C3O Telemedicine and Meridian Neuroscience commence new telestroke program

imgresC3O Telemedicine’s new telemedicine program to improve access to stroke care

 Ventura, CA, October 8, 2016C3O Telemedicine is pleased to announce the successful launch of if its latest telehealth program, a partnership for 24/7 stroke care with Meridian Neuroscience, now part of the Hackensack Meridian Health family, the most comprehensive and most integrated network in the state of New Jersey.


C3O’s Acute Neurology Telemedicine Program, designed to improve access to specialists for stroke patients and other neuro-critically ill patients, was successfully implemented at all Hackensack Meridian Health hospitals in Monmouth and Ocean counties. The hospitals are Riverview Medical Center, Ocean Medical Center, Bayshore Community Hospital, Southern Ocean Medical Center, and Jersey Shore University Medical Center, the only hospital in the region to be both a state-designated Comprehensive Stroke Center and a nationally accredited Primary Stroke Center.


Utilizing technology from InTouch Health, based out of Santa Barbara, the program allows C3O’s board-certified neurologists and neurointensivists to work closely with the emergency department teams at the network’s hospitals throughout the region and Jersey Shore’s neurosurgical interventionalists who are available 24/7 to provide access for mechanical retrieval of clots during an acute stroke.


Dr. Herb Rogove, president and CEO of C3O Telemedicine, and past board member of the American Telemedicine Association states, ”C3O is honored to have been selected as the first provider of telehealth for Hackensack Meridian Health hospitals in Monmouth and Ocean counties. We are already seeing patients and the onsite teams have been very enthusiastic and engaged in supporting the program. Meridian Neuroscience is an outstanding program that offers the most advanced treatment options when interventional procedures and surgeries may be needed. We are excited to partner with them in this new program and continue our company’s growth.”


“Telestroke is a significant advancement in how we provide health care and treatment for stroke patients,” says Alan Colicchio, M.D., medical director of Meridian Neuroscience.  “Because strokes occur at all times of day, Telestroke ensures that a patient is assessed immediately rather than having to wait for a neurologist to arrive at the hospital. Since we started using it in the emergency department, we have been able to diagnosis and treat patients faster, helping to reduce the amount of recovery time a patient faces and decreasing the length of time they must remain in the hospital. It’s been met with rave reviews by patients, families, and care teams alike, and we have been extremely pleased with how seamlessly the tele-neurologists have blended with our medical staff. It’s been a great partnership so far.”
According to the National Stroke Association, stroke is the third leading cause of death in the United States, and stroke-related healthcare costs total $73.7 billion. Expediting the presence of a skilled neurologist to the bedside to assess the appropriateness of the lifesaving medication tPA can dramatically improve healthcare outcomes. Telemedicine technologies have been proven clinically and cost-effective methods for supplying the care these patients need.


C3O Telemedicine and its physicians have been providing tele-neurocritical care services to hospitals and health systems since 2008. /


About C3O Telemedicine

C3O Telemedicine is an innovative provider of virtual presence clinical coverage solutions to metropolitan and rural health facilities. As a physician owned and operated organization with renowned, board-certified specialists, C3O Telemedicine delivers flexible, easily implemented, and highly supported telemedicine services to its clients with exceptional clinical quality.   C3O’s physicians and engaged physician-led management have developed programs at multiple facilities with demonstrated value through rapid response times, enhanced patient outcomes and immediate definitive care and discharges, with an accompanying improvement in hospital financial performance. / .


About Hackensack Meridian Health

Hackensack Meridian Health is a leading not-for-profit health care organization that is the most comprehensive and truly integrated healthcare network in New Jersey, offering a complete range of medical services, innovative research, and life-enhancing care.  There are 13 hospitals in Hackensack Meridian H, including two academic medical centers, two children’s hospitals and nine community hospitals, physician practices, more than 120 ambulatory care centers, surgery centers, home health services, long-term care and assisted living communities, ambulance services, lifesaving air medical transportation, fitness and wellness centers, rehabilitation centers, and urgent care and after-hours centers. Hackensack Meridian Health has 28,000 team members, more than 6,000 physicians and is a distinguished leader in medical philanthropy, committed to the health and well-being of the communities it serves.


The Network’s notable distinctions include having one of only five major academic medical centers in the nation to receive Healthgrades America’s 50 Best Hospitals Award for five or more consecutive years, the number one hospital in New Jersey as ranked by U.S. News and World Report, consistently achieving Magnet® recognition for nursing excellence from the American Nurses Credentialing Center, recipient of the John M. Eisenberg Award for Patient Safety and Quality from The Joint Commission and the National Quality Forum, a six-time winner of Fortune’s “100 Best Companies to Work For,” one of the “20 Best Workplaces in Health Care” in the nation, and the number one “Best Place to Work for Women.”  Hackensack Meridian Health is a member of AllSpire Health Partners, a regional consortium of leading health systems, to focus on the sharing of best practices in clinical care and achieving efficiencies.


The hospitals of Hackensack Meridian Health include: academic medical centers – HackensackUMC in Hackensack, Jersey Shore University Medical Center in Neptune; children’s hospitals – Joseph M. Sanzari Children’s Hospital in Hackensack, K. Hovnanian Children’s Hospital in Neptune; community hospitals –  Ocean Medical Center in Brick, Riverview Medical Center in Red Bank, HackensackUMC Mountainside in Montclair, Palisades Medical Center in North Bergen, Raritan Bay Medical Center in Perth Amboy, Southern Ocean Medical Center in Manahawkin, Bayshore Community Hospital in Holmdel, Raritan Bay Medical Center in Old Bridge, and HackensackUMC at Pascack Valley in Westwood.


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Posted by: C3O Telemedicine News

Posted on: October 8th, 2016

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ICU Telemedicine in Syria: a remarkable story

One story which neveimgresr made the mainstream press is  the humanitarian gesture of a group of ICU Telemedicine specialists providing civilian ICU care in war-torn Syria. Reported in the February issue of the Annals of American Thoracic Surgery, a network of approximately 20 participating intensivists was providing clinical decision support 24 hours per day to five civilian ICUs in Syria. The program utilized inexpensive, off-the-shelf video cameras, free social media applications, and a volunteer network of Arabic-speaking intensivists in North America and Europe. Launched in 2012 and within 1 year, 90 patients per month in three ICUs were receiving tele-ICU services. What would normally take numerous committee meetings including budgetary constraints was done on an all volunteer basis at a much lower than expected cost.

The program is implementing a cloud-based electronic medical record for physician documentation and a medication administration record for nurses. There are virtual chat rooms for patient rounds, radiology review, and trainee teaching. The early success of the program shows how a small number of committed physicians can use inexpensive equipment spawned by the Internet revolution to support from afar civilian health care delivery in a high-conflict country.

The critical care community and the world will be waiting to see data from this extraordinary and courageous endeavor. Congratulations to Drs. Moughrabieh and Weinert from the University of Minnesota Medical School, Minneapolis, Minnesota.


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Posted on: February 8th, 2016

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AMA starts new telehealth CPT services workgroup

The AMAama-logo is pleased to announce the formation of a CPT® Telehealth Services Workgroup, which will be chaired by members of the CPT Editorial Panel. The workgroup will be comprised of relevant medical specialties/organizations and industry stakeholders. The workgroup will recommend additions and changes to the CPT code set related to medical services utilizing telehealth technology. The charge of this ad-hoc workgroup is to:

  1. Recommend solutions for the reporting of current non-telehealth services when using remote telehealth technology (to include but not limited to E/M services). Considerations will include potential new codes, use of current codes without or with modifier, add-on code(s).
  2. Address the accuracy of current code set in describing the services provided when telehealth data is reviewed and analyzed, including potential code set revisions and/or education for:
    1. Appropriate code use (e.g., E/M versus data analysis codes);
    2. Potential code development to report analysis of transmitted data;
    3. Definition of data types whose interpretation will require differentiation and consideration of separate reporting of current E/M services/codes
    4. Potential new E/M services codes based on emerging new patterns for sites of service.
  3. Recommend whether any other telehealth service codes should be developed based upon services currently being provided.
  4. Develop new introductory language or modify existing introductory language to guide coding of telehealth services.

The workgroup will also help facilitate discussions with key stakeholders who may wish to bring forward telehealth services applications for consideration. According to the CPT Editorial Panel AdHoc Workgroup Organizational Structure and Processesguidance, all workgroup recommendations will be presented in a Code Change Application(s) for consideration by the CPT Editorial Panel. Participation in the Telehealth Services Workgroup does not preclude the submission of a separately developed code change application for consideration by the Editorial Panel.



Posted by: C3O Telemedicine News

Posted on: August 20th, 2015

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Reflecting upon ATA 2015 Annual Meeting


Drs. Sanjay Gupta and Herb Rogove


Drs. Herb Rogove and Patrick Soon-Shiong

At ATA 2015 (American Telemedicine Association), held in Los Angeles,  a milestone was achieved as over 5,000 attendees from around the world stormed the LA Convention Center. The content of the symposium keeps getting better, ranging from lightening rounds to superb plenary sessions. What particularly struck me was that the keynote speakers, both physicians in different areas of medicine both understood and support telemedicine as an integral part of healthcare delivery. Dr. Sanjay Gupta, chief CNN medical correspondent, had previously done a story on telemedicine featuring Yulun Wang, CEO of InTouch Health. Dr. Patrick Soon-Shiong, an entrepreneur and brilliant visionary, has already embarked upon ways to treat cancer utilizing mobile health. The exhibit hall allowed one to roam a roomy exhibit hall to see new and established medical product and software companies display and explain their technology. Based upon the opinion of those in attendance, the ATA is striving toward increasing the content experience. Looking optimistically to another high level meeting in Minnesota for ATA 2016.


Posted by: C3O Telemedicine News

Posted on: June 19th, 2015

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ATA’s New Executive Board

IPRqUxyy_normal(PRWEB) May 14, 2015 — WASHINGTON- Thursday, May 14, 2015— The American Telemedicine Association (ATA) recently elected Reed V. Tuckson, MD, as President of the Association’s Board of Directors. Dr, Tuckson has been recognized among the 50 most influential physician executives and top 25 minority executives in healthcare. With a distinguished career that has spanned over 35 years, Tuckson has served in a variety of senior posts including the Senior Vice President for Professional Standards of the American Medical Association and the Executive Vice President and Chief of Medical Affairs for UnitedHealth Group. He is currently the Managing Director of Tuckson Health Connections.

Tuckson is joined by the following members of the Board’s executive committee: – President-Elect, LTG (Ret.) James Peake, MD, Senior Vice President, CGI Federal, former U.S. Secretary of Veterans Affairs and Surgeon General of the United States Army – Vice President, Peter Yellowlees, MD, MBBS, Professor of Clinical Psychiatry, Department of Psychiatry and Behavioral Sciences, UC Davis Health System – Secretary and Treasurer, Herb Rogove, DO, FCCM, FACP, President & CEO, C3O Telemedicine – Immediate Past President, Yulun Wang, PhD, Chairman & CEO, InTouch Health In addition, two other individuals recently joined the Board of Directors: – Amnon Gavish, ScD, Senior Vice President of Vertical Solutions, Vidyo, Inc.; Chair of ATA’s Industry Council – Kristi Henderson, DNP, NP-BC, FAEN, Chief Telehealth and Innovation Officer, the University of Mississippi Medical Center; Past Chair of ATA’s Institutional Council “We are pleased to announce the addition of this group of prestigious individuals to the Board and officers of this Association,” said Jonathan Linkous, CEO of ATA. “This reflects ATA intention to work with a balance of leaders from both the ranks of healthcare providers and industry in order to fulfil our goal to improve healthcare delivery through the use of telecommunications technology.” Other current at-large Board members include Ellen R. Cohn, PhD; Naomi Fried, PhD; Alexis Gilroy, JD; John Glaser, PhD; Julia L. Johnson, JD; Roy Schoenberg, MD; and Andrew R. Watson, MD.

About the American Telemedicine Association The American Telemedicine Association is the leading international resource and advocate promoting the use of advanced remote medical technologies. ATA and its diverse membership work to fully integrate telemedicine into healthcare systems to improve quality, equity and affordability of healthcare throughout the world. Established in 1993, ATA is headquartered in Washington, DC. For more information, visit


Posted by: C3O Telemedicine News

Posted on: May 16th, 2015

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Posted by: C3O Telemedicine News

Posted on: March 2nd, 2015

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from POLITICO by ASHLEY GOLD | 01/06/15 10:02 AM EDT

With help from David Pittman, Joanne Kenen and Arthur Allen

The American Medical Association has drafted model legislation for states on familiar telemedicine issues such as licensure, reimbursement and standards of care. AMA provided three model bills to state medical and specialty societies, a person with knowledge of them told POLITICO’s David Pittman. This is the first year that the country’s largest doctor group has offered model bills on telemedicine for state lawmakers, who are expected to be busier than everwith the topic this month.

The AMA’s House of Delegates this summer approved guidelines for the practice of telemedicine, and the model legislation follows them closely. For example, telemedicine providers must conduct a “face-to-face” examination if it would be required to treatment without telemedicine. The legislation would also block telephone or online evaluations as a standard of care, according to draft language sent to the Texas Medical Board and obtained through a public records request. Texas was one of several states the AMA worked with to create the model bills. Model legislation around reimbursement would require health plans to pay for telemedicine services at the same rate they reimburse in-person care. Also, health plans would be unable to deny coverage because it was delivered via telemedicine. New York last month become the 22nd state along with the District of Columbia to enact a law along those lines.


Posted by: C3O Telemedicine News

Posted on: January 6th, 2015

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A major step for quality in telemedicine: ATA announces accreditation process

Today, ATA launched an accreditation program

for online, direct-to-consumer healthcare consultations. The program will accredit U.S. healthcare entities providing real-time, online consultations directly to the patient that meet specific standards.

The Accreditation Program will:

  • help to assure online healthcare consumers they are making good choices when it comes to online healthcare,
  • provide benchmarks for organizations building an online practice,
  • and provide reassurance for payers that the virtual services they are reimbursing follow federal and state laws and regulations, assure patient privacy, are transparent in pricing and operations, use qualified, licensed providers, and follow appropriate clinical practices and guidelines.

From Dec.15, 2014 through Feb. 28, 2015, registration for the Accreditation Program will be open to ATA Institutional Members, Sustaining President’s Circle and President’s Circle members exclusively.

Further information about the program is available here



Posted by: C3O Telemedicine News

Posted on: December 15th, 2014

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Teleneonatology: a major tool for the future.


 The neonatal intensive care unit (NICU) at Utah Valley Regional Medical Center in Provo, Utah, began an aggressive redesign/quality improvement effort in 1990. It became obvious that our care processes were designed for health care deliverers and not for the families. An ongoing revamp of our care delivery processes was undertaken using significant input from a parent focus meeting, parental interviews, and development of a parent-to-parent support group. As a result of this work, it became obvious we needed a new model to truly empower parents. The idea of “NICU is Home” was born. We elected to make a mind shift, not to focus on what families think, but rather on how they think. Web cams and other video apparatus have been used in a number of NICUs across the country. We decided:

  1. Our equipment requirements would need to include high-resolution cameras, full high-definition video recording, autofocus, audio microphones, automatic noise reduction, and automatic low-light correction.
  2. Our conferencing software needed to accommodate multiple users and have multiple-picture capabilities, low band width, and inexpensive technology.
  3. It was recognized that a single video camera feed was insufficient to adequately capture the desired amount of information.
  4. Verbal communication between parents and their babies’ principal care providers is critical.
  5. Parents loved the idea of expanding the remote NICU web cam of their baby to a two-way physician-parent communication bedside monitor.
  6. Doctors at Utah Valley Regional Medical Center now have a mobile desk using a WiFi computer/camera/audio to communicate with the family in real-time or leave a recording.

Copyright 2014, SLACK Incorporated.



Posted by: C3O Telemedicine News

Posted on: November 18th, 2014

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ATA Launches First China Telemedicine Meeting

From the ATA:

ATA kicked off the Opening Ceremonies of the First China International Telemedicine Technology Meeting today in Tianjin.  Dozens of distinguished Chinese government and industry officials joined ATA leadership to launch the meeting and extend their support for the partnership.  The meeting is being covered by major media in China and is being followed closely by health professionals and the medical technology industry at large.

The government of China is beginning to show increased attention to telemedicine technology. Apart from the support of national policy, national leaders are advocating the implementation of medical reform.

Over 3000 attendees and 200 exhibitors are expected to be at this three-day meeting which features presentations from telemedicine experts from around the world.

Those representing ATA include ATA President Yulun Wang, PhD, Chairman and CEO, InTouch Health; CEO, Jonathan Linkous; COO, Alice Watland; Past President Jay Sanders, MD, President and CEO, The Global Telemedicine Group, and Professor of Medicine, Johns Hopkins University School of Medicine; Past President Edward Brown, MD, CEO, Ontario Telemedicine Network; and Past President Bernard Harris, MD, MBA, President and CEO, Vesalius Ventures.

ATA Member Companies who will be doing business on the exhibit hall floor include AMD Global Telemedicine, Ideal Life, InTouch Health, JSA Health Telepsychiatry, Remote Eye Diagnostics, Telehealth International Partnership, Treatment and Vidyo.


Posted by: C3O Telemedicine News

Posted on: October 28th, 2014

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