RHTP Deployment Readiness

A pediatric platform ready for RHTP technology tracks.

MamaBear Health is a fully developed, field-tested platform that helps rural FQHCs, clinics, and Tribal health systems recognize recurring respiratory patterns in young children — developed under USDA SBIR Phase I and II, and eligible for RHTP technology-track funding.

USDA SBIR Phase I & II HIPAA-compliant Epic-compatible Consumer-facing & provider-led Provider owns the data
Developed under USDA SBIR Phase I & II  ·  Built for rural and Tribal communities  ·  The clinician interprets — MamaBear captures and presents
6–8
respiratory illnesses per year in young children
AAP / pediatric primary care literature
~⅔
of children with repeated symptoms face a delayed asthma diagnosis
Mayo Clinic birth-cohort studies
3.3yr
median delay between symptom onset and asthma diagnosis
Wi et al., JACI Global, 2025
25–75%
of the time the child is asymptomatic at the clinic visit
MamaBear clinician survey, 2022

The pattern exists. A single visit just can’t see it.

Young children experience six to eight respiratory illnesses each year — mostly viral. But when a child has the same symptoms again and again, the pattern that would explain it is rarely in front of the clinician at any single visit: the child is usually well by the appointment, and the parent’s account arrives scattered and easily dismissed. Asthma — the most common chronic condition of childhood — affects more than six million U.S. children, yet it is commonly recognized only after years of repeated episodes.

Rural and Tribal communities face this most acutely. More than 60% of U.S. counties are designated Health Professional Shortage Areas, many lack a practicing pediatrician, and families often travel hours for care. Limited subspecialty access, delayed follow-up, and unreliable broadband mean the children who would benefit most from earlier recognition are the hardest to reach with conventional video telehealth.

What rural pediatrics needs is a right-sized, broadband-flexible way to bring the home picture to the clinician — so recurring patterns are recognized earlier, while care stays local and clinician-led.

  • Recurring respiratory illnesses that no single visit assembles into a pattern
  • Children who are usually well by the time of the appointment
  • Parents’ observations arriving scattered and easily dismissed
  • Treatable conditions — asthma, allergy, reflux — recognized late
  • Rural and low-bandwidth families that video telehealth cannot reach
  • Antibiotic decisions made without structured symptom documentation

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

MamaBear is a HIPAA-compliant mobile platform that captures a parent’s structured observations of a child’s respiratory illness for the clinician to read at the visit. The clinician interprets and decides — MamaBear does not diagnose, score, or alert.

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 summaries delivered by secure weblink to nurses, PCPs, or Tribal health aides through an existing EHR inbox or secure email. No portal login. No vendor lock-in. No IT build.

Read inside the existing visit

The clinician reviews the summary (2–3 minutes) as part of the in-person visit already taking place — no monitoring queue, no after-hours obligation. The clinician interprets and decides.

Low-bandwidth and offline capable

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

Epic and Cerner compatible

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

Parent education and continuity

In-app, clinician-reviewed education for RSV, fever, croup, and respiratory illness, developed with pediatric specialists. Well-visit reminders support continuity between episodes.

Not just a snapshot — a longitudinal record.

After the initial check-in, parents submit follow-up assessments across an episode. Every entry is time-stamped and retained for seven years, giving the clinician a complete record of how the illness progressed and how the child responded to treatment — the longitudinal context a single visit cannot provide. The clinician reads the trajectory and draws the conclusions; MamaBear assembles and presents it.

What each follow-up captures

  • Full symptom reassessment across tracked conditions
  • Updated temperature and fever trend
  • Updated 15-second breathing video when relevant
  • Per-symptom change: none / somewhat / moderate / resolved
  • Activity level, hydration, feeding, and sleep quality

Medication response at each interval

  • Fever reducers — acetaminophen and ibuprofen
  • Bronchodilator — given, and the breathing response
  • Oral corticosteroids — prednisolone, dexamethasone
  • Inhaled corticosteroids — fluticasone, budesonide
  • Antibiotics — type, dose, and day-by-day response
Seven-year, time-stamped, HIPAA-compliant records, with data ownership retained by the participating health system — EHR-deliverable, and a durable source for the clinician’s management of recurrent respiratory illness and antibiotic stewardship.

Built for RHTP from the ground up.

MamaBear is a consumer-facing, provider-led digital health tool that supports patients between visits and reinforces clinician-led care — aligned with state RHTP technology tracks, including Nevada’s RHIT Track 3.

Consumer-facing & provider-led

Track 3 by design

Supports engagement and chronic-disease recognition between visits. Does not diagnose, score, or operate independently of clinician oversight — the exact requirement of consumer-facing technology tracks. PHI is not used to train algorithms.

Telehealth capability

Low-bandwidth access

Asynchronous, store-and-forward capture reaches rural and frontier families that real-time video telehealth cannot — no travel, no appointment, no live telehealth infrastructure.

Interoperability

Standards-based, no lock-in

HL7 FHIR-based, secure data exchange with optional EHR integration. The provider owns the data and workflow and is never locked into a single vendor — and no new state IT infrastructure is required.

Designed to outlast the grant.

Operational

Fully developed and field-tested in rural workflows. Standardized onboarding lets new sites launch quickly with minimal IT support.

Technical

Secure, cloud-based, HIPAA-compliant infrastructure with encrypted data exchange and automatic updates — no new infrastructure or staff burden.

Transferable

A replicable methodology, not a one-off. What’s learned at one rural site can inform others facing the same recurring-respiratory challenge.

Workforce-light

The read happens inside the existing visit — no monitoring queue, no callbacks, no after-hours load added to thin rural staffing.

Scalable

Interoperable via FHIR or secure email; scales across rural and Tribal networks statewide. Offline capture ensures access regardless of connectivity.

CHRA-aligned

Complements the Collaborative for Healthy Rural America by converting national priorities into practical, measurable rural results.

A grant-funded pilot, then sustained by value

RHTP funding sets up and tests the methodology at no cost to the clinic’s margin, with the provider as applicant and owner. At scale, sustainability comes from payers who capture the savings of earlier recognition — through value-based or per-member-per-month care-management arrangements — not from a fee the clinic or family pays.

Implementation specifics.

HIPAA
All PHI encrypted in transit (TLS 1.2+) and at rest. BAAs in place with all vendors.
Platform
iOS and Android parent app; secure weblink for clinician review on any computer.
EHR
No required EHR integration; optional Epic/MyChart via HL7 FHIR.
Connectivity
Validated in LTE environments (1–2 Mbps upload). Offline capture with auto-upload.
Data
7-year, time-stamped, HIPAA-compliant storage. Ownership retained by the health system. PHI not used to train algorithms.
Deployment
Technical setup within 24 hours of signed BAA; onboarding within 2–3 weeks. Two-hour remote clinical training and SOPs included.
Governance
Suitable for individual clinics, multi-site FQHCs, Critical Access Hospitals, and Tribal systems.

Aligned — and built for partnership.

State program officers, FQHCs, and Tribal health organizations can request our implementation plan and capability statement. The provider leads as applicant; MamaBear is the technology partner.

mamabear@loonmd.com  ·  (612) 868-0073

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