One clinical conversation, a shared picture
The local clinician initiates consultation when another perspective could help with diagnosis, workup, treatment, disposition, or the appropriate level of care. The local team continues to direct care and contribute its examination, reassessment, and knowledge of hospital capabilities.
The planned Pulsara workflow
Pulsara is an available platform that supports secure audio and video calls and sharing patient information, including EKGs and images. Communication software and physician consultation coverage are separate parts of a service model.
CrossCheck’s planned Oklahoma workflow uses Pulsara. CrossCheck has not established a Pulsara partnership. Before launch, each hospital and CrossCheck would confirm participating teams, access, supported features, documentation, escalation, and fallback procedures.
Oklahoma has announced a state purchase of Pulsara TOTAL CARE for hospitals and Fire/EMS providers. Platform access and physician consultation coverage are separate.
Make the workflow reliable before launch
Agree on coverage, response expectations, credentialing, clinical responsibilities, information handling, and a fallback if the primary connection is unavailable. Identify which records and images the consulting physician can access; do not assume EHR integration or a remote examination is included.
Train local clinicians and nurses using sample cases. Practice both routine activation and failed connections. Review whether consultation arrives early enough to support a decision and whether the local team finds the process useful.
Questions to ask about any tele-emergency model
- Is the service consultation, direct patient care, or both?
- What information can the remote physician access?
- What are the agreed coverage and response expectations?
- What happens when the primary connection or service is unavailable?
CrossCheck is developing pilot partnerships with rural Oklahoma hospitals. These guides describe the proposed model, not a guarantee of current coverage. Availability, response expectations, credentialing, and responsibilities must be confirmed before service begins.