AcuteCare Telemedicine Blog


SAMC Recognized For Outstanding Stroke Care

The Southern Alabama Medical Center (SAMC’s) Stroke Care Network was recently named “Partner of Year” at the Alabama Rural Stroke Award Health and Telehealth Summit.  The award was presented by the Alabama Partnership for Telehealth (APT) during the October summit in Prattville. Jason DeLeon, MD, Emergency Medicine; Cecilia Land, division director SAMC Rehabilitation Services and Levonne Outlaw, SAMC Stroke Network Coordinator accepted the award.

“This is an award that we give out to the partner who we feel has done the most outstanding job when it comes to not only using, but advancing telemedicine,” said Lloyd Sirmons, executive director of APT.  “SAMC has done a great job, not only building their program, but advancing telemedicine in the state of Alabama.”

AcuteCare Telemedicine (ACT), the Southeast region’s largest practice based telemedicine provider, joined in collaboration with SAMC earlier this year to remotely diagnose and treat acute care neurological patients and to offer advanced cost-effective solutions that deliver improved stroke patient outcomes throughout the expanded SAMC Network of participating hospitals.  The SAMC Stroke Care Network ensures that patients in surrounding rural communities have access to the most experienced stroke care available. “SAMC sets the standard in the state when it comes to providing stroke care in rural areas,” said Dr. DeLeon.

On hand to present the award were Matthews Gwynn, MD, Acute Care Telemedicine, SAMC TeleNeurology Providers; Lloyd Sirmons, Alabama Partnership for Telehealth; Ron Sparks, Alabama Department of Rural Development and David White, Alabama Governor’s Office.



Expanding tPA Stroke Treatment Through Telestroke Delivery Model

For years, the mantra of neurologists treating stroke victims has been “time equals brain.” That’s because getting a patient to the emergency room quickly to receive a drug that dissolves the stroke-causing blood clot can make a significant difference in how much brain tissue is saved or lost. Established research has demonstrated that administering a tissue plasminogen activator (tPA) intravenously up to 4.5 hours, after the onset of a stroke, benefits patients with moderate to severe acute ischemic stroke. An ischemic stroke occurs as a result of an obstruction within a blood vessel supplying blood to the brain and it accounts for 87 percent of all stroke cases.

While the use of tPA significantly improves a patients recovery from stroke its administration requires the availability of neurologic expertise within this narrow window of time.  Specialized stroke care at large academic medical facilities is very effective in providing stroke care but access to these centers is limited to patients living in rural areas of the country.  Practiced-based telestroke services, staffed primarily by general neurologist, offer a streamlined organization that facilitates the dissemination of this vital emergency treatment but a comparative analysis of the data between the two delivery systems is a critical.

“Expanding Access to Intravenous Tissue-type Plasminogen Activator with a Practiced-based Telestroke System” was recently published by the Journal of Stroke and Cerebrovascular Diseases.  The study was prepared by 4 practiced-based neurologists at AcuteCare Telemedicine (ACT), an Atlanta-based company that’s billed as the largest practice-based provider of teleneurology in the southeast.  Summary findings included data gathered over a two year period at 7 hospitals on 202 emergency telemedicine consultations and treatment of 54 telestroke patients with IV tPA.  Patient demographics and outcome measures were not significantly different for patients treated by practiced–based or academic providers with the exception of lower age and shorter stay duration of the practiced-based treatment group.

The results indicate that emergency stroke care provided by the two delivery models can achieve similar patient outcomes and that a practiced-based telestroke system can expand the availability of IV tPA treatment with clinical outcomes no different from previously published studies.

“Meeting the requirement of providing rapid neurology care to all of the nation’s emergency rooms will necessitate a concerted effort of academic and practiced-based stroke systems”, said Dr. Keith A Sanders, ACT.  The technological, organizational and financial hurdles which currently limit telestroke use and expansion will likely be resolved as the benefits of telemedicine become more evident with its expanded use.

For more study details and the full article, contact info@acutecaretelemed.com



ACT Collaborates with Southeastern Medical Center on Telestroke Network

AcuteCare Telemedicine (ACT), the Southeast region’s largest practice based telemedicine provider, participated at Southeastern Alabama Medical Center’s (SAMC) press conference, announcing SAMC’s new stroke care network.

SAMC’s service area covers over 60 miles in each direction.  With technology in place, SAMC looked at possible resources to staff the new 24X7 model.  Neurologists on staff at SAMC are responsible for patients after admittance to the hospital, and often following acute symptoms or neurological events.  To be able to provide 24X7 coverage would be impossible. SAMC selected AcuteCare Telemedicine as its clinical service provider.

With this hub-spoke stroke care model, SAMC will be able to add hospitals to its network, expanding coverage across its communities.  Patients have already started to receive care, including tPA.  The initial results show improved patient outcomes.   The goal of the stroke care network is to educate communities on the importance of wellness, to identify signs before a stroke and generate awareness for the new services offerings SAMC can provide.

“Telemedicine is such a new technology for our population. We had concerns about patient adoption and comfort with being diagnosed remotely,” comments Ceclia Land, Division Director, Rehabilitation Services, SAMC.  “However, ACT integrated seamlessly into our processes, working alongside our team, to insure only the highest level of care to our patients. All of the doctors at ACT have an incredible bedside manner and are engaging.  They have become an integral part of our team.”

ACT will be on hand to diagnose and treat acute care patients. ACT offers cost-effective solutions that deliver complete on-call coverage, improve patient outcomes that adhere to HIPAA / HITECH requirements and establish a sustainable financial model for patient care.  The ACT Team of Neurological specialists are in the business of creating relationships that will serve as the foundation for improving healthcare for communities across the Southeast and Nationwide.

“SAMC has really established the new standard of care, expanding access to specialty care in underserved communities,” comments Dr. Gwynn, CEO, Partner, ACT.  “We look forward to our continued involvement with SAMC and its patients.  We have the potential to improve the statistics for residents across these communities in the hopes of saving lives lost due to stroke.  If diagnosed in time, we are able to administer tissue plasminogen activator (tPA) decreasing patient deficits after the stroke.”



Extreme Telemedicine and the Urgency of Now

January and the New Year bring the Consumer Electronics Show, an exposition of tremendous scale where the newest and flashiest concepts and prototypes for technological marvel are put on display for the public. Innovation in medicine was a hot-button topic at this year’s show, as more and more attention has been focused on the state of the US healthcare system.

There is a new television commercial from a leading innovator in communications technology making its rounds. A segment of the ad shows a group of climbers on a snow covered mountain communicating with a doctor on a tablet computer. The doctor is explaining how to set the apparently broken leg of one of the members of the crew. This 5 second scene, interspersed with other vignettes displaying the company’s visions for the future of its technologies, is an intriguing and exciting flash forward into the vast potential that telemedicine holds for the future.

Of course, one could imagine countless such scenarios in which powerful telemedicine will eventually play a game-changing role. We are on the cusp of a huge revolution in medicine, fueled by relentless innovation like that on display at CES or in the television spot.

The fact of the matter is that telemedicine has already brought this future to our doorstep. While the ‘dreamers’ consider what capabilities advanced technology might ultimately unlock, many physicians are already working with very advanced tools to address issues that are urgent now. For AcuteCare Telemedicine, the focus remains on offering sustainable and highly effective resources to deal with the increasing prevalence of stroke and other neurological emergencies. Through means made possible by telemedicine, ACT is already hard at work shaping the future of the fight against this epidemic.

Allocating resources towards new and innovative technologies and practices is an important part of creating tomorrow’s healthcare culture equipped with the right tools to care for patients. But it is also imperative that until we achieve that goal, we concentrate on applying the amazing technology already available to us to focus on the task at hand. In solving today’s problems, we set the stage for a better understanding of where to go next.



AcuteCare Telemedicine in 2013: Cutting Edge Neurological Care, Anywhere

Following a third consecutive year of growth in 2012, AcuteCare Telemedicine (ACT), an Atlanta-based partnership of 4 board-certified neurologists, is expanding its efforts to become the leading provider expert neurological care to rural and underserved areas throughout the Southeastern United States via cutting edge telemedicine technology.

Telemedicine, once regarded as an exciting new frontier, has now been fully realized as a part of the mainstream lexicon of medicine as we enter 2013. For a large number of hospital systems, telemedicine programs are now becoming a mandate as the nation faces a growing shortage of specialized physicians.

ACT has established itself as an innovator on the forefront of the industry, taking a unique approach to telemedicine by leveraging new technologies and techniques to enable personal neurology consultation when doctor and patient are in different locations. ACT offers a broad range of customizable services including 24/7 emergency neurological consultation and support programs for facilities seeking Joint Commission accreditation as a Primary Stroke Center, but primarily specializes in telestroke: the application of telemedicine to the treatment of the acute stroke patient. With the help of ACT’s powerful and personalized services, patients throughout the ‘Stroke Belt’ states of the Southeast have drastically improved access to the care they deserve, and medical facilities increase efficiency while reducing the costs associated with maintaining a traditional emergency neurology staff.

Whereas many hospitals with existing neurology departments simply do not have the resources to maintain around-the-clock clinician capacity, ACT has managed to successfully disrupt the trend and bring patient and physician together, regardless of geographical boundaries. Achieving this goal requires a certain level of investment in technology and trust in the people behind it. ACT is truly technology-agnostic.  This agility affords healthcare organizations with the ability to select the platform that meets budgetary and organizational parameters.

ACT provides access to the best 24X7 acute neurological care. Contact Michael Woodcock to hear how teleneurology can impact your business and patients in 2013.



Think of Your Brain!

It is without a doubt the most vital organ in the human body, but too often we neglect the importance of taking good care of our brain. The development and organization of the brain are incredibly complex, but the intricacies of this central body belie the simplicity of its proper day to day caretaking. We only get one – why not give some thought (pun intended) to it.

Prevention of traumatic head injuries is likely the most obvious consideration for avoiding significant damage to the brain. Unfortunately, we cannot always predict when an accident might occur, but we can take basic steps like fastening our seat belts while riding in automobiles and wearing helmets when engaging in physical activities carrying risk of trauma. Beneath the skull, we must be concerned with degenerative disorders of the brain affecting motor skills and cognition, such as Alzheimer’s Disease and Parkinson’s. Depression and anxiety also afflict millions of individuals across the country. It is important to remember that although our fast paced, high-stress lives can seem overwhelming, these conditions are chemical, and there are measures we can take to mitigate their negative effects.

Perhaps the most severe threat to the brain is stroke and other cardiovascular disease. The American lifestyle has taken a significant toll on the health of the blood vessels that deliver vital oxygen and nutrients to the brain. We have seen it most exaggerated throughout the southeastern US, a part of the country known as the ‘Stroke Belt,’ where residents face significantly higher rates of stroke morbidity and mortality.

The experts offering advice to citizens on how to minimize their risk of stroke sound like a veritable broken record; sleep more. Eat better. Exercise. Although stroke care has made huge advances in technology and technique over the course of the past decade, there is truthfully no more powerful plan of action than that of prevention. Telemedicine may soon be able to play a bigger role in opening lines communications between physicians and patients at risk of having a stroke, helping them take the necessary steps to avoid an emergency situation where the health of their brain and their life are in danger. As neurologists become more familiar with the advantages of new telemedicine technologies, they are realizing that the “ounce of prevention” is more readily available than ever before.



ACT Speaks at Connecting Alabama Summit

AcuteCare Telemedicine (ACT) Partner Dr. Keith Sanders and Sales Executive Michael Woodcock are travelling to Prattville, Alabama to attend the first annual Connecting Alabama – Telehealth and Broadband Summit from October 17th – 19th.

The event is hosted by Connecting ALABAMA, a government-sponsored initiative working with citizens and community leaders from across the state to improve high speed internet deployment, and the Alabama Partnership for TeleHealth, a charitable nonprofit corporation with a focus on increasing access to healthcare through the innovative use of technology. Together, the organizations hope to provide an opportunity to extend telehealth services throughout all 67 counties of the state.

Topics of discussion at the event range from technical considerations, to the state’s role in deployment, to policy issues, to the current state of telehealth.  Dr. Sanders will speak on Thursday, October 18th about the future of telemedicine, specifically stroke teleneurology. The work of Dr. Sanders and the other physicians of ACT in the field of teleneurology is particularly relevant in any discussion of healthcare in Alabama, as the state is located in the region of the southeastern United States known as the ‘Stroke Belt’ for its unusually high incidence of stroke and other cardiovascular diseases.

Dr. Sanders’ presentation will address necessary tactics for successful and sustainable implementation of telestroke programs, and the characteristics of effective regionally-oriented stroke care that are enabled by telehealth. “I am excited for the opportunity to share ACT’s vision of extending expert neurological care throughout the rural and underserved parts of Alabama and the rest of the country,” says Sanders. “Opening the dialogue at this inaugural event is a key step towards achieving a future with a better standard of care in a more interconnected world.”

For more information about ACT, visit www.acutecaretelemed.com.