Eko Blog

Granville Vance Telemedicine Case Study

Dr. Shauna Guthrie, Medical Director at Granville Vance Public Health is the sole physician providing primary care at four clinics in North Carolina. Dr. Guthrie leverages clinic-clinic telemedicine across each location so she can coordinate with her nursing staff and midwife to provide virtual care and assess patients from any location, even though she might not be physically there.

How Telemedicine is Deployed

The deployment at Granville Vance is a common hub and spoke telemedicine model, where the hub location is any clinic Dr. Guthrie is working for the day. Each clinic is outfitted with the correct telemedicine technology allowing for a virtual consultation at a moments notice. Eko Software is intended to maintain a connection with the CORE Digital Stethoscope and will continue streaming even when used in the background of a video conference service like Doxy.me. This feature allows for easy transition between applications during Granville’s visits, ensuring that they never lose connection and maintaining the fidelity of the live stream’s audio quality.

Their telemedicine deployment includes:

  • Doxy.me Telemedicine & Video Solution
  • Apple iPads
  • Eko CORE Digital Stethoscope
  • Eko Software for iOS
  • Eko Live Stream License


Granville Vance clinics are staffed with enhanced role nurses who provide well-child checks. Before deploying telemedicine, if something abnormal was identified during a checkup, patients often had to book a second visit on a different day to with the doctor. Telemedicine enables Dr. Guthrie to direct an examination of a patient’s cardiopulmonary system in real-time. With Eko, Dr. Guthrie can easily determine the type and severity of a murmur or wheeze and address it right then with accurate advice and often reassurance to the family and/or a referral to a specialist. Adoption of telemedicine at the clinic is still growing, and the times they use it have been useful and is a billable service. Only a few visits a year would make this system cost-effective.

At Granville Vance Public Health we can increase access to primary care services without increasing staffing costs. This allows staff to feel satisfied they have provided for a patient’s needs and avoids the risk of a no-show for their primary care visit which results in even more staff time used following up with the family and rescheduling.

– Dr. Shauna Guthrie



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Learn more about how Eko can be incorporated into your telemedicine workflow.