AcuteCare Telemedicine Blog


Making a Meaningful Difference to Lives around the World

It has been a little more than a year since Georgia Partnership for TeleHealth (GPT), the Louisiana State University Health Science Center (LSU) and Casa Para Ninos Aleluya (CASA) launched its first international telemedicine program. The mission of the collaboration is to deliver much needed primary and specialized medical care to the children of the CASA orphanage through the use of telemedicine technology.  The orphanage is home to over 400 abused, orphaned and mistreated children and is located just outside of Guatemala City. The medical needs of hundreds of the children at CASA are met daily through a few nurses that manage a clinic on-site.

Shortly after the Program got underway, Dr. James M. Kiely, a partner in Atlanta Neurology, P.C., AcuteCare Telemedicine (ACT) and Medical Director of the Neurophysiology Departments at Northside Hospital and St. Joseph’s Hospital of Atlanta was given the opportunity to demonstrate telemedicine capabilities at the orphanage and volunteered his time and talents to render virtual care to the youth of CASA.

Dr. Kiely remotely treated a 19 year old CASA patient with a history of intractable epilepsy. The young patient was on numerous medications but continued to experience recurring seizures. By using a high definition audio-visual connection provided by GPT, Dr. Kiely was able to interview the patient’s parents and examine the patient remotely. The imaging results, hemiparesis, and description of seizures allowed him to determine that the likely type and cause was attributed to porencephaly, the failure for one hemisphere of the brain to develop. Kiely was able to recommend appropriate medications to on-site doctors and to suggest additional steps to take if the patients epilepsy remained intractable. The process worked flawlessly and marked the beginning of a new relationship between the missions and medical providers across the region.

At a recent GPT Telehealth Summit this year in Florida, Dr. Kiely was brought up to date on the patient he first treated more than a year ago at the orphanage in Guatemala. A family member of the patient has recently received his Master’s Degree. He is now serving an internship with the Georgia Partnership for Telehealth who continue to provide ongoing support to the children of the Guatemala region through donated physician time. He had the opportunity to speak with Dr. Kiely and informed him that the young patient, his sister, is doing well.

Dr. James M. Kiely says, “I am so invigorated when I’m able help a patient and to make a meaningful difference in their future. Whether here at home, or around the world, it is extremely rewarding.”



New Partnerships Bring Telemedicine to Guatemala

Recently the Georgia Partnership for TeleHealth (GPT), the Louisiana State University Health Science Center (LSU) and Casa Para Ninos Aleluya (CASA) launched its first international telemedicine program. The new partnership was formed through an ongoing relationship with former Louisiana Senator and Family Medicine Practitioner, Dr. Donald Hines and GPT’s Chief Executive Officer, Paula Guy.

The mission of the collaboration is to deliver much needed primary and specialized medical care to the children of the CASA orphanage through the use of telemedicine technology.  The orphanage is home to over 400 abused, orphaned and mistreated children and is located just outside of Guatemala City.  Started in 1988 by missionaries Mike and Dottie Clark, CASA’s vision is for the kids they serve to have a chance in life by bringing pediatric specialty care to the clinic in order to change the futures of these children and so many more.  The medical needs of hundreds of the children at CASA are met daily through a few nurses that manage a clinic on-site.  The new technology will greatly aid the on-site care givers capabilities in providing quality medical care to the children. The new technology has become a magnet for other missions who are struggling to serve the estimated 200,000 orphaned children across Guatemala.

The clinic was up and online within 24 hours and the nursing staff at CASA was trained and certified as telemedicine presenters and will be supported by Georgia Partnership for TeleHealth as they continue to serve Cuidad de Los Ninos.

AcuteCare Telemedicine (ACT), the leading practice-based provider of Telemedicine services for hospitals in the southeast United States, recently donated their time and expertise to make telemedicine a reality at CASA.  Dr. James M. Kiely, a partner in Atlanta Neurology, P.C., ACT and Medical Director of the Neurophysiology Departments at Northside Hospital and St. Joseph’s Hospital of Atlanta recently demonstrated the benefits of telemedicine capabilities at the orphanage.

Dr. Kiely remotely treated a 19 year old CASA patient with a history of intractable epilepsy. The young patient was on numerous medications but continued to experience recurring seizures. By using a high definition audio-visual connection provided by GPT, Dr. Kiely was able to interview the patient’s parents and examine the patient remotely. The imaging results, hemiparesis, and description of seizures allowed him to determine that the likely type and cause was attributed to porencephaly, the failure for one hemisphere of the brain to develop. Kiely was able to recommend appropriate medications to on-site doctors and to suggest additional steps to take if the patients epilepsy remained intractable.  The process worked flawlessly and marked the beginning of a new relationship between the missions and medical providers across the region.

Georgia Partnership for TeleHealth has aligned its mission to serve domestically and internationally and is seeing lives change through getting access to care in these underserved areas. There are no limits in providing this kind of access worldwide using technology,” states Dr. Jeffrey Kesler, COO of GPT.  The Partnership’s experience in implementing Telemedicine includes nursing homes, school clinics, correction, specialty clinics, Emergency Department, ICU, stroke assessment, primary care, child advocacy, and continuing education.

GPT will be providing ongoing support to the children of the Guatemala region through donated physician time. Physicians, who are interested in investing time to serve at CASA Para Ninos Aleluya, are encouraged to contact Matt Jansen, Executive Director, Georgia Partnership for TeleHealth at matt.jansen@gatelehealth.org.