This case study details the implementation of OnPage's alerting system by SAGE, a telemedicine provider specializing in neurological services for rural clinics. SAGE faced challenges with their previous paging system, which resulted in delays of up to 20 minutes for neurologist responses. The introduction of OnPage's HIPAA-compliant alerting solution significantly improved response times, with 95% of calls being returned in under a minute. The automated escalation process ensures that if the first neurologist does not respond, the next available physician is alerted promptly. The case study outlines the operational improvements, including the elimination of missed pages and enhanced accountability through an audit trail. Additionally, SAGE's operational costs decreased, saving over $100,000, while their business expanded sevenfold due to the promise of rapid responses. The report emphasizes the critical role of telemedicine in providing timely neurological care, particularly in stroke cases, where immediate treatment is essential.