Program features and services


eConsultant applies eICU program processes, technology and best practice guidelines to economically and efficiently improve clinical outcomes and lack of access to specialists across a care system.

Real-world results

In a 10-year study, researchers found that when a telestroke program was implemented, the door to needle time was cut in half (from 80 to 40 minutes).³


A telestroke network also results in cost savings. During a five-year period, researchers found that in a health system of 1 hub hospital and 7 spokes, a telestroke network was associated with more than $350,000 in cost savings each year.⁴ Researchers also estimated that a telestroke network had an incremental cost-effectiveness ratio of greater than $2,400 per quality-adjusted life-year over a patient’s lifetime compared with no telestroke.⁵


in cost savings each year ⁴

cost effectiveness ratio of


per quality-adjusted life-year over a patient`s lifetime⁵

Telestroke networks should be deployed wherever a lack of readily available stroke expertise prevents patients in a given community from accessing a primary stroke center (or center of equivalent capability) within a reasonable distance or travel time to permit access to specially trained stroke care providers."⁶ - American Heart Association

Related offerings

  1. Switzer JA, et al. A Web-based Telestroke System Facilitates Rapid Treatment of Acute Ischemic Stroke Patients in Rural Emergency Departments. J Emerg Med. 2009; 36(1): 12-18.
  2. Meyer BC, et al. Efficacy of site-independent telemedicine in the STRokE DOC trial: a randomised, blinded, prospective study. Lancet Neurol. 2008 September; 7(9): 787-95.
  3. Müller-Barna P, et al. TeleStroke Units Serving as a Model of Care in Rural Areas 10-Year Experience of the TeleMedical Project for Integrative Stroke Care.Stroke. 22014; 45(9): 2739-44.
  4. Switzer JA, et al. Cost-Effectiveness of Hub-and-Spoke Telestroke Networks for the Management of Acute Ischemic Stroke from the Hospitals’ Perspectives. Circ Cardiovasc Qual Outcomes.2013; 6: 18-26.
  5. Nelson RE, et al. The cost-effectiveness of telestroke in the treatment of acute ischemic stroke. Neurology. 2011; 77: 1590–8.
  6. Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke. 2007; 38: 1655–1711.

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