Where federal investment meets the point of need.

Designed for the agencies that hold the award and answer for the outcomes.

RHTP funding flows through states, and states are accountable for what gets built with it. CMS sets the reporting bar, legislatures set the political bar, and the rural facilities and communities that need to feel a difference inside five years set the operational bar.

Dr Triage is structured to scale across many sites under one program: one platform, one EMR of record, one set of outcome definitions, ready for Critical Access Hospitals, Tribal facilities, rural sites, and EMS systems within the same state plan. That gives state administrators a coherent story to tell CMS and a defensible data set to back it.

Adding 24/7 acute-care capability without adding FTEs.

CAHs operate on margins that don’t tolerate a bad month and coverage that doesn’t tolerate a bad shift. The Sheps Center’s count of 195 rural hospitals closed or converted since 2005 is a reminder that survival often comes down to a single category of acute case a facility cannot safely manage on-site.

Dr Triage is designed to fill that gap without adding headcount. The MDU brings diagnostics into the facility, virtual providers join every acute encounter on secure video, and documentation flows into the Dr Triage EMR in real time. Acute cases that would have been transferred can be evaluated, clinically supported, and often managed locally, supporting both the clinical mission and the volume that keeps a CAH viable.

A care model that works where staffing won’t.

The Indian Health Service carries a provider vacancy rate near 25 percent across its direct-care areas, with some sites above 30. The constraint is geography: remote locations, limited housing, and a specialist shortage that recruitment alone has not closed. The patients waiting for care cannot wait for it to close.

Dr Triage is built to operate where staffing won’t catch up. On-site MDU diagnostics let local staff assess and document acute presentations decisively, and 24/7 virtual provider oversight on secure video means the clinical support a community needs no longer depends on recruiting providers to relocate to it. The platform is designed to respect tribal sovereignty and IHS clinical governance, with all clinical decisions made by licensed providers credentialed to serve the community.

Intercepting the transport before it starts.

Rural EMS crews face the longest response times and the longest transports in the country, with high-acuity calls often running well over an hour and a half end to end. By the time a crew is on scene, the decision is often binary: transport to a distant facility, or leave the patient without an assessment that could change their day.

Dr Triage gives the crew a third option. The MDU can support community paramedicine and treat-in-place programs with an on-site diagnostic encounter and virtual provider oversight, backing the crew’s judgment in real time. The patient gets a documented evaluation, the model is designed to reduce transports the system did not need to make, and the data flows into the Dr Triage EMR to support the outcome reporting RHTP grantees must produce.