable returns. Our platform delivers documented performance improvements across 400+ hospital partnerships: reduced length of stay, improved patient throughput, and revenue retention from patients who remain in your system rather than transferring to competitors. Direct EMR integration and standardized implementation protocols minimize IT burden while maximizing operational efficiency.

Operational Performance Indicators

Efficiency Gains

34-minute median door-to-needle time reduces ED length of stay and improves departmental throughput

Revenue Retention

Patient retention metrics demonstrate decreased transfers and protected service line revenue

System Integration

Direct EMR documentation eliminates redundant data entry and supports billing accuracy

Quality Compliance

Performance metrics support CMS quality reporting and value-based reimbursement programs

Operational and Technical Integration

Minimal IT Infrastructure

Platform integrates with existing EMR systems without requiring additional capital investment

Predictable Service Model

Fixed-cost structure eliminates unpredictable locum expenses and recruitment costs

Technical Reliability

HITRUST certified platform with 24/7 technical support ensures consistent uptimeed stroke neurologists who share your commitment to clinical excellence

Implementation Efficiency

Standardized protocols refined across 400+ deployments minimize disruption and accelerate time-to-value

Standardized Implementation Minimizes Complexity and Risk

Our implementation methodology reflects lean management principles refined across 400+ hospital deployments. Standardized protocols minimize operational disruption while accelerating time-to-value. We don’t require extensive IT infrastructure changes or costly technology investments. Instead, our platform integrates directly with your existing EMR system using proven connection protocols.

Implementation involves coordinated technical and operational integration:

IT Infrastructure

Direct EMR integration using established HL7/FHIR standards with minimal configuration requirements

Network and Security

HITRUST certified platform meets enterprise security requirements without custom development

Department Integration

Standardized workflows minimize training burden and operational change management

Performance Monitoring

Real-time dashboards provide operational visibility and quality metric tracking

Technical Support

24/7 support team ensures rapid resolution of connectivity or system issues

Reliable Platform Delivering Predictable Results

Our physician-owned model provides the operational stability and service reliability that hospital partnerships require. Over a decade of consistent performance across 400+ hospital partnerships demonstrates our commitment to delivering measurable results through sustainable business practices.

We understand the operational demands healthcare systems face: cost predictability, regulatory compliance, technology reliability, and demonstrable ROI. Our experience with major healthcare systems proves we deliver the performance metrics, operational efficiency, and technical integration that makes stroke service partnerships successful.

Scalable Platform Supporting Multiple Service Lines

Stroke services represent one component of comprehensive neurology coverage. TeleSpecialists provides integrated services across multiple care settings using a unified technology platform, maximizing operational efficiency while minimizing IT complexity.

TeleNeuroHospitalist Rounding

Extend specialist coverage through inpatient settings using the same EMR integration and documentation standards as emergency services, reducing transfers and protecting inpatient revenue.

Outpatient Neurology

Support ambulatory neurology programs with remote specialist access, reducing facility requirements and overhead costs while expanding service availability.

TeleEEG

Leverage existing EEG infrastructure with remote interpretation services, eliminating recruitment costs and providing consistent diagnostic turnaround times.

Implement Proven Stroke Services with Predictable Results

Enhance your hospital’s stroke care capabilities with digital healthcare infrastructure that delivers measurable ROI through optimized operations and seamless EMR integration. Our standardized implementation methodology minimizes complexity while accelerating time-to-value.

Schedule an operational consultation to review technical requirements, implementation timelines, and performance metrics from comparable hospital partnerships.

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FAQs

2026 AHA/ASA Stroke Guidelines

Can an informal phone call replace a formal neurologist assessment for extended window stroke patients?

No. A formal neurologist assessment is required for every stroke patient, including those evaluated under the extended window pathway. Informal phone consultations are not appropriate for extended window eligibility determinations and increase liability exposure for the treating facility and consulting physician. TeleSpecialists provides formal, documented neurologist assessments for every consult through our 24/7 Rapid Response Center, available across more than 400 partner hospitals in 32 states.

Did the 2026 AHA/ASA guidelines change the standard 4.5-hour stroke treatment window?

No. The standard 4.5-hour treatment window for IV thrombolysis is unchanged and remains the only Class I recommendation in acute ischemic stroke care under the 2026 AHA/ASA guidelines. The updated guidelines add a separate, lower-evidence pathway for a narrow subset of patients with confirmed vessel occlusion and salvageable brain tissue on advanced imaging. Facilities without extended window imaging infrastructure are meeting the standard of care by protecting and optimizing their existing 4.5-hour workflow.

How does TeleSpecialists help hospitals assess readiness for extended window stroke protocols?

TeleSpecialists works with partner hospitals to evaluate their infrastructure against the clinical, technological, and operational requirements for extended window stroke care. This assessment covers imaging capabilities, AI tool access, neuroradiology coverage, transfer protocols, and compliance and governance readiness. TeleSpecialists does not recommend that any facility expand eligibility before this evaluation is complete. Contact our team to begin that conversation.

What are the three clinical criteria required for extended window IV thrombolysis?

Three clinical criteria must all be confirmed before IV thrombolysis beyond 4.5 hours is appropriate under the 2026 AHA/ASA guidelines: confirmed vessel occlusion documented by CT imaging, evidence of salvageable brain tissue confirmed through CT perfusion imaging, and formal documentation that endovascular thrombectomy is not appropriate for the patient. If any one of the three criteria is absent, extended window IV thrombolysis is not indicated. Every patient requires a formal TeleSpecialists neurologist assessment regardless of presentation window.

What changed in the 2026 AHA/ASA stroke guidelines?

The 2026 AHA/ASA stroke guidelines represent the most significant shift in acute stroke care in decades, moving from a strictly time-based model to one that incorporates imaging findings alongside time for select patients. The standard treatment window of 4.5 hours for IV thrombolysis remains the only Class I recommendation and the firm standard of care. The updated guidelines introduce a Class IIa/IIb recommendation extending IV thrombolysis eligibility up to 24 hours for carefully selected patients who meet specific CT perfusion imaging criteria. TeleSpecialists serves more than 400 partner hospitals across 32 states and is actively supporting clinical teams through the operational and clinical implications of this transition.

What does a hospital need before expanding to extended window stroke treatment?

Expanding stroke treatment eligibility beyond 4.5 hours requires confirmed CT perfusion imaging capability, real-time PACS access with AI imaging tools, neurologist access via telestroke or at the bedside, neuroradiology coverage, documented transfer and escalation protocols, written patient consent processes, and completed legal and governance review. The 2026 AHA/ASA guidelines are direct on this point: a new guideline does not equal immediate scalability. TeleSpecialists works with partner hospitals to evaluate readiness before any program expansion begins.

About TeleSpecialists

Can digital healthcare deliver the same quality of care as in-person neurology?

For the clinical scenarios TeleSpecialists addresses, the answer is yes. The American Heart Association and American Stroke Association recognize telestroke as a standard of care for facilities without on-site neurology, and multiple peer-reviewed studies confirm that treatment decisions and outcomes in telestroke programs are equivalent to in-person evaluation. TeleSpecialists physicians use the same diagnostic tools, access the same imaging, and follow the same clinical guidelines as they would in a face-to-face setting.

Financial Value, Reimbursement, and Partnership Terms

Does TeleSpecialists help hospitals reduce unnecessary patient transfers?

Yes. One of the most direct financial benefits of a digital neurology partnership is the reduction in unnecessary patient transfers. When a board-certified TeleSpecialists neurologist is available in under three minutes, your team can evaluate, treat, and admit patients who would otherwise be transferred out, keeping facility revenue in-house and improving the patient experience.

Quality, Metrics, and Ongoing Support

What patient outcomes does digital neurology produce?

TeleSpecialists partner hospitals consistently document improvements in door-to-needle times for stroke patients, reductions in unnecessary transfers, and improvements in patient disposition following neurological emergencies. TeleSpecialists tracks outcomes data across all partner facilities and shares performance benchmarks as part of our quality reporting program. Specific outcome data from comparable facilities is available upon request.

Technology, Implementation, and Onboarding

How does TeleSpecialists onboard new physicians?

New TeleSpecialists physicians complete a structured onboarding process that includes technology training, clinical protocol review, documentation standards, and credentialing coordination for partner hospitals. Ongoing support is provided through a physician engagement team, and continuing education resources are available through our learning platform. Physicians are fully prepared before they go live at any partner facility.

How long does it take to implement a TeleSpecialists program?

Implementation timelines vary by service line and facility readiness. TeleStroke programs typically go live within 90 to 120 days of contract execution. TeleSpecialists assigns a dedicated implementation specialist to each partner and manages a structured onboarding process that includes workflow design, staff training, and technology setup.

How many TeleSpecialists physicians will be credentialed at our hospital?

TeleSpecialists credentials a sufficient number of physicians to ensure consistent, uninterrupted coverage based on your coverage model, patient volume, and shift structure. Our goal is to give your facility reliable access to the same physicians over time rather than a constantly rotating pool.

What happens to TeleSpecialists coverage during a technology outage?

TeleSpecialists business continuity protocols include backup communication pathways to ensure clinical coverage is not interrupted during technology outages. Your care team will always have a way to reach our physicians.

Will our staff need to learn new technology to use TeleSpecialists services?

Technology requirements for clinical staff are minimal. Most interactions use a cart-based or tablet-based video connection that functions similarly to a standard video call, with existing workflows for paging, documentation, and communication remaining largely unchanged. TeleSpecialists trains your staff on the specific tools used at your facility, and the Rapid Response Center supports any technical questions during and after go-live.

Will TeleSpecialists physicians document directly in our EMR?

Yes. TeleSpecialists physicians document directly in your hospital EMR system. We support integration with most major platforms including Epic, Meditech, and Cerner, with EMR access and training managed as part of the onboarding process.

TeleStroke

Can a critical access hospital implement a TeleStroke program?

Yes. Critical access hospitals are among the facilities that benefit most from a TeleStroke program. TeleSpecialists has implemented programs in critical access hospitals with as few as 25 beds, and our shared coverage model through TSRoute makes this financially and operationally feasible for facilities that cannot support a dedicated full-time program.

Can a TeleStroke program scale as our stroke volume grows?

Yes. TeleSpecialists’ TeleStroke program is designed to scale with your facility without renegotiating the contract each time volume changes. Whether volume increases seasonally or through program expansion, TeleSpecialists adjusts coverage capacity and physician assignments accordingly.

Can our physicians speak directly with a TeleSpecialists neurologist?

Yes. TeleSpecialists neurologists are available for direct physician-to-physician consultation. Your emergency department or hospitalist physicians can speak directly with our specialists to discuss patient presentation, imaging findings, and treatment decisions in real time.

Do TeleSpecialists neurologists view imaging directly during a stroke consult?

Yes. TeleSpecialists neurologists access PACS images directly during every consult and integrate imaging review into their clinical assessment. They do not rely solely on radiology reads, which is especially important in time-sensitive stroke evaluations.

Does TeleSpecialists help rural hospitals meet stroke certification requirements?

Yes. TeleSpecialists supports partner hospitals through the full stroke certification preparation process, including protocol development, data submission, staff training, and readiness reviews for The Joint Commission and DNV certification. Many TeleSpecialists rural partner hospitals have achieved Primary Stroke Center certification with our active support.

Does TeleSpecialists support stroke certification and accreditation?

Yes. TeleSpecialists actively supports partner hospitals pursuing stroke certification through The Joint Commission and other accrediting bodies. Our quality team provides data reporting, protocol documentation, and site preparation support throughout the certification process.

Does TeleStroke cover neurological emergencies beyond stroke?

Yes. TeleSpecialists neurologists evaluate and manage other emergent neurological conditions that arise in the emergency department, including seizures, altered mental status, and traumatic brain injury. Coverage extends to any urgent neurological presentation your clinical team encounters.

Does TeleStroke improve door-to-needle times?

Yes. Rapid specialist access is the most important factor in reducing door-to-needle times for thrombolytics-eligible stroke patients. With a board-certified TeleSpecialists neurologist available in under three minutes, your team can move through imaging review, eligibility determination, and treatment authorization without delay. TeleSpecialists tracks door-to-needle performance as a core quality metric and works with partner hospitals to identify workflow improvements.

How does a nurse initiate a TeleStroke consult?

A nurse initiates a TeleStroke consult by contacting the TeleSpecialists Rapid Response Center through the designated communication method established during implementation, typically a direct phone line or an integrated alert within the existing stroke workflow. The Rapid Response Center connects the bedside team with an available neurologist immediately. The process is designed to be completed by any qualified nurse without prior digital healthcare experience.

How does teleneurology work in a hospital without a neurology department?

TeleSpecialists functions as your neurology department for hospitals without an employed neurologist. Our platform provides on-demand specialist access for stroke, seizure, altered mental status, and other neurological emergencies, with physicians who document in your EMR and are credentialed through your medical staff office as they would be for any on-site specialist.

How does TeleSpecialists approach thrombolytic administration in stroke patients?

Thrombolytic administration rates vary by patient presentation and clinical criteria. TeleSpecialists physicians follow current AHA/ASA guidelines and make treatment decisions based on the specific clinical situation. Treatment rates are tracked as part of TeleSpecialists’ quality reporting program, and aggregate program data is available to partner hospitals on request.

How long does a TeleStroke consult take?

The TeleStroke consult connection is established in under three minutes from the time of the initial call to the TeleSpecialists Rapid Response Center. The full consult duration depends on patient complexity and imaging review, typically ranging from 15 to 45 minutes for a complete stroke evaluation. Your care team remains engaged throughout, with the neurologist providing real-time guidance on next steps.

Is TeleStroke coverage available 24/7 including weekends and holidays?

TeleStroke coverage through TeleSpecialists is available 24 hours a day, seven days a week, 365 days a year, including holidays. Your clinical team reaches a board-certified neurologist in under three minutes for urgent stroke evaluation, a response time documented across TeleSpecialists’ network of more than 400 partner hospitals.

Is there evidence that telestroke produces good clinical outcomes?

Telestroke is among the most studied applications in digital healthcare. Peer-reviewed research published in Stroke, JAMA, and Neurology documents that telestroke programs produce outcomes comparable to in-person neurological evaluation for acute stroke care. The American Heart Association and American Stroke Association include telestroke as a standard of care recommendation in current stroke treatment guidelines.

What happens if our ED has two stroke patients at the same time?

TeleSpecialists’ staffing model is built to support simultaneous consults. When multiple patients require evaluation at the same time, the Rapid Response Center coordinates coverage to ensure no consult is delayed. Redundant physician availability is maintained to handle peak demand across all partner facilities.

Where does TeleSpecialists provide TeleStroke coverage?

TeleSpecialists provides TeleStroke coverage across the United States. Coverage availability in specific states is subject to physician licensure, which TeleSpecialists manages as part of the credentialing process for each partner hospital.

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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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