TeleStroke Services & Emergent TeleNeurology Program

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TeleSpecialists is proud to be a leader in TeleStroke and Emergent TeleNeurology services. Every second counts during a stroke, and an on-call TeleStroke neurologist with TeleSpecialists can be connected directly to the Emergency Department via telemedicine in an average of four minutes. Rapid reaction time and treatment can dramatically improve patient outcomes and ultimately save lives.

Our TeleStroke solution brings extensive clinical stroke experience from highly trained TeleNeurologists directly to your healthcare facility via telemedicine.

What Is TeleStroke?

When saving brain cells, every second counts. Emergency acute stroke support with our TeleStroke services can save lives and allow for better outcomes. Hospital neurologists are at a premium, with neurology as one of the country’s most understaffed medical fields. This shortage puts stroke patients at risk of not seeing a neurologist in time. TeleSpecialists provides focused emergent neurology services, including TeleMedicine for stroke, to hospitals across the United States — anytime, anywhere.

We seamlessly integrate our TeleNeurologists with your hospital’s stroke and ED team to create a streamlined and effective TeleStroke response. TeleStroke Alert services ensure rapid assessment and treatment for EMS stroke patients. With prearrival Stroke Alert notification, ED staff can mobilize and contact TeleSpecialists so that a TeleStroke response is available almost as soon as EMS brings the patient in. This capability places a board-certified, stroke-trained neurologist on-screen at the patient’s bedside in an average of four minutes.

Patients who receive rapid triage and treatment regularly experience drastically improved outcomes and higher quality of life.

telestroke program chart - door to needle time

This sample was taken from a hospital division that went live with TeleStroke services in seven of their hospitals. Most locations averaged at least a 50% drop in DTN time.

How TeleStroke Works

While our TeleStroke program can be adjusted to fit your hospital’s needs, here is an example of TeleStroke applications and how virtual stroke services for healthcare facilities can work for you:

  • If an EMS patient is presenting with stroke symptoms, the hospital staff calls the TeleSpecialists Rapid Response Center. A physician will be on-screen in an average of five minutes, providing immediate access to a neurology consult.
  • As ED staff prepares for an incoming Stroke Alert, the charge nurse retrieves the TeleNeuro cart to meet the patient in the EMS hallway. This step allows a TeleNeurologist to continue to follow the patient throughout the entire Stroke Alert, providing a remote evaluation of acute stroke patients.
  • EMS reports to the ED nurse, physician, and TeleNeurologist via the TeleNeuro cart.
  • The ED physician performs a brief exam, which is observed by the TeleNeurologist. Both physicians confer and agree to proceed as Stroke Alert with the goal of rapid progression to CT.
  • The patient is swiftly transferred to CT while the ED physician enters Stroke Alert orders for Stat CT of the brain under the Stroke Alert protocol.
  • Stroke Alert ensures a radiologist is tagged and the patient receives priority reading status.
  • The TeleNeurologist can view the CT in real time and make recommendations.
  • The radiologist, TeleNeurologist, and ED physician discuss the CT results, and a decision is made to give an IV injection of recombinant tissue plasminogen activator (tPA). Improving Door-to-Needle time for stroke patients is key to recovery.
  • Nursing takes the premixed tPA. Two nurses verify the dosing, and tPA begins.
  • A nurse assists the TeleNeurologist, and a focused neuro exam and full NIHSS is performed.
  • The ED physician, TeleNeurologist, and ED staff continue with an in-depth neuro assessment, decision on tPA administration, and transitioning the patient to the inpatient setting.

Emergent TeleStroke Services

With our telestroke protocols in place, a TeleNeurologist can be there at minute zero.

TeleSpecialists was founded on the principles of lean management and a focus on developing protocols to provide seamless acute neurology response, among other benefits. During implementation of our TeleStroke services, we identify and coach your team of TeleStroke program stakeholders, which may consist of representatives from EMS, ED nursing leadership, Laboratory, Pharmacy, Radiology, Rapid Response, Staff Neurologists, and Stroke Coordinators. Together, we build a state-of-the-art TeleStroke and Emergent TeleNeurology program within your hospital’s infrastructure, with our neurologists responding to Stroke Alerts and other STAT neurology consults, including acute encephalopathy, syncope, Bell’s palsy, and acute altered mental status.

TeleStroke Program Consultation

During a TeleStroke program consult, we provide much more than just a stroke patient recommendation. Using your native EMR and Computerized Physician Order Entry (CPOE), our credentialed neurologists write alteplase orders and make the life-saving decisions.

TeleStroke Program Rapid EEG Interpretation

In addition, TeleSpecialists’ TeleStroke services provide rapid interpretation of EEG in emergent and acute settings. Rapid acquisition and interpretation of EEG can help to exclude the possibility of non-convulsive status epilepticus, which our TeleNeurologist can then assist with treatment.

Stroke Care

Access emergent stroke care 24 hours a day, 7 days a week, 365 days a year.

Looking to become a certified Stroke Center? We can help! By earning your Stroke Center certification, your facility can increase patient volumes presenting with stroke brought by EMS, increase your facility’s stroke-related DRGs and improve Case Mix Index (CMI).

Benefits of TeleSpecialists’ Advanced TeleStroke and Emergent TeleNeurology Services

Reducing Door-to-Needle (DTN) time in cases of stroke is one of the main benefits of our TeleStroke solution for hospitals. With our stroke TeleMedicine consultation services in place, you get a board-certified, stroke-trained neurologist on-screen within minutes. These professionals can provide quality remote emergent acute care for stroke patients and treatment more quickly and efficiently. By offering faster care, we provide some of the best DTN times in the industry, thus reducing a stroke patient’s risk of potential brain damage.

Another benefit of our stroke program is our ability to provide emergent neurology consulting anytime, anywhere. That’s 24/7 TeleStroke services.

When it comes to our TeleStroke and our emergent TeleNeurology services, here are a few additional advantages of our telemedicine solutions:

nurse holding out hands to patient in wheelchair in doctor's office


  • Increase percentage of Door-To-Needle times below 45 minutes.
  • Increase alteplase utilization rates, up to 20%.
  • Improve patient retention.
  • Increase regional market share and improve regional reputation.


  • TeleSpecialists provides clinical programmatic support beyond teleconferencing and recommendations. Our TeleNeurologists take charge of the Stroke Alert consult, writing orders directly into your EMR, and staying on screen through the administering of alteplase.
  • Implementation of the acute care protocols and criteria for administration of alteplase.
  • Extensive educational modules for a state-of-the-art program.
  • Implementation of order sets and protocols to meet the “Get with the Guidelines” metrics established by the American Stroke Association.
  • TeleSpecialists utilizes lean management principles: a process improvement methodology that focuses on removing ‘waste’ from a process and solving problems through the application of a standardized workflow.
  • TeleSpecialists earned accreditation from The Joint Commission in December of 2019.
  • TeleSpecialists is the only telemedicine company to earn the ISO 9001:2015 certification, issued through Bureau Veritas.


  • The TeleSpecialists program creates efficiencies through process improvement within the infrastructure of the Emergency Department.
  • TeleSpecialists provides TeleStroke consultation services to develop on-site rapid triage and second-level assessment protocols to help rapid triage and early stroke team notification.
  • TeleSpecialists provides an in-house hotline number that can be used for quick neurologist on-screen response.
  • With the use of Value Stream Mapping, implementing a process improvement plan within the process flow of the Emergency Department, TeleSpecialists aims to reduce Door-To-Needle times by implementing simple process improvement measures.
  • 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.

Other Services Provided by TeleSpecialists

To help solve the national shortage of neurologists, our team of expert TeleNeurologists is available via telemedicine cart to provide a number of other essential neurological services, including:

Delegated Credentialing

In conjunction with our medical services, TeleSpecialists offers Delegated Credentialing (also known as credentialing by proxy). The growing popularity of telemedicine can put a strain on in-house credentialing resources, and oftentimes medical facilities are looking increasingly to Delegated Credentialing to alleviate the workload of their internal credentialing team.

Contact Us

TeleSpecialists provides comprehensive TeleStroke consultation services to help facilities develop programs from the ground up. The results are faster DTN time for hospitals and improving stroke patients’ overall outcomes. Through experience with many major health care systems across the US, we can provide a quality-focused, consistent, and data-driven TeleStroke program with expert neurology consultation for your facility.

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.