Rural Healthcare Transformed 

The Expertise of a Health System at Every Bedside

The Guthrie Pulse Center is a hybrid care model that puts experienced virtual clinical teams alongside bedside caregivers — creating a constant clinical presence in every unit and giving every patient access to the expertise of an entire health system. The result: safer patients, supported teams, and care that stays close to home.

The Rural Healthcare Challenge   

Guthrie serves more than 750,000 residents across 11,000 square miles of rural Pennsylvania and New York, where specialist care can be an hour away and the national nursing workforce shortage is felt in every unit, every shift.
 
This challenge required a fundamentally different approach: what if every caregiver had support and every patient had access to the expertise of the entire health system, no matter which hospital they walked into?    

How the Pulse Center Connects Care Across the System  

The Guthrie Pulse Center is a hybrid care model that integrates experienced virtual clinical teams with bedside caregivers across multiple Guthrie hospitals. Through a centralized operations hub, five core capabilities work together to create a constant clinical presence across the system, ensuring that every patient has access to specialist oversight and every caregiver has an experienced colleague within reach.
Virtual clinicians support complex decisions, verify high-risk medications and handle documentation so bedside teams can practice at the top of their license. This model doesn't replace bedside caregivers. It extends the reach of the existing workforce by connecting the expertise of an entire health system to every bedside.
 

Patient Experience

From the moment a patient connects with Guthrie – whether through EMS, a local hospital or a transfer from another facility – the Pulse Center is working for them. A virtual nurse monitors their vitals and supports the bedside team in real time. If specialty care isn't available locally, a virtual consult brings that expertise to their bedside, keeping the patient close to home instead of transferring them across the region. Care teams and family members can see and hear the virtual nurse on the screen in their loved one's room, and they report comfort knowing that someone is always there, even when they can't be. 

Video - The Patient Experience

Five Core Capabilities

Virtual ICU

Board-certified intensivists and critical care nurses with 5+ years of experience provide real-time specialist oversight across all Guthrie ICUs. They monitor vital signs, clinical decision support data, and ventilator settings through integrated two-way audio-visual communication.

Virtual Med-Surg Nursing

Virtual nurses support bedside teams with medication verification, patient and family education, sepsis monitoring, documentation, and clinical mentoring. They serve as experienced colleagues, providing guidance, a second set of eyes and relief from administrative tasks so bedside nurses can focus on hands-on patient care.

Central Telemetry

Continuous cardiac rhythm monitoring across all connected facilities, with immediate escalation protocols when changes are detected. Telemetry technicians in the Pulse Center provide systemwide coverage that ensures no alarm goes unnoticed.

AI-Powered Observation (Telesitting)

AI-enabled camera systems give virtual teams the ability to see, hear, and monitor patients in real time. Telesitters use this technology to provide continuous observation for high-risk patients, supporting fall prevention and patient safety while giving bedside staff the ability to focus on direct care. 

Transfer & Bed Coordination

A centralized team manages all patient transfers, bed placement, and care coordination across six facilities and two states, including helicopter and ground transport. Patients are matched to the right level of care at the right location, reducing unnecessary transfers and helping patients move through the system more efficiently.

Frequently Asked Questions

What is the Guthrie Pulse Center?

The Guthrie Pulse Center is a hybrid care model that integrates experienced virtual clinical teams with bedside caregivers across multiple Guthrie hospitals. Through a centralized operations hub, five core capabilities work together to create a constant clinical presence across the system, ensuring that every patient has access to specialist oversight and every caregiver has an experienced colleague within reach.

Virtual clinicians support complex decisions, verify high-risk medications and handle documentation so bedside teams can practice at the top of their license. This model doesn't replace bedside caregivers. It extends the reach of the existing workforce by connecting the expertise of an entire health system to every bedside.
 

Does virtual nursing replace bedside nurses?

No. Virtual clinicians are an additional layer of support, not a replacement for any bedside caregiver. They strengthen bedside teams by providing mentoring, documentation, second verification for high-risk medications, patient monitoring, and family communication. This allows bedside caregivers to spend more time on direct, hands-on patient care with an experienced colleague available whenever they need one. Since implementing the Pulse Center, nurse engagement scores and open nursing positions are both outperforming national averages, and nurse turnover has been cut nearly in half.

How does the model keep patients closer to home?

Through virtual consults, the Pulse Center brings specialist expertise directly to patients at their local Guthrie hospital, rather than transferring them to a larger facility. For example, 86–100% of patients needing kidney specialist care and 50–100% of patients needing pulmonary care are now treated locally. Local hospitals are better positioned to serve the full range of their community's healthcare needs, and patients receive the care they need close to home.

How does the Pulse Center improve caregiver safety?

Guthrie has deployed voice-activated security alerts through the camera systems already in patient rooms. Caregivers can notify security by speaking a specific phrase, without reaching for a phone or leaving a patient's side. The system is designed so that the phrases used do not alert the individual causing the concern, allowing security to respond without escalating the situation. Workplace violence against healthcare workers is a growing problem nationally, and this capability gives Guthrie caregivers an additional layer of protection while they provide care.

Recognized Nationally. Proven Locally.

On a recent visit to The Guthrie Clinic, Sen. Dave McCormick showed his appreciation of the new approach.

AHA outlines how Guthrie is helping to address the nursing shortage while boosting patient access and safety.

Epic outlines how Guthrie is helping to address the nursing shortage while boosting patient access and safety.

This podcast from Becker’s Healthcare discusses the pressures and possibilities facing rural healthcare today.