One of the initiatives that we are currently supporting is the TeleHealth program. With this system, Excelsior will bring physician care straight to the scene remotely. Excelsior currently provides ambulance services for Hancock County, which has no local hospital. Unlike many of the big ambulance providers in larger cities, Excelsior understands the many issues faced by rural hospitals, nursing homes, and rural counties that have no local hospital. In Hancock the average distance to a hospital is over 40 miles round trip. This decreases the coverage of the county and increases the chance a patient may not have access to ambulance transportation when truly needed. Consequently, Excelsior will be training our paramedics on new equipment to do a remote physician’s physical exam and evaluation. This new equipment will allow local hospitals, such as Putnam, to evaluate patients remotely from their Emergency Room. An ER physician will be able to speak to the patient “live.” But what makes this even more impressive is the ER physician will be able to listen to the patient with a stethoscope that can transmit sounds directly over our system. Imagine, listening remotely to a patient’s lungs and heart! This equipment also includes the ability to look at a patient’s throat, ears, and eyes, as well as a dermascope to look at skin. Patients’ vitals can also be transmitted. If the ER room physician determines the patient can be seen at a local physician office then our team will set up a same-day or follow-up appointment.