The increasing complexity of healthcare and shortage of clinical specialists needs to be addressed through communication, collaboration and coordination of resources to ensure timely delivery of clinical expertise. Remote Presence is a next generation telemedicine technology platform which combines the power of robotics, wireless, and the internet to enable hospitals and physicians to bring the right care to the right patient at the right time. For example, Remote Presence has been successfully implemented in a hub and spoke model allowing stroke neurologists at a stroke center of excellence to provide the spoke hospital staff with patient consultation and training services. The results are improved geographical reach of stroke specialist care throughout the region with significant impact on patient outcomes as well as improved alignment with established care standards and best practices.