RHTP Deployment Readiness

Shovel-ready for RHTP deployment.

MamaBear Health is a fully developed, field-tested pediatric telehealth platform for rural EDs, FQHCs, and Critical Access Hospitals — developed with USDA support, deployable in 2–3 weeks, and eligible for RHTP grant funding in all 50 states.

USDA SBIR-funded HIPAA-compliant Epic-integrated 2–3 week deployment RHTP grant eligible
RHTP Rural Health Transformation Program
1 in 4
parents misunderstand discharge instructions
Glick et al., J Pediatr, 2019
1 in 5
publicly insured children get any follow-up within 7 days
Ramgopal et al., Acad Emerg Med, 2023
4%
return to the ED within 72 hours
Goldman et al., PMID 21878830
83%
of returning children discharged again — it was avoidable
Goldman et al.

The discharge gap is where outcomes are determined.

Across the United States, rural and frontier families often travel two to four hours for same-day pediatric care. More than 60% of U.S. counties are designated Health Professional Shortage Areas, and many lack a practicing pediatrician. Young children experience six to eight respiratory or febrile illnesses each year — mostly viral — but a majority of parents seek care within 24 hours of symptom onset.

This leads to avoidable emergency department visits, unnecessary antibiotics, and preventable healthcare costs. Asthma — the most common chronic condition of childhood — affects more than six million U.S. children and is a leading cause of emergency visits and missed school days. Rural and Tribal communities face even greater challenges: limited subspecialty access, delayed follow-up, and fewer care coordination resources increase the risk of uncontrolled asthma and repeat hospitalizations.

Families in rural, Tribal, and frontier regions need right-sized, sustainable, broadband-flexible telehealth solutions that support both timely acute assessment and ongoing chronic-condition management while preserving local continuity of care.

What MamaBear addresses

  • The 72-hour post-discharge window with no clinical safety net
  • Parents turning to Google, WebMD, or ChatGPT for clinical guidance
  • Avoidable ED returns that consume staff with no additional revenue
  • Repetitive nurse callbacks with no structured data capture
  • Early asthma risk going undetected without longitudinal breathing data
  • Well-visit gaps widening with no reminder or follow-up pathway
  • Antibiotic overuse from lack of structured symptom documentation

A right-sized, asynchronous pediatric platform for rural and Tribal care.

MamaBear Health is a HIPAA-compliant, EHR-integrated mobile health platform that enables early, data-informed triage of respiratory illness and chronic conditions such as asthma. Parents capture symptom data and short videos for asynchronous clinician review. Providers receive structured triage reports via secure weblink or encrypted email — no portals, no logins, no IT build required.

Consumer-facing mobile app

iOS and Android. Parents complete structured check-ins including a 15-second breathing video — capturing clinical-quality data at home, in the moment, not recalled later.

Asynchronous store-and-forward delivery

Structured reports delivered via secure weblink to nurses, PCPs, or Tribal health aides through existing EHR inbox or secure email. No portal login. No vendor contract. No IT build.

Right-sized escalation pathway

Nurse-first triage (2–3 minute reviews) → PCP local management → subspecialist only when needed. Reduces unnecessary referrals and preserves rural clinic capacity.

Low-bandwidth and offline capable

Validated in LTE environments down to 1–2 Mbps. Offline data capture with automatic upload once connected — reliable in the most remote rural and Tribal settings.

Epic and Cerner compatible

Built on HL7 FHIR for seamless Epic/MyChart integration. Operates via secure email for clinics not yet equipped for EHR integration — no infrastructure required.

Parent education and continuity

In-app clinician-reviewed education library for RSV, fever, croup, and respiratory illness — developed with five pediatric specialists. Well-visit reminders to close the preventive care gap.

Key clinical differentiator

Not just a snapshot — a complete longitudinal record.

After the initial check-in, parents submit follow-up assessments at clinically meaningful intervals — minutes, hours, and days. Every entry is time-stamped and retained for 7 years, giving the provider a complete timeline of the child’s illness progression, medication response, and recovery. This is what separates MamaBear from every other pediatric telehealth tool.

What each follow-up captures

  • Full symptom reassessment across all tracked conditions
  • Updated temperature and fever trend
  • Updated 15-second breathing video when respiratory symptoms present
  • Improvement assessment per symptom: No Improvement / Somewhat / Moderately / Resolved
  • Activity level, hydration, feeding, and sleep quality

Medication tracking at every interval

  • Fever reducers — acetaminophen / paracetamol and ibuprofen, dose and timing
  • Albuterol — whether given and whether breathing improved
  • Oral corticosteroids — prednisolone, dexamethasone
  • Inhaled corticosteroids — fluticasone, budesonide
  • Antibiotics — type, dose, and day-by-day response

7-year HIPAA-compliant, time-stamped records — retained with data ownership by the participating health system. Legally defensible, EHR-deliverable, and directly supports antibiotic stewardship, asthma management, and quality metric reporting.

Built for RHTP from the ground up.

(C)

Consumer Technology Solutions

Deploys a HIPAA-compliant, consumer-facing mobile app enabling parents to record structured symptom data and short videos for asynchronous clinical review. Longitudinal follow-up tracking with medication response monitoring directly advances chronic disease management — including asthma — and reduces preventable hospitalizations in rural and Tribal communities.

Parent-facing iOS and Android app — no clinical training required
Clinician-reviewed education content reduces reliance on online misinformation
Subscription-based structure supports long-term sustainability beyond initial RHTP funding
(D)

Training and Technical Assistance

Provides standardized onboarding, workflow setup, and state-specific SOPs for clinicians and administrators, paired with public-facing education materials that reinforce consistent clinical messaging statewide. Subspecialist-led training supports right-sized triage across nurses, PCPs, and pediatric subspecialists.

Two-hour remote clinical training included
Builds local capacity — reduces dependence on external consultants
Uniform escalation and referral practices across rural and frontier networks
(F)

Information Technology Modernization

Creates a secure, HIPAA-compliant data-exchange infrastructure using encrypted weblinks that integrate with existing EHRs (Epic/MyChart) or secure email. Supports offline data capture with automatic upload and 7-year encrypted record retention — ensuring resilience and interoperability in low-bandwidth environments.

No new state IT infrastructure required
Structured, reportable pediatric follow-up data for quality-improvement reporting
Supports RHTP’s goal of statewide data modernization without new administrative burden

Designed to outlast the grant.

Operational sustainability

Fully developed, field-tested in rural workflows. Standardized onboarding and integrated clinical workflows allow new sites to launch quickly with minimal IT support.

Financial sustainability

Low setup costs, reimbursement alignment with store-and-forward telehealth codes, and measurable reductions in avoidable returns make the platform self-sustaining beyond initial implementation. Break-even at 1 in 12 avoidable returns prevented from year 2.

Technical sustainability

Secure, cloud-based servers with HIPAA compliance, encrypted data exchange, and automatic updates — clinics stay compliant without new infrastructure or staff burden.

Workforce sustainability

Right-sized care model routes cases across nurses, PCPs, and subspecialists — reducing burnout, preserving local capacity, and ensuring timely care from the right provider.

Scalability

Built for interoperability with Epic/MyChart or secure email. Scales across rural and Tribal networks statewide. Offline data capture ensures equitable access regardless of connectivity.

CHRA alignment

MamaBear complements the Collaborative for Healthy Rural America (CHRA) by providing a field-tested, HIPAA-compliant, broadband-flexible platform that converts national priorities into practical, measurable results.

Measurable outcomes from day one.

Right-sized care decisions

Fewer unnecessary emergency transfers and better allocation of local clinic capacity through early, data-informed triage and longitudinal outcome tracking.

Reduced antibiotic overuse

Structured symptom documentation, medication response tracking, and asynchronous review support evidence-based prescribing and lower antibiotic misuse rates.

Improved care continuity

Families remain connected to their local clinic through longitudinal check-ins, integrated communication, and well-visit reminders.

Asthma risk identification

Longitudinal tracking of noisy breathing episodes with automated provider alert after 4 episodes — a validated asthma risk indicator (Modified Asthma Predictive Index).

Expanded telehealth access

Store-and-forward workflows operate in low-connectivity settings, strengthening rural and Tribal telehealth infrastructure without live telehealth requirements.

Scalable statewide deployment

Ready for phased deployment across rural networks. Structured, reportable data supports quality-improvement reporting for state and clinic administrators.

See exactly how MamaBear fits your state’s RHTP plan.

Every state received RHTP funding in December 2025. Tap your state to see your state’s specific RHTP initiatives and where MamaBear fits — sourced directly from CMS state project abstracts.

Active outreach
CMS abstract sourced
Partially researched
RHTP framework

Deployment in 2–3 weeks. No new IT required.

MamaBear is fully developed for rural clinical workflows. Deployment can begin within 24 hours of signed BAA and reaches full clinical operation within 2–3 weeks.

  • 1Sign BAA — technical deployment begins within 24 hours
  • 2Two-hour remote clinical training for nursing and provider staff
  • 3SOPs, clinical pathways, and reference guides delivered
  • 4EHR integration configured (Epic/MyChart) or secure email pathway set up
  • 5Full clinical operation — 2–3 weeks post-BAA
All-in year 1 cost: $9,500 — covers implementation and platform access (up to 300 eChecks). RHTP grant eligible in all 50 states. $4,500/year thereafter.

Technology specifications

HIPAAFully compliant — TLS 1.2+ in transit, encrypted at rest
PlatformiOS and Android parent app; secure weblink for clinician review
EHREpic/MyChart via HL7 FHIR — or secure email, no integration required
BandwidthValidated at 1–2 Mbps LTE; offline capture with auto-upload
Retention7-year HIPAA-compliant, time-stamped storage
Data ownershipRetained by participating health system
GovernanceIndividual clinics, FQHCs, Critical Access Hospitals, Tribal systems

Aligned — and built for action.

Interested state program officers, health systems, FQHCs, and Tribal health organizations can request our full implementation plan, capability statement, and pricing.

MamaBear Health is developed by Loon Medical, LLC — a USDA SBIR awardee and HIPAA-compliant telehealth innovator.
Phase I award: “Smartphone Application for collection of clinical-quality respiratory signs and symptoms.” USDA NIFA, Award Year 2022, No: 2022-33530-37069.
Phase II award: “Bridging The Gap: A HIPAA-Compliant, EHR-Integrated Mobile Health App To Enhance Pediatric Respiratory Care Access In Rural and Tribal Areas.” USDA NIFA, Award Year 2024, No. 2024-04749.
Recipient of Minnesota DEED / Launch Minnesota Innovation Grants, 2022, 2024.

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