Transforming Rural Health Through Connected, Intelligent Mobile Care

Supporting the CMS Rural Health Transformation Program

The Rural Health Transformation (RHT) Program – EMS Initiatives (Oct 2025) outlines a comprehensive strategy to modernize rural emergency medical services (EMS) through telehealth expansion, workforce development, and technology integration. Its objectives include:

  • Expanding access to telehealth and mobile integrated healthcare (MIH)
  • Enabling treatment in place (TIP) and transport to alternative destinations (TAD)
  • Strengthening EMS and community paramedic capacity
  • Integrating technology and data exchange across care systems
  • Building sustainability through permanent payment reform

HealthCall’s proven platform and technologies bring these goals to life, helping agencies nationwide improve access, reduce low-acuity ED visits, and strengthen rural healthcare resilience.

The HealthCall Advantage: A Unified Platform for Rural Transformation

HealthCall’s connected solutions work together to deliver the modernization outcomes envisioned by the RHT Program—linking telehealth, AI-powered screening, remote patient monitoring, and integrated diagnostics into one seamless system of care.

1. One-Click Telehealth: Simple, Secure Virtual Access Anywhere

One-Click Telehealth eliminates barriers to care by enabling secure, app-free video visits that launch instantly from a text or email link—no downloads or logins required.

This capability directly supports RHT’s goal to expand telehealth integration across the EMS workflow—from 911 triage and on-scene evaluation to community paramedicine follow-up.

In practice:

  • Paramedics initiate real-time consultations with supervising clinicians or specialists directly from the field.
  • Patients in remote areas receive instant access to professional care through a single secure link.
  • EMS and MIH teams collaborate seamlessly across disciplines, improving outcomes while reducing unnecessary transports.

This seamless integration enhances TIP/TAD workflows, reduces unnecessary transports, and empowers proactive care in rural homes and communities.

2. AI-Powered, Deviceless Screening for Faster, Smarter Decisions

HealthCall’s BreathSense™ and VitalSense™ technologies deliver AI-powered respiratory screening and contact-free vital signs measurement—no medical equipment required. Built for EMS, MIH, and community care teams, these tools transform any smartphone into a triage instrument that produces clinically validated results in under a minute.

  • BreathSense™: Analyzes a 10-second cough to screen for pneumonia, COVID-19, and TB, with sensitivity up to 97%.
  • VitalSense™: Measures BP, HR, SpO₂, respiration rate, and stress indicators through facial scanning on a smartphone or tablet—no cuffs, cords, or contact.

These tools empower telehealth-enabled field care by giving EMS and MIH teams rapid, data-driven insights—perfectly aligned with the RHT’s Treatment-in-Place (TIP) model and its emphasis on technology-supported care in rural environments.

3. Remote Patient Monitoring (RPM): Continuity Beyond the Scene

HealthCall’s Remote Patient Monitoring Platform extends care beyond the initial encounter, enabling continuous tracking of vitals, symptoms, and adherence data. This directly supports the RHT’s Community Paramedic (CP) initiative by improving chronic disease management and reducing preventable 911 calls.

This drives the RHT’s Community Paramedic (CP) initiative by enabling:

  • Ongoing chronic disease management (CHF, COPD, diabetes)
  • Post-discharge follow-ups and readmission prevention
  • Early intervention through alerts and proactive outreach

When combined with AI screening and telehealth, HealthCall RPM ensures that patients safely treated in place remain connected to care, reducing readmissions and supporting long-term outcomes.

4. Real-Time Streaming Vitals and Integrated Medical Devices

With HealthCall Streaming Vitals, paramedics and clinicians can monitor patient vitals in real time—alongside live video and audio feeds. Integrated medical devices, including 12-lead ECGs, digital stethoscopes, video otoscopes, thermometers, and glucometers, provide clinical-grade precision for remote decisions.

This capability advances the RHT’s goal to expand data sharing and coordination through Health Information Exchanges (HIEs), creating a foundation for smarter, value-based EMS modernization.

Putting It All Together: Real-World Rural MIH Examples

Example 1: On-Scene Treatment in Place

A rural EMS team arrives for a COPD exacerbation. Using VitalSense™, they capture vitals in seconds. A remote clinician joins via One-Click Telehealth, reviews AI-generated data, and guides safe treatment on scene—avoiding an unnecessary hospital transport.

This use case represents the RHT Treatment-in-Place (TIP) model in action: telehealth-enabled decision-making that reduces ED utilization while maintaining safety and quality.

Example 2: Remote Paramedic Telehealth with Deviceless AI Screening

A community paramedic stationed miles away connects virtually with a patient reporting shortness of breath through One-Click Telehealth. The patient joins instantly from their smartphone—no app, no setup, just care.

During the live session, the paramedic pushes a secure link to the patient, launching VitalSense™ on their device. Within a minute, the AI measures blood pressure, heart rate, SpO₂, and respiration rate, sending results back in real time.

Seeing that the patient also reports a cough, the paramedic sends a second link to open BreathSense™, which analyzes a 10-second cough to check for respiratory conditions like pneumonia or COVID-19. In about 30 seconds, the system returns a probability score.

With both vitals and respiratory screening results visible in the HealthCall dashboard, the paramedic consults a supervising clinician—still within the same One-Click Telehealth session. Together they confirm that the patient can be treated safely at home and enroll them in HealthCall Remote Patient Monitoring for follow-up.

This workflow shows how HealthCall unites telehealth, AI screening, and RPM into a single experience that fulfills RHT objectives: expanding access, reducing low-acuity ED visits, and modernizing rural EMS through smart, connected care.

Supporting Workforce Sustainability and System Resilience

The RHT emphasizes strengthening the rural EMS workforce through technology adoption, training, and data-driven improvement. HealthCall helps agencies achieve these goals by:

  • Reducing operational complexity with intuitive, app-free tools.
  • Streamlining documentation, data sharing, and reporting.
  • Providing scalable solutions that standardize MIH programs statewide.

By integrating real-time outcomes, telehealth utilization data, and performance metrics, HealthCall empowers states to build the evidence base for permanent reimbursement reform and sustainable EMS transformation.

Conclusion: Powering the Future of Rural Health

The CMS Rural Health Transformation Program envisions a connected, telehealth-enabled, data-driven rural EMS system. HealthCall makes that vision achievable today.

Through One-Click Telehealth, AI-driven screening, real-time streaming vitals, and integrated remote monitoring, HealthCall equips agencies to:

  • Expand access to care in rural communities
  • Empower paramedics and clinicians with data-driven decision tools
  • Reduce preventable ED utilization
  • Build sustainable, value-based EMS systems

HealthCall is proud to power the next generation of Rural Health Transformation—connecting care professionals, communities, and technology for a stronger, healthier future.