While we are satisfied some with our successes to date, we also realize that still more improvement is required. The goal is to make tele-medicine a viable health opportunity for rural community.
While we have invested in some of the necessary technology, further work and investment is needed to reach a point where the telemedicine works perfectly helping to address the shortage of doctors in the rural clinics. The major investment required for telemedicine is

 The Centers for Medicare and Medicaid Services (CMS) define the distant site as the telehealth site where the provider/specialist is seeing the patient at a distance or consulting with a patient’s provider. Others common names for this term include – hub site, specialty site, provider/physician site and referral site.
Originating Site:CMS defines originating site as the site where the patient and/or the patient’s physician is located during the telehealth encounter or consult. Other common names for this term include – spoke site, patient site, remote site, and rural site.