Selected telehealth publications by members of the Rural Telehealth Research Center:


  • Natafgi N, Mohr NM, Wittrock A, Bell A, Ward MM. The association between telemedicine and emergecy department (ED) disposition: A stepped wedge design of an ED-based telemedicine program in critical access hospitals. The Journal of Rural Health. April 24, 2019.
  • Weigel PA, Merchant KAS, Wittrock A, Kissee J, Ullrich F, Bell A, Marcin J, Ward MM. Pediatric tele-emergency care: A study of two delivery models. Journal of Telemedicine and Telecare. April 9, 2019.
  • Mohr NM. Chapter: Telemedicine for the early treatment of sepsis. In book Telemedicine in the intensive care unit. (Koenig MA, Ed.). April 2019.


  • Ward MM, Merchant KAS, Carter KD, Zhu X, Ullrich F, Wittrock A, Bell A. Use of telemedicine for ED physician coverage in critical access hospitals increased after CMS policy clarification. Health Affairs. 37:12 (2018).
  • Shea CM, Turner K, Tabriz AA, North S. Implementation strategies for telestroke: A qualitative study of telestroke networks in North Carolina. Telemedicine and e-Health. September 7, 2018.
  • Talbot JA, Burgess AR, Thayer D, Parenteau L, Paluso N, Coburn AF; Patterns of telehealth use among rural Medicaid beneficiaries. Journal of Rural Health. October 4, 2018
  • Mohr NM, Young T, Harland KK, Skow B, Wittrock A, Bell A, Ward MM. Telemedicine is associated with faster diagnostic imaging in stroke patients: A cohort study. Telemed J E Health. 2018 Jun 29. doi: 10.1089/tmj.2018.0013.
  • Rising KL, Ward MM, Goldwater JC, Bhaglanadh D, Hollander JE. Framework to advance oncology-related telehealth. DOI: 10.1200/CCI.17.00156  JCO Clinical Cancer Informatics - published online June 29, 2018
  • Shea CM, Tabriz AA, Turner K, North S, Reiter KL Telestroke ddoption among community hospitals in North Carolina: A cross-sectional study. J Stroke Cerebrovasc Dis. 2018 May 18. pii: S1052-3057(18)30208-8. doi: 10.1016/j.jstrokecerebrovasdis.2018.04.032.
  • Mohr NM, Vakkalanka JP, Faine BA, Skow B, Harland KK, Dick-Perez R, Fuller BM, Ahmed A, Simpson SQ. Serum anion gap predicts lactate poorly, but may be used to identify sepsis patients at risk for death: A cohort study. J Crit Care 2017. April 2018.
  • Akhtar M, Van Heukelom PG, Ahmed A, Tranter RD, White E, Shekem N, Walz D, Fairfield C, Vakkalanka JP, and Mohr NM.Telemedicine physical examination utilizing a consumer device demonstrates poor concordance with in-person physical examination in emergency department patients with sore throat: A prospective blinded study. Telemedicine and e-Health.
  • Natafgi N, Shane D, Ullrich F, MacKinney C, Bell A, Ward M. Using tele-emergency to avoid patient transfers in rural emergency departments: An assessment of costs and benefits. Journal of Telemedicine and Telecare. 2018. 24(3):193-201
  • Mohr NM, Young T, Harland KK, Skow B, Wittrock A, Bell A, and Ward MM. Emergency eepartment telemedicine shortens rural time-to-provider and emergency department transfer times. Telemedicine and e-Health. January 2018, ahead of print.




  • Ward MM, Ullrich F, Potter A, MacKinney AC, Kappel S, Mueller KJ. Factors affecting staff perceptions of tele-ICU service in rural hospitals. Telemedicine and e-Health, 21(6): 1-8, 2015
  • MacKinney AC, Ward MM, Ullrich F, Ayyagari P, Bell A, Mueller KJ. The business case for tele-emergency. Telemedicine and e-Health. 21(12):1005-1011, 2015.
  • Ward MM, Jaana M, Natafgi N. Systematic review of telemedicine applications in emergency rooms. International Journal of Medical Informatics, 84:601-616, 2015.
  • Merchant K, Ward MM, Mueller K, (2015). Hospital views of barriers to telemedicine adoption RUPRI Center for Rural Health Policy Analysis - Rural Policy Brief, 2015-5.
  • Gale J, Lambert D. Exploring the business case for children's telebehavioral health. Washington, DC: The Technical Assistance Network for Children's Behavioral Health, The Institute for Innovation & Implementation; March 2015. Brief.
  • Lambert D, Gale J, Hartley D, Croll Z, Hansen A. Understanding the business case for telemental health in rural communities. J Behav Health Serv Res. Dec 22, 2015.


  • Potter A, Mueller KJ, MacKinney AC, Ward MM. The effect of tele-emergency services on recruitment and retention of rural healthcare providers. Rural and Remote Health. 14: 2787, 2014 (Online)
  • Ward MM, Ullrich F, Mueller KJ (2014). Extent of telehealth use in rural and urban hospitals RUPRI Center for Rural Health Policy Analysis - Rural Policy Brief, 2014-4.
  • Shea, CM; Teal, R; Haynes-Maslow, LM; McIntyre, MR; Weiner, BJ; Wheeler, SB; Jacobs, SR; Mayer, DK; Young, MD; Shea, TC. Assessing the feasibility of a virtual tumor board program: a case study. Journal of Healthcare Management. 59(3): 177-194. PMC4116610. 2014.
  • North SW, McElligot J, Douglas G, Martin A. Improving access to care through the patient-centered medical home. Pediatr Ann. 2014;43(2):e33-e38. doi:10.3928/00904481-20140127-08.


  • Mueller KJ, Potter AJ, MacKinney AC, Ward MM. Lessons from tele-emergency: Improving care quality and health outcomes by expanding the care team and supporting rural care systems. Health Affairs. 33(2): 228-234, 2013.
  • Lambert D, Gale J, Hansen AY, Croll Z, Hartley D. Telemental health in today's rural health system. Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center; December 2013. Research & Policy Brief PB-51.


  • Wakefield DS, Ward MM, Loes JL, O'Brien J. A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals. JAMIA, 17, 584-587, 2010.
  • Roberts LL, Ward MM, Brokel JM, Wakefield DS, Crandall DK, Conlon P. Impact of health information technology on detection of potential adverse drug events at the ordering stage. American Journal of Health-System Pharmacy, 67, 1838-1846, 2010.
  • Wakefield DS, Ward MM, Loes J, O'Brien J, Sperry L. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. American Journal of Health-System Pharmacy, 67, 2052-2057, 2010.


  • Wakefield BJ, Ward MM, Holman JE, Ray A, Scherubel M, Burns TL, Kienzle MG, Rosenthal GE. Evaluation of home telehealth following hospitalization for heart failure: A randomized trial. Telemedicine and e-Health, 14(8), 753-761, 2008.