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Overview

Our National Telestroke Alliance of Academic Medical Centers (AMC) and Health Systems share the mission of re-designing stroke and neurology care in their regions. Through this program, we license our standardized programmatic model, as well as our internally-developed TeleNeurology web-based platform, the MGH TeleHealth portal. Members of our National Consortium engage in a regular exchange of information and best practices, and given the shared process and data structures, also collaborate in publications in well respected academic journals.

Seeking external mentorship or support is a decision made by about 60% of TeleStroke programs nationally. This support, especially in what relates to decisions around technology, often comes from either fully outsourcing, usually with a for-profit technology vendor, or from partnering with another organization. Based on our experience, each option has both pros and cons.

  Outsourcing External Partner Internal Development 
Financial Investment   High Modest High
 Short Term Yield  High High  Low
 Long Term Yield  Medium High Uncertain
 Time to Market  Rapid Rapid Delayed


Within the external partnership array of options, our National Alliance offers a cost effective, expedited way to a mission-aligned, substantially  transformative TeleStroke program for your institution. Our programmatic model will allow you to:

  • Ensure a mission-drive, financially successful operation
  • Diversify and combine state of the art, reliable, cost effective technologies for each area (videoconference, radiology, documentation/program management).
  • Avoid investing on non critical, costly functionalities (e.g. self navigation)
  • Save your resources from supporting large sales and marketing operations
  • Prevent dilution of your brand (our Network sits behind it)
  • Avoid reinventing the wheel or replicating learning curves unnecessarily
  • Expedite your launch

Our program can provide the reassurance your organization needs in an external partnership through 15 years of continuous TeleStroke development and improvement.

Programmatic Model

Programmatic Model and Business Intelligence

Our programmatic model is deployed at partner institutions after a conscientious analysis of the stage and needs of your TeleStroke efforts. Once the areas of programmatic development or optimization have been identified, we license our standard program templates, which are conveniently segmented into a set of clinical, business, and technical materials as well as a clinical program manual.  Our program will also develop a plan for a customized series of remote consulting group sessions among our teams (technical, administrative and clinical) to ensure that our programmatic templates can be effectively adapted to your institution’s context and goals. Some of the tangible benefits of this component of our service include:

  • Standardized implementations, operations procedures and legal agreements
  • Team designs, roles and effort allocations for your group and your clients’
  • Front end and back end technology designs and user guides
  • Proven business models that ensure satisfaction of providers and recipients, incorporating downstream financial implications and reimbursements
  • Full access to our CME/CEU platform for your providers and those of the community hospitals receiving your TeleStroke service
  • Clinical stroke protocols adapted to telemedicine
  • Strategies to expand telemedicine offerings outside TeleStroke into TeleNeurology and beyond

TeleHealth Portal

Mass General TeleHealth Portal

The deployment and adaptation of our programmatic model also includes the deployment of our Mass General TeleHealth Portal, which serves as the backbone of our TeleStroke operation and that of our partners.

Our unique technology will allow you to cost-effectively overcome interoperarability barriers (inherent to offering services to a facility using an EHR platform different from yours) , optimize your operations, measure value and performance, and ensure compliance.

Our Portal works by providing neurologists with a platform to document their encounters while ensuring adherence to the latest clinical protocols, while a decision support system runs in the background and alerts them of any inconsistencies. These medical notes are then shared securely with the hospital receiving the service, eliminating inherent interoperability barriers. Our portal’s robust notification system enables automated notification of any relevant event in your TeleStroke, from the availability of a preliminary report that will enable a patient to stay in their community, to the upcoming expiration of a physician’s driver’s license that may interfere with his or her medical privileges at the receiving facility.

At a high level, our technology has been designed with a large, health system-driven TeleHealth operation in mind and is flexible enough to account for the intricacies of such operations- institutional affiliations, user roles and differences in clinical services and their workflows can all be supported through our one-of-kind software architecture.

Some of the specific functionalities of our system include:

  • Decision support tools that ensure compliance to clinical protocols
  • Interoperable documentation, retrieval and collection of user input/feedback
  • Activity, performance and value tracking and data exporting
  • Enable one-click access to other essential documents and technologies
  • Automate critical administrative tasks: service renewals and MD credentialing
  • In special cases, customize to other clinical areas

Furthermore, the Mass General TeleHealth portal can also be customized in special cases, to enable automated integrations to your EHR, and your own design of clinical templates, workflows and analytics reports.

Relationship

National Consortium Ongoing Relationship

Our team of Mass General staff attendings are among the leaders of one of the premier stroke research institutions in the country. Collectively, they accumulate:

  • 150+ Independently-founded research grants
  • 1,000+ Peer-Reviewed Publications
  • 1060+ Invited Presentations

Additionally, several also serve on national committees of the American Heart/Stroke Association, and the American Academy of Neurology and other national and international organizations that develop consensus criteria and guidelines regarding the treatment and evaluation of forms of stroke. Your participation in our National Consortium will provide stroke research collaborative opportunities to advance the science behind stroke diagnosis and therapy.

Similarly, TeleHealth’s regulations, business models, technologies and use cases are constantly advancing. Our National Consortium members, led by Mass General TeleNeurology openly collaborate and share best business and operational practices with one another to ensure the long term success of their efforts to transform their regional systems of stroke care through innovation and technology.

Both of these avenues are enabled by the adoption of the MGH TeleHealth portal by the members of our National Consortium, given the consistency and extent of the clinical and operational information it collects and the uniformity in operational and process design and management it enables.

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