Stroke App:Spoke is a mobile application which initiates emergency call with a single click and enables providers to assess and monitor stroke patients. The solution includes internet audio and video call, secure text and customizable rules with capability to broadcast messages and group calls. Doctor will receive call on TiaTele Doctor mobile application based on on-call schedule. Physician scheduler is integrated for the 1st on call and 2nd on call doctors Vascular and Interventional Neurology doctors. Hardware devices includes Telemedicine cart with IP camera, iMac and various wrireless medical equipments. The stroke workflow guides the physicians through NIH Stroke Scale assessment and stroke protocol chart as guidelines for diagnosing and making treatment decisions. Patient status with time tracking from ‘Last Known Well’ and ‘Door-to-Needle Time’ is shown for analyzing the stroke protocol execution efficiency.