In 2025, Digital Health advanced scalable, patient-centered care across our systemturning technology into meaningful outcomes. We expanded virtual care, enhanced real-time engagement, and equipped both patients and clinicians with tools that improved access, efficiency, and care quality.
Key Highlights:
Expanded virtual visits to improve access and continuity of care
Delivered patient education at the right time, empowering patients to take an active role in their health
Enabled real-time engagement in acute care, improving communication and outcomes
Streamlined workflows to reduce administrative burden and improve clinician efficiency
Built a strong foundation for 2026, with several initiatives slated to launch next year for greater scale, impact, and access.
Digital Health is not just technologyit's a system-wide driver of smarter, more connected care.
TABLE OF CONTENTS
PAGE 4: CERIBELL
PAGE 5: VIRTUALSPECIALTYCONSULTS
PAGE 6: DIGITALHEALTH PROVIDER SURVEY
PAGE 7: MOBILE HEALTH VAN
PAGE 8: VIRTUALVELOCITYCARE
PAGE 9 - 10: HOME EXAM KITS
PAGE 11: PATIENTEDUCATION
PAGE 12: PATIENTSATISFACTION
PAGE 13: INTERESTING FACTS
PAGE 14: ONTHE HORIZON
PAGE 15:THANKYOU
PAGE 16: RESOURCES
CERIBELL
Implementing Ceribell’s AI seizure detection enables faster treatment decisions that improve outcomes and reduce admissions, transportation needs, and resource strain across our health system.
Ceribell uses an AI-powered recorder to provide instant feedback for patients experiencing significant seizure activity. This real-time data supports clinicians in making faster, more informed treatment decisions.
Key benefits include:
Fewer hospital admissions, creating more bed availability
Less reliance on patient transportation services
Improved emergent care access closer to home
Between September 2024 and June 2025, Ceribell was used 135 times at NRV and 31 times at Franklin, avoiding 28 transfers and generating $154,000 in additional revenue.
This technology has been implemented at the following facilities:
Carilion New River Valley Emergency Department (CNRV)
In the summer of 2025, the Digital Health Team conducted a survey among emergency and inpatient providers at our community hospitals. The survey aimed to understand the most widely used services, identify barriers to using these services, assess the benefits seen by patients, and determine what additional services might be beneficial.
The responses were overwhelmingly positive, with most doctors indicating significant value in having these services available to their patients.
85% of providers surveyed use virtual care at least weekly in their practice.
The top services utilized in the last 60 days were Neurology (routine & emergent), Behavioral Health, and Infectious Disease.
91% of providers (30 out of 33) indicated that utilizing virtual care provided benefits to their practice and their patients.
MOBILEHEALTHVAN
The Mobile Health Van expands access to care by bringing in-person and virtual clinical services directly to patients’ homes, reducing barriers to follow-up care and improving health outcomes in the community
The Mobile Health Van continues to travel to patients’ homes to provide in-person clinical care and telemedicine visits with an APP. The Mobile Health Unit connects with the virtual APP two days per week (Monday and Thursday).
In FY25, 193 visits were completed, representing a 179% increase from the prior year. In FY26, the Mobile Health Van will expand to include nurse-only visits for labs, blood pressure checks, and patient education. Primary Care providers will be the first to refer patients to this program, followed by patients in Carilion Infectious Disease and Oncology.
VIRTUALVELOCITYCARE
Transitioning CarilionNow to a unified same-day urgent care model streamlines scheduling, reduces platform complexity, and strengthens continuity of care while improving efficiency, cost savings, and provider satisfaction
In 2025, Digital Health partnered with Emergency Department and VelocityCare leadership to transition CarilionNow (CN) ondemand urgent care video visits into a new model of same-day scheduled visits with VelocityCare and ED providers.
The project scope shifted in August to focus on billing workflows and employee discount structures, while the broader scheduling transformation was consolidated with the On My Way initiative to streamline urgent care access. Working in collaboration with the Technology Services Group (TSG), this effort supports optimization of patient scheduling through walk-in and virtual visits, enhances queue management reduces pre-appointment paperwork
By ensuring provider alignment within Carilion systems, the transition strengthens continuity of care reduces the number of telehealth platforms in use drives patients to self-scheduling within Epic.
The retirement of CarilionNow and discontinuation of thirdparty Amwell providers demonstrate strong financial stewardship and a shared commitment between Digital Health, VelocityCare, and the Emergency Department to bring care fully in-house, allowing Carilion physicians to deliver virtual care directly to patients.
HOMEEXAMKITS
VIRTUALISTTYTOHOME
The TytoHome program expands access to high-quality virtual care by enabling clinician-guided exams from home, reducing unnecessary in-person visits, and improving patient and provider satisfaction
Carilion partnered with TytoCare to pilot TytoHome exam kits, allowing patients to perform clinician-guided physical exams from home. These FDA-cleared kits capture ears, lungs, heart, throat, skin, abdomen, and temperature.
The FP Virtualist TytoHome Program launched at ten FCM clinics, with 1,020 devices claimed. In the first six months, 51 patients completed visits, and 86% avoided in-person follow-ups within seven days. Our current Net Promoter Score is 73 for patients and 100 for providers, both exceeding the target of 70.
Patients praised the program: “I’m so excited to have gotten the opportunity to use this as I don’t have transportation. It was easy, fast, and very accurate.” Click to view video interview with patient.
Clinicians noted the benefit: “Tyto allows us to perform comprehensive physical exams virtually, improving both the clinician and patient experience.” Click to view video interview with provider.
Nearly 60% of patients preferred TytoHome over in-person care, and almost 80% favored it over other telehealth platforms, highlighting strong satisfaction and enhanced virtual exam capabilities.
HOMEEXAMKITS
VELOCITYCARETYTOPRO
Deploying TytoPro kits at Velocity Care locations improves access to timely tele-triage and telemedicine, reducing wait times, increasing patient throughput, and enhancing both patient and provider experience.
TytoPro exam kits were deployed to all seven Velocity Care locations to offer tele-triage and in person telemedicine visits.
The first month of the program, telemedicine coverage was staffed by one full-time APP, who would cover 12-hour shifts. Flex clinicians were asked to provide additional coverage by the second month due to the high volume of patients utilizing the service. A second full-time provider is expected to begin FY26Q1.
86 patients were discharged from VC following a TytoPro telemedicine visit in August (17 days of APP coverage).
100 patients were discharged from VC following a TytoPro telemedicine visit in September (10 days of APP coverage).
This reduces wait time and increases patient volume. Overall, patient and provider feedback is positive.
PATIENTEDUCATION
Enhancing patient education with Mytonomy delivers timely, condition-specific content that improves comprehension, adherence, and preparation for procedures, supporting better outcomes and continuity of care across the enterprise.
In 2025, Mytonomy expanded patient education at Carilion Clinic especially within the Carilion Cardiovascular Institute—by delivering automated, condition-specific video modules through MyChart Bedside for cardiology, radiology, and colonoscopy patients.
This approach improved patient comprehension increased adherence significantly reduced day-of-service colonoscopy cancellations due to poor preparati
With an operating marg colonoscopy, reducing resulted in a cost avoid demonstrating both cli impact.
In FY26, Mytonomy’s automated video education will expand to include chronic condition management for:
Diabetes
Chronic Kidney Disease (CKD)
Chronic Obstructive Pulmonary Disease (COPD)
Written education will also be integrated into patient workflows to complement videos and support multimodal learning. These enhancements will improve continuity of care, patient comprehension, compliance, and outcomes across the enterprise.
PATIENTSATISFACTION
Press Ganey Survey’s are given after a virtual visit. This survey asks several questions about patients experience throughout the process. We are then able to gauge if the patient was satisfied with certain aspects of the visit.
“Bad weather.... Virtual option was welcomed! Thank you for working with me and my schedule”
“Virtual visit saved me from the time and expense of making a 130 mile round trip!”
“I love the my chart online visits. It takes over an hour to get to the office and I don't travel to good, so it is perfect for me.”
“I was able to sit at home and listen 100%..”
Overall Reaction of Patients
INTERESTINGFACTS
Over 52,000 virtual visits were scheduled
753 unique providers conducted virtual visits
Providers spent approximately 15-30 minutes with each patient, giving them the same attention as an in-person visit
Top departments utilizing virtual visits:
Psy Behavioral Medicine
Adult
Child Adolescent
St Albans
FP Virtualist
Peds Child Development
Neurology
VIRTUALISTPROVIDERS
Over 4,300 patients were seen by a FP Virtualist
Over 40 patients were seen by a Pediatric Virtualist (service launched May 2025)
Over 3,300 visits were conducted on the same day
Over 1,100 visits were conducted the following days
Top diagnosis: Sinus infection
Bronchitis
Sore throat
ONTHEHORIZON
VirtualNursing-AvasureEpisodic:
We are evaluating two-way camera functionality at Crystal Spring Tower to enhance the efficiency and impact of our virtual nursing services.
As we reflect on the past year, we want to extend our heartfelt thanks for your engagement, collaboration, and trust. Your willingness to embrace new digital health initiatives has been instrumental in bringing innovative projects to life and improving patient care across our organization.
We deeply appreciate your openness, feedback, and dedication as we navigated these new technologies together. Your partnership has made a real difference, and we look forward to continuing this journey in the year ahead.
