A telehealth hub is a location that has been established to provide a place to give the public easy access to healthcare. Today’s blog will focus on telehealth hubs in eastern North Carolina, but there are numerous other efforts being launched across the country. ECU Health is a non-profit academic health care system that serves more than 1.4 million people across 29 counties in eastern North Carolina. Formerly known as Vidant Health, the system partners with East Carolina University’s Brody School of Medicine.
ECU Health launched its Health Hub initiative in May 2023 as a way to bring healthcare closer to where people live. The Health Hub effort is concentrated in Pitt, Martin, Edgecombe, and Beaufort Counties, which are the most underserved areas in terms of local health care in the ECU Health footprint. These counties also still have poor broadband and cellular coverage, making it a challenge for residents to use telehealth.
Health Hubs have been strategically located in the parts of these counties that have the highest level of social vulnerability. Each Health Hub is located in a place that has good access to broadband. ECU Health has located telehealth centers in local churches, non-profits, or businesses willing to provide the space. There are now 21 telehealth sites in these counties. Each hub is equipped with necessary devices, including a computer with a webcam and microphone, and vital sign monitors like blood pressure cuffs, pulse oximeters, and thermometers. This equipment allows individuals to have virtual telehealth visits with doctors in the ECU Health system. Each site also has a Health Hub ambassador who helps residents connect with virtual care services and navigate the resources available to them.
Health Hubs are open to everyone in the community. ECU Health also makes these same services available to anybody who has a computer or smartphone and is able to connect from home. The telehealth visits have been priced at $55 per visit, which is often less than a typical insurance copay.
The hubs serve dual purposes. First, they provide a place for people to conduct telehealth visits, which is vital in a region where individuals have trouble with the transportation costs needed to travel to an ECU Health hospital or clinic. ECU Health has already seen that the telehealth hubs have reduced the number of emergency room visits that were made for non-emergency needs.
The Health Hubs are also a gateway to other community resources. They contain easy-to-read guidebooks that tell residents how to access services related to food insecurity, housing, and employment.
Telehealth hubs are a key link to health care in communities at a time when rural hospitals are closing, and there is decreasing local access to doctors and health services. Telehealth hubs are also needed in communities where people either don’t have access to or can’t afford the cost of broadband or cellular service. Systems like ECU Health understood that rural residents often skipped vital health care visits if they couldn’t afford the cost of transportation or the time off work to travel for routine health visits.
Telehealth hubs are not a replacement for rural hospitals, but they are a vital link to health care. We need a lot more networks of telehealth hubs, because without them we’re going to be seeing big swaths of rural America turned into health care deserts.




