Four years after the inception of U.Va.’s telestroke program, the number of stroke patients to receive TPA now has increased to 17 percent. It is one clear example of how telemedicine is helping Virginia improve the quality and delivery of health-care services, says Dr. Karen Rheuban, medical director of U.Va.’s Office of Telemedicine. “The hospitals to which we’re connected had previously never administered TPA,” she says.