Skip to Content

Published on June 23, 2015

Avera eCARE Hosts NATO Project Team

Multinational telemedicine network could benefit disaster victims worldwide

SIOUX FALLS (June 22, 2015) – As they consider a multinational telemedicine network to help respond to disasters worldwide, NATO medical and information technology experts gathered at Avera this week to gain insights from Avera’s eCARE network.

“Avera eCARE is one of the top telemedicine systems in the world. We cover 545,000 square miles, an area roughly the size of France and Germany combined,” said Donald Kosiak, Jr., MD, Medical Director for Avera eCARE. Among eCARE applications are eEmergency, eICU, ePharmacy, eConsult, eLTC and more.

One “virtual hospital” in Sioux Falls serves 99 emergency rooms, 63 hospital pharmacies, 91 “wired” eICU beds at 28 hospitals and more.

Kosiak is serving as medical chair for NATO’s Science for Peace and Security Program, which is researching a multinational telemedicine system to improve access to health services and increase survival rates in emergency situations, like the recent earthquake in Nepal. 

Avera’s national recognition as a telemedicine leader, in addition to Kosiak’s involvement, brought NATO experts to Sioux Falls for a working session. This is the first time this NATO team has met in the United States. Next on its agenda is a validation exercise, or disaster simulation, in Ukraine.

“The involvement of our friends at Avera is extremely important. Agencies that have high experience in this field are very valuable to us in building a multinational capacity for disaster response,” said Raed Arafat, MD, Secretary of State and Head of the Department of Emergency Situations at Ministry of Internal Affairs of Romania, and NATO Country Project Director.

“When several nations send medical disaster teams to a place like Nepal, we’re looking into how we can use a multinational telemedicine system to bring in physicians who are thousands of miles away from the scene,” Arafat said.

Kosiak said such a system would multiply the multinational force that’s available to respond to disasters, much like Avera eCARE allows a larger number of specialists to be available to patients in rural communities than could be present in person.

“It’s our privilege to show this team what we’ve built through our partnership with the Helmsley Trust and government funds to extend medical specialists to take care of patients across a large geographical area,” Kosiak said.

Through telemedicine, disaster response teams could serve more people, with fewer volunteers at the scene. “There are physicians who would love to volunteer, who couldn’t leave their job for 30 days to travel to a place like Nepal, but could take a day or two off to serve through telemedicine,” Kosiak explained. Telemedicine also could help save resources at the scene, by not having to send patients hundreds of miles away for a specialty consult.

After its Ukrainian exercise later this year, the NATO team hopes to have a larger, multinational exercise that would simulate a major disaster. When the research project is completed, the hope is that it can lead to a practical, functional system to implement at the scene of disasters.

“South Dakota is involved on the lead of this project,” Arafat said.

“In hosting this event in Sioux Falls, South Dakotans can take pride in knowing that the telemedicine developments discussed here could benefit people caught up in disasters across the world,” Kosiak added.

To learn more, go to

Stay up to date!

Visit News & Media to get the latest from Avera Health.

Media Contact

For media inquiries, please contact:

Lindsey Meyers
Vice President of Public Relations
Office: 605-322-7955

Jay Gravholt
Director of Media Relations
Office: 605-668-8585

Michelle Pellman
Public Relations Coordinator
Office: 605-322-7963

Jake Iversen
Public Relations Coordinator
Office: 605-322-4387

Paige Baskerville
Social Media Coordinator
Office: 605-322-7956

Live Better. Live Balanced. Avera.

Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

© 2019 Avera, Sioux Falls, SD. All Rights Reserved.